There are many types of diabetes, but there are ⅰ type and ⅱ type. Ⅰ main problem is the lack of diabetic insulin, ⅱ main problem is that diabetes insulin resistance. Ⅰ diabetes need insulin therapy, ⅱ diabetes generally do not need insulin therapy. How to determine the type of diabetes do? For the performance of complex or atypical diabetes may be difficult to determine the type, but for most patients to determine the type of diabetes is not very difficult. Here are some basic ways to help people with diabetes for self-identification.
1. Look at onset of age: the age the greater the possibility of smaller ⅰ type, age, the greater the likelihood of greater ⅱ type. 30 years of age get sick, ⅰ type most likely; 30 to 40 years old ⅰ type least likely, ⅱ possibility of large type; 40 years old ill, ⅱ type most likely, ⅰ type least likely.
2. To see the body before and after onset: the more lean body type ⅰ possibility of larger and more body fat, the greater the possibility of ⅱ type; if the body lean than most normal people, ⅰ type the possibility of large, ⅱ the possibility of small type; if similar size and most normal people, ⅰ possibility of small type, ⅱ possibility of large type; body overweight or obese, ⅰ type least likely, ⅱ type most likely.
3. To see whether after the onset of ketosis: ketosis is often ⅰ type characteristics, and ⅱ type generally does not appear ketosis.
4. Look at response to therapy: oral hypoglycemic agents for treatment failure prompted ⅰ type, the treatment of oral hypoglycemic agents prompted ⅱ better type. But a small number of patients with early onset ⅰ type of oral hypoglycemic agents have some effect, but soon become invalid, this period we call the "honeymoon period." Ⅱ type of treatment in patients with oral hypoglycemic agents after a period of drug failure, a condition called secondary failure drugs.
5. Look at insulin levels: the low level of insulin prompts ⅰ type, normal or above normal prompt ⅱ type.
The human body the secretion of anterior pituitary adrenocorticotropic hormone, thyroid-stimulating hormone and growth hormone, these hormones act on the adrenal and thyroid gland, adrenal cortex hormones make the body and increase thyroid hormone secretion, directly promote blood sugar; growth hormone also by inhibiting glucokinase effects arising from insulin resistance, elevated blood sugar. When pituitary tumors, the relevant functional decline, causing growth hormone, adrenocorticotropic hormone, and reduced secretion of thyroid hormone, blood glucose levels drop. At this point, the symptoms of diabetes can automatically reduce or even disappear.
These patients more sensitive to insulin, blood sugar dropped prone and unstable, even with severe low blood sugar performance. Can also occur on cold chills, dry hair, loss, loss of appetite, loss of libido, irregular menstruation or amenorrhea, low blood pressure and other adrenal cortex function, thyroid function and a range of symptoms of hypogonadism.
Clinically, in addition to the active treatment of pituitary tumors, the patient may be appropriate to take some prednisone, thyroid hormone and sex hormones, insulin should be avoided. Such as hypoglycemia or hypothyroidism adrenal crisis, in the input of glucose at the same time, you should use prednisone and added sodium.
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