Deploy in advance, care about the management of heart and kidney diabetes, and remember the sugar control method 32 1.

Chronic kidney disease stage 5: end-stage renal disease, uremia chronic kidney disease stage 3: moderate chronic kidney disease, renal function has been obviously damaged stage 2: mild chronic kidney disease, blood sugar, blood pressure and diet must be controlled stage 1 stage: normal renal function, but hematuria and proteinuria. Diabetes should not only care about blood sugar, but also care about heart and kidney! Cai Songsheng, an attending physician in the Department of Metabolism, Linkou Chang Gung Hospital, pointed out that with the rejuvenation of diabetes and the extension of life expectancy caused by medical progress, the age of people who love sugar will also be extended. If the disease is not well controlled, the risk of cardiovascular and renal complications such as heart failure or chronic kidney disease will increase. He called for observing the mental method of "controlling sugar 32 1" of the Diabetes Association of the Republic of China in 2020. In addition to controlling the three highs (hyperglycemia, hypertension and hyperlipidemia), we should also pay attention to monitoring blood sugar 3. It also reminds high-risk patients to maintain good living habits, cooperate with drug treatment and actively control sugar.

If sugar friends ignore diabetes, beware of complications.

Dr Cai Songsheng said that the typical symptoms of diabetes are "eating too much", "drinking too much", "urinating too much" and "losing weight". At first, the symptoms are mild, and many young patients may not care, but in the long run, the complications of diabetes can not be ignored, otherwise life will be either black or white.

Complications of diabetes mellitus are common vascular diseases.

Complications of diabetes usually include three "small blood vessels" and three "big blood vessels". Dr. Cai Songsheng mentioned three kinds of small vascular diseases: one is retinopathy, which leads to blindness in severe cases; Second, kidney disease, proteinuria, poor renal function, serious need for renal dialysis; The third is neuropathy, which is common in diabetic foot. If the wound is not well cared for, it may be amputated.

As for the three major vascular diseases: first, cerebrovascular diseases, such as stroke; The second is cardiovascular diseases, such as myocardial infarction; The third is peripheral arterial obstructive disease, which often increases the risk of diabetic amputation; It is generally believed that the probability of diabetic patients suffering from cardiovascular and cerebrovascular diseases is 2-3 times that of ordinary people.

In recent years, the cardiac and renal complications of diabetic patients have increased.

The quality of diabetes care in Taiwan Province Province, with the active input of the Institute and * * *, has achieved remarkable results. According to the data of 20 19 diabetes yearbook, from 2000 to 20 14, the incidence of cardiovascular diseases and stroke gradually leveled off or even decreased. However, the number of people with heart failure increased 185%, and the number of people with chronic kidney disease increased by 407%. Dr. Cai Songsheng said that kidney and heart are easy to affect each other and hurt each other, and diabetic patients are prone to hyperlipidemia, hypertension and other three high diseases. If they are older, they are all the same risk factors for chronic kidney disease and heart failure.

Doctors should pay attention to symptoms such as fatigue, dyspnea, palpitation, edema, nocturia and chest pain. Symptoms of chronic kidney disease may include proteinuria (a lot of bubbles), hematuria, edema, fatigue and asthma in the later stage, and may also lead to hypertension and hyperlipidemia, so we should pay more attention to the amount of bubbles in urination in the early stage.

Deploy in advance, care for the heart and kidney, and remember the sugar control method 32 1.

In order to promote blood sugar control and prevent complications, the Diabetes Association of the Republic of China put forward a new concept of diabetes control "blood sugar control 32 1";

▲ Three indicators of blood sugar monitoring: monitoring blood sugar before and after meals, HbA 1c (glycosylated hemoglobin).

▲ Renal function 2 Note: Monitor microalbuminuria and detect eGFR (glomerular filtration rate).

▲ Prevention of heart failure 1 (1) Necessary: early control of three highs to prevent complications of heart failure.

Dr. Cai Songsheng said that the latest guidelines not only emphasize the long-term blood sugar stability of HbA 1c (glycosylated hemoglobin), but also emphasize the importance of blood sugar before and after meals, because even if HbA 1c is the same, the blood sugar before and after meals fluctuates too much, and the mortality rate of patients may be higher. In addition, the guide also emphasizes the importance of monitoring the heart and kidneys, controlling the three highs early and preventing complications.

A new sugar control drug for high-risk patients "controls blood sugar and reduces the risk of heart and kidney"

In order to prevent the complications of sugar lovers, we should practice the new concept of "caring for the heart and kidney in advance". Dr. Cai Songsheng mentioned that new hypoglycemic drugs, such as oral sodium-glucose transporter 2 inhibitor (SGLT2 inhibitor) and glucagon-like peptide for injection 1(GLP- 1RA), can reduce the risk of cardiovascular and renal complications. Among them, SGLT2 inhibitors can help reduce blood sugar, blood pressure, weight and other risk factors, and there is also empirical evidence that it can reduce the risk of kidney disease and reduce the occurrence of heart failure.

However, SGLT2i excretes sugar through urine, which may increase the risk of urinary tract infection. Be sure to bring enough water when using, don't hold your urine, and pay attention to the cleanliness of private parts when going to the toilet. GLP- 1 may produce side effects such as nausea, vomiting and diarrhea. Sugar friends can discuss the expected goal of disease control with doctors when they see a doctor. If there are any related problems during the medication, the doctor still needs to make adjustments according to his professional judgment to avoid stopping the drug without authorization.

Dr. Cai Songsheng still stressed that 30% of drugs are controlled by sugar and 70% are still regulated by life, calling for regular and quantitative meals. Aerobic exercise is recommended for 30 minutes each time, 5 days a week, and the heartbeat is 130 times per minute (capacity allows) to avoid diabetic complications.

Topic: blood sugar control 32 1, diabetes, blood sugar monitoring