There are more and more young patients suffering from "sugar obesity"! Is the mortality rate higher than diabetes? Doctor: If you want to reverse the situation, you can only start from "two aspects"
Recently, more and more patients with abnormal blood sugar are seeking medical treatment after physical examination. They are characterized by young age, high glycosylated hemoglobin and being overweight. They are often accompanied by abnormal values such as blood lipids and blood pressure. Fan Gangzhi, director of the Department of Metabolic Endocrinology at National Taiwan University Hospital Hsinchu, NTU Branch, reminded that if the above-mentioned patients can start with weight control, their three high values can usually be significantly improved, and there is even a chance to reverse the harm caused by diabetes.
People with a BMI over 30 suffer from “sugar obesity”. A 40-year-old technology upstart relies on “this treatment” to control sugar.
Director Fan Gangzhi pointed out that a 40-year-old technology upstart was recently treated. He weighed 110 kilograms and had a BMI of over 30. His glycated hemoglobin was even as high as 9%, much higher than the normal value (5.6%), and he was diagnosed with “sugar obesity”. After medical discussions, the patient began to actively change his lifestyle, diet management, and use anti-diabetic drugs provided by health insurance. He was also treated with self-paid oral anti-diabetic drugs that combined weight loss and blood sugar control.
During the treatment process, Director Fan Gangzhi also encouraged the patient to proactively monitor blood sugar, wear “continuous glucose monitoring” for a short period of time to manage blood sugar, and actively adjust his diet and lifestyle. After about half a year, the patient’s weight dropped by nearly 17 kilograms, and his blood sugar level It then dropped and approached normal values. After the patient’s condition stabilized, the antidiabetic drugs were gradually tapered off, and he still maintains good blood sugar management after 9 months.
“For patients who are suffering from diabetes or obesity in their middle-aged years, it is crucial to actively provide accurate and personalized diabetes education and appropriate drug intervention. Because the male patient is still young and has just been diagnosed, Soon, if weight can be effectively controlled, blood sugar can be improved and the disease can even be reversed. “According to research, patients with diabetes and obesity can improve their blood sugar and comorbidities by losing 5% of their weight, and can reduce their medication dosage by 15% and more. There is a chance to reverse diabetes and stop taking medication.
What are the treatment options for diabetes? Will poor living habits still lead to obesity?
Director Fan Gangzhi further explained that for patients with diabetes and obesity, the first-line standard drug “Metformin” will be used for interventional treatment; the drug will then be selected according to the extent of weight loss the patient needs, or whether there are other needs for management of comorbidities, such as Oral and injectable enterocrine (GLP-1) or oral antidiabetic drugs (SGLT-2). In addition, through shared decision-making and health education explanations between doctors and patients, personalized treatment plans can be discussed based on different aspects such as the patient’s treatment goals and expectations, convenience of medication, etc.
“If you only rely on the effects of drugs without good living habits, you may still gain weight or lose control of your blood sugar after a period of time!” Director Fan Gangzhi explained that in addition to drugs, continuous glucose monitoring is also used in clinical practice to assist patients with technology. Allow patients to instantly understand the impact of various foods, portion sizes or exercise on their blood sugar.
Not only are they prone to heart, kidney, and neurological complications! Doctor: Diabetes and obesity have a higher mortality rate than diabetes
“Many patients with diabetes and obesity are caused by unhealthy eating and lifestyle habits for many years. After losing weight through self-paid drugs, in order to carefully maintain the good effects of weight loss and lowering blood sugar, many patients are willing to wear continuous glucose pills for a period of time at their own expense. Monitoring, through real-time blood sugar monitoring, to understand the impact of the time, amount, and type of food that one eats on blood sugar. Director Fan Gangzhi pointed out that some patients have previously found that eating too much oatmeal for breakfast caused their blood sugar to exceed the target value. There are also patients. I found that blood sugar levels tend to rise after dinner, so I started to pay attention to the amount of starch in my dinner, and combined it with exercise to help stabilize blood sugar levels.
Director Fan Gangzhi reminded that diabetic obesity is diabetes combined with obesity. Compared with simple diabetic patients, patients with obesity have higher insulin resistance, blood sugar is more difficult to control, and the risks are not limited to one aspect: cardiovascular, renal, and neurological complications. The risk of diabetes is higher than that of diabetic patients who are not overweight, and it also increases the risk of death. Patients should not be cautious. If you are overweight and have difficulty controlling blood sugar, you should seek medical advice as soon as possible and discuss the best treatment plan with your doctor.
Extended reading: Not only blood sugar control but also organ protection! Diabetes treatment “paradigm shift”: weight, blood sugar, and risk factors should be given equal emphasis
