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A, 42, starts the day with an instant coffee every morning.
With his work, he goes to work every day
The evening is usually easy with instant food.
The weight has increased from day to day and recently it has exceeded 80 kg.
Mr. A, who has always been proud of his health,
Health screening was judged to be pre-diabetes *.
* Pre-diabetic stage : Blood glucose is above normal but below the diagnostic criteria for diabetes (fasting blood glucose 100 to 125 mg / dL, postprandial glucose 140 to 199 mg / dL or higher).
Diabetes progresses regularly without feeling the symptoms for a long time. I do not know if I have diabetes, I am diagnosed late and I have complications in an instant. That's why we call diabetes "a murderer of silence". Diabetes is a disease that can not be cured. You must manage your life. But diabetes is no longer a serious illness if you keep your lifestyle.
Diabetes caused by abnormal insulin
Diabetes is a disease caused by abnormalities of insulin, a hormone that regulates blood sugar. Among the foods that enter our body, carbohydrates are digested from the top and converted to glucose. At this time, the pancreas secretes insulin. Insulin plays a role in the introduction of glucose into cells. When insulin is secreted normally, there is an adequate amount of glucose in the blood vessels.
However, it is problematic that insulin is less secreted or not functioning normally. Indeed, the glucose that enters the cells remains in the blood vessels. As the concentration of glucose in the blood increases, sticky sticky blood blocks microvessels throughout the body. Blocking microvessels in the eye can cause blindness.
When large blood vessels are obstructed, a stroke, myocardial infarction and angina can occur. Kidney destruction causes chronic renal failure. From cerebrovascular diseases to limb necrosis and erectile dysfunction, diabetes can lead to complications in all blood vessels.
According to statistics from the National Health Insurance Review and Evaluation Service, the number of diagnoses of diabetes has increased by nearly 300,000 in three years (2015-2017). Looking at the number of medical staff by age in 2016, 50 to 70 units accounted for 80% of the total. In the 1960s, 29.7% were the most numerous, followed by the 50s with 27.5% and the 70s with 23.1%. By gender, men (54.5%) were 1.2 times more likely than women (45.5%).
□ Calculation conditions (diabetes)
E10, E11, E12, E13, E14 / Exam Year: 2015 ~ 2017 / Payment Clbadification: Payment (Examination decision) / Calculation date: June 19, 2018
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The company is calculated based on the name of the diagnosis entered on the billing statement of the medical facility.
The cause of diabetes
Diabetes is divided into type 1 and type 2. Type 1 diabetes is caused by the inability to produce insulin. Type 1 diabetes is treated with insulin.
Type 2 diabetes is a relatively insufficient state of insulin. It is characterized by an "insulin resistance" in which cells fail to effectively burn glucose due to insulin function. Type 2 diabetes is affected by environmental factors such as high calorie diet, lipid, protein, lack of exercise and stress due to Westernized eating habits.
In addition, it can be caused by a defect of a specific gene and can be caused by pancreatic surgery, an infection or a drug. Type 2 diabetes is difficult to treat as a complex cause. Take one to three times daily with a lifestyle correction.
Manage diabetes
Diabetes mellitus is the most difficult symptom in patients with mild hyperglycemia, or it is difficult to think that diabetes is ambiguous. The three most common symptoms of diabetes are multivitamins, multivitamins and polyuria. As glucose levels increase, sugar escapes into the urine. At this stage, the glucose draining a large amount of water, we often see urine. The inside of the body lacks water, so the thirst gets worse and drinks a lot of water. In addition, the food intake is not used properly in energy, hunger is hungry.
Diabetes is diagnosed by a blood test (fasting blood glucose test, glycosylated hemoglobin test, or oral glucose tolerance test). The fasting blood glucose test measures blood glucose after fasting for 8 hours. The oral glucose tolerance test measures glucose on an empty stomach after drinking 75 g of glucose solution and 2 hours later.
Diabetes mellitus is defined as a blood glucose level greater than 126 mg / dL measured by a fasting blood glucose test, a blood glucose level equal to or greater than 200 mg / dL 2 hours after the oral glucose tolerance test and a typical symptom of dizziness. hyperglycemia of 200 mg / dL.
What is more important in the treatment of diabetes is to control the onset and progression of complications by controlling blood sugar. Indeed, diabetes causes blindness, kidney dialysis, amputation, etc. In order to prevent the onset and progression of diabetes complications, it is important to properly manage blood sugar.
The combination of self-monitoring and glycated hemoglobin testing is more useful for controlling blood glucose. Glycated hemoglobin refers to a state in which glucose is bound to hemoglobin in red blood cells because of the increase in blood sugar. Glycemic hemoglobin levels can be used to determine average blood glucose levels over the last two to three months. It is possible to know if the treatment and management of diabetes become stable. HbA 1c levels in normal people are 4 to 6% and diabetic patients should be less than 6.5%. Keep at least 7%.
The diet is also important. Take regular meals at regular intervals every day. The diet is designed to keep cholesterol low, with low blood glucose and low fat. Reduce consumption of fatty meat, turbulence, processed meat, endosperm, fish and shellfish.
Instead, fibrin is consumed globally. Fiber can lower blood sugar levels and blood fat levels, help control blood sugar levels and prevent heart disease. The fibers are mainly contained in rice, rice, rice, vegetables and legumes. Hypertension is also common in diabetic patients.
Excessive salt intake can increase blood pressure, so get in the habit of eating ashes. Simple sugars (such as sugar, honey, etc.) are easy to digest, absorb and promote increased blood sugar levels. Alcohol is high in calories and increases body fat and makes blood sugar unstable. Do not drink as much as you can.
If you manage your blood glucose well before diabetes, you can live your life as a normal person. It is rather an opportunity to live in better health than people without diabetes. However, if you do not manage properly at the present time, 25% of cases go to diabetes. It is important not to miss the moment of pre-diabetes. Therefore, a thorough diagnosis and early treatment is the best method.
Q. Is diabetes a genetic disease?
If you have a family history of diabetes, you are more likely than normal. However, type 1 diabetes due to insulin secretion is about 3-4% in Korea. In many cases, diabetes occurs in people with a westernized family history of eating habits, lack of exercise and obesity.
Q. Sweet foods should be avoided unconditionally?
People with diabetes recognize that certain foods should be avoided. But the quantity is more important than the type of food. If you eat the same caloric food, you should choose foods with a low blood sugar score. Low-sugar foods in the blood slowly increase your blood sugar. The grains are better than white rice, white wheat, brown rice and whole wheat bread. Vegetables have lower blood sugar scores than green vegetables and mushrooms compared to carrots, potatoes, pumpkins and corn. Fruits need attention because they contain a lot of sugar. The food is cooked rather than cooked.
Q. Do diabetics and insulin create addiction?
Most people think that diabetes should take medicine for life. Some of the insulin is addicted to drugs. But it does not create addiction to diabetes medications and insulin. Diabetes is diagnosed for the first time and if insulin has to play a role in resting the pancreas. No matter whether you take insulin or your diabetes, it's important to know how to control your blood sugar.
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