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*Only for medical professionals to read and refer to these situations can not be ignored! What symptom changes occur in diabetic patients, suggesting that their condition is getting worse, should they seek medical treatment in time? Source: Ruijing Picture 1//The symptoms of "three more and one less" appear from scratch, from mild to severe, suggesting that the disease is aggravated.
"Three more and one less (thirst, polydrinking, polyphagia and weight loss)" are diabetic patients The typical symptoms of, its appearance is related to the increase of blood sugar.
Hyperglycemia causes osmotic diuresis, and a large amount of water and glucose are lost with urine.
As a result, the patient becomes thirsty and overeating.
Due to the body's impaired utilization of glucose, the breakdown of fat and protein increases, resulting in weight loss and weight loss.
Therefore, the "three more and one less" symptoms can reflect the patient's blood sugar level and the severity of the disease to some extent.
The more obvious the "three more and one less" symptoms, the more serious the patient's glucose metabolism disorder.
2//Patients with persistently high blood glucose or large fluctuations indicate that the disease is aggravated.
Hyperglycemia is an important risk factor leading to acute and chronic complications of diabetes.
If the patient's blood sugar is always high, it often indicates a serious illness.
In addition, many studies have confirmed: Compared with persistent hyperglycemia, the harm caused by blood sugar fluctuations is greater than that.
Therefore, for people with diabetes, it is necessary to control high blood sugar and keep blood sugar stable.
If the patient's blood sugar is always high or fluctuating, it often indicates that the patient's condition is serious and the risk of complications is higher.
3//People with extremely unstable blood sugar and frequent hypoglycemia suggest that the condition of the disease is aggravated.
High blood sugar is terrible, but hypoglycemia, especially severe hypoglycemia, is often more dangerous and can cause the patient to suffer from consciousness disorder, coma and even death in a short period of time In addition, hypoglycemia can also induce cardiovascular and cerebrovascular accidents, such as angina, acute myocardial infarction, stroke, sudden cardiac death and so on.
Therefore, diabetic patients with large blood glucose fluctuations and frequent hypoglycemia often indicate poor pancreatic islet function, higher risk of complications, and more serious illness.
4//Patients with obvious gastrointestinal symptoms and a rotten apple smell in their breath suggest that "diabetic ketoacidosis" is a more common acute complication of diabetes.
Due to the lack of insulin, the body cannot use glucose, so the body breaks down fat to obtain energy.
During the process of fat decomposition, ketone bodies are produced.
A large amount of ketone bodies accumulate in the body, causing the patient to have symptoms such as nausea, vomiting, abdominal pain, dizziness, and disturbance of consciousness.
The exhaled air smells of rotten apple (the smell of acetone).
Therefore, when diabetic patients suffer from gastrointestinal discomfort, malaise, and smell of rotten apples in their breath, it often indicates that their condition is getting worse, and it is likely that ketoacidosis has occurred.
5//Severe infections indicate that diabetic patients with severe disease are more prone to various infections than ordinary people due to their reduced immunity.
Common ones include urinary tract infections, skin infections (such as cellulitis), oral infections, and feet Infections, etc.
, especially foot infections in diabetic patients (ie "diabetic foot gangrene") are an important cause of disability and death in diabetic patients; at the same time, infections will in turn increase hyperglycemia and increase the difficulty of blood sugar control.
, Further aggravate the disorder of glucose metabolism.
Therefore, if a patient with diabetes develops an infection, it often indicates that the condition is getting worse.
6//Progressive decline in visual acuity, suggesting that the condition aggravated and long-term high blood sugar can lead to a variety of eye diseases such as diabetic retinopathy (DR), mainly manifested as blurred vision, black spots in front of the eyes, or floaters, vision Deformation or double vision, etc.
When the patient has the above symptoms, it often indicates that the condition is getting worse and ocular complications appear.
7//Hands and feet numbness, pain, or decreased or absent sensation, suggesting that exacerbation of peripheral neuropathy (especially sensory neuropathy) is a common complication of diabetes, the incidence of which accounts for more than half of all diabetic patients, and the main manifestations are Extremity numbness, pain, burning sensation, ant walking sensation, glove socks sensation, foot cotton sensation, insensitivity or no sensation to cold and heat and needle sticks, etc.
When the above-mentioned symptoms appear in diabetic patients, it often indicates that the condition is getting worse.
8// Increased urine foam, swelling of eyelids and lower extremities, suggesting that diabetes is aggravated.
When kidney complications occur, as a large amount of protein is excreted from the urine, the patient's plasma osmotic pressure is significantly reduced, resulting in a large amount of intravascular water leakage, which leads to facial Edema; on the other hand, kidney disease can also cause edema due to water and sodium retention and decreased urine output.
Therefore, when the patient has increased foam and swelling in the urine, it often indicates that the condition is getting worse.
9//Heart palpitations, chest tightness, and precordial discomfort indicate that cardiovascular disease is the most common chronic complication of diabetes and the main cause of death in diabetes.
About 3/4 of diabetic patients eventually die from cardiovascular complications .
What needs to be vigilant is that due to sensory nerve damage, diabetic patients often have no obvious pain symptoms when angina pectoris or acute myocardial infarction occur, but chest tightness, suffocation, palpitations, dizziness, fatigue, and symptoms aggravate after exercise.
Therefore, when the patient has the above symptoms, we must be alert to heart problems.
10//Walking is getting shorter and shorter, suggesting that the condition is getting worse.
Some diabetic patients will experience muscle swelling, heaviness and pain in the lower limbs after walking for a while.
They must stop and rest before they can continue walking.
This situation is called "intermittent" in medicine.
"Sexual claudication" indicates that the patient has stenosis or occlusion of the arteries of the lower extremities, and is prone to diabetic foot gangrene.
If the patient's walking distance is getting shorter and shorter, it often indicates that the degree of vascular stenosis is getting worse.
"Three more and one less (thirst, polydrinking, polyphagia and weight loss)" are diabetic patients The typical symptoms of, its appearance is related to the increase of blood sugar.
Hyperglycemia causes osmotic diuresis, and a large amount of water and glucose are lost with urine.
As a result, the patient becomes thirsty and overeating.
Due to the body's impaired utilization of glucose, the breakdown of fat and protein increases, resulting in weight loss and weight loss.
Therefore, the "three more and one less" symptoms can reflect the patient's blood sugar level and the severity of the disease to some extent.
The more obvious the "three more and one less" symptoms, the more serious the patient's glucose metabolism disorder.
2//Patients with persistently high blood glucose or large fluctuations indicate that the disease is aggravated.
Hyperglycemia is an important risk factor leading to acute and chronic complications of diabetes.
If the patient's blood sugar is always high, it often indicates a serious illness.
In addition, many studies have confirmed: Compared with persistent hyperglycemia, the harm caused by blood sugar fluctuations is greater than that.
Therefore, for people with diabetes, it is necessary to control high blood sugar and keep blood sugar stable.
If the patient's blood sugar is always high or fluctuating, it often indicates that the patient's condition is serious and the risk of complications is higher.
3//People with extremely unstable blood sugar and frequent hypoglycemia suggest that the condition of the disease is aggravated.
High blood sugar is terrible, but hypoglycemia, especially severe hypoglycemia, is often more dangerous and can cause the patient to suffer from consciousness disorder, coma and even death in a short period of time In addition, hypoglycemia can also induce cardiovascular and cerebrovascular accidents, such as angina, acute myocardial infarction, stroke, sudden cardiac death and so on.
Therefore, diabetic patients with large blood glucose fluctuations and frequent hypoglycemia often indicate poor pancreatic islet function, higher risk of complications, and more serious illness.
4//Patients with obvious gastrointestinal symptoms and a rotten apple smell in their breath suggest that "diabetic ketoacidosis" is a more common acute complication of diabetes.
Due to the lack of insulin, the body cannot use glucose, so the body breaks down fat to obtain energy.
During the process of fat decomposition, ketone bodies are produced.
A large amount of ketone bodies accumulate in the body, causing the patient to have symptoms such as nausea, vomiting, abdominal pain, dizziness, and disturbance of consciousness.
The exhaled air smells of rotten apple (the smell of acetone).
Therefore, when diabetic patients suffer from gastrointestinal discomfort, malaise, and smell of rotten apples in their breath, it often indicates that their condition is getting worse, and it is likely that ketoacidosis has occurred.
5//Severe infections indicate that diabetic patients with severe disease are more prone to various infections than ordinary people due to their reduced immunity.
Common ones include urinary tract infections, skin infections (such as cellulitis), oral infections, and feet Infections, etc.
, especially foot infections in diabetic patients (ie "diabetic foot gangrene") are an important cause of disability and death in diabetic patients; at the same time, infections will in turn increase hyperglycemia and increase the difficulty of blood sugar control.
, Further aggravate the disorder of glucose metabolism.
Therefore, if a patient with diabetes develops an infection, it often indicates that the condition is getting worse.
6//Progressive decline in visual acuity, suggesting that the condition aggravated and long-term high blood sugar can lead to a variety of eye diseases such as diabetic retinopathy (DR), mainly manifested as blurred vision, black spots in front of the eyes, or floaters, vision Deformation or double vision, etc.
When the patient has the above symptoms, it often indicates that the condition is getting worse and ocular complications appear.
7//Hands and feet numbness, pain, or decreased or absent sensation, suggesting that exacerbation of peripheral neuropathy (especially sensory neuropathy) is a common complication of diabetes, the incidence of which accounts for more than half of all diabetic patients, and the main manifestations are Extremity numbness, pain, burning sensation, ant walking sensation, glove socks sensation, foot cotton sensation, insensitivity or no sensation to cold and heat and needle sticks, etc.
When the above-mentioned symptoms appear in diabetic patients, it often indicates that the condition is getting worse.
8// Increased urine foam, swelling of eyelids and lower extremities, suggesting that diabetes is aggravated.
When kidney complications occur, as a large amount of protein is excreted from the urine, the patient's plasma osmotic pressure is significantly reduced, resulting in a large amount of intravascular water leakage, which leads to facial Edema; on the other hand, kidney disease can also cause edema due to water and sodium retention and decreased urine output.
Therefore, when the patient has increased foam and swelling in the urine, it often indicates that the condition is getting worse.
9//Heart palpitations, chest tightness, and precordial discomfort indicate that cardiovascular disease is the most common chronic complication of diabetes and the main cause of death in diabetes.
About 3/4 of diabetic patients eventually die from cardiovascular complications .
What needs to be vigilant is that due to sensory nerve damage, diabetic patients often have no obvious pain symptoms when angina pectoris or acute myocardial infarction occur, but chest tightness, suffocation, palpitations, dizziness, fatigue, and symptoms aggravate after exercise.
Therefore, when the patient has the above symptoms, we must be alert to heart problems.
10//Walking is getting shorter and shorter, suggesting that the condition is getting worse.
Some diabetic patients will experience muscle swelling, heaviness and pain in the lower limbs after walking for a while.
They must stop and rest before they can continue walking.
This situation is called "intermittent" in medicine.
"Sexual claudication" indicates that the patient has stenosis or occlusion of the arteries of the lower extremities, and is prone to diabetic foot gangrene.
If the patient's walking distance is getting shorter and shorter, it often indicates that the degree of vascular stenosis is getting worse.
