Diabetes is due to inadequate secretion of insulin or human insulin disorders caused by sugar, fat, protein metabolism and secondary water and electrolyte metabolism of a chronic disease. With clinically typical "little" symptoms of diabetes can lead to patient and doctor's attention, but two-thirds of the patients lacked the typical clinical symptoms, especially in elderly patients are more prone to diabetes patients and doctors misdiagnosis.
How to clues from some clinical signs for early detection of diabetes, is more important for primary care physicians, this issue, I interviewed the Hospital of Hebei Province, Zhang Geng Liang, associate professor of diabetes specialist. Based on years of clinical experience and relevant information, experience of the following conditions should be alert to the occurrence of this disease and there.
1, the "little" as a prominent symptom in a particular performance. Clinically, diabetes, typical of the "little" four performers are rare, and often complained of four symptoms in one or two, which is a common symptoms of dry mouth to drink.
2 to fasting hypoglycemia symptoms are prominent. More than 40 years of adult onset diabetes, some symptoms of hypoglycemia in the fasting, which is due to the patient's height delayed islet cell insulin secretion in fasting insulin levels are relatively high, and symptoms of hypoglycemia.
3, in some complications of diabetes for the outstanding performance, and disease in some patients the main complaint, a common complaint is vaginal itching, cataracts, skin, repeated periodontal purulent infections, peripheral neuritis, cerebral arteriosclerosis, cerebral thrombosis, kidney disease, autonomic dysfunction.
4, the main performance began ketoacidosis or hyperosmolar nonketotic coma, coma due to emergency patients, and no past history of diabetes, it is not easy to think of diabetes, which is commonly the elderly.
5, pregnant women giving birth macrosomia, maternal diabetes, macrosomia produced incidence of diabetes is about 10 times the normal pregnant women, a huge fetal blood is the direct cause of fetal hyperinsulinemia, and insulin promote fat and protein synthesis, so large fetal development, it produced a huge case of the fetus in pregnant women with diabetes should be considered possible.
6, often associated with diabetes associated with certain diseases, such as hyperthyroidism, idiopathic hypothyroidism, myasthenia gravis, pernicious anemia, chronic thyroiditis, Addison's disease and diabetes coexist, they may be common genetic factors exist.
7, positive family history of diabetes, diabetes, genetic predisposition has long been recognized. Diabetes couples, their children suffering from diabetes rate of about 50%, the incidence of monozygotic twins with diabetes about 48%, dizygotic twins have a diabetes prevalence rate of about 20% -22%, mothers more likely than genetic fathers to their children about 3 times larger, these figures suggesting that the positive family history, should be alert to the possibility of diabetes.
8, in clinical practice, because of medical discovery, many cases of diabetes, age-related diabetes found that 30% of system checks. It is therefore recommended for elderly patients in outpatient and hospitalized patients should be routinely done urine, blood glucose. In addition, no typical symptoms of diabetes, often itchy skin, fatigue, weakness, weight loss, cataracts, children with enuresis, impotence, foot ulcers, and other timely Niaozhu slip for check-ups.
In summary, the clinical manifestations of diabetes was not typical, the performance of a variety, only have to have sufficient knowledge, so as not to misdiagnosis. Clinical signs of suspected diabetes, you should be routine urine examination, fasting and 2-hour postprandial blood sugar, urine sugar, if negative, fasting blood glucose to normal, to exclude the disease, can only be done under the glucose tolerance test findings.
How to clues from some clinical signs for early detection of diabetes, is more important for primary care physicians, this issue, I interviewed the Hospital of Hebei Province, Zhang Geng Liang, associate professor of diabetes specialist. Based on years of clinical experience and relevant information, experience of the following conditions should be alert to the occurrence of this disease and there.
1, the "little" as a prominent symptom in a particular performance. Clinically, diabetes, typical of the "little" four performers are rare, and often complained of four symptoms in one or two, which is a common symptoms of dry mouth to drink.
2 to fasting hypoglycemia symptoms are prominent. More than 40 years of adult onset diabetes, some symptoms of hypoglycemia in the fasting, which is due to the patient's height delayed islet cell insulin secretion in fasting insulin levels are relatively high, and symptoms of hypoglycemia.
3, in some complications of diabetes for the outstanding performance, and disease in some patients the main complaint, a common complaint is vaginal itching, cataracts, skin, repeated periodontal purulent infections, peripheral neuritis, cerebral arteriosclerosis, cerebral thrombosis, kidney disease, autonomic dysfunction.
4, the main performance began ketoacidosis or hyperosmolar nonketotic coma, coma due to emergency patients, and no past history of diabetes, it is not easy to think of diabetes, which is commonly the elderly.
5, pregnant women giving birth macrosomia, maternal diabetes, macrosomia produced incidence of diabetes is about 10 times the normal pregnant women, a huge fetal blood is the direct cause of fetal hyperinsulinemia, and insulin promote fat and protein synthesis, so large fetal development, it produced a huge case of the fetus in pregnant women with diabetes should be considered possible.
6, often associated with diabetes associated with certain diseases, such as hyperthyroidism, idiopathic hypothyroidism, myasthenia gravis, pernicious anemia, chronic thyroiditis, Addison's disease and diabetes coexist, they may be common genetic factors exist.
7, positive family history of diabetes, diabetes, genetic predisposition has long been recognized. Diabetes couples, their children suffering from diabetes rate of about 50%, the incidence of monozygotic twins with diabetes about 48%, dizygotic twins have a diabetes prevalence rate of about 20% -22%, mothers more likely than genetic fathers to their children about 3 times larger, these figures suggesting that the positive family history, should be alert to the possibility of diabetes.
8, in clinical practice, because of medical discovery, many cases of diabetes, age-related diabetes found that 30% of system checks. It is therefore recommended for elderly patients in outpatient and hospitalized patients should be routinely done urine, blood glucose. In addition, no typical symptoms of diabetes, often itchy skin, fatigue, weakness, weight loss, cataracts, children with enuresis, impotence, foot ulcers, and other timely Niaozhu slip for check-ups.
In summary, the clinical manifestations of diabetes was not typical, the performance of a variety, only have to have sufficient knowledge, so as not to misdiagnosis. Clinical signs of suspected diabetes, you should be routine urine examination, fasting and 2-hour postprandial blood sugar, urine sugar, if negative, fasting blood glucose to normal, to exclude the disease, can only be done under the glucose tolerance test findings.
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