1 in 3 people is prediabetic! There are 5 signs in the body, it is time to control sugar

Xiao Zhang is 20 years old this year. Since autumn, she has found that her skin has become very dry. After taking a shower every day, she needs to apply a lot of body milk to relieve it.

Later, applying body lotion was useless. The skin was not only dry, but also itchy and flakes. In the end, he couldn't take it anymore, so Xiao Zhang went to the hospital for an examination, and was diagnosed with diabetes.

With the improvement of modern people's living conditions, some bad living habits are constantly "giving birth" to the emergence of diseases, especially chronic diseases such as diabetes are becoming more and more frequent. Why is this? Is there any way to "reverse" it?

1. The research found that China's diabetes "emphasizes the north and despise the south"

Epidemiological surveys show that the incidence of diabetes in Chinese adults is 12.8%, and the incidence of pre-diabetes is 35.2%, which means that one out of every three people is pre-diabetic. From a geographical point of view, some studies have pointed out that diabetes in China is more common in the north .

In 2020, a 3-year study jointly completed by many well-known Chinese experts was published in BMJ, which attracted attention. The study sampled 75,880 adult residents in China and found that middle-aged men over the age of 50 had a higher prevalence of diabetes.

In addition, from the perspective of overall prevalence, the north is the highest, followed by the southwest and northeast . Among them, Inner Mongolia ranks first, and the overall prevalence of diabetes is as high as 19.9%.

Why does diabetes "favor" northerners more?

First of all, diabetes is closely related to obesity, and there are more obese people in the north than in the south. According to a survey, 7.8% of northerners have a BMI over 30 , while only 3.6% of southerners. Secondly, due to the environment, the northern winter lasts for 4-6 months, so the northerners are even less fond of sports.

From the point of view of diet, the diet in the north is more tasteful, the diet is generally high in salt, oil, and calories, and the cooking methods are mostly fried, stir-fried, etc .; while the taste of the southerners is relatively light, cooking with less oil and salt, and cooking methods Most of them are steamed and boiled. Moreover, northerners prefer to drink, and think that it is a good day to eat meat and drink heavily, while southerners prefer to drink tea.

It can be seen that it is "excusable" that diabetes prefers northerners.

2. There are 5 signs that often appear, or imply that the blood sugar exceeds the standard

"Diabetes, isn't it just a little higher blood sugar!" Not so! The scary thing about diabetes is that it can lead to various complications.

Clinically, common complications of diabetes include retinopathy, diabetic foot, renal failure, heart failure, myocardial infarction, etc. , and severe cases may even lead to death. Statistics show that about 830,000 people die of diabetes complications in China every year.

If you often have the following signs, it may be that your blood sugar has exceeded the standard, and you should pay attention!

1. Often hungry

It is easy to be hungry, often hungry until you wake up early, and feel flustered and fatigued at the same time, and the symptoms can only be relieved after eating. This is because the function of the pancreatic islets is abnormal, and the sugar ingested cannot be converted into energy, so the body can only consume the fat and sugar stored in the body It turns out that to maintain body functions, it is easy to get hungry.

2. Skin itching

Unexplained itching of the skin, especially in areas prone to sweating such as armpits and thighs, which is severe and cannot be relieved for a long time, which may be related to diabetes.

3. Thirst and dry mouth

Frequent thirst and dry mouth may be caused by increased blood sugar concentration and abnormal blood sugar metabolism. As the blood sugar concentration increases, the osmotic pressure will increase, resulting in osmotic diuresis, that is, increased urination, resulting in dry mouth and thirst .

In addition, abnormal blood sugar metabolism will also disturb the body's metabolic function, resulting in a large amount of water loss and feeling abnormally thirsty.

4. Weight loss

Unexplained weight loss without deliberate control of food intake may also be caused by diabetes.

When the body develops insulin resistance or insulin deficiency, glucose cannot be fully utilized, resulting in accelerated protein decomposition, resulting in significant weight loss in a short period of time.

5. Blurred vision

Blurred vision is not necessarily related to eye disease, but can also be a symptom of diabetes. When blood sugar rises, the lens will increase the absorption of water, thereby reducing the concentration of glucose. When too much water is absorbed, the lens swells, causing blurred vision.

3. Can diabetes be "reversed"? It is very important to do 4 things well

In 2021, China's first edition of the "Chinese Expert Consensus on Alleviating Type 2 Diabetes" clearly defined the criteria for "diabetes reversal (remission)".

Experts pointed out that the key to reversal or remission is "early", which meets the conditions of younger age, shorter course of disease, not too high blood sugar, and not too light weight . After standard treatment, the condition is reversed, and the drug has been stopped for 7 years.

So, which diabetic patients can achieve "reversal"?

High BMI index : For diabetic patients who are overweight and abdominally obese, the largest place for body fat to settle is the islets or pancreas. Therefore, if you lose about 10% of your body weight through fat gain, the possibility of reversal will be higher;

Short course of disease: The shorter the course of the disease, the less toxic effect on islet cells, the higher the possibility of recovery of islet cells, and the greater the chance of reversal. Generally speaking, diabetes patients who are newly diagnosed or have a disease course within 5 years may achieve reversion;

No islet cell antibodies : Diabetic patients with three types of islet cell antibodies, glutamic acid decarboxylase antibody, islet cell antibody, and insulin antibody, are difficult to reverse. It is recommended that newly diagnosed patients go to the hospital to detect whether they have antibodies;

High C-peptide level : The C-peptide level can reflect the level of insulin in the body. If the fasting C-peptide level is 1.1 ng/ml and the two-hour C-peptide level is above 2.5 ng/ml, it means that the function of the islets of the pancreas has not been seriously damaged, and the chance of reversal is relatively high. big.

In addition, daily management of blood sugar levels is also critical:

1. Reasonable diet

Maintain a low-calorie diet, eat more coarse grains and less refined grains, pay attention to reducing the intake of snacks, alternately eat beef, chicken, and fish to ensure balanced nutrition.

2. Healthy life

Quit smoking and drinking, maintain a reasonable weight, avoid overweight and obesity, and keep exercising. It is recommended to do more than 150 minutes of moderate-intensity aerobic exercise every week, such as jogging, climbing, swimming, cycling, etc., and gradually increase the amount of exercise and exercise time.

3. Follow the doctor's advice

Drug intervention can be carried out when necessary, but it is necessary to listen to the doctor's advice, and it is forbidden to take it without permission.

4. Regular inspection

Regular inspections, strict monitoring of various physical indicators, and timely detection of abnormalities. Items that need to be checked regularly include blood-related tests, renal function tests, urine tests, B-ultrasound tests, electrocardiogram tests , etc.

If the blood sugar is well controlled, checks can be done every six months, otherwise, checks should be done every three months.

At present, diabetes is seriously threatening our health and life safety, so stop making fun of your own body. Adopting a healthy lifestyle and improving understanding of diabetes are top priorities for prevention and low-cost measures to reduce risk.

References

[1] "1 out of every 3 people is in pre-diabetes! Xiao Xinhua: Embracing Brightness and Combining Traditional Chinese and Western Medicine to Prevent and Treat Diabetic Retinopathy. Chinese Journal of Diabetes. 2022-11-14

[2] "When diabetes "knocks on the door", what signals will the body send out? Pay attention to these 7 manifestations." Yimaitong Endocrinology Department. 2022-11-09

[3] "Pre-diabetes was discovered at the age of 50, and it was successfully reversed a year later. His 5 points of experience are worth referring to!" ". Popular Science China. 2022-04-20

Reprinting is prohibited without the author's permission