Prevent this inspection that is done of diabetes complication

Prevent this inspection that is done of diabetes complication
Prevent this inspection that is done of diabetes complication
To diabetic that has already made a definite diagnosis of, it is particularly urgent to prevent complication, because diabetes complication early period symptom conceal, superficial, it is very difficult for patient not to perceive, find only through checking. If miss finding the opportunity in early days, it will be more troublesome that the complication treatment stands up. So, the clinician especially pays attention to the inspection of diabetes. Do a good job of these inspections, can well avoid the emergence of complication and treat. On the occasion of will it be will it be will it be the beginning winter the end autumn for the moment, human blood circulation slow down, the intersection of blood vessel and ill diabetic foot,etc. complication high to take place season, candy friend even more will insist on, carry on pathological change,etc. sift, consult early period of blood vessel regularly. The doctor thinks, diabetes and various complications can be understood and prevented by corresponding checking. Must examine the project 1: The reason of checking a doctor of saccharified hemoglobin: Saccharified hemoglobin can remedy the deficiency that blood glucose only reflects the instantaneous blood glucose while checking, it is the project of finding out about blood glucose with essential level. Saccharified hemoglobin can reflect the blood glucose level for nearly two or three months, even if candy friend should check twice at least every year up to standard, it is bad or should check once every 3 months while treating the way when changing that blood glucose is controlled. At the clinic, saccharified the intersection of hemoglobin and value lie between 4%- 6.2% hour, show blood glucose controls the ideal; 6.2% - 6.9% express generally; Over 7% must adjust the present healing solution. Point out: Saccharified hemoglobin is checked and does not need empty stomach, the patient can go to the hospital to check directly. But the one that should pay attention to is, if changed the laboratory after changing doctor or doctor, the patient should tell a doctor the inspection result of saccharified hemoglobin in time. Must examine the project 2: Check doctor's reason in pathological change of optical fundus: Mainly arrange and check diabetic eye complications such as retinal pathological change, cataract,etc., should check 1 while being average annual while being every, try hard, rank, consult the intersection of eye and disease in early days. Point out: Retinal pathological change is divided into six issues, four issues entered and treated difficult one. Diabetic every position of eyes can present pathological change, the intersection of cornea and unusual, the intersection of iris and new born blood vessel, depend on neuropathy change. The ill rate of diabetic's glaucoma and cataract is relatively high, 99% of the 1 type diabetes and 60% of the 2 type diabetes, the above one in 20 years of course of disease, nearly all have a retinal pathological change at various degrees. Must examine the project 3: Nephropathy complication is sifted, checked doctor's reason: It is to check and intervene in early days that nephropathy sifts the purpose to check. Diabetic nephropathy divides one together, one is that the glomerulus is strained overduly high, the patient micro- albumin is negative in this period, can resume through the insulin treatment. ��One is disconnected micro- albumin one, the glomerulus has already changed the structure in this period. One is continuously micro- albumin one, result examined at the same time according to a group leader one, the morbidity of this one is 16%, take place in gt of course of disease more; The diabetes patient in 5, and rise with course of disease. One is diabetic nephropathy one of dominance, the first stage of characteristic is that a large amount of white proteinuria appears. One, for depleted one of renal function. Point out: Especially pay attention to the micro- urine albumin inspection such as having crowds such as diabetic family's history, many fetus gestation, fat and hypertension,etc., if can find in early days and intervene actively, diabetic nephropathy can be reversed. In addition, the diabetic nephropathy patient does not almost have unusual feeling in one, easy to be neglected and missed reversing one best. Must examine the project 4: The nerve of blood vessel of lower extremities measures and tests doctor's reason: The nylon yarn irritates the toe belly of the intersection of normal people and the intersection of toe and hair, there will be thorns that keenly feel, and neuropathy takes place to change to if the diabetic, will result in feeling not normal, can not say which toe head a amazing one is. If can't distinguish shouting pain, should consider presenting the possibility that vascular neuropathy of the lower extremities changes. Point out: Daily 10 grams of nylon yarns of hospital comes to arrange checking neuropathy change, keep the foot clean before checking. The easy to operate test, feedback result to be obvious, patient can also test by oneself in home toothpick of obtuse angle,etc., if imperceptible pains, should consider presenting the possibility that vascular neuropathy of the lower extremities changes. Must examine the project 5: Doctor's reason of the electrocardiogram: This is checked and used for arranging and checking cardiovascular complications such as coronary heart disease, impatient infarction,etc. in early days, also need the patient to do the dull and stereotyped sport test to confirm whether to hide coronary heart disease sometimes. Because the diabetic has neuropathy to change, its feeling is worse than ordinary people, common people present angina pectoris, myocardial infarction, will have symptom that pain will be difficult to bear, but the diabetic is opposite, it is painless and not keenlying feel the disease to appear, can't perceive, very dangerous in time. Point out: Don't move vigorously before checking, notice mood is not excited, are breathed steadily, have a rest for 10 minutes and do again. It is the effective means to prevent complication to check complication regularly, but a lot of patients do not know at all what inspections should be done, how often make the inspection. This is apt to stop over for best time to intervene and prevent complication early. So, the sieve that the ward mate of our glycosuria must pay attention to more complications looks into some, study some more relevant knowledge.


|