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    Home > Active Ingredient News > Endocrine System > Thirst, excessive urination, first diagnosed with diabetes, the truth is not so simple!

    Thirst, excessive urination, first diagnosed with diabetes, the truth is not so simple!

    • Last Update: 2021-06-02
    • Source: Internet
    • Author: User
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    *The professional part involved in this article is only for medical professionals to read for reference.
    Hyperglycemia, abdominal pain.
    .
    .
    It turned out to be this disease! In recent months, the 52-year-old Ms.
    Liang is prone to thirsty, eating a lot, drinking a lot, and urinating a lot.

    At first I thought it was caused by the hot weather.
    When my friend reminded me to go to the hospital to check for diabetes, my fasting blood sugar was as high as 20 mmol/L, and I was diagnosed with diabetes.

    What should I do if I am diagnosed with diabetes? The doctor recommends: Take hypoglycemic drugs or try exercise first, and control your diet for 2 months.
    If the blood sugar does not drop, then take the drugs.

    Ms.
    Liang started taking metformin and acarbose under the guidance of a doctor.

    Why repeated abdominal pain? After eating for a while, Ms.
    Liang's blood sugar dropped to the normal range.

    Eating, drinking, and urination all returned to normal levels.

    But 2 months later, Ms.
    Liang began to feel faintly uncomfortable in the upper abdomen.

    Ms.
    Liang has a history of gastric disease, but has always resisted gastroscopy.

    The doctor said that most of this kind of pain is considered to be gastritis, gastric ulcer, duodenal ulcer, etc.
    It should not be avoided because it may become cancerous.

    Gastroscopy was performed on the same day, showing gastritis.

    Space-occupying pancreas? The faint pain in the abdomen was still unexplainable, so I performed a B-ultrasound to check for cholecystitis and chronic pancreatitis.

    If you have gallbladder stones, you can consider surgery to remove the gallbladder.

    B-ultrasound report: The pancreas seems to be occupying space, and further CT examination is recommended.

    During the waiting period after the CT scan, the tumor markers for blood tests also came out, and CA199 etc.
    were all significantly increased.

    The doctor said that combined with these indicators, there is a possibility of malignancy, but it depends on the CT results, and the pathological results shall prevail.

    CT returns: Consider pancreatic cancer.

    The cancer grows on the body of the pancreas, not on the head.

    This is relatively rare.
    Generally speaking, pancreatic cancer is the most common pancreatic head cancer, while pancreatic body cancer or pancreatic tail cancer is relatively rare.

    But this is consistent with Ms.
    Liang's condition.
    Pancreatic head cancer will have obvious jaundice.

    Because the head of the pancreas is located close to the common bile duct, if a cancer of the head of the pancreas occurs, it may be compressed to the common bile duct at any time, causing the bile to flow out unsmoothly, the bile flows back into the blood, and the excess bilirubin is deposited on the human skin, which will appear yellow.
    dye.

    And Ms.
    Liang never had jaundice, only a dull pain in the upper abdomen.

    Do you want surgery? The doctor analyzed the treatment plan for Ms.
    Liang.

    On the one hand, surgery can get pathological tissue to further confirm the diagnosis, and it can also cut off part of the cancerous tissue to alleviate the progress of the disease and reduce the clinical symptoms.

    Not simply diabetes! Diabetes was admitted to the hospital, and pancreatic cancer was finally diagnosed.

    Is diabetes related to pancreatic cancer? Was it originally pancreatic cancer but was diagnosed as diabetes? This possibility is there.

    Doctor Tube Bed explained that when pancreatic tumors invade pancreatic islet B cells (islet B cells are in the pancreas) and destroy islet B cells, then insulin secretion will be reduced.
    The role of insulin is to lower blood sugar.
    Once the secretion is reduced, the patient’s blood sugar will be reduced.
    It will rise, and it will show up as diabetes.

    Return of pathological results after surgery: pancreatic cancer.

    Who needs to be wary of pancreatic cancer? (1) Age> 40 years old, with non-specific upper abdomen discomfort.

    This is difficult to define, because there are too many reasons for discomfort in the upper abdomen.
    It may be cholecystitis, gastric ulcer, chronic hepatitis, chronic pancreatitis, etc.
    , or it may be pancreatic cancer.

    (2) Those who have a family history of pancreatic cancer.

    (3) Age> 60 years old, no family history, no obesity, but sudden diabetes, especially some atypical diabetes, just like Ms.
    Liang above.

    (4) For patients with chronic familial pancreatitis, it is currently believed that chronic pancreatitis may be an important precancerous lesion of pancreatic cancer.

    (5) People who smoke, drink a lot of alcohol, and have long-term exposure to harmful chemicals.

    The source of this articleListen to Dr.
    Li as the editor in chargeBoom bang copyright statement This article is reproduced, welcome to forward it to the circle of friends-End-submission/reprint/business cooperation, please contact: pengsanmei@yxj.
    org.
    cn  
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