Thursday , December 3 2020

"[김태열 기자의 생생건강] Diabetes is 5 million people, one in seven adults "- Herald Economy



– Case of 5th death where to prevent complications from illness to death?

[헤럴드경제=김태열 기자] According to statistics from the Korean Diabetes Association, the national diabetes population has been more than 5 million by 2016, and one in seven adults over 30 years of age has diabetes. Diabetes is such a terrible illness that it comes into the cause of the fifth death of Coreans, patients suffering from chronic kidney disease, patients who break legs for reasons other than traffic accidents, diabetes is & # 39; The main cause of blindness. However, it is often difficult to recognize the severity of diabetes as it often becomes apparent in the environment. In addition, patients with diabetes themselves are often unfavorable to treatment, which is a problem. Let's learn about the method of control and prevention of complications by diabetes awareness renewal from World Diabetes Day through the help of Jong In – kyung from the Department of Internal Medicine of Kyung Hee University Hospital.

What type of disease does it mean is diabetes?If gas and gas are gasoline, then the energy that moves our body is glucose. Glucose that is present in the blood is known as blood sugar, and blood glucose travels to the cell and is used as energy. At this point, glucose is the insulin needed for glucose to enter the cell. Mellitus disease is a disease where insulin is not usually eliminated or has a functional problem, causing the blood sugar to rise if the glucose does not go to & # 39; The cells are fine, causing complications in blood vessels.

What causes diabetes?= Type 1 diabetes and type 2 diabetes are the main contributors to the diabetes category. Type 1 diabetes occurs mainly during childhood – adolescents, but it is caused by an inadequate amount of insulin. Insulin has been eliminated by the beta cells in our body's panic. If these beta cells are destroyed for some reason and can not produce insulin, blood sugar will rise and become diabetes. Type 1 diabetes must be treated with insulin only.

On the other hand, diabetes mellitus that occurs in adults and slowly moves is called type 2 diabetes. Most diabetic patients in Korea are type 2 diabetes. The main reasons are more insulin reasons and reducing insulin secretion. Environmental factors such as obesity, excessive carbohydrates and fat characters, lack of exercise, stress, hormonal abnormalities, infectious diseases, taking medications that affect glucose metabolism, gastrectomy, etc. co-operate with genetic factors (parents diabetes) Type 2 diabetes can occur.

Do you have symptoms immediately when you get diabetes?= There is a typical symptom when hyperglycemia continues as diabetes develops. (Wrin), drink a lot of water (next), eat a lot (eat) and lose weight. In normal kidneys, glucose is not rehabilitated and released to urine. If the blood sugar exceeds 180 mg / dL, the kidneys will not be able to rehabilitate the glucose and the glucose will escape to urine. When glucose leaves, a lot of water comes out with each other, so you'll see a lot of urine, and when you go out of the water, it's Dehydration occurs and you drink a lot of water. Insufficient insulin, even if the blood sugar is high enough to judge energy shortages to send more energy to send a signal to eat more and want to eat more.

However, there are no symptoms at the start of diabetes. Professor Chung In-kyung said from Kyunghee University Hospital, Kyunghee University, "During the early stages of diabetes mellitus, there is no symptom and diabetic complication is ongoing. After the pipe wax can be stopped, the diagnosis of the diabetic patient is stroke, myocardial, blindness or edema. "If you are over 40, you can better check your blood glucose every year on an empty stomach. If you have diabetes, you need to be sure that you have complications once a year. "

What causes diabetes complications?= Diabetes is one of the more severe complications than the disease itself. If blood sugar is high, blood becomes adhesive as a syrup. Tied blood does not smooth the circulation of our body's peripheral tissues. Diseases that are happening for this reason are diabetic complications.


What are the diabetic complications?There are two major diabetes complications: acute complications and chronic complications. Stressed complications are complications of blood sugar rising to more than 4-500 when diagnosed with diabetes and are not well treated. A hyperosmalic coma, keton acidosis, etc. is usually needed in the coma and urgent treatment needs to be progressed. If you have proper treatment, you can recover.

The biggest problem of diabetes is chronic vascular complications. In the early stages of complications, there are no symptoms, and when symptoms begin to develop after a long absence, they are already in final condition and can no longer be reversed. Chronic complications are the most common cause of failure or death in diabetic patients.

The chronic complications of diabetes include micro-vascular complications in the thin blood vessels, the kidneys, the eyes and nerves, and macro-vascular complications in the upper blood vessels, the brain, and lower and lower blood vessels . Diabetic retinopathy may be in the eye and kidney may have diabetic anaphropathy. Neurons can also have diabetic neuropathy. Depending on the type of nerves, sensory nerves, motor nerves, and autonomous nerves. When you come to the sensory nerves, your arms and legs are tough, staggering, ill, stunning, curious, or stupid. In terms of motor nerve, parasis is also happening. When entering automatic nerve, sudden blood pressure occurs when occurring, digestive function disorders, constipation, diarrhea, abdominal pain, disorders due to geni-medicinal disorder, incapacity, erectile disorder and continuity. Symptoms like sweating appear.

Cardiopulmonia bypass complications can be angina or myocardial blow. In the case of brain blood vessels, stroke can occur and paralysis can occur on the side. Also, when the body's blood vessels are blocked, the fingertips become black, or diabetic feet become ulcers, which are not easily greed by mild wounds on the feet.

Can I take the diabetes medication constantly to prevent complications?Drug therapy is very important in treating diabetes. However, no matter how hard it is to treat medication, it is hard to expect a good effect if you do not eat and practice well. Therefore, meals and exercise must be done parallel. When managing meals, you should not eat too much, eat too much food or fruit, and eat regularly. It's good to practice more than three times a week for more than 30 minutes a day. Exercise strengthens muscle strength, reduces insulin resistance, and regulates blood sugar. Although it is generally known that you should take medication for a lifetime, you can reduce or stop your medication dose if you are well controlled by your diet or body.

Does diabetes have unparalleled dietary adjustments?= Dietary control for people with diabetes 핈 The basic principle is to regularly eat the right amount of food regularly. A dietary fiber, which contains many vegetables, helps to reduce blood sugar, so take it properly. In the opposite, it's better to reduce simple sugar as sugar or honey, salt and animal fat. It is recommended that you practice more than three days a week for about 30 to 60 minutes a day with plenty of strength to breathe a little. Walking, jogging, naked hand gymnastics, cycling riding, such as light body exercises are also effective. If you're overweight and just eat meals, you can take exercise at any time after meals and after meals. If you are taking oral or insulin hypoglycemic drugs, exercise after meals is good to prevent hypoglycaemia. If diabetic complications are severe or heart disease is bad or if atherosclerosis is severe, severe exercise after the dishes can cause irreversible harm to the heart and blood vessels.

Is diabetes having to give up the most of drinking and smoking?= Abstention of abstention is not necessary. Some alcohol is not bad for blood vessels because moderate alcohol chooses HDL cholesterol, which helps atherosclerosis. For man, two glasses a day, and for a woman, one glass per day is fine. However, overcrowding and persistent people can cause inflammation of pancreas, as well as liver disease, and severe chronic pancreatitis can lead to insulin secretion and insulin injection life. Therefore, when drinking alcohol, slow and moderate drinking, it should not drink under the state quickly. In the case of liver disease, hyperlipidemia, and obesity, do not drink alcohol. Also, the following day after drinking alcohol, hypoglycemia can appear in the morning, so you should always check your blood sugar and do not skip breakfast. Smoking, on the other hand, has shown to increase the clotting of blood in our body and cause thrombosis and cause vascular disease such as myocardial blight or stroke. Therefore, smoking should be prevented if you are diagnosed with diabetes.

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