Tuesday 31 July 2012

How to care Type 2 diabetes


Type 2 diabetes is a systemic disease threat to the elderly at an early stage if you do not timely treatment and scientific care, will lead to a variety of complications caused by systemic disease, then, type 2 diabetes patients how to care?
First, we should first understand the causes of patients will be more targeted, so that at the time of treatment, the occurrence of type 2 diabetes is mainly due to islet cell damage, the relative lack of insulin secretion or produce insulin resistance, making blood sugar l high because the body's blood throughout the body, so it can be said, the body has been soaked in sugar poison, so that the various organs of the body is damaged, the various complications of the diabetic foot, diabetic eye disease, diabetic nephropathy.
Secondly, for obese type 2 diabetic patients, the most critical need is to lose weight, so weight loss is through exercise to lower blood lipids, improve heart and lung function, exercise can improve circulation, respiratory function was better exercise.
In addition, people with diabetes also need to understand some basic nursing skills:
Learn how to monitor blood sugar and record blood glucose levels; know they should eat and mealtime; need to know how to take drugs when necessary; know how to identify and deal with high blood sugar or hypoglycemia; learn how to safely pass a sick day; about diabetes drugs and other supplies the place of purchase, and know how to store these items.

How much harm is of type 1 diabetes?


More than 90% of children with type 1 diabetes to see the "emergency" were only found
Diabetes experts say, type 1 diabetes is not a cold, fever so easily lead to the attention of parents, more than 90% of children with exacerbation induced by fever, diarrhea and other infectious diseases, vomiting, abdominal pain, shortness of breath, poor spirit, and even ketoacidosis, coma and other symptoms, emergency department when diagnosed with type 1 diabetes.
Experts remind that when children following aura symptoms, the parents must be vigilant: 1, often thirsty, and the children also up at night to drink water. 2, bedwetting, bedwetting in infants and young children have disappeared for some time re-emergence of nocturnal enuresis. 3, eat more and not gain weight, and even weight loss, mental fatigue.
How to treat type 1 diabetes
Treatment of type 1 diabetes, conventional therapy is the injection of insulin, and strengthen the control of diet treatment, but this is only the kinds of palliatives treatment can not cure type 1 diabetes can not prevent the occurrence of complications, and treatment must last a lifetime, which makes many parents despair, feel sorry for!

What are the Symptoms and Causes of type 1 diabetes?


Type 1 diabetes occurs mainly in adolescents, it has its own 'law, if we have these laws, you can prevent and treat diabetes. Type 1 diabetes at different times have different characteristics:
(1) acute metabolic disorders of
From the symptoms to the clinical diagnosis of more than three months or less, this period a variety of symptoms of diabetes, known as acute metabolic disorders of. Of which about 20% of ketoacidosis, 20% to 40% of ketosis without acidosis, the rest only hyperglycemia and urine. But all of the patients with type 1 diabetes require insulin injections therapy.
(2) The honeymoon period
Treatment of 2 weeks to 3 months, 2/3 of patients with symptoms may gradually disappear, and decreased blood sugar, urine sugar, reduce the temporary recovery of islet function, increased serum insulin and serum C-peptide levels, reduced insulin requirements, a few can even need to take insulin to go into remission, also known as the "honeymoon period" or "honeymoon remission. Men diabetes symptoms more common than women. Ease of obvious 3 years of age and adolescent girls to ease the year ranging from a few weeks, the difference is very large, with an average of 3 to 6 months.
(3) diabetes strengthening of
Often due to infection, improper diet, and pubertal development, leaving the sicker, the performance suddenly or gradually increase the amount of insulin, plasma insulin and C-peptide levels again to reduce. Islets tended to failure, and pancreatic islet B-cell depleted the same, sometimes accompanied by fibrosis, this period is called "diabetes of the intensive phase.
(4) permanent type of diabetes of
Most of the islet B cells be destroyed, to be totally dependent on exogenous insulin to sustain life. Insulin dosage gradually increased to stabilize the amount gradually into permanent diabetes mellitus of more time in five years or so after the onset. Puberty because of the role of sex hormones, insulin resistance, the condition tend to have fluctuations in the amount of insulin increases again. After puberty, the condition gradually stabilized, but in case of infection and stress, his condition will deteriorate.

Monday 23 July 2012

What are the early symptoms of type 2 diabetes?

Type 2 diabetes accounts for more than 90% of the total number of all patients with diabetes is a chronic, systemic disease, and if not timely treatment, there will be a variety of complications, then, the early type 2 diabetes Symptoms are what it?
Diabetes Treatment Center in Hebei experts were introduced as follows:
The early symptoms of numbness in type 1 and 2 diabetes: Diabetes can cause peripheral neuritis, numbness, pain and burning sensation appears, and some people will have the feeling of walking step, such as cotton. The incidence of diabetes with advanced peripheral neuritis.
Decreased vision: Diabetes can cause cataracts, and lead to vision loss, and rapid progress, and sometimes caused by acute retinal lesions caused by acute vision loss.
3,2 Type 2 diabetes early symptoms of more than three a few: significant increase in food intake and weight loss.
4,2 Type 2 diabetes early symptoms of diarrhea and constipation: Diabetes can cause visceral neuropathy, resulting in the dysfunction of the gastrointestinal tract, which appeared intractable diarrhea and constipation, the diarrhea to antibiotic therapy.
Difficulty urinating, difficulty urinating: men with diabetes is about 21.7%. Therefore, the elderly in the event of difficulty urinating, in addition to enlarged prostate, you should consider the possibility of diabetes.

What is the difference between type 1 diabetes and type 2 diabetes?

In many cases, we will often be confused with type 1 diabetes and type 2 diabetes, type 1 diabetes and type 2 diabetes will have some similar symptoms, but they still have the essential difference, we introduce a type the difference in the nature of diabetes and type 2 diabetes:
The difference between a: Type 2 diabetes in patients with underweight, eat drink much urine; patients with type 2 diabetes are overweight.
The difference between the two: Type 1 diabetes is more common in the onset of the population under 30 years of age is relatively low, the occurrence of disease is also more anxious; the incidence of type 2 diabetes population is relatively older more common in over 40 years of age, the incidence of the slow.
The difference: type 1 diabetes has obvious symptoms of "Chronicles", ie urine, drink more, eat more. And it is easy to determine the onset time. Type 2 diabetes no particularly obvious symptoms. Therefore, it is difficult to determine the time of onset of type 2 diabetes.
The difference: type 1 insulin sensitivity, patients must rely on outside insulin, oral hypoglycemic agents do not have any effect; type 2 insulin-dependent, can be treated by controlling the diet, oral hypoglycemic agents.
The difference: type 1 diabetes is increased in fasting blood insulin and C-peptide lower than normal, and eating; in patients with type 2 diabetes, fasting blood insulin and C-peptide is normal, increased or slightly increased but the peak value of delay after eating.

What are risks of type 2 diabetes

The etiology of type 2 diabetes and type 1 diabetes compared to more complex studies have shown that the etiology of type 2 diabetes and genetic factors have a certain relationship, following by the experts of the Diabetes Treatment Center in Hebei detailed introduction.
And the etiology of type 2 diabetes-related factors are:
Bad habits: type 2 diabetes more susceptible to bad habits and other factors, including urbanization, lifestyle, such as high-fat, high protein, high-calorie, low-carbohydrate, low cellulose bad eating habits, as well as physical reduced activity, psychological stress, lack of sleep and other bad habits, resulting in weight gain (obesity), elevated blood pressure, dyslipidemia, etc.. Type 2 diabetes by itself and environmental factors, such as senior citizens, depressed anxiety, lack of knowledge of diabetes prevention and treatment of serious pollution of the natural environment.
2, genetic factors: relatively speaking, type 2 diabetes has a stronger hereditary, and race, familial aggregation phenomenon. On the basis of genetic predisposition, coupled with bad habits and other factors, resulting in lower pancreatic insulin secretion, and the emergence of insulin resistance (lower insulin sensitivity), etc., will be prone to type 2 diabetes.

Friday 20 July 2012

Cause of diabetic nephropathy:


1, high blood sugar: Long-term excessive blood sugar increased. Can be caused by increased capillary permeability. Plasma protein extravasation. Caused by the capillary basement membrane damage. Glomerulosclerosis and renal tissue atrophy.
2, high-protein diet exacerbate the deterioration of diabetic nephropathy: patients with diabetes due to strict restrictions on carbohydrate intake. The main food supply of high-protein fiber. The other. Resulting in excessive protein decomposition products and phosphorus load and accumulation. In turn exacerbate the pathological damage in DN.
3, the impact of hypertension: patients with diabetes due to lipid metabolism disorders. Atherosclerosis and other many reasons. A large number of patients with hypertension. These patients can be seen almost urine microalbumin. Showed that renal impairment is common.

Nursing Care for Diabetic nephropathy


Care is the basis for the treatment of diabetes and its complications, is also true for patients with diabetic nephropathy, patients with diabetic nephropathy how to care it?
1, for patients with diabetic nephropathy, should adhere to the low protein diet, low-protein diet can reduce the glomerular filtration rate, can also reduce urinary protein excretion.
Two patients with diabetic nephropathy to keep the skin clean and free from infection. Ground, bathing, changing clothes, dry skin, you can wipe a point of moisturizing cream.
3, no high blood pressure, edema is not obvious, no renal dysfunction, little protein in patients with diabetic nephropathy may be appropriate to participate in physical exercise to enhance physical fitness, prevention of infection; edema, high blood pressure patients or renal insufficiency patients, should be bed rest, keep warm.
4, the diet should be light, heavy diet of salted fish, bacon, salt is not edible. In the cold winter, many people like to eat hot pot, warm the body, but in patients with diabetic nephropathy is not suitable to eat spicy hot pot. As well as in cold weather favorable for beef and mutton, diabetic nephropathy in patients unfit for human consumption.
5, more than to breathe the fresh air, help to help the psychological care of patients with diabetic nephropathy.
Patients with diabetic nephropathy should ban smoking, mainly because of high blood pressure, high-protein, high blood sugar diet, smoking is the main reason that can aggravate diabetic nephropathy.

Diagnose diabetic nephropathy


Diabetic glomerular sclerosis in diabetes-induced kidney damage, mainly in clinical edema, proteinuria, hypertension, and this case, patients timely treatment, it is likely to be diabetic nephropathy . So, how do we diagnose diabetic nephropathy?
1, the diagnosis of diabetic nephropathy depends on kidney damage: the early renal damage mainly to the increase in glomerular filtration rate and microalbuminuria, the last several years. Further, there may be asymptomatic proteinuria began to intermittently later, compared with last. Persistent proteinuria prompted the breadth and severity of renal disease. Severe glomerulosclerosis with massive proteinuria and hypoproteinemia, nephrotic syndrome, often accompanied by hypertension and creatinine clearance rate of decline. More than 90% of patients with diabetic retinopathy.
2, the diagnosis of diabetic nephropathy depends on renal manifestations: a typical case how polyuria, polydipsia, polyphagia, weight loss of "a little" symptoms. The light may be asymptomatic. The disease develops slowly, the progression of the disease involving other organs, such as atherosclerosis, coronary heart disease, retinopathy, cataracts, peripheral neuropathy, etc. in addition to involving the renal acceptable.

What are the main symptoms of diabetic nephropathy

Kind of diabetic complications is diabetic nephropathy, diabetic nephropathy in patients with symptoms of diabetic nephropathy should be promptly treated, otherwise there may be developed into uremia or renal failure, understand the symptoms of diabetic nephropathy is very necessary, then , the main symptoms of diabetic nephropathy, what does?
1, edema, in patients with early diabetic nephropathy is usually no swelling, a small number of patients in the reduced plasma protein, may have mild swelling, edema occurs when the 24-hour urine protein of more than 3 grams. Obvious systemic edema, found only in the rapid development of diabetic nephropathy.
2, hypertension, high blood pressure is common in patients with diabetic nephropathy. Severe kidney disease and more hypertension, high blood pressure can accelerate the progression of diabetic nephropathy and deterioration. Therefore, effective control of hypertension is very important.
3, proteinuria, glomerular filtration pressure increased and filtration membrane charge changes, only the albumin in the urine for the selective proteinuria, no globulin increase, this state is sustainable for many years. With the increase of the glomerular basement membrane filter pore, the macromolecules can be via non-selective clinical proteinuria, urinary protein gradually becomes persistent heavy proteinuria with the further development of the lesions, proteinuria over 3 g / day, is a sign of poor prognosis. The severity of diabetic nephropathy in patients with proteinuria mostly sexual development, until the emergence of the nephrotic syndrome.
4, renal insufficiency, diabetic nephropathy, once started, the process is progressive azotemia, uremia is the final outcome.
5 obvious azotemia, anemia, diabetes patients may have mild to moderate anemia, iron therapy is not valid. Anemia, erythropoietin due to an impediment, may be associated with long-term restricted protein diet, azotemia related.

Patients with diabetic nephropathy in pregnancy

Can pregnant women with diabetes are more concerned with pregnancy is indeed a difficult thing for women with diabetes in clinical practice, generally women with diabetes is more than pregnancy should not be, then, female patients with diabetic nephropathy inability to conceive it?
Normally we all know, the women's stage of pregnancy is a very painful process, a female friend during the loss of a considerable portion of the blood. When female fertility, the body's blood circulation faster, blood volume will be an increase of about 1/3 or more than before pregnancy. Due to the increase in the amount of blood circulation through the renal blood flow will increase, thus pregnancy will increase the burden on the kidneys. While, if ever, women suffering from diabetic nephropathy did not receive a thorough treatment, the symptoms of diabetic nephropathy has not been alleviated, and associated with high blood pressure and urinary protein, then the pregnancy will lead to the aggravation of glomerular lesions, leading to renal failure easy, but in the latter part of pregnancy complicated by pregnancy induced hypertension.
Pregnancy induced hypertension deterioration of diabetic nephropathy. Which will affect the function of the placenta, resulting in the infant hypoxia, premature birth and stillbirth. Therefore, female patients with diabetic nephropathy, if the pregnancy will have adverse maternal and child female patients with diabetic nephropathy pregnancy?
Patients with diabetic nephropathy can not be pregnant it? Especially for women, women have the following symptoms in patients with diabetic nephropathy should not be pregnant:
1, in patients with moderate renal insufficiency can not be pregnant. Such patients, such as the high incidence of fetal growth retardation and premature pregnancy, and maternal renal function can also be a progressive deterioration.
2, patients with secondary renal diseases such as lupus nephritis can not be pregnant. These patients after pregnancy can induce or aggravate the condition, it should be very careful.
Nephrotic syndrome due to low plasma albumin. This situation often leads to fetal growth retardation and preterm children is not conducive to the principles of eugenics.

Thursday 19 July 2012

Fluctuating Blood Pressure in Kidney Disease

Blood pressure is usually low when dialysis is over due to the fluid being removed. Dialysis also filters out BP meds so she shouldn't take them until after dialysis. Most dialysis patients who also have BP problems often need their meds adjusted. The staff should be monitoring her charts and making the necessary adjustments.
In general, persons in the two high blood pressure groups had either hypertension or prehypertension, whereas those in the other two groups had blood pressure that was considered normal. Those with the lowest fluctuations experienced changes of about 5.5 percent (among those with low blood pressure) and 5.2 percent (among those with high blood pressure), compared with 14.2 percent among those in the high-fluctuating groups.
Unhealthy diet
Hypertensive kidney disease patients in their daily lives must be strict control of tobacco and alcohol. Smoking is harmful to health, it has been the formation of generally recognized. Drinking is still a hobby of many friends in menopause, does not know that alcohol is very unfavorable for hypertension, especially excessive alcohol consumption. Therefore, menopausal patients with hypertension should be strictly controlled alcohol and tobacco.

Dialysis
In hemodialysis, the impacted people necessitate bloodstream blood circulation outside of kind so it are heading to be really susceptible to include an effect on the haemodynamics leading to fluctuating bloodstream pressure. with this case, the impacted people have to inform their doctors at immediately after and affect the dialysis appliance properly. Moreover, once the dialysis is done excessively, it is heading to cause dehydration. Therefore, the bloodstream size diminishes and bloodstream stress rises. as a means in order to avoid dehydration, the doctors have to compute the patients’ take dampness out undesirable weight forward of dialysis. Also the impacted people have to get ready a weighing range to weigh them regularly.
http://www.renalfailuresite.com/complications/1759.html





Wednesday 18 July 2012

Strengthening exercise can lower blood sugar?

In which the treatment of diabetes and glucose control, exercise is an essential part of one, exercise can really hypoglycemic you?
Strengthening exercises in the control of the diabetic condition has the following advantages:
1, exercise blood lipid and blood pressure. Have a class called "low-density lipoprotein cholesterol in the blood cholesterol," bad "cholesterol, and coronary heart disease and cardiovascular disease related to the occurrence of high density lipoprotein cholesterol is" good cholesterol ". The study found that exercise can increase the "good cholesterol", effective prevention and treatment of hypertension, coronary heart disease and high cholesterol.
2, exercise can lower blood sugar. Exercise can improve the body's sensitivity to insulin, enhanced insulin receptor affinity, and can increase muscle glucose utilization, in order to effectively improve glucose metabolism to reach hypoglycemic purpose.
3, exercise helps mental health. Diabetic patients with psychological problems in recent years has been more and more attention, bad mood, not only hinder the patients with active medical treatment, and emotional will cause blood sugar fluctuations. Diabetic patients to participate in sports, can increase the opportunities for exchanges between people, maintaining a good mood, thereby enhancing the confidence to overcome the disease.
4, the exercise can improve drug efficacy. Exercise can reduce body fat, the study found obese patients with type 2 diabetes weight loss, the body's insulin resistance lessens, thereby enhancing the efficacy of antidiabetic drugs.
5, the movement can strong muscles, enhance health and improve the body's immune system.

Fasting plasma glucose 8 is a diabetic

"In the past, have not been to eight, is 7. More than this morning as to detect 8.2 diabetes? Heard on diabetes be cured, I keep a few days do not eat sweet things, even the bread is not eat, can go on. ? "patients so asked.
Diabetes Treatment Center in Hebei experts gave this answer:
Hello! Suggest that you check the postprandial blood glucose, diabetes identified in the clinical standard is this:
1, fasting whole blood glucose ≥ 6.7 mm mol / l (120 mg / dL), plasma glucose ≥ 7.8 mmol / l (140 mg / dL), 2 replicate measurements can be diagnosed as diabetes.
2, when the fasting blood glucose over 11.1 mmol / l (200 mg / dL), insulin secretion, with little or lack of.
Therefore, when the fasting blood glucose was significantly higher, do not perform other checks, can be diagnosed as diabetes.
3, when the fasting whole blood glucose 5.6 mm mol / l (100 mg / dL), and plasma glucose 6.4 milli-mole / l (115 mg / dL) or more should be done glucose tolerance test.
If there are obvious symptoms of diabetes, you should first 2-hour postprandial blood glucose.
4, normal blood sugar normal in the 2-hour postprandial blood glucose does not exceed 5.6 mmol / l (100 mg / dL), plasma glucose does not exceed 6.4 mmol / l (115 mg / dL).
If the 2-hour postprandial blood glucose ≥ 7.8 mmol / l (140 mg / dL), plasma glucose ≥ 8.9 mmol / l (160 mg / dL) can be diagnosed as diabetes.
In addition, your diet is wrong, the staple food do not eat is not enough, but in moderation. Some sugar Friends of the blood sugar is more than 9:00, after the investigation is impaired glucose tolerance, diet control, exercise, blood glucose has been controlled within the normal range, so, if you follow the scientific method to control blood sugar is also can be restored to normal value.

How To Control Post Prandial Blood Sugars

For people with diabetes, blood glucose level is critical, it has a direct impact on the patient's condition and health status, long-term control of blood sugar is not good, but also lead to a variety of complications, so for people with diabetes said, must control the blood sugar, because people do not pay attention at dinner time, so often the relatively high postprandial blood glucose, diabetes, high postprandial blood glucose, how do?
Diabetes postprandial blood glucose is high how to do?
1, diabetes, postprandial blood glucose is high how to do? - Insulin
After breakfast, due to lack of basal insulin secretion caused by high blood sugar, plus bedtime intermediate-acting insulin can help control fasting blood glucose, and thus make the blood glucose decreased significantly after breakfast.
Diabetes treatment center in Hebei experts advise: postprandial blood glucose in patients with mixed insulin preparations to note two points: First, close observation of blood glucose, insulin dosage adjusted according to the small magnitude of the blood glucose level; is to prevent low blood sugar every time to adjust to a point dosage of 2-3 days to adjust, until satisfied.
2, diabetes, postprandial blood glucose is high how to do? - Breakfast
Postprandial blood glucose in diabetic patients, the breakfast also be replaced by "thick" porridge heating time is longer, starch easily converted into dextrin and then easily broken down into glucose, At the same time, the porridge was semi-fluid state, gastric emptying is a relatively short time after eating, eat porridge to eat staple food easier to elevated postprandial blood glucose. Therefore, breakfast is best not only porridge together, to eat a "dense" food, adhere to eat the staple food.
3, diabetes, postprandial blood glucose is high how to do? - Hypoglycemic agents
Diabetes Treatment Center in Hebei experts pointed out that the high postprandial blood glucose, diabetes, hypoglycemic agents, should be replaced with available hypoglycemic agents, use once a day up to the US-Hong sustained release tablets or acting insulin similar drugs can effectively complement the insulin control of postprandial hyperglycemia, and safety and security, acarbose can delay the absorption of carbohydrates after a meal, is the control of postprandial hyperglycemia better drugs.
The experts advise: patients with high postprandial blood glucose in order to avoid insulin use excessive glycemic control are not satisfied with oral hypoglycemic agents, such as the commonly used metformin. The drug can reduce the role of liver glycogen decomposition, but also have to confront the effects of insulin resistance; In thiazolidine TZDs also have the same effect. Used in the clinic have a list of ketone. Two - hour postprandial hyperglycemia in patients with the aforementioned drugs still can not control the service should also add a glucosidase inhibitor acarbose (Glucobay), can achieve good treatment

High blood sugar can drink beer


More harm than good for high blood sugar, drinking beer, a bottle of beer calories 500 kcal, drinking too much will cause beer belly, that is, abdominal obesity, is very detrimental to the patient.
Alcohol will be paralysis of the body which would have no sensitivity of insulin receptors, so that your body's insulin resistance further exacerbated by causing your blood glucose control more unstable. Also, if you are using oral drugs hypoglycemic if alcohol will make your efficacy imbalance. Usually must pay attention to tobacco and alcohol, a strict diet, but also regular exercise.
The ethanol content of beer is low, metabolism is susceptible to diabetic patients neglect to drink. Beer hops contain law grass ketone, can increase the body to absorb glucose, into the staple food, drink, will accelerate the body's low blood sugar reactions, coupled with its own sedative and hypnotic effects, in the case of the body of hypoglycemia, easier to hypoglycemia of the serious consequences of deep coma.

High blood sugar can drink beer


More harm than good for high blood sugar, drinking beer, a bottle of beer calories 500 kcal, drinking too much will cause beer belly, that is, abdominal obesity, is very detrimental to the patient.
Alcohol will be paralysis of the body which would have no sensitivity of insulin receptors, so that your body's insulin resistance further exacerbated by causing your blood glucose control more unstable. Also, if you are using oral drugs hypoglycemic if alcohol will make your efficacy imbalance. Usually must pay attention to tobacco and alcohol, a strict diet, but also regular exercise.
The ethanol content of beer is low, metabolism is susceptible to diabetic patients neglect to drink. Beer hops contain law grass ketone, can increase the body to absorb glucose, into the staple food, drink, will accelerate the body's low blood sugar reactions, coupled with its own sedative and hypnotic effects, in the case of the body of hypoglycemia, easier to hypoglycemia of the serious consequences of deep coma.

People with diabetes how to prevent low blood sugar

For people with diabetes, especially in elderly people with diabetes, the hazards of low blood sugar is much higher than the high blood sugar. So, what is low blood sugar?
Criteria of low blood sugar:
Blood glucose concentrations below 2.8 mmol / l is considered to be low blood sugar.
Clinical symptoms of low blood sugar:
Palpitation, trembling, cold sweats, pale, cold extremities, numbness, while dizziness, irritability, anxiety, lack of concentration and mental disorder and other neurological symptoms.
The hazards of low blood sugar:
A long-term repeated severe hypoglycemia episodes may lead to irreversible damage of the central nervous system caused by patients with personality variation, mental disorders, dementia.
2, low blood sugar coma for too long undetected can cause death.
3, low blood sugar, the body's adrenaline, glucocorticoids, pancreatic glucagon and growth hormone, glucagon increased, leading to a reactive hyperglycemia (hematoxylin Jie effect), resulting in blood sugar fluctuations and exacerbations.
4, low blood sugar can also stimulate the cardiovascular system, induce arrhythmias, myocardial infarction, stroke.
People with diabetes how to prevent low blood sugar?
Patterns of life, to develop good habits, eating regular quantitative, to maintain the basic stability of the daily food intake. Actively Dining System, eating three meals a day at least, easy to hypoglycemia or condition of instability in patients with an additional 2 to 3 times between the three meals snacks. Absorbed from the three meals a part of the food reserved for snacks.
2, self-monitoring of blood glucose can significantly reduce the incidence of low blood sugar, monitoring of blood glucose at bedtime.
3, a diabetic patient when going out players to carry the two treasures: First, the food such as candy, cookies, etc., first aid card, your name, telephone, medication, etc..
4, the rational use of insulin and oral hypoglycemic agents, excessive drug use is the leading cause of hypoglycemia, timely adjustment of drug dose according to the disease.
Exercise therapy is one of the carriages of the comprehensive treatment of the diabetic patients. Strenuous exercise can cause low blood sugar occur, so the increase in strenuous exercise or physical activity should be timely and snacks or, where appropriate, to reduce the amount of insulin.

How To Lower Blood Sugar

Most of the high blood sugar in patients, the side are equipped with a blood glucose meter for testing, but this tool is good, if not just right, then it will have serious consequences. So, how can we reduce the error of blood glucose?
Blood is necessary to regulate
When the blood of some patients because of afraid of the pain, the choice of light lancets, the result is less blood flow out, went to the extrusion of parts of the acupuncture treatment of blood squeezed out so that the measurement of blood glucose is not accurate. Fluid outflow, because the extrusion of an acupuncture treatment site will be lead to low blood glucose measurement value.
Test strips you want to match
Blood glucose meters, more variety, from the way of the blood can be divided into the vampire's blood glucose meters and blood glucose meter. Regardless of the patient's blood glucose meter to choose which manufacturers, the manufacturers must use test strips. Different styles of the blood glucose meter test strips are not the same blood glucose meter, you must use a blood test strips, blood glucose meters of the bloodsucking vampire test strips must be used. Test strips from the same manufacturer, different batches, not common. Pack of test strips has a code, before the measurement instrument according to the dipstick number of adjustments to normal use.
The correct method of measurement
Wash hands with warm water or neutral soap, repeatedly rub ready to prick the finger, until the rich blood supply. With 75% alcohol disinfection of the pulp, to dry.
2 blood glucose meter switch to open, with the vampire blood glucose meter, take a test strip is inserted into the machine; take a blood glucose meter, test strips in your hand (fingers can not touch the dipstick test area).
3 Remove the dipstick readily cap tube tightly closed, Lancing close to the pulp, pressing the spring switch acupuncture pulp. The ring finger on both sides to take the blood of the best, because of its rich in blood vessels and nerve endings in the distribution of less, not only does not hurt and bleeding fully.
If it is a vampire blood glucose meter blood will be bothered by dipstick private area waiting for the results; if it is a blood glucose meter, it will be a drop full of drops of blood, or wipe the dipstick test area, the test strip is inserted into the machine waiting for the results . Do not append the blood, otherwise it will lead to inaccurate test results.

What Are Normal Blood Sugar Levels


Many patients in the blood sugar does not know how much blood sugar normal, do not know their blood glucose is high, is not diabetic, following the problems we are more concerned about the detailed description.
Fasting blood glucose normal range:
Normal fasting blood glucose range is 3.9-6.1mmol / L (70-110mg/dL), higher than 7.0mmol / L (126mg/dL) diagnosed with diabetes. Fasting diabetes diagnostic criteria 7.0 mmol or 126 mg of this standard, you can see the diagnosis of normal and diabetic fasting there is a gap. Some people are neither normal, nor to diabetes. Tube such symptoms is called the fasting plasma glucose level (impaired).
Postprandial blood glucose normal range:
The normal two hours postprandial blood sugar range is 3.9-7.8mmol / L (70-140mg/dL). The diagnostic criteria of the postprandial blood glucose 11.1 mmol or 200 mg or more. Then there is a gap between 140 and 200. If the blood sugar at this stage, we call it doing the postprandial hyperglycemia.
This is neither the diabetes is not normal. However, this is very dangerous to blood sugar, it is easy to get diabetes. Such people must be careful. Hat hanging over his head. If not avoided, will soon wear the hat of diabetes. Even if it is completely normal blood sugar, if you have some risk factors have to pay attention to the prevention of diabetes.
High blood sugar is usually mentioned in the "three high" high. Modern society, due to the improvement of living standards and unhealthy living habits, many people are likely to will be blood sugar is high, if not controlled in time, there is the evolution of diabetes in danger.

Tuesday 17 July 2012

Chinese medicine can improve insulin resistance


TCM has a unique effect, our research staff, contained in ancient Chinese medicine, Chinese medicine treatment of Diabetes researched a lot in the process of treatment of diabetes, found that drugs with hypoglycemic effect of 70 kinds of clinical hypoglycemic more than 20 kinds of drugs, such as ginseng, yellow, mulberry, Morus alba, Anemarrhena, TCS, Velvet Fever rhubarb, herb, Atractylodes, Campanulaceae, Astragalus, Chinese yam, Ophiopogon, Polygonatum, wolfberry fruit, Ligustrum lucidum, mountain The dogwood meat, Digupi, corn Silk, cocklebur, Acanthopanax, white peony root, silkworm, licorice, white fungus, fungus, Epimedium, Scrophulariaceae and other. Improve insulin resistance in drug research is focused on berberine, rhubarb, Astragalus, Rehmannia, ginseng, barley, puerarin and other drugs.
Astragalus exogenous TNF-X induced insulin resistance have a significant preventive effect may reduce the antagonistic hormone levels in the blood and increase the organization glycogen synthesis.
Ginseng is generally believed that the hypoglycemic ingredients of ginseng ginseng polysaccharides and ginsenosides and ginseng aqueous extract. Which ginseng water extract may play a role by enhancing insulin sensitivity, increase insulin receptor combination of.
Barley barley polysaccharides can improve the experimental type 2 diabetic rats impaired glucose tolerance, increased liver glycogen and liver glucokinase activity. And showed some dose-effect relationship, but had no effect on blood glucose levels of insulin and insulin receptor binding rate and receptor maximal binding capacity, suggesting that the improvement of the mechanism of type 2 diabetes insulin resistance and the regulation of glucose metabolism activity.
The Pueraria contain flavonoids and high-carbohydrate hypoglycemic substances, mainly to promote islet β-cell. The role of slow and long-lasting. Experimental studies have shown that intravenous infusion of puerarin can improve type 2 diabetes glycemic control, increases the body's sensitivity to insulin.

Insulin treatment of diabetes diabetes insulin treatment

For diabetic patients, regardless of type 1 diabetes or type 2 diabetes, are more important, and most patients with diabetes need insulin therapy, but it is more important to grasp the correct insulin treatment for diabetes, otherwise, there will be a variety of insulin side effects.
Insulin treatment of diabetes in the right way:
1, for newly admitted patients complained of insulin dose, if there is no written materials, giving the dose must pay attention to the prevention of hypoglycemic events; premixed insulin before use to mix.
Self-diabetic patients with short-acting and long-acting insulin, pumping method is to short in length, but also insulin hypoglycemic effect observed, the diabetes treatment center in Hebei experts have warned that patients with diabetes: Probably 1u insulin so that blood sugar drop 1mmol / l from top to bottom, of course, to analyze specific issues.
3, patients with diabetes during hospitalization to avoid hypoglycemia event, we all know that the lives of patients with high blood sugar on an annual basis, the lives of patients with low blood sugar is in minutes; low blood sugar will give the patient a psychological burden, that the doctors at the hospital help the next will not help doctors may be more hypoglycemia hypoglycemia, at home, so tight glycemic control, there is a certain psychological barrier, adverse glycemic control in the future.

How many types of insulin by source?


Many types of insulin, classification, can be the source of the production process, the role of time, the purity of classified, in accordance with the source of which can be divided into the following categories:
Animal insulin: is extracted from the pancreas of pigs or cattle, are not identical in their amino acid structure of human insulin, the impurity content, the lowest efficiency antigen and strong. Animal insulin has been rarely used in developed countries and regions, because of its cheap, still in use in China's rural grass-roots hospitals. Should be noted that animal insulin into human insulin dose should be reduced by 15% to 20%, or it may increase the risk of hypoglycemia.
(2) human insulin: is the use of recombinant DNA technology to produce self-generated structure is exactly the same insulin, it overcomes the shortcomings of animal insulin, and free of impurities, high titer, weak antigenicity. Human insulin is currently the most widely used insulin, its representative product the Novolin series the Humulin series and the domestic Gansulin series insulin.
Porcine insulin: from porcine pancreas extract from molecules in only one amino acid different from human insulin, which means that it is the closest to human insulin structure, so the high efficacy, low antigenicity, our own production of insulin mainly porcine insulin preparations, including the current production of the highest purity the Xuzhou neutral insulin or porcine insulin .

Synthesis rate of insulin in the body by which factors


Insulin and C-peptide in the same molecule secretion into the blood. Clinical patients treated with insulin, insulin antibodies present in serum, radioimmunoassay determination of blood insulin levels, by measuring plasma C-peptide levels in this case, to understand the endogenous insulin secretion. So, the synthesis rate of insulin in the body by which factors?
1, plasma glucose concentration is the most important factors affecting insulin secretion. After oral or intravenous glucose, insulin release was the two-phase reaction. Early rapid phase, the portal vein plasma insulin to achieve the highest value within two minutes, then rapidly decreased; delayed slow phase,
After 10 minutes, plasma insulin levels increased gradually, and lasted for more than one hour. The early fast phase of glucose to promote the storage of insulin release, delayed slow phase shows the synthesis of insulin and proinsulin change insulin.
2, containing more protein food after eating, blood amino acid concentrations increased, also increased insulin secretion. Arginine, lysine, leucine and phenylalanine are strong stimulation of insulin secretion.
Gastrointestinal hormone increased after meals, can stimulate insulin secretion such as gastrin, secretin, gastric Yitai, vasoactive intestinal peptide stimulate insulin secretion.

Is Insulin sensitizers good


Insulin sensitizers in insulin resistance in type 2 diabetes, patients using insulin sensitizers in the end it really good?
Insulin sensitizer for the crowd:
Insulin resistance is commonly found in type 2 diabetes is the major risk factors for type 2 diabetes. Therefore, the drug treatment of type 2 diabetes should be cause, for its focus on improving insulin resistance. Especially for obese patients with type 2 diabetes, insulin resistance, heavier, more appropriate for insulin sensitizers. Relatively short for the main course of insulin resistance in patients with type 2 diabetes, insulin sensitizers monotherapy can receive a better effect, the effect of maintenance therapy is also very good. Research has shown that early in type 2 diabetes, rosiglitazone treatment of type 2 diabetes blood sugar long-term compliance to provide the benefits. If type 2 diabetes duration of longer length, not only insulin resistance, endogenous islet function is also relatively poor, you need a combination of oral hypoglycemic drugs. Can be combined sulfonylurea and non-sulfonylurea insulin secretagogue and metformin. Rosiglitazone recommended dose of 8 mg / day, the recommended dose of pioglitazone 15 to 45 mg / day.
Tip: The insulin sensitizer, only the body cells to increase insulin sensitivity, and only play a role in the case of surviving islet B cell function, not for the absolute lack of insulin in patients with type 1 diabetes.
Adverse reactions of the insulin sensitizer
Thiazole TZDs may cause weight gain and peripheral edema. Edema rate of 4% to 6%, while the incidence of placebo or other hypoglycemic drug treatment group edema 1% to 2%. Edema may induce heart failure. The FDA in the warning in the prescribing information. TZDs for patients with previous heart failure prescription thiazoles, should be carefully considered. Therefore proposed to be bad for the elderly and heart function, avoid the use of these drugs. Thiazolidine TZDs treatment caused a mild dilution anemia is more common, but may not have clinical significance. Another reported that those drugs can cause bone loss in patients older women, the limbs increase in the incidence of fractures. Therefore, the fracture risk in female patients in the choice of antidiabetic drugs should be fully consider the adverse effects of thiazole TZDs

People with diabetes should use what kind of dosage form of insulin?


People with diabetes should use what kind of dosage form of insulin?
The impression of many diabetic patients, if short-acting insulin effect is not good, we must switch to the medium or long-acting insulin, in fact, this argument is wrong. Different formulations of insulin treatment onset time, duration of efficacy, and usage can not be replaced.
Slow, long-acting insulin onset but relatively long duration of efficacy, it simply is able to control blood sugar for a long time, short-acting insulin from the onset time is faster, but very short duration of efficacy, it can only a short period of time blood glucose control, duration of onset and efficacy of insulin in between. Therefore, every person with diabetes should be selected according to the condition of different formulations of insulin.
From the clinical point of view, never used insulin in patients with diabetes early, you must first choice for short-acting insulin, postprandial hyperglycemia and diabetic patients in the acute phase of infection should be used short-acting insulin, and good results. Short-acting insulin (also known as regular insulin) should be 30 minutes before a meal subcutaneous injection of the past two years, listed acting insulin effect quickly, before a meal within 15 minutes of injection can be, if these two insulin injection prematurely will cause low glycemic response.
In general, if during the day have been taking hypoglycemic agents, for further control of blood glucose, bedtime injectable insulin. Meanwhile, in order to reduce the number of insulin in insulin and short-acting insulin used in conjunction. The long-acting insulin alone the effect of poor, often used in combination with short-acting insulin in order to reduce the number of injections.

Insulin injections and Diet


Many patients do not pay attention to the process of insulin on the regulation of the diet, some people believe that: I played the insulin, diet, I can easily eat, this view is wrong in the process of insulin injections in the diet, we still need to pay attention. Insulin and diet exactly what kind of relationship? Diet for the treatment of insulin also plays what role?
1, the diet can effectively adjust the insulin dosage
Regular feeding, the role of the insulin effectively, but also could be better, faster insulin dosage and adjusted to the optimum level.
2, the diet can prevent low blood sugar
Why the use of insulin therapy, easy to hypoglycemia reaction it? Because of the slow subcutaneous injection of insulin, insulin absorption and effect. The purpose of the injection of insulin before the meal is a postprandial blood glucose down to a 2-hour postprandial blood sugar down when the subcutaneous injection of insulin is slowly absorbed, its role has not disappeared entirely, so the 2-hour postprandial of blood glucose in insulin action, but also continued to decline. Then, if the food intake, can cause low blood sugar. Low blood sugar can cause a lot of accidents, such as cerebrovascular accidents, cardiac events. Avoid postprandial hypoglycemia, it is necessary to lower blood sugar has gone up a small amount of snacks in the 2-hour postprandial.
3, the diet help reduce the amount of insulin
In general, high-calorie dietary intake, the activities of a small amount of insulin needs large amount of dietary intake is low in calories, volume of the activities insulin requirements. If the diet is reasonable, is bound to rationalize the amount of insulin, can also enhance the body's sensitivity to insulin, thus helping to reduce insulin doses.

What is a human insulin analogue


In a sense, human insulin analogue, is not the true sense of the insulin, but its diabetes insulin treatment were upgraded to a new level. The hypoglycemic effect of human insulin analogues and human insulin is comparable to, and some of its characteristics and even more in line with the physiological requirements of the human body than human insulin.
At present, human insulin analogue is divided into the following two:
A long-acting human insulin analogues
Traditional, long-acting insulin (NPH, PZI, etc.) will appear after subcutaneous injection of the peak blood concentration, coupled with drug absorption is not stable enough, it is difficult to provide a relatively stable, close to the physiological state of basal insulin levels. At present, long-acting human insulin analogues (such as Lantus) characteristics of drug absorption, stability, and no obvious peak can simulate the physiological basis of insulin secretion, lasting efficacy, once daily injection, the effect can be maintained for 24 hours every day at any time injection (as long as daily injection time is relatively fixed to).
2, available human insulin analogues
The main features of the available human insulin analogues: (1) onset of fast, 15 minutes after subcutaneous injection of onset; ② peak quickly after injection of 30 to 60 minutes to reach the pharmacodynamic peak coincided with the postprandial glucose peak time match control of postprandial blood glucose effect; the ③ efficacy to maintain a short time, about three hours (2-4 hours).

What are the types of insulin


Insulin have different types, different insulin plays a different effect, then, the type of insulin?
Commonly used insulin:
1, premixed insulin: premixed insulin is short-acting or quick preparation and action preparations, different combinations of agents, to produce an effect in between preparations. The onset short-acting insulin and premixed insulin preparations are generally 0.5 to 1.5 hours after subcutaneous injection of 1 to 5 hours of peak effect, duration of action of 8 to 24 hours. Acting insulin and premixed insulin preparations in general onset within 10-20 minutes after subcutaneous injection of 1 to 4 hours of peak effect, the role of the duration of 8 to 24 hours. All Department refill specifications.
2, long-acting insulin (PZI): also known as protamine zinc insulin, the onset time of three to four hours, the peak effect was 14 to 20 hours, a duration of about 24 to 36 hours. Subcutaneous injection. Inexpensive, can be used as basal insulin used in diabetes, but the subcutaneous absorption is poor, the efficacy of instability, there are side effects of peak and low blood sugar, in recent years has been rarely used.
3, the effect of insulin (N, NPN): also known as isophane insulin suspension, or intermediate-acting isophane insulin. The onset time of 1.5 to 4 hours, 6 to 10 hours of the role of peak duration of about 12 to 14 hours. Subcutaneous injection. Each 10ml, containing 400 units or 800 units.
4, short-acting insulin (R): also known as regular insulin, regular insulin or neutral insulin injection, time of onset is about 30 minutes, the role of peak 2 to 4 hours, duration of 5 to 8 hours. Each 10ml, containing 400 or 800 units, subcutaneously, or the amount of intravenous infusion.
5, ultra-short acting insulin analogues: also known as the acting insulin preparations have the analogues of insulin aspart and lispro insulin analogue, after subcutaneous injection of 0.5? 1 hours came into force 1? 4 hours of peak effect, at time 3? 7 hours; onset of 10-30 minutes of intravenous injection, 15? 30 minutes and reached the peak duration of 0.5? 1 hour. Refill Size: 3ml containing 300 units. Bottled specifications: Each 10ml, containing 400 units.

Chinese medicine treatment for type 1 diabetes


Chinese medicine treatment for type 1 diabetes has its own unique treatment, and traditional Chinese medicine therapy can effectively avoid the side effects of drugs on patients, fundamental therapy, Chinese medicine treatment of type 1 diabetes is mainly used to consolidate with type 1 diabetes, a variety of physiological functions can effectively avoid the complications of type 1 diabetes.
Type 1 diabetes the initial presenting symptoms are not very obvious to timely diagnosis and the work of the Chinese medicine treatment of type 1 diabetes, patients often experience dry mouth, drink more, eat more, lower extremity numbness, it is easy patients to ignore the problem which led to the deterioration of the condition, it is recommended that patients should always check the following method of Chinese medicine treatment of type 1 diabetes. Patients presented with proposed yin qi Jianpihuashitang, the main rule. In the choice of traditional Chinese medicine treatment of diabetes, like heterophylla, Ophiopogon, Asparagus, Polygonatum, white peony root, ginger summer, dried tangerine peel, Zhuru, yam and medicine, fried yi ren, Verbena grass, sage, the Soviet Union stems, licorice, these are relatively good Chinese herbal medicine, Chinese medicine treatment of type 1 diabetes. In conjunction with acupuncture and ear buried seeds: lower limbs take the full three years, Yin Ling Quan, Sanyinjiao, too River, absolutely bone points, take the reinforcing-reducing techniques can alleviate the symptoms of diabetes, to achieve the purpose of rehabilitation of disease.
Chinese medicine treatment of diabetes is the characteristics of the treatment of diabetes in China, Western medicine can not be replaced, in the treatment of diabetes patients who should believe in the unique treatment and effects of Chinese medicine.

Saturday 14 July 2012

How to treat diabetes with creatinin 600


Diabetes is due to inadequate insulin secretion is absolutely and relatively inadequate insulin secretion and insulin resistance causes a series of pathological changes. Conventional treatment
Primarily promoting insulin secretion of pancreatic islet beta cells secrete insulin, enhanced peripheral tissue sensitivity to insulin and slow the absorption of glucose.
Or insulin replacement therapy and other methods. Only blood glucose control reduced the complications of diabetes. And lifelong medication. And diabetic nephropathy mainly due to long
High blood sugar cause kidney function during cell, which is epithelial cells, endothelial cells, mesangial cells of secondary damage, cause the basement membrane of negative charge
Fall filtration barrier dysfunction, poor glomerular filtration rate, renal cell damage, kidney Detox functionality, it can not be timely
Toxins in the body resulting from the discharge of creatinine rise, now is a formation of renal fibrosis, so you say that the present case, the key is
In the control of blood sugar at the same time, repair function of the kidney cells, blocking renal fibrosis, prevent progression, repairing treatment gradually in place, slow
Solutions due to Glomerular sclerosis, interstitial fibrosis brings a series of symptoms of poisoning, activates cell function, expanding a filtration area, improved filtration,
So blood creatinine increased, blood urea nitrogen and uric acid gradually passed out of. At the same time blocking insulin resistance, susceptibility gene for repair, gradually returned to normal physique.

How to prevent and treat diabetic nephropathy

The formation of diabetic nephropathy is a process of diabetic nephropathy is preventable and governance, according to the degree of the disease process of diabetic nephropathy, the different stages of different treatment methods, the prevention of diabetic nephropathy can not ignore, proactive and preventive to avoid diabetesnephropathy, and then how to better treatment and prevention of diabetic nephropathy?
Prevention and treatment of diabetic nephropathy principles: strict control of blood sugar, blood sugar close to normal levels as possible, to prevent and delay the occurrence of diabetic nephropathy; slow down the rate of decline of renal function; replacement therapy such as dialysis and renal transplantation. Specific therapeutic measures are as follows:
(1) strict control of blood glucose in the early stage of diabetes (diabetic nephropathy ID of before), strict glycemic control in patients with type 1 diabetes with insulin pumps or multiple subcutaneous insulin, blood glucose near normal levels, can delay or even prevent the occurrence of diabetic nephropathy and development to reduce the increased glomerular filtration rate and improve microalbuminuria.
The DCCT studies have shown that intensive insulin-consistent treatment in patients with type 1 diabetes, diabetic nephropathy, the risk decreased by 35% to 56%, once again proved that in the European diabetes meeting English mUKPDS study: type 2 diabetes with oral hypoglycemic agents or / and intensive insulin therapy, the occurrence of diabetic nephropathy and end-stage renal disease was significantly lower than the conventional treatment group, there is sufficient evidence that good control of diabetes prevention and treatment of kidney disease.
(2) control of hypertension, diabetes, hypertension will accelerate the development of diabetic nephropathy, antihypertensive, antihypertensive therapy can slow down the development of nephropathy and reduce urinary albumin excretion. British UKPDS study with hypertension, type 2 diabetes is a single p-blocker Atenolol is conducive to the prevention and treatment of kidney disease. Currently considered in the choice of antihypertensive drugs to angiotensin converting enzyme inhibitor efficacy, side effects, and a mild hypoglycemic effect, can be used as the first choice. Other antihypertensive drugs such as calcium antagonists, beta blockers, diuretics, alone or in combination with the condition of patients. Blood pressure in patients with diabetes should be controlled at below 140/90mmHg to 120/80mmHg or so as well. Observed that blood pressure dropped from 160/95mmHg to 135/85mmHg, urinary protein excretion was significantly reduced rate of decline of glomerular filtration rate from lml of / min / month dropped 0.35ml/min / month clinical diabetic nephropathy survival of also significantly longer, 10-year cumulative mortality of antihypertensive therapy for 50% to 70%, dropped to 18% after treatment.
(3) limit protein intake is appropriate to reduce the number of protein in the diet can reduce the pressure in the glomerular to reduce Gao filtration and reduce proteinuria.Associated with obvious edema (nephrotic syndrome) do not have to give too much protein, due to unfavorable condition, does not help the swelling subsided, it should give a low-salt diet and the strengthening of the diuretic, the preferred furosemide. Large doses of diuretics ineffective in the short term ultrafiltration treatment to remove large amounts of water savings in the body, to eliminate swelling.
(4) dialysis and kidney transplantation, renal failure, dialysis or kidney transplantation is the only effective way. Diabetic nephropathy caused by chronic renal failure, should be taken early dialysis, kidney transplant conditions should Beng line as soon as possible.
Certain set to do the work of the prevention of diabetic nephropathy. Must be in mid-note every day note, always pay attention. Because nephropathy contraindications enemy of the kidney disease treatment.

What are causes the high creatinine of diabetic nephropathy


When it comes to diabetic nephropathy, we all know, diabetic nephropathy is the most serious diabetes complications, diabetic nephropathy appears creatinine increased more than the pathological symptoms of diabetic nephropathy in patients with the disease gradually increasing embodied. Elevated serum creatinine, indicating kidney serious injury.
Serum creatinine is a product of the metabolism of human muscle. Exogenous creatinine intake of stability, in vivo formation constant (daily 20mg/kg), serum creatinine concentration depends on the glomerular filtration function. But serum creatinine and creatinine clearance rate is not completely consistent and the creatinine clearance, serum creatinine is more sensitive. Renal dysfunction early (decompensated), serum creatinine, creatinine clearance rate was normal.
What are the high creatinine of diabetic nephropathy reasons? When the diabetic kidney damage, glomerular filtration rate decreased more than 50% of the normal, serum creatinine began to rapidly rise, therefore, when the diabetic serum creatinine rise is obviously higher than normal, often renal function has seriously damaged. Creatinine clearance by glomerular enrichment function, in the case of impaired renal concentration, serum creatinine is a reflection of the most reliable indicator of glomerular function, but also reflect the indicators of renal function in diabetes. Normal male serum creatinine for the 53 ~ 106gmol / L, for women 44.2 ~ 97.2gmol / L.
Diabetic nephropathy can cure? 】 The traditional treatment is often directly aimed at the elimination of proteinuria to start treatment, not the root cause for the cause of proteinuria. That is the focus of the treatment on the repair of the epithelial cells and mesangial cells. A truly effective treatment measures should be integrated use of vasodilators, anti-inflammatory, anticoagulant and degradation of harmful substances, the use of drugs is not just a simple use of Chinese and Western medicines for individual treatment, and to keep the Western medicine treatment means of the increase in Chinese medicine based on treatment intensity, and a new combination of methods, such treatment will be very different. This method is called: micro-based medicine blocking renal fibrosis infiltration method.
Practice has proved that this treatment can be determined by the exact effect of the repair of the glomerular capillary epithelial cells: damage epithelial cells and mesangial cell function been fixed, the condition will get better, "disease", since improved epithelial cell function will be restored, restore the function, proteinuria will naturally disappear. This function after the resumption of proteinuria disappeared, then the probability of recurrence will reduce. Disease like a natural!

Effect of diabetic nephropathy undergoing hemodialysis ?


 In patients with diabetic nephropathy of advanced extremely susceptible to serious deterioration in renal function, even patients with uremia. Although not advanced diabetic nephropathy treated by dialysis patients the best treatment method, however, long-term regular dialysis treatment in a timely manner can significantly improve the survival rates of patients.
How should of hemodialysis patients with diabetic nephropathy? When serum creatinine in patients with diabetic nephropathy when 350-440umol/L should be prepared to vascular pathway when serum creatinine of more than 600umol/L, for dialysis treatment should be initiated. On the choice of dialysis time should be earlier than non-diabetic patients.
Patients need two dialysis methods according to the conditions and specific conditions (which peritoneal dialysis and hemodialysis? ) To select it. Mainly long-term hemodialysis patients with end-stage diabetic nephropathy and ambulatory peritoneal dialysis treatment in two ways. It is understood that the vast majority of peritoneal dialysis patients with end-stage diabetic nephropathy, because it does not increase the load and stress of the heart, to better control of extracellular fluid volume and high blood pressure. Also, Intraperitoneal injection of insulin, the ease of operation cost savings, but some patients obesity due to long-term peritoneal dialysis absorb large amounts of glucose and high blood cholesterol.
Effect of diabetic nephropathy undergoing hemodialysis OK? Advanced how to choose a dialysis in diabetic nephropathy?
Hemodialysis: older, patients with more severe patients receiving dialysis treatment can, because dialysis time, regularity, then of uremic complications less if dialysis before and in the course of, better blood pressure control, attention to fluid balance, ensure rational nutrition, improved survival of patients. If long-term hemodialysis patients with diabetic nephropathy, 1-year survival rate of up to 80% per cent.
There were some problems but also in blood dialysis, such as poor vascular pathway, blood pressure fluctuations, deterioration or even blindness, and a variety of cardiovascular complications such as retinopathy.
Peritoneal dialysis: diabetic nephropathy undergoing peritoneal dialysis in 1-year survival rate for 80% a cent. Its main advantages are: ① ② high molecular substance in clearance of cardiovascular system more stable, better blood pressure control ③ avoid vascular pathway problems ④ retinopathy can be steady improvement ⑤ abdominal, cavity injection of insulin to enable better control blood glucose ⑥ peritoneal dialysis operations more convenient, the patient may deal with.
Disadvantages: ① prone abdominal infection, infection influence dialysis effect it. ② peritoneal dialysis daily protein l0g lost, should pay attention to protein intake.

Diabetic nephropathy can be pregnant?


 A mother is almost a matter of vision and happiness in all women, but also the entire family is extremely happy, healthy pregnant women need to make full preparations, so kidney patients? Can, when his mother do? - It is understood that women during pregnancy, the amount of blood circulation within the body than usual increase of more than 1/3, while the increase in the amount of blood circulation, increase blood flow through the kidneys, so the burden on the kidneys after the pregnancy will be a sharp increase in .
[Part of the kidney patients are not pregnant reasons:
A nephrotic syndrome due to the low serum albumin, and often leads to fetal growth retardation and preterm children.
2 patients with moderate renal insufficiency, fetal growth retardation and premature high incidence of maternal renal function, there may be a progressive deterioration.
(3) secondary renal diseases such as lupus nephritis patients after pregnancy, can induce or aggravate the condition, it should be very careful. Another example is patients with diabetic nephropathy, pregnancy prone to preeclampsia, premature birth, fetal malformations, the great child and fetal respiratory distress syndrome, it should not be pregnant.
Diabetic nephropathy can be pregnant? When women are pregnant, the body's blood circulation than before pregnancy, an increase of about 1/3, the kidney burden is very easy to aggravate kidney disease. Kidney lesions caused by kidney function decline and development of the fetus for the mother's body will be affected. In severe cases there will be fetal growth retardation, may also occur in miscarriage, stillbirth, stillbirth.
If you are already pregnant patients with diabetic nephropathy, you should note:
An adequate diet. Excessive intake of unfavorable diabetic patients; intake of too little, adverse fetal growth and development. Therefore, we should the nutritionist specify a recipe is not only conducive to control maternal disease, but also conducive to fetal growth and development.
2, the pregnancy should not oral hypoglycemic agents, so as not to reach the carcass through the placenta to cause neonatal hypoglycemia or teratogenic, or even death.
Light condition through diet control of blood glucose within the normal range; severe illness may be prescribed insulin injections.
4, to go on a regular basis for examination of obstetrical and Endocrinology, including search retinal, renal function, B ultrasound, placental function and fetal conditions. If it is found to the eyes, the deterioration of renal function, and should immediately terminate the pregnancy.
5, pregnant women, blood glucose is best controlled in the normal range, if the pregnancy after a smooth, good diabetes control, pregnant women without complications, fetal monitoring shows normal, you can wait for spontaneous onset of labor; if the pregnant woman vascular disease in pregnancy 37 38 weeks should be considered when induction of labor. Otherwise, pregnant women, their own danger.
See this, do you understand? The stability or otherwise of the disease is directly related to whether the baby, treatment should seize the time, do not hesitate, I wish all kidney patients a speedy recovery, all wishes come true!

Diabetic nephropathy can you eat cucumber?


 Summer's arrival, and become a matter of inability of many patients deeply. Why is that? Since many disease-prone season in summer, diet health is important for many diseases. A case study of diabetic nephropathy patients eat cucumbers.
Diabetic nephropathy patients to eat cucumber what are the benefits?
Experts, diet for diabetic nephropathy, patients can eat some cucumbers, a soft and hard-not to mention tomatoes, watermelon has a size difference, also have different varieties of cucumber, which we often heads of different sizes according to the origin of species, and dahuanggua and cucumbers. Dahuanggua also known as dry cucumbers and cucumber water, initially called "cucumber" we speak cucumber refers to the native's slender, slim, green, the top flower barbed dahuanggua. Body short fat cucumbers were introduced from abroad, the surface is smooth no-Thorn, also known as "Netherlands Gherkin", "mini cucumbers". Cucumber "smell is sweet and cold, served after clearing heat and removing dampness-water".
Properties of micro-leaves and vines from the cold cucumber, clearing heat and dehumidification, laxation, analgesic effects; cucumber pulp has a detoxifying effect of heat-clearing and diuretic. In addition, more bitter cucumber compositions are cucurbitacin, with anti-tumor effect. Both size cucumber, relatively high nutritional value, rich in cellulose, carotene, contains a certain amount of vitamins and mineral, antioxidant, anti-angular stomatitis and other roles, vitamin B1 and vitamin B2 content of greater than tomato.

How to prevent diabetes Caused by kidney disease


 The risk factors of diabetic nephropathy risk factors can be divided into non-intervention, as well as the risk factors may intervene. Not intervene such as duration of diabetes, age, duration of diabetes, the longer the older, more susceptible to kidney disease. There are a lot of intervention, but through our diabetic kidney disease can be avoided after the intervention, intervention methods, basically the subjects basically the same.
Experts with diabetes to do the following:
The diet should be controlled carbohydrate intake, ensure that the daily per kilogram of body weight calories 30-35 kcal. The diet must contain adequate nutrition and an appropriate proportion of sugar, protein and fat. Mainly to do the following three points:
Low-protein diet: normal renal function in early diabetic nephropathy, protein intake should be controlled, high-protein diet can increase a patient's glomerular filtration rate, further increase the burden of patients with early diabetic nephropathy kidney.
Salt restriction: the sodium intake of the General Assembly to increase the burden on the kidney, limiting salt can effectively prevent the progress of complications. Accompanied by vomiting, diarrhea, should not unduly limit the sodium salt, or even need to add.

What are early symptoms of Diabetic nephropathy in children


Eat more, eat mostly children generally symptoms. Appetite to increase the degree of range and some compared to the previous slight increase in some child's appetite will even increase exponentially. However, some children can lack symptoms of polyphagia, mainly for weight loss and fatigue. Therefore, children of diabetic nephropathy is far not the same.
The main manifestations of diabetic nephropathy caused by diabetes are:
(1) proteinuria: the first clinical manifestation of diabetic nephropathy. During proteinuria was intermittent to persistent. Radioimmunoassay determination of albumin in urine microalbumin, earlier diagnosis of proteinuria, good control of the disease.
(2) edema: Diabetic nephropathy in patients with early general edema, a small number of patients in the plasma protein is reduced, there may be slight edema. Significant edema only seen in diabetic nephropathy is rapidly deteriorating. Edema due to the large amount of proteinuria, a message stating that the development of late diabetic nephropathy. More associated with clinical manifestations of glomerular filtration decreased renal function, the majority of poor prognosis.
(3) Hypertension: The symptoms appeared later, but not very serious. Hypertension can aggravate kidney problems. Stage of diabetic nephropathy blood pressure increases, may be closely related to the change in structure and function of the resistance vessels of diabetic kidney. One of the factors of water and sodium retention is high blood pressure. High blood pressure can increase the development of kidney disease and the deterioration of renal function

Thursday 12 July 2012

Diagnosis of Type 2 diabetes


Type 2 diabetes, the incidence rate is gradually increased, so it's attention is also increasing, tend to be more common in elderly patients. Type 2 diabetes and type 1 diabetes similar to the early symptoms of diabetes are not very obvious, this is very easily lead to the misdiagnosis of diabetes and other phenomena, affecting the health of patients. Understand the diagnosis and identification of type 2 diabetes and contribute to the treatment of type 2 diabetes.
In diabetic patients, the proportion of type 2 diabetes for 95% of all patients with diabetes, the most common type of diabetes. Type 2 diabetes compared to type 1 diabetes is more good governance and control of blood glucose. For patients with mild, as long as usual attention to diet and exercise in order to control blood sugar, but also need to observe the changes in their own blood sugar at any time, to prevent disease progression and early detection, early treatment. The causes of type 2 diabetes is due to a variety of pathogenic factors have led to accept the insulin receptor in the membrane receptor (chromium acid receptor), the lesions occur, affecting insulin play a role, resulting in increased fasting blood glucose 6.8mmol / L (mmol) above, can be diagnosed as type 2 diabetes.
The diagnosis is based on: fasting insulin levels than 5.5μIU/ml (international units), but co-exist with high blood sugar, that is, fasting blood glucose higher than 6.8mmol / L (mmol) above can be diagnosed as type 2 diabetes.
Meanwhile, the ranks of another kind of diabetes can also be classified as type 2 diabetes, normal insulin levels (fasting insulin 5-25μIU/ml) have elevated blood sugar more than the normal standard of oral glibenclamide, metformin effect poor, high blood sugar, clinical and must rely on insulin injections, can be diagnosed as type 2 diabetes.

What are the early symptoms of type 2 diabetes?


Type 2 diabetes accounts for more than 90% of the total number of all patients with diabetes is a chronic, systemic disease, and if not timely treatment, there will be a variety of complications, then, the early type 2 diabetes symptoms are what it?
Diabetes Treatment Center in Hebei experts were introduced as follows:
The early symptoms of numbness in type 1 and 2 diabetes: Diabetes can cause peripheral neuritis, numbness, pain and burning sensation appears, and some people will have the feeling of walking step, such as cotton. The incidence of diabetes with advanced peripheral neuritis.
Decreased vision: Diabetes can cause cataracts, and lead to vision loss, and rapid progress, and sometimes caused by acute retinal lesions caused by acute vision loss.
3,2 Type 2 diabetes early symptoms of more than three a few: significant increase in food intake and weight loss.
4,2 Type 2 diabetes early symptoms of diarrhea and constipation: Diabetes can cause visceral neuropathy, resulting in the dysfunction of the gastrointestinal tract, which appeared intractable diarrhea and constipation, the diarrhea to antibiotic therapy.
Difficulty urinating, difficulty urinating: men with diabetes is about 21.7%. Therefore, the elderly in the event of difficulty urinating, in addition to enlarged prostate, you should consider the possibility of diabetes.

Type II diabetes What are the hazards?


Type II diabetes accounts for more than 90% of the total number of diabetes, and seriously endanger the physical and mental health of the human type II diabetes, exactly what harm?
Type II diabetes hazards:
II diabetes harm the kidneys: high blood sugar, high blood pressure and high cholesterol, glomerular microcirculation filtration pressure abnormal elevation to promote the occurrence and development of diabetic nephropathy. An early manifestation of proteinuria, edema, late occurrence of renal failure, the main cause of death in type II diabetes.
2 diabetic hyperosmolar syndrome: mostly occurs in middle-aged, half without a history of diabetes, clinical manifestations, including severe dehydration, can sometimes be misdiagnosed as cerebral vascular accident due to paralysis, coma and other clinical manifestations, the mortality rate of 50%.
3, type II diabetes lead to lactic acidosis: This is one of the hazards of type II diabetes, patients with more determination, liver, kidney disease, or shock, infection, hypoxia, alcohol, large doses of phenformin history, symptoms are not specific and high mortality.
4, diabetic patients with infection: a high incidence of the two reinforce each other, to be rid of. Common infections, including respiratory infections and tuberculosis, urinary tract infections and skin infections.

treatment Type 2 diabetes

Traditional Chinese medicine believes that Diabetes is a lifelong disease, a treatable but not curable disease, but with the development of modern medicine, improve healthcare, the medical profession to treat diabetes breakthrough numerous clinically proven, with type 2 diabetes can lead a normal life.
Diabetes Treatment Center in Hebei experts believe that the pathogenesis of type 2 diabetes is the body insulin resistance factor, as long as the use of multi-target Chinese medicine living pancreatic infiltration therapy to remove the insulin resistance factor, the insulin factor proliferating, then type 2 diabetes completely can get rid of dependence on drugs and lead a normal life.
Multi-target Chinese medicine living pancreatic infiltration therapy in itself is not surgery, and without oral and general medicine, it is completely different, and its mode of administration is damaged by penetrating to the human body lesions, because the use of pure Chinese medicine preparations, and effective way to avoid the traditional port of drugs on the kidneys to stimulate, enhance insulin receptor sensitivity to insulin, while also promoting insulin secretion in islet function, we can say is a tackling green therapy, the Hebei diabetes treatment centers as Hebei diabetes one of the largest medical institutions for treatment, it will make an increasing number of Hebei diabetic patients, and the country around the world with diabetes benefit.

How to prevent the occurrence of type 2 diabetes?


Diabetes is one of the world's three major diseases, including type 2 diabetes accounts for more than 90% of the total number of diabetes, prevention of type 2 diabetes development is particularly important. So, how to prevent type 2 diabetes?
Prevention of type 2 diabetes:
1, to develop good lifestyle, smoking, drinking and the like to quit.
2, to enhance diabetes knowledge and education can minimize the incidence of diabetes.
By health care professionals to measure blood sugar (if necessary for the oral glucose tolerance test), body mass index, waist circumference, blood pressure, blood lipids, and a detailed history.
Avoid or reduce adverse drug on glucose metabolism.
Type 2 diabetes prevention measures:
Preventive measures, mainly to improve lifestyle. Including: the elimination of obesity, especially abdominal obesity, limit fat, especially saturated fat, increase physical activity, control of monosaccharides.

What are the specific methods of treatment of type 1 diabetes?


Diabetes type 1 diabetes and type 2 diabetes, compared to type 2 diabetes, the danger points to type 1 diabetes, so be sure to active treatment. So, the specific method for the treatment of type 1 diabetes, what does?
1, and Western Medicine
Doctors believe that Type 1 diabetes is insulin-dependent diabetes, type 1 diabetes patients in vivo pancreatic insulin-producing cells have been completely damaged, completely lost the function of the insulin-producing, so these patients need to rely on insulin injections to survive.
2, Chinese medicine
Chinese medicine believes that the incidence of diabetes and dietary control of type 1 diabetes TCM treatment will have a direct impact on the effects of treatment. Sun Ssu is the pioneer of the world's first diet treatment, he had raised three, diabetic patients by careful drinking, two AV, salty and face. "Ancient physicians in long-term medical practice, summed up a lot of medicated prescription .
Such as a pig say soap, low-temperature drying, and research into powder, and 9 grams per serving, twice a day; three bean drink: 100 grams of green beans, black beans 50 grams, 50 grams of red bean decoction taken. Chinese medicine treatment of diabetes, should exceed and choose a good indication. Hypoglycemic effect of Chinese medicine treatment of type 2 diabetes, Chinese medicine is absolutely no western medicine, but its focus on the overall control, to improve symptoms significantly better than Western medicine.
Developed a multi-target Chinese medicine Chinese medicine in the treatment of diabetes living pancreatic infiltration therapy, multi-target Chinese medicine living pancreatic infiltration therapy in the treatment of diabetes can be timely blocking insulin resistance, the elimination of susceptibility genes, so as to achieve for people with diabetes gradually get rid of drugs, away from the hazard of complications. "Multi-target living pancreatic infiltration therapy of Chinese medicine" The reason why there is such a good effect, because this Chinese herb treatment, not only can effectively avoid the gastrointestinal side effects of oral medicine, and due to a direct effect of the drug in patients with impaired lesions, the treatment effect is more prominent.

Wednesday 11 July 2012

What are the symptoms of Children with diabetes

The incidence of diabetes is increasing every year, more and more people suffering from diabetes, with diabetes is no longer in the elderly, it has been a trend to young Chinese. The increasing number of children suffering from diabetes. But some parents do not understand the symptoms of diabetes in children, so that when children suffering from juvenile diabetes, these parents do not know, know the children suffering from diabetes to wait until after the child's condition worsened. Missed the best time for treatment of children with diabetes. Therefore, the parents should be aware of the symptoms of juvenile diabetes, juvenile diabetes What are the symptoms? Let's take a look at the expert on the symptoms of diabetes in children to explain:

One suffering from more acute onset of diabetes in children. About 1/3 of children with a history before the onset of fever and upper respiratory tract, digestive tract, urinary tract or skin infections. Polydipsia, polyuria, eat easy to hunger, but weight loss, weight loss significantly, fatigue, weakness, listlessness. Children can control urine after enuresis, often the early symptoms of diabetes.

Second, and more food is not the patient will inevitably be the symptoms that some children experience normal appetite or reduce. Weight loss or weight loss quickly, fatigue, weakness, listlessness are also common. If you have more than polydipsia, polyuria and vomiting, nausea, anorexia, or abdominal pain, diarrhea and leg pain and other symptoms should be considered concurrent diabetic ketoacidosis. Fever, cough and other respiratory tract infections or skin infections, vaginal itching and tuberculosis co-exist with diabetes.

 DDM often relatively acute onset, the majority of patients due to infection, emotional irritability, or poor diet and other incentives onset polydipsia, polyuria, polyphagia, and weight loss symptoms, all known as IDDM of more than three - less symptoms. However, the baby is polyuria polydipsia can not easily be found, and soon the occurrence of dehydration and ketone acidosis symptoms. Young children due to increased nocturia enuresis.

Symptoms of Diabetes

Diabetes is a sustained high blood sugar for its features, a chronic systemic metabolic diseases. Mainly due to the absolute reduction in insulin secretion suggestions or the relative lack of insulin caused by the body's increased demand for insulin, or insulin resistance, leading to the disorder of glucose metabolism mainly sugar, protein, fat metabolism disorders, a syndrome . With the extension of the course can lead to complications of the eyes, nerves, blood vessels, kidneys and other tissues and organs, serious harm to the body's endocrine and metabolic diseases. Timely initiative to understand the symptoms of diabetic men, able to control the disease. The symptoms of diabetic men is as follows:
1. Difficulty urinating: the early male diabetic patients often have symptoms of dysuria, in addition to men due to enlarged prostate cause, you should consider the possibility of diabetes.
Impotence: impotence rate of male diabetic patients can be as high as 40 to 60 percent. Normal sexual functioning male impotence, there may be suffering from diabetes.
2. Breath odor: exhaled like the smell of rotten apples, and in serious cases with sweat, and tears have a similar odor.
Hypoglycemia: patient sweating, especially in local sweating, hunger, dizziness, palpitation, irritability, and recurrent episodes.
3.Diseases of the eye: visual acuity loss, blurred vision, or the emergence of cataract, glaucoma, but has developed rapidly.
4. Skin diseases: skin prone to boils, blisters, wounds and skin infections that heal slowly.
5.Peripheral neuropathy: the performance of shoulder, hand, foot numbness, body burning sensation or formication, Achilles tendon reflex diminished or disappeared.
6.Intermittent claudication: the walk, often a sense of lower limb pain, can not continue to walk, sometimes with the palm of your hand contracture.
Nine, rhomboid glossitis: the lingual papillae of the tongue body central atrophy, manifested as the local tongue covered diamond defect.

Type 1 diabete and kidney disease

Diabetes is the number one cause of Chronic Kidney Disease. Over a number of years diabetes causes damage to the tiny blood vessels in your kidney. It is important to manage your diabetes well. Keeping your blood sugar in a healthy range will slow down the damage to your kidney. All types of diabetes cause kidney disease.
Each kidney contains up to one million nephrons, the filtering units of the kidneys. Inside a nephron is a tiny set of looping blood vessels called the glomerulus. Damage to these filters caused by diabetes is called Diabetic Kidney Disease - known as Diabetic Nephropathy.
In the Diabetes Control and Complications Trial (DCCT), 1441 people with type 1 diabetes were randomly assigned to 6.5 years of intensive diabetes therapy to achieve as close to normal serum glucose levels as possible. Then, 1375 participants were followed in the Epidemiology of Diabetes Interventions and Complications (EDIC) study. Serum creatinine levels, the number one sign of kidney disease, were measured annually throughout the course of the study. Researchers estimated the GFR, and then analyzed the data from the two studies to determine the long-term effects of intensive diabetes therapy on the risk of impaired GFR.
Researchers found that impaired GFR was seen in 24 participants assigned to intensive therapy, and 46 assigned to conventional therapy. Among these participants, end-stage renal disease developed in eight patients with intensive therapy and 16 in the conventional group.
The long-term risk of an impaired GFR was much lower in patients treated early in the course of type I diabetes with intensive diabetes therapy than among those treated with conventional diabetes therapy.

What are causes of Diabetic nephropathy

Diabetic nephropathy is the most serious diabetes complications, diabetic nephropathy is the main cause of death in patients with diabetes. Can take preventive measures in advance in order to reduce mortality in patients understand the causes of diabetic nephropathy, but also for the treatment of some help. So, causes of diabetic nephropathy, what does?

1.Diabetic nephropathy the cause of a high blood sugar. Hyperglycemia is the main cause of diabetic nephropathy, persistently high blood sugar can be the formation of glomerular hyperperfusion, hyperfiltration, ball mesangial basement membrane, capillary endothelial damage; further damage to the glomerular and tubular; eventually lead to glomerular and glomerular atherosclerosis, resulting in the destruction of nephron; caused by renal dysfunction.


(2) high-protein diet also contributed to the main factors of diabetic nephropathy. Will increase the burden on the kidneys, increased proteinuria, and a vicious circle. Therefore not more than 40 grams of protein


3. Hypertension. Hypertensive renal vascular resistance increased, reduction in renal blood flow, increased intrarenal pressure, resulting in proteinuria, glomerulosclerosis and renal failure. Diabetes and hypertension often coexist, it will form a vicious cycle, patients with diabetes mellitus and hypertension are more prone to kidney damage.

(4) high cholesterol. In patients with diabetes, dyslipidemia is very common, which can promote glomerulosclerosis and accelerate the progression of diabetic nephropathy.

(5) the increased blood viscosity and microcirculatory disturbance is caused by one of the main factors of diabetic nephropathy. Diabetes can occur microvascular disease and is often accompanied by microcirculation, blood coagulation easy, thrombosis. Kidney microcirculation thrombosis, renal units will ischemia and hypoxia, so that an increase in urine protein, renal function decline.

Diet of type 1 diabetes

1.Eat the fruit but also a good grasp of time. Blood sugar has not been a good control temporarily to eat fruit, when the blood sugar control standard and then try to eat the fruit, the lowest blood sugar between meals, eat fruit after meal half an hour to one hour, two hours Cece blood sugar, eat what fruit, how much to eat, the amount of blood sugar is not high standard.
2, the diet but also to achieve a balanced diet. Balanced diet principles: coarse grains, flour and rice with meat and vegetables, not picky eaters, not a partial eclipse, good not to eat, depends on the do not eat. In fact, patients with diabetes can eat, the key is to eat, how much to eat the amount. Single food can not meet the needs of the body a variety of nutrients, so the diet must be of type 1 diabetes through a variety of diet to achieve a balanced diet.
3, you can eat food rich in fiber. Such as the staple food of whole grains, raw beans, vegetables and fruits can improve blood sugar rise, is indispensable for type 1 diabetes diet food. Containing high starch foods such as sweet potato, potato, taro, corn, water chestnut, corn, soybeans, dried beans (soybeans, red beans, broad beans, etc.), and salty in Western-style snacks (such as crab shell yellow, dim sum, sushi , eating turnip cakes, curry dumplings, chicken roll, etc.), in the arrangement of type 1 diabetes diet is not safe to eat according to plan.
4, patients with diabetes cooking is preferable to vegetable oil (such as safflower oil, corn oil, soybean oil, sunflower oil, etc.); type 1 diabetes diet hanged animal oils (lard, butter, fatty meat, butter, etc.) Should use more steamed, boiled, cold, baking, burning, stew and other cooking methods.
In summary, patients with type 1 diabetes in the diet to control the amount ingested, to master the way of a good diet, so that the planned diet, diet plays its role in life.

Friday 6 July 2012

Diabetic nephropathy patients with high creatinine can pregnant


Exclude patients with diabetes suffering from diabetic ketoacidosis, urinary tract infections, heart failure and other diseases can cause proteinuria after six months for 2 to 3 times the urine protein examination, and the excretion in 20 to 200 micrograms / min, it can be diagnosed with early diabetic nephropathy.
Diabetic nephropathy can be pregnant? Diabetes has become one of the common diseases of harm to human health, the incidence rate showed a rising trend, the incidence of diabetes legal complications of diabetic nephropathy is also rising, patients should also pay attention to during pregnancy, during pregnancy diabetes is also rising quietly, has increased from 3% to 6 ~ 10%, as a fashionable disease of the urban mothers who, in addition to the treatment of active and effective measures for patients with gestational diabetes diet care is very important , patients with gestational diabetes diet care how should it?
Diabetic nephropathy in patients with pregnancy points to note:
1, other complications of diabetes diet care. Associated with kidney disease, and the irritating daily protein intake should be controlled, while avoiding high potassium foods; diarrhea, limit fibrous vegetables and fruit, eat less residue, easily digestible food, avoid fried food; associated with peripheral nerve lesions, and more food to eat brown rice, beans and other foods rich in B vitamins.
2, the adjustment of the food composition of patients with diabetic nephropathy. Patients with diabetic gastroparesis, digestive motility, gastric emptying has been extended, it is required to reduce the content of indigestible fiber in the food, is rich in fiber, vegetables (such as celery, cabbage and potatoes, etc.), although lower postprandial blood glucose role, but tend to have gastrointestinal reactions, patients with diabetic gastroparesis can not eat.
3, the adjustment of the food status of patients with diabetic nephropathy. Gastroparesis, solid food emptying blocked more than liquid food, therefore, the best meals with solid food homogenized, or eating liquid food, or when necessary to rely on liquid food, which helps improve stomach intestinal symptoms and glycemic control.
4, the adjustment of the number of meals of patients with diabetic nephropathy. Gastroparesis, small meals is better, three meals a day divided into 6-7 smaller meals, morning, noon, afternoon, bedtime meals, between meals, arranged 2-3 times a snack, in order to reduce postprandial high blood sugar, while avoiding a pre-dinner hunger.
Diabetic nephropathy can be pregnant? Highly concerned about the topic of diabetic nephropathy, diabetic nephropathy ability to have children, depending on the patient's condition of diabetic nephropathy, patients with diabetic nephropathy in the general case of pregnancy complicated by pyelonephritis. Although pregnancy itself does not accelerate the progression of nephropathy, but it has been such as renal insufficiency and hypertension, we should not pregnancy, in short, pregnant patients with diabetic nephropathy must wish to doctor's advice.

Diabetic nephropathy and high creatinine : how to treat


Diabetes is caused due to the lack of human insulin or insulin can not effectively play the role of a lifelong disease, manifested as elevated blood sugar levels and diabetes. This disease can damage the heart, brain, kidney, leading to many serious complications of cerebral infarction, myocardial infarction, uremia.
How to treat high creatinine with Diabetic nephropathy? Serum creatinine is a product of the metabolism of human muscle. In muscle, creatine is mainly through the irreversible non-enzymatic dehydration reaction slowly generates creatinine, and then release into the blood with the urine excretion. Closely related to serum creatinine and total body muscle, largely unaffected by the diet, high catabolism of extrarenal factors, outside the stable endogenous creatinine intake, in vivo formation constant (daily 20mg/kg) of The serum creatinine concentration depends mainly on the glomerular filtration function. But serum creatinine and creatinine clearance rate is not entirely consistent and the creatinine clearance, serum creatinine is more sensitive. Renal dysfunction early (decompensated), serum creatinine, creatinine clearance rate was normal. Diabetic nephropathy serum creatinine high common symptoms of diabetic nephropathy late. Diabetic nephropathy serum creatinine how high do? Diabetic nephropathy serum creatinine is high how to treat? High creatinine of diabetic nephropathy how is it? When damage the kidneys of diabetic nephropathy, glomerular filtration rate fell to more than 50% of normal, serum creatinine began to rapidly increased diabetic nephropathy creatinine level was significantly higher than normal, often said that kidney function has seriously damaged. Past the traditional treatment for diabetic nephropathy serum creatinine how to cure the problem, only to drop creatinine, rather than to repair the basement membrane, so that creatinine is not declining, even if the decline is temporary. Diabetic nephropathy is based on the microcirculatory injury, glomerular sclerosis, and basement membrane damage as the main pathological change. The main function of the characteristics of traditional Chinese medicine is to clear the immune complexes lead to damage of the glomerular basement membrane and diseased tissue, repair of the glomerular basement membrane. As long as the damage to the basement membrane repair, change the structure of the kidney, the expansion of the glomerular filtration area, serum creatinine will gradually decline, but this requires a process to prevent a cold, diet and emotional, not tired control blood pressure, blood sugar, and other factors, to protect the kidney function. Just noticed these, serum creatinine must come down.

Diabetic nephropathy is kidney damage increase the performance of the event you need to timely pay close attention to treatment, to avoid the deteriorating condition aggravated. For the treatment of diabetic nephropathy serum creatinine, the most important thing is to repair the basement membrane, diabetic nephropathy is based on the microcirculatory injury, glomerular sclerosis, and basement membrane damage is the main pathological changes. The main function of the micro-hospital characteristics of traditional Chinese medicine is to clear immune complexes lead to glomerular basement membrane damage and diseased tissue, repair of the glomerular basement membrane.
 As long as the damage to the basement membrane repair, change the structure of the kidney, the expansion of the glomerular filtration area, diabetic nephropathy serum creatinine gradually decreased, but this requires a process of patients with diabetic nephropathy during treatment to prevent colds, diet and emotional, not tired, control blood pressure, blood sugar, this will protect renal function, creatinine gradually down!