Sedentary obesity and eating too much are causing the sudden increase in young people with diabetes? Doctor: If you neglect control, you may regret it later.
The proportion of young people with diabetes is rising sharply. Eating a refined diet and sitting for long periods of time may not only make you fat.
To commemorate Dr. Banting, the discoverer of insulin, November 14th is designated as World Diabetes Day internationally. In recent years, due to changes in living habits, the number of people with diabetes in Taiwan has continued to increase, and is estimated to have exceeded 2 million. Dr. Chen Qingzhu, director of the Department of Endocrinology and Metabolism of China Medical University Hospital, said that there are two major reasons for the increased risk of diabetes in modern people. One is excessive intake of refined foods and sugary foods ; the other is reduced exercise and activity, sedentary lifestyle, etc. Type causes obesity, and obesity is closely related to diabetes.
Dr. Chen Qingzhu pointed out that the National Health and Nutrition Examination Survey conducted every four years found that the obesity rate among Taiwanese people continues to increase, regardless of men or women, and among young patients with diabetes under the age of 40, the incidence rate shows a 45-degree slope. Upward trend. Based on the general outpatient population of 60, about ten patients may be under the age of 40. It is estimated that in 2021, the number of young patients with diabetes will continue to rise.
The causative factors of diabetes are relatively complex. Dr. Chen Qingzhu said that type 2 diabetes is also related to genetics. If parents or siblings have a history of diabetes, the risk of developing diabetes will increase. Daily eating habits, lifestyle and obesity are all risk factors for diabetes. Doctors point out that obesity can cause insulin resistance and diabetes. However, when hyperglycemia develops out of control, abnormal weight loss may occur.
Dr. Chen Qingzhu said that diabetes is a chronic disease, and young people may ignore it because the symptoms are not obvious. You should receive regular health examinations and pay early attention to whether you have high blood sugar or three highs. Clinically, it can also be seen that some patients are diagnosed after being injured and hospitalized. Therefore, if the wound does not heal for a long time, you should also pay attention to whether there is a blood sugar problem and pay attention to the signs of diabetes in advance.
Can weight loss help treat diabetes? Diabetics should pay more attention to “hypoglycemia”
In recent years, weight loss has become a popular trend, and there are also rumors that weight loss can help treat diabetes. Dr. Chen Qingzhu said that weight standards vary from person to person, and older people should pay more attention to the problem of “sarcopenia”. Some studies have also pointed out that the lowest mortality rate among diabetic patients is those who are overweight. Regarding the “168 fasting method” popular on the Internet, Dr. Chen Qingshu reminded that extreme diet control may cause “hypoglycemia” in diabetic patients, and it is necessary to consult the attending physician before implementing it.
Director Chen Qingzhu emphasized that for elderly patients with diabetes, hypoglycemia is quite dangerous. It may not only cause dizziness, trembling hands, cold sweats, hunger, and even coma. Doctors remind you to eat a regular meal after taking medicine or insulin. If you have no appetite and neglect to eat, you should postpone taking insulin or drugs with hypoglycemia side effects. When symptoms occur, you should replenish sugar in time. It is best to maintain three regular meals on weekdays to reduce the chance of hypoglycemia.
Insulin requires kidney dialysis for a lifetime? Don’t Believe in False Treatment Myths
It has been a hundred years since the invention of insulin, and great progress has been made in dosage forms, effects, and safety. Dr. Chen Qingzhu explained that insulin is available in different dosage forms: long-acting, medium-acting, and fast-acting, as well as premixed insulin, which can have both medium- and fast-acting blood sugar control effects, and the medication can be adjusted according to the patient’s condition.
In addition, myths such as “insulin damages the kidneys” or “insulin needs to be administered for life” are spread on the Internet. Assistant Dr. Chen Qing pointed out that some patients can switch to oral medications after their hyperglycemia improves after insulin intervention. Insulin is a hormone needed by the body, and intervening to supplement insulin will not cause kidney damage. In the past, people with diabetes were given insulin when they entered the advanced stage and faced kidney dialysis as the disease progressed. This created the wrong impression among the public.
Thanks to advances in medical technology, the types of drugs used to treat diabetes have gradually increased, and now “incretin injections” are also available. Dr. Chen Qingzhu explained that incretin is less likely to cause hypoglycemia and will not cause weight gain, and may even have a weight loss effect, but the payment conditions are relatively strict. If the patient’s blood sugar is still poorly controlled after the injection, insulin therapy may still be needed.
Doctors remind young patients of the three key points of blood sugar control, which can cause serious harm if they ignore it
Physician Chen Qingzhu reminded that people with diabetes should pay attention to their daily routines. It is recommended to master three key points. The first is to develop regular exercise habits, the second is to eat regularly and quantitatively, and the third is to take medicine regularly and administer insulin or lower blood sugar according to the doctor’s instructions. drug. In addition, you should quit smoking as soon as possible, drink alcohol in moderation, and avoid drinking more than 30 grams of alcohol per day. Maintaining a good mood and appropriately expressing stress can help control diabetes.
Holidays and festive dinners can also easily affect the blood sugar status of diabetes. Dr. Chen Qingshu reminded that during important festivals such as the New Year, Dragon Boat Festival, and Mid-Autumn Festival , people tend to eat and drink heavily. In addition, fruits contain hidden sugars, which may affect the blood sugar control of diabetics. In addition to paying attention to your diet, you can also go to the hospital to consult with nutritionists and health teachers on dietary adjustments.
Regarding the increase in the number of young people with diabetes, Dr. Chen Qingzhu emphasized that young diabetics are more likely to neglect disease control, while older diabetics pay more attention to blood sugar control. However, the serious consequences of large and small blood vessel and even systemic problems caused by diabetes may not appear until ten to fifteen years after diagnosis.
Doctors urge young people with diabetes to consider blood sugar control as an important issue, and not to cause serious harm in the future due to poor diabetes control just because the body cannot feel it now.
