Daily News (Sun Lixia, Ye Hong, reporter Lv Xiaoyan) "Doctor, I have something black on the back of my neck, and I can't wash it clean in a bath. Is this a disease?" Ms. Zhang, who was 26 weeks pregnant, found that the skin under the armpits was dark. , I couldn't rub it off with a bath towel, so I went to Harbin Red Cross Central Hospital for treatment. The doctor found that Ms. Zhang's fasting blood sugar reached 7.8mmol/L, and she was diagnosed with overt diabetes during pregnancy. At the same time, she found the root cause of the "black neck"-Acanthosis nigricans.
is 1.56 meters tall and her weight in the second trimester soars to 186 kilograms.
Ms. Zhang has not undergone a formal check-up after pregnancy. She is 1.56 meters tall, weighs 160 kilograms before pregnancy and soared to 186 kilograms in the second trimester. Diabetes, still eat and drink presumptuously. According to Liu Shuang, deputy director of the Department of Endocrinology, in life, the necks of some obese people are always black, and they can’t be washed clean. Sometimes they are in the folds of the armpits and the roots of the thighs. disease". "Acanthosis nigricans is a skin disease with excessive proliferation of skin pigments and verrucous cells. The main manifestation is that the skin of the affected area is black, thickened, rough, and may be warty. The skin lesions are more common in the neck, axilla, areola, groin, and anus. Zhou and face." Deputy Director Liu Shuang said that the disease is more common in obese people caused by poor eating habits, and is also a unique skin manifestation of insulin resistance or type 2 diabetes.
Acanthosis nigricans is the earliest signal of diabetes
"Acanthosis nigricans often indicates that there is a problem with the body's metabolic function. Without intervention, it is very likely to progress to diabetes." Deputy Director Liu Shuang said, this is due to obesity and diabetes. People often have inherent metabolic problems such as insulin resistance and hyperinsulinemia. Excessive insulin levels lead to further weight gain, and the load on the heart, brain, and kidneys increases, which increases the burden on the pancreas to secrete insulin. Over time, the function of pancreatic islets will continue to be damaged, and blood vessels will also be seriously damaged. When the insulin secreted by the pancreatic islets is not enough to compensate for insulin resistance, the body will develop diabetes. In this sense, acanthosis nigricans is the earliest sign of diabetes.
Reasonable diet during pregnancy to reduce the risk of gestational diabetes
Now, with the development of social economy and the improvement of residents' living standards, the incidence and prevalence of diabetes are increasing year by year. In recent years, because many women did not develop good habits during pregnancy, they have also joined the ranks of diabetes. Deputy Director Liu Shuang reminded that poor blood glucose control during pregnancy has a great impact on the health of pregnant women and babies, but scientific and reasonable management to control blood sugar can reduce the harm of gestational diabetes to mothers and babies. Therefore, blood glucose needs to be monitored throughout pregnancy.
"If there are abnormalities such as darkening of the skin, you must pay attention to it and seek medical attention in time to find out the cause." Deputy Director Liu Shuang said that acanthosis nigricans itself is a benign disease and usually has no symptoms of discomfort. Many people are because of beauty Go to the doctor for problems. Its first choice for treatment is the treatment of underlying diseases, such as obesity and diabetes. Controlling serum insulin levels, exercising more, and reducing weight, these interventions can often achieve better results. Compared with treatment, acanthosis nigricans is more important to prevention, to develop a good lifestyle, regular work and rest, control weight, avoid obesity, control sugar and oil, and stabilize the metabolic level in the body.
Source: Life News
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