One of the major complications of diabetes, to include vascular disease, which also accounted for the majority of cardiovascular disease. As his side suffered, how should cardiovascular crisis?
(L) emphasized that early correction of sugar metabolism.
(2) correct the hyperlipidemia and hypercholesterolemia, total calorie restricted diet, eat less animal fat and cholesterol and more food, such as animal offal, fish roe, egg yolks, etc., as appropriate, reduce blood fat and cholesterol medication taking.
(3) active treatment of obesity. Of obesity to the low-calorie diet, increasing physical activity and weight-loss drug treatment is necessary.
(4) orthostatic hypotension, and they should pay attention to the play immediately to get up or slow to prevent a sudden drop in blood pressure Erzhi syncope; any water loss, loss of sodium should be added, seriously, hydrogen fluoride can be 9α-cortical hormone therapy (0.l ~ 0.3 mg daily oral 1).
(5) the proper conduct of sports activities, can improve glucose tolerance and fat metabolism and help weight loss plan must be gradual to prevent heart failure.
(6) when there is angina pectoris, myocardial infarction, arrhythmia and heart failure, the seat to take positive and effective measures, if the same insulin treatment, the dose should have an appropriately conservative approach to prevent low blood sugar reactions. Longer duration, older or have such as hypertension, hyperlipidemia, hyperviscosity, obesity, diabetes and other friends, even if no symptoms of cardiovascular appropriate, still require regular inspection of the metabolism and ECG, Holter if necessary to do , echocardiography and other noninvasive cardiac examination for early detection, early intervention.
First of all, should be the primary disease, active treatment of diabetes, strict control of blood sugar, correct glucose metabolism disorders.
Second, to actively control the coexistence of other cardiovascular risk factors: such as hypertension, hyperlipidemia, hyperviscosity, and obesity. United Kingdom Prospective Diabetes Study (UKPDS) showed that: a simple monitoring of blood glucose on cardiovascular complications was not significantly reduced, in order to reduce the cardiovascular complications of diabetes patients, in addition to active control of blood glucose outside the need to lower blood pressure and lipids (ie, lower total cholesterol , triglyceride, low density lipoprotein, increased high density lipoprotein), lower blood viscosity, weight loss.
Third, specific for cardiovascular disease take appropriate symptomatic treatment. For example, for myocardial ischemia, coronary artery can be expanded (nitrates, calcium antagonists, etc.), blood circulation and other drug treatment; tachycardia who can oral propranolol; complicated with heart failure, could be given cardiac , diuretic and vasodilator drug therapy.
Lifestyle interventions are also very important and necessary, including low-salt low-fat diet, control calorie intake, moderate exercise, weight control, patterns of life, psychological balance, limit alcohol and smoking cessation.
Alarming, because diabetes can damage the nervous system (especially the peripheral nerves), which increased the pain threshold, so even if there was a serious myocardial ischemia, mild pain or no symptoms of angina, or can easily be missed misdiagnosed, this should lead to diabetes, doctors and friends attention.
Thus, longer duration, older or have such as hypertension, hyperlipidemia, hyperviscosity, obesity, diabetes and other friends, even if no symptoms of cardiovascular appropriate, still require regular inspection of the metabolic index and electrocardiogram, as necessary, to do Holter monitoring, echocardiography and other noninvasive cardiac examination for early detection, early intervention.
(L) emphasized that early correction of sugar metabolism.
(2) correct the hyperlipidemia and hypercholesterolemia, total calorie restricted diet, eat less animal fat and cholesterol and more food, such as animal offal, fish roe, egg yolks, etc., as appropriate, reduce blood fat and cholesterol medication taking.
(3) active treatment of obesity. Of obesity to the low-calorie diet, increasing physical activity and weight-loss drug treatment is necessary.
(4) orthostatic hypotension, and they should pay attention to the play immediately to get up or slow to prevent a sudden drop in blood pressure Erzhi syncope; any water loss, loss of sodium should be added, seriously, hydrogen fluoride can be 9α-cortical hormone therapy (0.l ~ 0.3 mg daily oral 1).
(5) the proper conduct of sports activities, can improve glucose tolerance and fat metabolism and help weight loss plan must be gradual to prevent heart failure.
(6) when there is angina pectoris, myocardial infarction, arrhythmia and heart failure, the seat to take positive and effective measures, if the same insulin treatment, the dose should have an appropriately conservative approach to prevent low blood sugar reactions. Longer duration, older or have such as hypertension, hyperlipidemia, hyperviscosity, obesity, diabetes and other friends, even if no symptoms of cardiovascular appropriate, still require regular inspection of the metabolism and ECG, Holter if necessary to do , echocardiography and other noninvasive cardiac examination for early detection, early intervention.
First of all, should be the primary disease, active treatment of diabetes, strict control of blood sugar, correct glucose metabolism disorders.
Second, to actively control the coexistence of other cardiovascular risk factors: such as hypertension, hyperlipidemia, hyperviscosity, and obesity. United Kingdom Prospective Diabetes Study (UKPDS) showed that: a simple monitoring of blood glucose on cardiovascular complications was not significantly reduced, in order to reduce the cardiovascular complications of diabetes patients, in addition to active control of blood glucose outside the need to lower blood pressure and lipids (ie, lower total cholesterol , triglyceride, low density lipoprotein, increased high density lipoprotein), lower blood viscosity, weight loss.
Third, specific for cardiovascular disease take appropriate symptomatic treatment. For example, for myocardial ischemia, coronary artery can be expanded (nitrates, calcium antagonists, etc.), blood circulation and other drug treatment; tachycardia who can oral propranolol; complicated with heart failure, could be given cardiac , diuretic and vasodilator drug therapy.
Lifestyle interventions are also very important and necessary, including low-salt low-fat diet, control calorie intake, moderate exercise, weight control, patterns of life, psychological balance, limit alcohol and smoking cessation.
Alarming, because diabetes can damage the nervous system (especially the peripheral nerves), which increased the pain threshold, so even if there was a serious myocardial ischemia, mild pain or no symptoms of angina, or can easily be missed misdiagnosed, this should lead to diabetes, doctors and friends attention.
Thus, longer duration, older or have such as hypertension, hyperlipidemia, hyperviscosity, obesity, diabetes and other friends, even if no symptoms of cardiovascular appropriate, still require regular inspection of the metabolic index and electrocardiogram, as necessary, to do Holter monitoring, echocardiography and other noninvasive cardiac examination for early detection, early intervention.
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