Diabetic identification signs: Much thirst ...

People with diabetes have difficulty recognizing that they have the disease. However, it may be based on initial symptoms: Drink plenty of water, drink as much as thirsty .

About two months ago, Mrs. Nguyen Thi Nhen, born in 1946, Lai Vung village - Dong Thap, happened to be hit by a saw. The scab was only slightly bleeding. I thought it was okay, but when I visited Sa Dec Hospital, Mrs. Nhen's wound "became" . It does not heal and is increasingly necrotic

After that, Mrs. Nhen was transferred to Cho Ray Hospital. Here, she was told by doctors that she had diabetes. Because the wound was much necrotic, the doctors were forced to saw Ms. Chen's leg to preserve her life.

What is diabetes (diabetes)?

Diabetes, according to medicine, is also known as diabetes, is a very common chronic metabolic disorder. When you have diabetes, your body loses the ability to use or produce hormone insulin appropriately.

Having diabetes means you have too high blood sugar levels for many reasons. This condition can cause serious problems for the body, including the eyes, kidneys, nerves and heart.

Diabetes - The environment of many diseases

Another case more fortunate than not being part of Mrs. Nhen is Le Thi Sau, in Hoa Long and Thuan An - Binh Duong, suffering from diabetes 5-6 years ago at age 60. Before getting sick , she began to drink plenty of water, urinate many times during the night. After that, the eyes are blurred quickly. According to Mrs. Sau's family members, every day the most difficult thing is to keep the limbs from scratching.

However, diabetes creates conditions for many other diseases to break out in the body, without knowing what to expect. Currently, Ms. Sau is treating a diabetic brain disease at Endocrinology - Cho Ray Hospital.

Diabetes is difficult to detect

"Early symptoms of diabetes: Drink plenty of water , drink as much as you want. People with diabetes can urinate many times throughout the day and night. Also, people eat a lot, and crave sweet food. ".

Since thousands of years BC, diabetes has been described in ancient Eastern and Western medical literature. Currently, the number of people suffering from this disease is increasing over time.

'In most cases, patients who accidentally detect diabetes often go to the hospital for another illness. Or patients only know they have diabetes when there are direct complications related to diabetes, such as: blurred vision, pulmonary tuberculosis or pneumonia, long leg ulcers heal ., 'said Dr. Tuyet Hoa.

Also according to BS. Snow Flower, early symptoms can identify diabetes: drink plenty of water, drink how much is thirsty. People with diabetes may urinate many times throughout the day and night. In addition, the sick eat a lot, and crave sweet food.

Diabetes symptoms include:

1. Feeling extremely thirsty, also known as thirsty;
2. A lot of urination, sometimes a frequent urination every hour, is also called urination;
3. Losing weight for unknown causes;
4. Feeling exhausted and tired.

You may or may not have other diabetes symptoms, such as:

1. Nausea or vomiting;
2. Blurred vision;
3. Frequent vaginal infections in women;
4. Yeast infection or candidiasis;
5. Dry mouth;
6. Slow healing of sores or cuts;
7. Skin irritation, especially in the groin or vaginal area.

Diabetes complications

Diabetes complications often develop gradually. The longer you have diabetes and the less control your blood sugar levels, the higher your risk of complications. Finally, diabetes complications may not be treatable or even life-threatening.

Possible diabetic complications include:

1. Heart-related diseaes. Diabetes significantly increases the risk of other cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke and artery stenosis (atherosclerosis). If you have diabetes, you are more likely to have heart disease or stroke.
2. Neurological damage (neuropathy). Extra sugar levels can damage small blood vessel walls (capillaries) that nourish nerves, especially in the legs. This can cause itching, numbness, burning or pain that usually starts at the tip of the toe or finger and gradually spreads upwards. If left untreated, you may lose your complete sensation in the affected limb. Damage to digestive nerves can cause problems with nausea, vomiting, diarrhea or constipation. For men, it can lead to erectile dysfunction.
3. Kidney damage (kidney disease). The kidneys contain millions of small blood vessels (platelets) to filter waste from your blood. Diabetes can damage this delicate filtration system. Severe kidney damage may lead to irreversible kidney failure or end-stage renal disease, requiring dialysis or kidney transplantation.
4. Eye damage (retinopathy). Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. Diabetes also increases the risk of other serious vision conditions, such as cataracts and glaucoma.
5. Leg injury. Damage to the nerves in the feet or poor blood circulation to the feet increases the risk of different foot complications. If left untreated, cuts and vesicles can develop into serious infections, often difficult to heal and may require a limb.
6. Skin conditions. Diabetes can make you more susceptible to skin problems, including bacterial and fungal infections.
7. Deaf. Hearing problems are more common in people with diabetes.
   Alzheimer. Type 2 diabetes may increase the risk of Alzheimer's disease. The lower your blood sugar control, the greater your risk of diabetes complications.

Gestational diabetes complications

Most women with gestational diabetes give birth to healthy babies. However, untreated or uncontrolled blood sugar can cause problems for you and your baby.

Diabetic complications in children include:

1. The fetus is more developed than age. The excess sugar in the mother's body can pass through the placenta, making her pancreas develop more insulin. This can make your baby grow bigger than your age and you must have a caesarean section.
2. Low blood sugar. Sometimes, children will have low blood sugar (hypoglycemia) right after birth because of their high insulin production. However, it is only normal for a baby to be breastfed and given glucose infusion.
3. Type 2 diabetes in the future. Infants are at high risk of obesity and type 2 diabetes when they grow up.
4. Dead. Untreated gestational diabetes can lead to death before or after birth.

Diabetic complications in mothers include:

1. Preeclampsia. This condition is characterized by high blood pressure, excess protein in the urine, swelling in the legs and feet. Pre-eclampsia can lead to serious or even life-threatening complications for both mother and child.
2. Gestational diabetes at the next pregnancy. Once you have gestational diabetes in one pregnancy, you are more likely to have diabetes with your next pregnancy. You are also more likely to develop diabetes - typically type 2 diabetes - when you get older.

Diabetes treatment: Eating is important

Dr. Tuyet Hoa emphasized that for people with diabetes, it is not just about taking drugs like treating colds. The most important thing is to eat - take medicine - exercise must be harmonized so that the patient's blood sugar is stable.

'The doctor must work with diabetics in these 3 things so that the complications of the disease appear later. In the United States, complications of diabetics appear

10 years after the onset of illness, while in Vietnam, that time is only half that, ' Hoa said.

35- 50% of diabetics in Vietnam suffer from long-term ulcer complications that lead to limbs; from cutting fingers, cutting half of the feet to cutting between the legs or due to extensive necrosis, cut to half of the thigh. Particularly for Cho Ray Hospital, in 2002, the entire expenditure section of diabetic patients accounted for 38% of the right-to-spend cases.

Previously, when diabetes was diagnosed, physicians and patients' relatives advised patients to diet absolutely. Even nutritious foods like milk and eggs are banned. The regular hunger of the body will disturb the metabolism in patients and the patient is not physically fit to resist the disease.

Doctor Le Thien Anh Tuan, Internal Medicine Specialist, Ho Chi Minh City Medical Association said that many patients are afraid of drinking milk because they are afraid of fat. But according to him, fat or sick depends on the location and genes of each person.

For diabetics who are treated in hospitals, doctors also encourage patients to eat more. In particular, although limiting fruits with many sugars such as durian, jackfruit, patients can still eat fruits such as oranges, grapefruit, bananas . Even fruits, patients can also eat as widely as Ordinary people: guava, toad, plum .

Doctor Tuyet Mai commented, most patients do not like to eat vegetables. In part, when complications due to diabetes such as diarrhea, patients feel uncomfortable in the intestines, so abstain from eating vegetables. But in the daily diet, for the sick, eat as much as possible.

Suitable for people with diabetes

What is diabetes fasting?

For people with diabetes, foods that contain a lot of sugar and indigestion are 'enemies'. Using these foods will make the condition worse.

The foods you need to avoid include:

1. Sweet foods: cakes, candy, carbonated soft drinks, artificial sweets, etc.
2. Starch: muscle, noodle, vermicelli, etc.
3. Food is high in saturated fat, cholesterol: fatty meat, animal organs, chicken egg yolks, cheese, dairy, vegetable-based foods.
4. Milk
5. Dry fruit
6. Alcohol, beer and alcoholic beverages.

what should Diabetes eat?

The foods you can comfortably eat without worrying about affecting the disease such as:

1. Low-sugar fruits: apple, grapefruit, guava, citrus, .
2. Lean meat, especially beef.
3. Fish