12 signs of early diabetes, Check-in for yourself.
Intro
So how to be vigilant and detect it early in life?
12 signs of early diabetes, be vigilant!
1. Weight loss
Although the appetite and food intake of diabetic patients is normal or even increased, the weight loss is mainly due to an absolute or relative lack of insulin or insulin resistance. The body cannot fully utilize glucose to generate energy, resulting in enhanced decomposition of fat and protein, excessive consumption, and negative nitrogen balance. , weight loss gradually, and even weight loss.
Once diabetes is properly treated and well-controlled, weight loss can be controlled or even recovered. If diabetic patients continue to lose weight or lose weight during treatment, it may indicate poor metabolic control or other chronic wasting diseases.
2. Atrophic glossitis
It refers to the atrophy of the nipple in the central part of the tongue, which is manifested as a local atrophy defect area without tongue coating, and its incidence is as high as 62% in the diabetic population. From the perspective of traditional Chinese medicine, this kind of tongue coating belongs to the geographic tongue, which is often a manifestation of yin deficiency, that is, "quenching thirst" in traditional Chinese medicine.
3. Drink more
The main reason is that high blood sugar significantly increases plasma osmotic pressure, coupled with polyuria, excessive water loss, intracellular dehydration, aggravating hyperglycemia, further increasing plasma osmotic pressure, stimulating the thirst center, resulting in thirst and polydipsia. Polydipsia further aggravates polyuria.
4. Eat more
The mechanism of hyperphagia is not well understood. Most scholars tend to be due to the decrease in glucose utilization (difference of glucose concentration in arterial and venous blood before and after entering and leaving tissue cells).
When normal people fasting, the concentration difference between arterial and venous blood decreases, which stimulates the feeding center and produces a sense of hunger; after eating, blood sugar increases, and the concentration difference in arterial and venous blood increases (greater than 0.829mmol/L), the feeding center is inhibited, and the appetite is full. The central nervous system is excited, and the feeding requirement disappears.
However, due to the absolute or relative lack of insulin or the insensitivity of the tissue to insulin, the ability of the tissue to uptake and utilize glucose is reduced in people with diabetes.
5. Polyuria
It is because the blood sugar is too high, exceeding the renal glucose threshold (8.89-10.0 mmol/L), and the glucose filtered by the glomerulus cannot be completely reabsorbed by the renal tubule, forming an osmotic diuresis.
The higher the blood sugar, the more urine sugar excretion, the more urine output, the 24h urine output can reach 5000-10000ml. However, in the elderly and those with renal disease, the renal glucose threshold is increased, and the urinary glucose excretion is impaired.
6. Itchy skin
Itchy skin on the whole body may even affect sleep at night. This is one of the classic manifestations of early symptoms of diabetes. Due to the damage to the microvessels of the whole body due to the hyperglycemic state of diabetes, which affects the nutritional supply of the skin, patients often feel the whole body. Itching discomfort.
7. Upper body obesity
Upper body obesity refers to the ratio of waist circumference to hip circumference greater than 0.7-0.85, especially upper body obesity that occurs in women, and the abnormal glucose tolerance test in this population is as high as 60%.
Therefore, some experts believe that this upper body obesity can be used as an indication for the diagnosis of diabetes.
8. Decreased vision
Many diabetic patients complained of decreased or blurred vision during early treatment, which may be mainly caused by changes in crystal osmotic pressure caused by hyperglycemia and changes in crystal diopter.
In the early stage, most of them are functional changes. Once blood sugar is well controlled, vision can quickly return to normal.
9. Difficulty urinating
About 21% to 42% of elderly men with diabetes have dysuria. This shows that diabetes is positively correlated with the occurrence of dysuria. If middle-aged and elderly people find dysuria, in addition to excluding prostate problems, they should also pay attention to the early diagnosis of diabetes.
10. Fatigue
It is also common in diabetic patients. Because glucose cannot be completely oxidized, that is, the body cannot make full use of glucose and effectively release energy, and at the same time, tissue loses water, electrolyte imbalance, and negative nitrogen balance, so they feel fatigued and lethargic.
11. Paralysis of the foot, hard to heal wounds
Due to the damage to the peripheral nerves caused by high blood sugar, the patient's lower limbs are often in a state of numbness and paralysis (also painful), and the feeling is not sensitive.
Because of the inability to feel pain sensitively, patients can easily bruise their lower limbs during daily walking and activities. In addition, due to the damage to blood vessels caused by high blood sugar, the injured tissue is difficult to heal or even fester.
Therefore, multiple injuries to the lower extremities, slow healing, and dark scars are typical signs of diabetes.
12. Numbness or tingling in the hands and feet
It's also a common sign of diabetes when you feel numbness or pain in your hands and feet, mainly because high blood sugar causes poor circulation and damages the nerves.
Therefore, once some of the symptoms mentioned above appear, be sure to seek medical attention as soon as possible to rule out the risk of diabetes!
How to Prevent Diabetes
The good news is that the diabetes epidemic is not going to get worse. The bad news is that it will not get better either.
This post tries to lay out what we know so far, and how to make sure you don’t end up in the same boat as me. We are all going to die of diabetes one day. I’m doing my best to be ready when I do.
How to Detect Diabetes Early
There is a lot of great information about diabetes on the web. The first thing to do is to read the many blogs and articles about it. Here are some of the blogs that I found particularly helpful:
And here are a few of my favorite articles on diabetes:
How to Deal with Diabetes
The idea of early diabetes is that it is a "disease of unknown cause" and there is no cure. People with early diabetes tend to be older, overweight, and have a family history of diabetes. They also tend to get sick more often and stay sick longer than people with normal blood sugar (i.e., not diabetic).
Diabetes should not be thought of as a "bad thing" — it's an important part of our bodies. And we all have it whether we like it or not — even without the symptoms, we are still carrying around insulin in our bodies. We need insulin to survive, but we also need insulin to make sure that our blood sugar doesn't go too high — and too high blood sugar can lead to coma or death by starvation, so diabetes cannot be taken lightly either.
Conclusion
So, I started going to the doctor. And I got sick. And I went to the doctor every day. Mostly because I was worried about my blood sugar — it was high. It was high!
The more you talk about diabetes, the more you will learn how common it is and how many different ways it can be managed.
If you are diabetic, you have a disease of the pancreas that causes a shortage of insulin: your body needs insulin to transport glucose from the bloodstream into your cells. Insulin is made in your liver, but not enough is produced for all of the cells in your body.
Insulin works like a chemical switch: if there is too much glucose in your blood (hyperglycemia), then insulin does its job and transports glucose into your cells for use by them as energy; if there is not enough glucose (hypoglycemia), then insulin does not transport glucose from the bloodstream into the cells and instead forces you to use stored glycogen as energy, which can be likened to a temporary low-value source (which might be burned off once some other source of energy becomes available). When this happens too often, people call this "diabetes", although technically it should be called "insulin resistance", since it affects other parts of your body too.
I will try to explain what diabetes is and how it can affect people’s lives in a way that makes sense:
Diabetes has four stages: Hyperglycemia (high blood sugar): This means that sugar gets into your blood faster than usual and stays there longer than usual because your liver cannot keep up with making more insulin or doing its job properly. For glucose to get into the cell where it's needed most: muscles, brain, etc., the extra sugar must be converted to glycogen (stored in your liver) or fat (stored in fat cells). If you have diabetes or are at risk for developing diabetes because of family history or environmental factors such as obesity or smoking, this won't happen as fast as normal; however, if you are overweight or obese this won't happen at all! The result? Fatigue and weight gain! High Blood Pressure: This means there isn’t enough oxygen reaching every part of your body; just like when someone cuts off their finger while holding a pencil they stop drawing on paper but continue doing their writing on the wall! Also like when someone cuts off their finger while holding a pencil they