Diabetes is a chronic disease characterized by hyperglycemia, caused by absolute or relative insulin deficiency and utilization disorders. The disease is mainly divided into three types: type 1, type 2 and gestational diabetes. The cause is mainly attributed to the combined effects of genetic and environmental factors, including decreased insulin secretion caused by islet cell dysfunction, or the body's insensitivity to insulin, or both, which prevents glucose in the blood from being effectively utilized and stored. Some diabetic patients and families have a clustering phenomenon of the disease. In addition, the incidence and prevalence of diabetes are on the rise worldwide.

The symptoms of diabetes are mainly manifested as "three mores and one less", namely, drinking more, urinating more, eating more and losing weight. In addition, patients with a long course of the disease may develop chronic progressive lesions, functional impairment or even failure of tissues and organs such as the eyes, kidneys, nerves, heart and blood vessels, and may also cause acute and severe metabolic disorders.

The main treatment for diabetes is to maintain blood sugar levels within the normal range through scientific and reasonable treatment methods, prevent the occurrence of acute metabolic disorders, prevent or delay the occurrence and development of complications, and improve the quality of life. The prognosis depends on the control of the disease and the presence or absence of complications. The prevention of diabetes mainly depends on a healthy lifestyle, including a balanced diet, moderate exercise, maintaining a normal weight, and regular physical examinations.

Some of the latest studies have shown that diabetes has a certain genetic susceptibility and there is a family clustering phenomenon. However, epidemiological and clinical medical research has made it very clear that the main cause of type 2 diabetes is an unhealthy lifestyle, including aging, modern lifestyle, overnutrition, lack of physical activity, etc. Therefore, improving the social environment that promotes the formation of an unhealthy lifestyle is the fundamental way to reduce the number of people with diabetes.

The cause of diabetes has not yet been elucidated; different types of diabetes have different causes, and even the same type has different causes.

In general, genetic and environmental factors contribute to the occurrence of diabetes, mainly due to the decrease in insulin secretion caused by pancreatic islet cell dysfunction, or the body's insensitivity to insulin, or both, which results in the ineffective utilization and storage of glucose in the blood.

Currently, except for some special types of diabetes, the molecular causes of most diabetes are still unclear. Diabetes has a certain genetic susceptibility and there is a family clustering phenomenon.

However, epidemiological and clinical medical research has made it very clear that the main cause of type 2 diabetes is an unhealthy lifestyle. If we want to reduce the number of diabetes patients in China, improving the social environment that promotes the formation of unhealthy lifestyles is the fundamental solution.

The doctor's questions and medical history collection include: the specific manifestations and time of symptoms, etc. He will also ask whether there are other diseases, whether there is a history of diabetes in the family, usual eating habits, previous diabetes treatment history, etc.

Laboratory tests: including fasting blood sugar, blood sugar 2 hours after glucose load, urine sugar, urine ketone bodies, glycosylated hemoglobin, etc.

At the same time, the doctor will determine whether the patient has diabetes and classify the diabetes based on the patient's clinical manifestations and examination results, and determine whether there are comorbidities and complications based on the clinical symptoms and examination results.

The doctor will choose an appropriate treatment plan based on the patient's type of diabetes and the current development of the disease.

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