Diabetes is a disease with the most known complications, with extremely high mortality and disability rates, and its harm can be imagined.
At present, the main method to prevent diabetes complications is to control blood sugar, and if you want to control blood sugar well, you cannot do without blood sugar testing.
But in clinical treatment, many patients have obviously controlled their blood sugar well, but they still have diabetes complications? How exactly is this causing it?
Let me tell you in detail below. In addition to chronic complications, diabetes complications also have acute complications. The biggest difference between acute complications and chronic complications is that they occur quickly and are in full force.
If the blood sugar control is good, there will still be complications, mostly ketoacidosis .
1. What is ketoacidosis?
Ketocytosis is a common acute complication of diabetes, accounting for 80% of acute complications of diabetes.
When diabetic patients lack insulin secretion, their blood sugar is excessively increased, and the glucose in the blood cannot be used by surrounding tissue cells for energy supply, the human body will have modern compensatory behavior, using fat to replace glucose for energy supply.
When the fat in the human body is overdecomposed, the fat metabolite ketone body is too much, and it remains in the blood and cannot be excreted, which can easily lead to ketoacidosis.
2. What are the symptoms of ketoacidosis?
(1) Diabetes worsen
If mild ketoacidosis occurs, diabetic patients will drink more, eat more, urinate, fatigue and weight loss will worsen. Many patients can easily ignore this stage, thinking that it is a typical symptom of diabetes, which will lead to worsening of the condition.
(2) Gastrointestinal symptoms
Ketoacidosis in the early stages of ketoacidosis, which leads to internal environmental disorders and stimulation of the stomach and intestines, resulting in vomiting, nausea, abdominal pain and other symptoms. is often misdiagnosed as gastroenteritis , which delays the condition.
(3) Respiratory changes
When the patient experiences ketoacidosis, it will stimulate the excitation of the respiratory nerve, causing the breathing to accelerate and deepen.
plus acetone is volatile, diabetic patients may exhale gas with rotten apple breath, and many people mistakenly think it is bad breath and ignore it.
(4) Confusion or even shock
When the patient experiences ketoacidosis, a large amount of ketones in will inhibit central nervous system , and may experience dizziness, headache, irritability or slow reaction. When the acidosis further deepens, it will lead to severe hypoxia in the brain, resulting in coma.
3. How to prevent ketoacidosis?
(1) Reasonable diet
Diabetic patients have two extremes. One is to dare not eat anything and over-diet; the other is to have no taboos, overeating, drinking, and eating high-calorie foods. Both wrong diets,
, may lead to ketoacidosis.
Although these two dietary methods are due to excessive decomposition of fat, the human body cannot convert and excrete metabolites in time, resulting in ketoacidosis, there are still some differences.
Excessive hunger is caused by the consumption of glycogen stored in the human body, and the fat is decomposed to provide energy.
Overeating and drinking alcohol are caused by excessive intake, which leads to rapid increase in blood sugar. Diabetic patients cannot use glucose in the blood, resulting in a lack of energy in the human body, thus decomposing fat for energy.
(2) Do not reduce the medication without authorization or stop the medication without authorization
Many diabetics think that their blood sugar control is already good, so they stop the medication without authorization. , especially patients with type 1 diabetes and patients with poor liver and kidney function, can easily cause ketoacidosis during the process of stopping the medication without authorization or reducing the medication without authorization.
(3) Prevent infection
infection is one of the important causes of ketoacidosis. Common infections in include urinary tract infection, skin infection, pneumonia, etc., so patients with diabetes must pay attention to their bodies in daily life to avoid illness and injury.
(4) Regular monitoring of
detection is one of the important means to prevent complications of diabetes. If finds that blood sugar is greater than 13.9mmol/L and the urine ketone test is positive, it must be taken seriously, and it is very likely to be in the early stage of ketoacidosis.
(5) Seek medical treatment in a timely manner
In addition to daily monitoring of blood sugar, both family members and patients should understand the relevant knowledge of diabetes complications. Once suspects that it is ketoacidosis or coma, you must seek medical treatment in time to avoid threatening your life and health.
In short, don’t take it lightly if your blood sugar is controlled. If you don’t pay attention, you may come to you with acute complications. You must follow the doctor’s advice for treatment. Whether it is stopping the medicine or reducing the medicine, you must do it under the guidance of a doctor.
