As we all know, diabetes is a chronic disease, which has a long course, and often has various complications, seriously reducing the quality of life of diabetes friends.
Therefore, how your illness progresses is a matter of great concern to friends with high blood sugar and diabetes.
However, people often make a mistake: they only use the blood sugar level as a criterion for evaluating their condition.
In fact, the main harm of diabetes is not hyperglycemia itself, but from various acute and chronic complications caused by hyperglycemia.
Today, I have summarized five manifestations of worsening illness for you. Let's take a quick look and compare whether you have any.
1. Blood sugar remains high or fluctuates greatly
Long term hyperglycemia is closely related to vascular complications of diabetes, especially microvascular complications, such as diabetes nephropathy, diabetes retinopathy, neuropathy, etc.
The poorer blood sugar control, the earlier and more severe these complications will occur.
The harm of blood sugar fluctuations is greater than that of stable hyperglycemia. In other words, the greater the blood sugar fluctuations, the more serious the harm to the body.
Therefore, friends with high blood sugar and diabetes should not only reduce blood sugar, but also stabilize it.
There are multiple risk factors for cardiovascular disease
The risk factors of cardiovascular disease in diabetes include hypertension, hyperlipidemia, hyperuricemia, abdominal obesity, etc.
Compared to patients with simple hyperglycemia, the more these cardiovascular risk factors, the higher the risk of cardiovascular complications in the future.
3. Recurrent acute complications of diabetes
The acute complications of diabetes include severe hypoglycemia, diabetes ketoacidosis, hyperglycemia and hypertonic syndrome, severe infection, etc.
Repeated attacks of these acute complications often endanger the safety of the patient's life, and also indicate that the patient's condition is very serious.
It should be noted that severe hypoglycemia is more harmful than hyperglycemia.
Many patients with diabetes are afraid of high blood sugar and don't think highly of low blood sugar. In fact, the harm of hypoglycemia is greater than that of hyperglycemia. A cardiovascular event induced by a severe hypoglycemia may cause myocardial infarction or cerebral infarction, potentially threatening the lives of sugar lovers, and can be sufficient to nullify a patient's lifelong hypoglycemic efforts.
Infection is also an important factor that seriously affects the quality of life and longevity of sugar lovers.
Because the blood sugar is high and the immunity of friends with diabetes is low, they are prone to infection. Once infection occurs, it will increase the difficulty of blood sugar control. Infection and hyperglycemia conspire to make diabetes worse.
4. Chronic complications of diabetes have occurred
Whether chronic complications of diabetes occur is one of the most important indicators to judge the severity of diabetes.
The main harm of diabetes comes from its various chronic complications, which include diabetes nephropathy, diabetes eye disease, diabetes neuropathy, cardiovascular and cerebrovascular diseases, diabetes foot, etc., and are the main reasons for reducing the quality of life of diabetes patients.
5. Patients with "fragile diabetes"
The common feature of type 1 diabetes patients and late type 2 diabetes patients is their islets β Cell function has been completely depleted, and it is almost impossible to secrete insulin itself.
These patients have high blood sugar and must be treated with insulin replacement therapy for life. Once their blood sugar is not well controlled, they are prone to acute complications such as ketoacidosis, which can endanger their lives.
Not only that, because the islet function of such patients is very poor, the blood sugar often fluctuates from high to low, which is very difficult to control. "Fragile diabetes" refers to this situation.
Active treatment can alleviate
Maybe many friends with high blood sugar and diabetes are worried about this:
In this way, am I not hopeless?
Don't worry. Under certain conditions, the severity of diabetes can be transformed into each other.
For patients with severe illness, it is entirely possible to obtain a certain degree of remission through formal and systematic treatment, at least delaying the progress of the disease.
If patients with mild illness cannot adhere to regular treatment for a long time, and various metabolic indicators such as blood sugar, blood lipids, and blood pressure do not meet the standard for a long time, they may change from quantitative to qualitative, and the condition may change from mild to severe.
Therefore, not only the severely ill friends mentioned above need to be vigilant, but also the milder friends cannot relax their treatment.
So, which friends with high blood sugar and diabetes are less ill?
It is generally believed that patients with diabetes who simultaneously meet the following three conditions are classified as mild diabetes:
Blood sugar remained stable for a long time without hypoglycemia;
No acute or chronic complications;
If the patient has a normal weight, can live and live freely, and is competent for normal work, it can be considered that his condition is relatively mild.
In a word, blood glucose level is only one of the important indicators to evaluate the condition of diabetes, not the only indicator.
Among the numerous indicators for judging the severity of diabetes, the most important indicators are the level of blood sugar and whether there are complications.