MK News – [Health Journal] More complications than diabetes … Slow prevention of meals



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Many workers have pbaded or are undergoing a medical examination because of the New Year's holidays. Many people in their forties and fifties who have a lot of work and little time to exercise have hypertension and pre-diabetes rate. The 40s and 50s are the oldest in the family and the middle managers of society.

If the fasting blood glucose level is between 60 and 99 mg / dl after the 8 hours of testing, then it is normal; if it is between 100 and 125 mg / dl, it is clbadified in the pre-diabetes category and is greater than or equal to 126 μg / ㎗.

The pre-diabetic stage is divided into a first stage (100 ~ 110 mg / dl) and a second stage (111 ~ 125 mg / dl). Professor Ahn Cheol-woo of Gangnam Separation Hospital at Yonsei University said, "The second phase of diabetes has reached the limit of blood sugar, and clinically it is the time when complications of diabetes appear. " I recommend it to you
If there is suspicion of diabetes, the fasting glucose level is greater than 126 mg / dl, a glucose tolerance test (blood glucose greater than 200 mg / dl 2 hours after drinking 75 g of glucose solution) and a blood glucose test. 39, glycated hemoglobin (average blood glucose between 2 and 4 months). 6.5% or more) by the diagnosis of diabetes.

The scary thing about diabetes is the complications. Myocardial infarction, cerebral hemorrhage, cerebral infarction, etc., are especially lethal, such as rupture of the blood vessels of the major arteries. If you have diabetes, your arteries become harder and your blood vessels are exposed to danger. Diabetic patients are more likely to develop myocardial infarction, cerebral hemorrhage and cerebral infarction 2-3 times and 3 times more likely to develop cancer. Peripheral neuropathy, retinopathy and diabetic nephropathy are the three most common complications of diabetes. Peripheral neuropathy begins to develop about three years after diabetes. Retinopathy, the cause of blindness, begins about five years after diabetes, and diabetic nephropathy requiring dialysis occurs about eight years after diabetes. To recognize the seriousness of this diabetes, November 14th was designated "World Diabetes Day".

According to statistics from the Korean Diabetes Association, the number of people with diabetes in Korea will exceed 5 million by 2016, and one in seven adults over the age of 30 is suffering from diabetes. The prevalence of diabetes in the high-risk group is one in four. In other words, about 10 million people, one in three adults over the age of 30, are at high risk for diabetes or pre-diabetes. In general, the pre-diabetic group has a 37.0% chance of progressing to the disease within 10 years. The older the smoker, the older he is, the better the exercise, the lower the total cholesterol level, the more likely he is to contract the disease in the next 10 years.

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When diabetes develops, it becomes thirsty, consumes a lot of water, frequently urines and symptoms of weight loss. Dagal, dairy products, polyuria and weight loss. Normal kidneys do not reabsorb blood sugar and do not reject it in the urine. When the blood sugar exceeds 180 mg / dl, the kidney can no longer absorb whole sugar and glucose may be present. escapes into the urine. When glucose flows, a large amount of water flows together. So you see a lot of urine. When you come out of the water, dehydration occurs and you drink a lot of water. Insulin insufficient, even if the blood sugar is high enough to judge the energy shortage and send more energy to send the signal to eat more and want to eat more.

Diabetes can diagnose diabetes at an early stage by checking blood glucose levels through checkups, and many cases even end up without symptoms. Diabetes is a good thing if you have a family history. If one of the two parents is diabetic, the incidence of diabetes of the child is 25% and if both parents are diabetic, the incidence of diabetes of the child is 50%. Therefore, if you have diabetes with your parents or siblings, it is best to check your blood sugar.

"In the beginning of diabetes mellitus, there is a case of complication of diabetes mellitus, progressive diabetic complications, blockage of blood vessels, paralysis, myocardial infarction, blindness, edema," you are over 40, it is better to have a fasting blood glucose test every year, and diabetic patients should be examined for complications every year. "

If you do not want to suffer from diabetes, weight control, diet control, exercise, etc. should be stable and blood glucose, blood pressure, cholesterol concentration and should be measured periodically. This personal care is important even after diabetes. Once you have diabetes, it is more effective to try to overcome your own diabetes than to deny it or to have a broken heart rather than rely on a treatment method or medication.

Lee Eun-jung, professor of endocrinology at Kangbuk Samsung Hospital, said, "Several drugs have recently been developed to allow the selection of a wide range of treatment methods for each patient and a relatively easy reduction. blood sugar. " Diabetes is a disease that can be managed in a living way. It is of the utmost importance to establish a principle of adaptation and practice. "

It is important that the worker has the right eating habits because it is difficult to get to the restaurant and exercise. Too much eating and binge eating are bad.

Too much eat too much sugar eat insulin can not handle the function of how much it can not complete the pancreas beta insulin secretion tired, weakened and unable to control blood sugar. A slow vegetable-based meal can help prevent diabetes by slowing the rate of increase in postprandial glucose because longer foods stay in the stomach or intestines. In this regard, busy workers at lunch time, the order of food intake of vegetables → protein → rice (carbohydrates) and eat slowly over 30 minutes is good.

Professor Ahn Cheol-woo said, "If you have rice and soup on the lunch menu, eating a vegetable soup first and then eating rice will help lower your blood sugar."

It is ideal to have three meals such as breakfast, lunch and dinner. It is also important to consume the same amount of energy each time you eat. Eating the right amount of food each day at the same time reduces the burden of beta cells in the pancreas.

It is recommended to balance meals between 5 nutrients and dietary fiber, such as carbohydrates, fats, proteins, vitamins and minerals. Experts are recommended to recommend 50 to 60% carbohydrates, 20 to 25% fat, 1 g protein per 1 kg standard, and vitamins and minerals for a balanced diet of vegetables and algae. Fried dishes are rich in energy and fat and need to be controlled and their salt intake reduced.

"In order to lead a healthy life without diabetes-related complications, we must strictly observe blood sugar, blood pressure, dyslipidemia, stopping smoking, regular physical exercise and appropriate drug therapy", said the professor of endocrinology and internal medicine at the Mary's Hospital of Kim Se-hwa International Hospital.

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