"You said you, why are you so careless?"

"How many times have I told you, why don't you let me worry about it like that?"

"The body is yours, the drink is someone else's, are you sending someone else's sip, or are you dying of thirst, you have to drink? Let me worry about you!"

In the ward, my father was lying on a hospital bed with a medicine bag hanging from his arm.

In fact, the medicine bag is not really medicine, I asked the nurse just now, it seems to be glucose and saline or something, Zhou Fangyuan doesn't understand much.

But he remembered the doctor's advice to let his father hang more water and drink more water in the past few days, and then urinate more to expel the ketones in his body.

Mom sat there chattering.

The father pouted vigorously, but he didn't dare to talk back, and he was trained like a son.

Zhou Fangyuan watched it funny from the side, and the corners of his mouth couldn't help but curl.

Syllable!

"What are you laughing at, you're quite happy that your dad is sick?"

Mom didn't know when she noticed him, and slapped him on the back of the head. Of course it's not really big, just a light pat.

"No, I thought of something else......"

Of course, Zhou Fangyuan couldn't say what he really thought, it was too hurtful.

"Huh?"

However, before he could finish speaking, he saw his mother's face change slightly.

"Nothing ......"

decisively admits it, even if he is eighty years old, he is still a son in front of his parents.

Mom's current goals are all on Dad, so seeing that Zhou Fangyuan is soft, she doesn't say anything anymore.

In fact, I don't blame my mother for chattering, she never thought that her family would suffer from diabetes before, and she never thought about preventing anything. But in her daily life, she has gradually begun to reduce her family's intake of high-carbohydrate water, and her diet has become mainly based on vegetables, meat and eggs, which is an instinct of life, which subtly prompts her to do so.

As a result, my father still got sick, and if it was really that inevitable disease, then no one could say anything.

But diabetes, a disease that has a lot to do with eating, is not too young, and the body function is not very good, so you should pay more attention to it at this time. How do you know that a person of such an age as my father suddenly accidentally indulged in a handful, and as a result, he contracted this almost incurable lesion, even if it is not too serious, but the family is worried.

Mom was scared enough before, but now that she thinks about it, it's strange that she can easily spare him.

Dad is now in a state where he doesn't dare to talk back at all, so he can only let his wife count it next to him, keep his mouth shut, don't say a word, and obediently admit it.

A short time later, the doctor came.

As soon as she saw the doctor coming, my mother immediately greeted her.

"Doctor, do you see my husband's illness, is it dangerous......?"

Although the doctor has made it very clear, my mother still doesn't have to worry about it.

Also, whoever it is, I guess I will be nervous in the face of this situation.

"Don't worry, as long as diabetes is carefully maintained, the danger is not serious. ”

As soon as the doctor came up, he set the tone first and let my mother relax.

"But you can't take it lightly, diabetes is a disease, whether it is well maintained or not is definitely two different states. If it is well maintained, there is naturally no problem, but if it is not well maintained, the problem is very serious.

You are not in the medical circle, you may not be very clear.

Diabetes is now one of the most serious public health problems in the world.

According to the International Diabetes Federation, the number of adults with diabetes worldwide will reach 415 million in 2015. Among them, the number of adult diabetic patients in China exceeds 100 million, accounting for about a quarter of the global total.

Previous data has shown that adults diagnosed with diabetes in middle age have an average of nine years shorter lifespans than adults who do not have diabetes.

In 2004, a survey was conducted by a university in China and a top university abroad, and they recruited 510,000 adults between the ages of 30 and 79.

At the baseline survey, the investigators recorded the subjects' diabetes status via questionnaires, including age at diagnosis, current diabetes mellitus, and medication use for cardiovascular disease. Of the participants recruited, 6% had diabetes. The researchers found that people with diabetes had a 1-fold increased risk of death during follow-up compared to adults without diabetes, and that people with diabetes in rural areas had a higher risk of death than those with diabetes in urban areas.

In addition, diabetes is also associated with increased mortality from diseases such as ischemic heart disease, stroke, chronic kidney disease, chronic liver disease, infection, liver cancer, pancreatic cancer, etc.

The risk of dying from acute complications of diabetes is higher in rural areas, with poor treatment.

What does this mean, it shows that in places where medical conditions and medical philosophies are different, people with the same disease will behave differently.

I think your family conditions should be good, so you should cherish the opportunity more, treat the disease well, take good care of it, you two are younger than my parents, and you can have a good life in the future, but you must not be careless. ”

Sure enough, he is a doctor, he is a good hand at comforting you, and he is even better at scaring you.

Of course, the doctor's words are not all to scare people, the doctor is scary, so that patients can pay more attention to their own diseases, better treatment, and work harder to maintain themselves.

"I get to meet new patients every day, and many of them, like you, feel scared and worried about a disease that they are not familiar with.

In fact, it is not necessary to adhere to a comprehensive healthy lifestyle before and after diabetes diagnosis, such as a high-quality diet, no smoking, moderate regular exercise, moderate alcohol consumption, etc., can not only effectively control blood sugar levels, but also help patients with type 2 diabetes effectively prevent cardiovascular disease complications.

There are now more than 100 million diabetic patients in China, and the prevalence rate has reached 9.7%.

According to WHO, the number of people in China is expected to grow to 150 million by 2040.

The main cause of morbidity and death in diabetic patients is cardiovascular disease, so it is particularly important to prevent or delay cardiovascular complications. In addition to blood sugar control, lifestyle changes are an important part of self-health management for people with diabetes.

We have always said that patients should have a healthy lifestyle, and patients and their families have been asking us, what is a healthy lifestyle?

I'm going to tell you today that for the general population, people who don't smoke, limit alcohol consumption, improve the quality of their diet, and maintain moderate-intensity physical activity – people with these lifestyle habits have a lower risk of heart disease and metabolic disease, and a lower mortality rate.

Are healthy lifestyles associated with long-term benefits of reducing the risk of cardiovascular disease for people with diabetes?

To be honest, it's not clear yet. Moreover, studies to date have focused on the association between lifestyle and overall mortality, and there is a lack of data on the risk of cardiovascular complications. There is still a lack of strong evidence on whether lifestyle improvements lead to subsequent cardiovascular health benefits, particularly before and after diagnosis of diabetes.

However, a team from Lao Mei did the data of two large cohorts, and finally included 8,970 women and 2,257 men with type 2 diabetes, who were followed up every two years, with an average follow-up time of 13.3 years, and analyzed four lifestyle factors that could be improved.

Diet, smoking, alcohol and physical activity.

In terms of diet, the dietary quality of participants in their dietary patterns was scored by referring to the Healthy Diet Index based on the Dietary Guidelines of the Ministry of Agriculture.

When it comes to smoking, non-smokers are classified as low risk.

In terms of alcohol consumption, moderate alcohol consumption is defined as a low risk, i.e., 5-15 grams of alcohol per day for women and 5-30 grams for men.

In terms of physical activity, at least 150 minutes of moderate-to-vigorous physical activity per week is considered low-risk.

At an average follow-up of 13.3 years, the investigators recorded a total of 2311 cases of cardiovascular onset and 858 cardiovascular deaths.

Finally, they concluded that diabetic patients who followed a healthy lifestyle had significantly lower overall cardiovascular disease, coronary heart disease, and stroke morbidity, as well as cardiovascular mortality, compared to participants with unhealthy lifestyles. For people with diabetes, lifestyle changes after diagnosis are significantly associated with lower risk of cardiovascular morbidity and mortality. Compared with those with no lifestyle changes, the overall incidence of cardiovascular disease, coronary heart disease and stroke, as well as cardiovascular mortality, were reduced to varying degrees in diabetic patients with lifestyle modifications. Each addition of a healthy lifestyle factor can further reduce the risk of these related diseases.

For diabetic patients with hypertension and/or hypercholesterolemia, adherence to a healthy lifestyle is also significantly associated with the subsequent onset of cardiovascular disease at lower risk.

This conclusion holds true even after taking into account potential disruptive factors such as age, weight, smoking status, duration of diabetes, gender/cohort, medication use, and lifestyle prior to diabetes diagnosis.

There is currently insufficient evidence on whether lifestyle modifications can prevent or reduce the risk of cardiovascular events in people with type 2 diabetes, and some population-based intervention studies have yielded inconsistent results. Research provides further evidence that a healthy diet and lifestyle can be effective and significantly reduce the risk of cardiovascular disease in people with diabetes. Of particular note, the findings suggest that even if there are many unhealthy lifestyles before diabetes is diagnosed, continuous improvement of diet and lifestyle after diagnosis can still significantly reduce the incidence of cardiovascular events.

Overall, this study suggests that adhering to a well-rounded healthy lifestyle before and after diabetes diagnosis can help people with type 2 diabetes effectively prevent cardiovascular disease complications.

In fact, not only for patients, but also for non-diabetic patients, a healthy lifestyle is also very beneficial.

In a study of 120,000 people who followed up for about 30 years, it was found that among the participants who followed a healthy lifestyle, not only the mortality rate from cardiovascular disease and cancer was significantly reduced, but the life expectancy was indeed extended. Among them, the more healthy lifestyle items followed, the longer the life expectancy will be extended, with an average maximum of about 13 years.

In conclusion, the role of a healthy lifestyle in diabetes prevention management and longevity. It also has a good effect on controlling blood sugar after illness, so you must remember that you can't eat blindly in the future, you must exercise more, and the list I gave you must be eaten according to the above content, and you must not relax by yourself. ”

This doctor's medical ethics are obviously very good, in the ward, in front of Zhou Fangyuan's family, as well as another family.

I said a lot of long things, although many professional things are actually incomprehensible, but the simple content is very clear.

In the final analysis, it is six words, keep your mouth shut and open your legs, not only to control the aspect of eating, but also to increase the content of exercise.

"In addition, both of you should remember that it is best not to take insulin, and don't put all your hopes for blood sugar control on insulin.

It is true that insulin can control blood sugar, but it is not without harm.

Hypoglycemia, for example, is one of the troubles caused by insulin. Hypoglycemia is the most common adverse effect of insulin treatment for diabetes mellitus due to excessive insulin doses. Hypoglycemia may cause coma when it occurs, and it is important to distinguish this coma from ketoacidosis coma and non-ketodiabetic coma to avoid delaying treatment.

There are also allergic reactions, the insulin used in the treatment of diabetes may come from animals, and there are species differences between animals and humans, which may cause allergic reactions;

The most troubling is insulin resistance.

Insulin resistance can be divided into acute resistance and chronic resistance, the former is usually due to the increase of insulin-antagonistic substances in the blood during stressful states such as infection, trauma, surgery, etc., which reduces the probability of insulin binding to its receptors.

The causes of the latter are more complex, which can be roughly divided into three at present: the first is the pre-receptor abnormality, which may inhibit the transport of insulin to its target site, that is, the treatment site, after the combination of insulin and its antibody, which will affect the therapeutic effect of insulin; , obese patients, acromegaly and uremia patients have a decrease in the number of insulin and the affinity between insulin and its receptor is reduced during acidosis, resulting in a decrease in binding rhythm is also a cause of insulin resistance, which belongs to the change of receptor level; the third is post-receptor disorder, which refers to the abnormality of the glucose transport system and some enzyme systems on the target cell membrane, which will prevent insulin from playing its normal role and lead to insulin resistance.

In short, insulin is not a panacea, for your own good, try to take as little insulin as possible, if you can control your blood sugar through diet and exercise, try to control yourself as much as possible, and take as little insulin as you can to avoid the problems I mentioned. ”

The doctor told the two patients and their families in sufficient detail to ensure that both families could understand and recognize what was at stake.