Diabetes and other chronic diseases have a latent period, not all diabetics have obvious symptoms, some diabetics have been as long as seven or eight years of the onset of the disease have not been any unusual symptoms, so the diagnosis of diabetes is very critical, timely detection, early treatment.

Discover in advance whether you have diabetes, to take the initiative to find the "disease", now the number of sugar lovers more and more, people's health awareness is also getting stronger, every year will regularly participate in regular physical examination, to determine their own physical condition. In addition to taking the initiative to go to the physical examination, you can also make your own judgment on the physical condition. For example, to determine the blood glucose level that causes diabetes, you can consult your doctor for advice on how to test and keep good records. Diabetic urine in the early stages of the onset of diabetes is high in sugar, contact with the air will have an irritating odor, when there is an irritating odor in the urine or urine color is abnormal, as well as the number of times to go to the toilet suddenly become very frequent, it is necessary to pay attention to whether it is diabetes. Male impotence phenomenon may also be the onset of diabetes performance, there is this phenomenon of male best timely medical treatment.

People nowadays spend most of their time looking at their cell phones, which takes a toll on their eyesight. The initial symptoms of diabetes can also have an impact on vision, so when the eyes can't see clearly, heavy shadows, or the nerves around the eyes are involved to headache and vertigo appear, we can't rule out the possibility of diabetes. Also, in a relatively humid environment, the skin is susceptible to bacterial infections and itching, some people will think that it is just a long skin eczema, apply ointment and it will be fine, but this is actually also a manifestation of diabetes.

Therefore, when the body appears to be different from the usual situation, it is necessary to be more mindful and pay more attention to themselves and their families, may be because of the usual inattention to miss the best time for treatment, so that the body suffers more damage.

Instructor: Yingze Zhang, Deputy Chief Physician, Department of Endocrinology, Baoding First Hospital of Traditional Chinese Medicine, Baoding, China.

He specializes in the treatment of diabetes mellitus and its complications, thyroid disorders and other endocrine metabolic disorders, and miscellaneous diseases in Chinese medicine through the combination of Chinese and Western medicine.

If you find this article useful, please feel free to like or recommend it to your friends and follow [Medlink Media].

In addition to a familial predisposition to diabetes, there is a strong correlation with environmental factors in daily life. For example, some studies have shown that sleep deprivation of less than 6 hours per night is a risk factor for weight gain and insulin resistance. Compared with 6-8 hours of sleep per night, sleep deprived people have a twofold increased risk of developing type 2 diabetes within 15 years, and too much sleep is also associated with the development of type 2 diabetes. There are also factors such as excessive alcohol consumption and environmental pollution that seriously affect our health and contribute to the development of type 2 diabetes.

How to detect diabetes early? We know that many diabetic patients are due to obesity caused by insulin secretion relative insufficiency triggered by high blood sugar, there is no obvious symptoms of three more than one less, but if you have any one of the following ten symptoms, or to pay attention to early to the hospital to do the glucose tolerance test examination, to do early detection, and treatment.

1. Increased frequency of urination, the daily urine volume can be up to 2-3 liters, and even whitish and sticky urine stains.

2. Drinking a lot of water, with their own routine and can not control the feeling of the mouth, the body is thin. Especially eat a lot of also obviously thin.

3. Abnormal sensations in the skin, such as ant-crawling sensation, itching, numbness, pins and needles, and itching of the vulva of lesbians, broken.

4. Decreased libido, frigidity or sexual dysfunction.

5. Pre-meal hypoglycemia, palpitations, excessive sweating, hunger pangs, and trembling 2-3 hours after eating, which can be relieved by eating.

6. Fatigue and weakness, often with symptoms such as tiredness, weakness, fatigue and sleepiness.

7. Easily infected, wounds should not heal after trauma.

8. Loss of vision or overall blurring of things and cataracts at a young age.

9. History of abnormal pregnancy such as; multiple miscarriages, intrauterine foetal death, amniotic fluid overload and other pregnancy complications.

With the symptoms listed above should be alert to the occurrence of diabetes, especially have a family genetic history, but also have a lot of bad lifestyle people should pay more attention to early prevention, early detection, early detection, early treatment.

By Jing Yun Zhang in Fengtai Hospital, Beijing, China Pharmacy Network Members October 14, 2018

The authoritative interpretation of Pharmaceutical Affairs, unauthorized reproduction, plagiarism will be punished.

Not all diabetic patients have the typical excessive drinking, eating, and urinating; many discover diabetes by chance during a routine physical examination. How can diabetes be detected early?

First of all, you should decide whether you are a high-risk group for diabetes, and the following are high-risk groups for diabetes:

1. People with a family history of diabetes, especially if both parents have diabetes.

1. Gender: Women are more likely to get diabetes, especially after pregnancy.

2, hypertensive patients: hypertension may have an impact on the overall state of the whole body, including blood sugar.

3. Age: The higher the age, the higher the risk of diabetes, and over 45 years old is a high-risk group for type 2 diabetes.

4. Lack of exercise. A sedentary lifestyle is a risk factor for diabetes.

5, obesity: obesity is an independent risk factor for type 2 diabetes, the larger the BMI value the more dangerous.

6. Other factors, such as ethnicity, low birth weight, and feeding practices during infancy, can also affect blood glucose.

People with these diabetes predisposition factors are recommended to undergo regular diabetes screening, which focuses on four items: fasting blood glucose, postprandial blood glucose, random blood glucose, and glycosylated hemoglobin.

Second, the following symptoms should be promptly checked in the hospital

1. Frequent thirst, excessive drinking, eating and urinating but weight loss.

2、When the urine is thicker and there are ants licking the urine, you should go to the hospital to test your blood sugar.

3. Slow wound healing or frequent recurrence of boils, carbuncles and other infections.

4. Body fatigue, decreased resistance, often infected and prolonged.

5. Often have blurred vision and other abnormalities in the eyes without any cause.

6. Symmetrical numbness of the fingers without obvious cause.

7、Frequently and inexplicably appear panic, cold sweat and other low blood sugar performance.

In fact, for middle-aged and elderly people, even if there are no risk factors and symptoms of diabetes, it is recommended to build a blood glucose test at least once a year, because some diabetes has no symptoms in the early stage.

We should first understand the concept of high-risk groups for diabetes, because the chances of diabetes occurring in high-risk groups will be higher than in the general population. The Chinese Guidelines for the Prevention and Control of Type 2 Diabetes Mellitus (2013 edition) state that high-risk groups for diabetes include: (1) a history of impaired glucose regulation; (2) age ≥ 4 0 years old; (3) overweight, obesity (B M I ≥ 2 4 kg / m2) or obesity BMI ≥ 28 kg /m2, or waist circumference ≥ 90 cm in men and ≥ 85 cm in women; (4) sedentary lifestyle; (5) first-degree relatives of patients with type 2 diabetes mellitus; (6) history of delivery of a macrosomic child (birth weight ≥ 4 kg), history of gestational diabetes mellitus; (7) hypertension (blood pressure ≥ 140/90 mm Hg), or on antihypertensive therapy; (8) dyslipidemia (HDL-C ≤ 0.91 mmol/l and TG moles/liter and TG ≥2.22 mmol/liter, or undergoing lipid-modifying therapy; (9) patients with atherosclerotic cardiovascular disease; (10) those with a history of transient glucocorticoid-induced diabetes; (11) patients with polycystic ovary syndrome; and (12) patients with severe psychiatric illnesses and/or long-term treatment with antidepressant medications.

For the above high-risk groups of diabetes mellitus, blood glucose monitoring needs to be strengthened, and if abnormalities in blood glucose are detected, immediate interventions need to be taken. If blood glucose cannot be effectively controlled through lifestyle interventions such as diet and exercise, drug therapies need to be initiated.

For non-diabetic high-risk groups, who are also at risk of developing diabetes, it is important to know the typical symptoms of diabetes "three more and one less", i.e., excessive drinking, excessive eating, excessive urination and weight loss, and if the above symptoms occur, it is necessary to go to the hospital as soon as possible to check the blood glucose. If you experience any of the above symptoms, you need to check your blood glucose in the hospital as soon as possible. You can also detect abnormalities in your blood glucose through regular medical checkups and glucose monitoring.

I'm happy to answer the questions you posed.

Diabetic patients, in our country has a huge number of people, many people because of diabetes, and the occurrence of serious diabetic foot, because the diagnosis is too late and had to be amputated. Moreover, in people's subconscious, there is a misunderstanding that only when the foot ulcers, called "diabetic foot". This wrong idea makes many patients who already have the first signs of diabetic foot miss the most precious treatment time.

Signs of diabetic foot, there are several:

1. Observe the color of the feet: Early diabetic foot will have the symptoms of purple, cold and numbness of the feet, and the dorsal arterial pulsation of the feet disappears, which indicates that the blood supply of the feet is beginning to be bad.

2. Pressure experiment: press the toe abdomen of the foot toes, and then slowly release, and so on a few seconds later, press the place if still white, that means poor blood transport. After normal pressure, when the hand release the pressure will immediately restore the blood color.

3. Measure the foot temperature: the normal human foot skin temperature is moderate, the dorsal arterial pulsation is good, if the skin becomes cold, the dorsal arterial pulsation is weakened, you need to be alert to diabetic foot.

Diabetic patients who find themselves with the above phenomenon on the feet, it is best to go to the hospital for examination, so as to avoid a series of serious consequences. [62]

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Early detection of any disease is only possible if you are concerned about the disease and alert to it, otherwise, it is just a matter of luck.

For example, if you have hepatitis B, and then you are worried about cirrhosis or liver cancer, and you want to detect cirrhosis or liver cancer earlier (of course, it is better not to have these diseases), then the most crucial thing you have to do is definitely to have regular review, instead of paying attention to certain physical signals, because certain physical signals (clinical manifestations) are not accurate, sometimes you have abdominal bloating, which may be gastritis, and may not be cirrhosis, and you have abdominal pain, which may be cholecystitis, and may not be cirrhosis, and you have abdominal pain, which may be cholecystitis, and may not be cholangitis. It's cholecystitis, not necessarily liver cancer or cirrhosis. Often, you don't feel anything, but when the test results come out, you are scared to death, and you have cirrhosis of the liver! So, regular checkups are the key to detecting a disease early. For example, for Hepatitis B, I regularly check my liver function, abdominal ultrasound, etc., for example, once a year, or once every six months, so if there is cirrhosis or liver cancer, I can at least detect it within six months, and it's definitely early in the course of the disease. And if you try to wait until your body is signaling something and then you find out, it may be too late.

Ditto for diabetes.

Typical symptoms of diabetes are eating more, drinking more, urinating more, but weight loss instead of rising, this is three more and one less, although not every diabetic patient will have such a typical symptom, but if a middle-aged man, suddenly found that he ate a lot of food, drink a lot of food, but also how to eat can not eat enough, weight loss, this time to be vigilant there will be a problem, such as hyperthyroidism? For example, diabetes? This time to go to the hospital to monitor the blood sugar, whether or not the curvature is clear at a glance, random blood sugar higher than 11.1mmol / L can diagnose diabetes.

But it doesn't always work out that way. Many people with diabetes don't have typical symptoms, and it's often the ones with high fasting blood sugar that are tracked down during a physical exam.

Therefore, if there is an elderly person in the family with diabetes, and they do not like to exercise, people in their middle age, we must be alert to many diseases, such as high blood pressure, high cholesterol, high blood sugar, and this time the most effective way to detect the problem early is still a regular physical examination review. Once a year physical examination, must check the blood sugar, if there is diabetes, it will be found. If the annual physical examination is not, then what to do? Be alert to your body's signals? That's not enough. You still need to find a way to get an annual physical.

We work so hard and spend hundreds of dollars a couple times a month to wash our cars. Is it so hard that we shouldn't spend some of that money on our own health?

Where feasible, blood glucose screening is the most effective way to detect diabetes risk at an early stage. If regular annual medical check-ups are conducted, the general medical check-up program does not include a glucose tolerance test, and it is recommended to add a glucose tolerance test if there is a family history, obesity/overweight, a history of gestational diabetes, or if the person is older than 45 years of age.

The ADA recommends that the state in which fasting blood glucose and 2-hour blood glucose after a glucose tolerance test fall between normoglycemia and the diagnostic criteria for diabetes be called prediabetes.

Pre-diabetes:

Impaired fasting glucose: fasting glucose ≥6.1 mmol/L and <7.0 mmol/L, 2-hour postprandial glucose <7.8 mmol/L.

Abnormal glucose tolerance: fasting blood glucose <7.0 mmol/L, 2 hours postprandial blood glucose ≥7.8 mmol/L and <11.1 mmol/L.

If you are in the pre-diabetic stage, then you are at high risk for diabetes. In this period of the population, must lifestyle intervention, a reasonable diet and exercise to prevent the occurrence of diabetes. Some studies have shown that pre-diabetic people can reduce the risk of type 2 diabetes by 30%-50% after 6 years of intervention through diet and exercise.

So.The best way to detect diabetes early is to perform a glucose tolerance test (OGTT test)。

If you have any questions, you can leave them in the comments section and I'll respond when I see them.

The above answer is provided by Ms. Song Mingyue, a registered dietitian of MicroSugar

What are the early symptoms of diabetes? If you have one or two of the following symptoms, it is likely to be an early manifestation of diabetes and you need to go to the hospital as soon as possible to have your blood drawn and checked:

l Frequent tiredness, fatigue, weakness or dizziness.

l Those who have frequent hypoglycemic reactions such as panic attacks, hand tremors, cold sweats, etc. or those who often have a feeling of fasting.

l dry and itchy skin, no significant improvement with anti-itching drugs, especially female vulvar itching by anti-inflammatory, anti-fungal treatment is ineffective.

l Abnormal skin sensation, numbness and dullness of sensation in the limbs, ant-crawling sensation, abnormal condylomata sensation, burning pain, pins and needles pain, etc.

l Skin susceptible to suppurative cysts, carbuncles, boils, sores, etc. that are not easily cured, as well as infected wounds that have not been cured for a long time or surgical wounds that are not easily healed.

l Those with recent rapid loss of vision or foggy sensation and rapid cataract progression.

Diabetes is a very common and common disease in life, maybe someone close to you has diabetes. Although diabetes is so common, but the disease is very secretive, it sneaks up on people, many people do not even know when the disease, go to the hospital for a physical examination only to find out.

Since diabetes is so insidious, isn't there a way to detect it early? Don't worry, of course there is.

First of all, diabetes has a genetic predisposition, so if someone in your immediate family has diabetes, then you need to be on your guard.

Secondly, according to the symptoms of diabetes timely judgment, the typical symptoms of diabetes is more drinking, more food, more urination, wasting, if you have these manifestations recently, then you should go to the hospital to test your blood sugar.

Furthermore, regular medical checkups. Go to the hospital every six months or every year to measure blood glucose, especially for middle-aged and elderly people with a family history, it is very convenient to measure blood glucose, take a drop of blood and tic the results will come out, and it is not expensive.

The earlier diabetes is detected and the earlier intervention is made to treat it, the lower the damage caused by diabetes will be Oh!

How to detect diabetes early

Diabetes is a terrible thing is "unnoticeable", in contrast, it is not like other diseases have obvious signs, if people lack of knowledge or even know nothing about it, it is more likely to ignore its existence, often to a certain stage of its development before feeling uncomfortable, and this time may have been from the diabetes "reserve army" to "regular army" team, and even developed to the stage of the disease is difficult to control. The "reserve army" joined the "regular army" team, and even developed to the stage of the disease is difficult to control.

The incubation period for diabetes can be as long as 7 to 10 years

Not all people with diabetes have visible signs, and it's safe to say that people who don't have diabetes symptoms don't necessarily have diabetes.Studies have found that the latency period for diabetes can be as long as 7 to 10 years, and many people with diabetes have diabetes for many years before they receive a definitive diagnosis.Therefore, for the treatment of diabetes, it is also very important to achieve early detection and timely control.

Proactive "disease-seeking"

It has been proven that the more people who think they will not be diabetic, the more likely they are to get it, so they are more likely to develop the disease if they do not take any precautions, if they do not pay attention to their lifestyles, if they do not change their diets, and if they do not change their physical activity. And once you have diabetes, you bring a family history of diabetes into your family.

Those with a family history of the disease tend to be more aware of prevention, deliberately eating less, exercising more, and staying in shape so that they may avoid the disease or develop it later.

Therefore, in order to detect the signs of diabetes at an early stage, you should attend regular routine checkups, preferably once a year, and go to the hospital immediately if you have any doubts about the results of the checkups. Active physical examination is a good way to make diagnosis at the early stage of the disease or when its complications are not yet serious, so as to diagnose and treat it early.

Do not be negligent when symptoms appear

It is not difficult to diagnose diabetes, but the difficulty lies in whether people think that they are at risk of developing diabetes or that they already have it. Therefore, it is important not to turn a blind eye to some of the signs of the disease, but to confirm or rule it out at the first opportunity. This requires a better understanding and awareness of diabetes in general, so that you don't miss out on the symptoms when they are already present.

Get your blood sugar checked at the hospital when these symptoms come to you so you don't miss out on them

1, vision loss, see things not clear, near can not see, far away can not see, look at a while the eyes are tired, in fact, this is caused by blood sugar fluctuations.

2, impotence, male patients found impotence, in the exclusion of local lesions of the genitourinary system, to suspect the possibility of diabetes mellitus

3. The skin is easily infected and difficult to heal once it is damaged.

Wasting away with normal diet without any discomfort.

The typical symptoms of diabetes are described as "three more and one less".(urinating more, drinking more, eating more, losing weight), the presence of typical symptoms usually means that the disease is longer and more severe, especially in type 2 diabetes.

For patients who have already suffered from diabetes in order to be able to comprehensively regulate the body, here for you to recommend ginseng astragal hypoglycemic granules, ginseng astragal hypoglycemic granules have the effect of tonifying qi and water to activate blood. Modern scholars to ginseng astragal hypoglycemic granules combined with conventional treatment, found that the drug can reduce the early patients' blood glucose index and 24h urine microalbumin quantitative, improve the patient's renal function.

　　In the face of such a modern medical disease, it is necessary to adopt the mode of combining modern medical disease identification and Chinese medical evidence identification on the basis of adhering to the basic theoretical system of Chinese medicine, and to unify the law of identification and treatment, in order to improve the accuracy of the identification and selection of prescriptions and medication and the clinical efficacy.According to the different manifestations of diabetic patients are categorized into Yin deficiency and heat, Qi and Yin deficiency, and Yin and Yang deficiency, among which Qi and Yin deficiency is the most common, accounting for about 53.6%.

　　The efficacy of Ginseng Astragalus Glucose-lowering Granules in patients with type 2 diabetes mellitus with qi and yin deficiency is precise and with few adverse reactions, which is worthy of clinical application. Compared with western drugs for glucose-lowering and other indicators, it has potential advantages in improving the symptoms of patients with type 2 diabetes mellitus with qi, yin and deficiency, reducing adverse reactions, protecting target organs, improving economic efficiency, and improving the quality of life of patients.

　　Multi-target, multi-directional integrated treatment

　　1. Regulate the disorders of glucose and lipid metabolism. Astragalus, dihuang, maitake, wolfberry, schizandra, yam, etc. have different degrees of hypoglycemic effect; ginseng can enhance the use of sugar, promote sugar metabolism, anti-lipolytic activity, restore diabetes sugar tolerance.

　　2, improve insulin resistance. Schisandra has a strong glucosidase inhibitor effect; ginseng, astragalus, dihuang has to promote the repair of pancreatic β-cells, enhance the role of insulin bioactivity; maitake polysaccharides can significantly enhance insulin sensitivity, improve insulin resistance, and reduce blood glucose.

　　3. Multi-directional comprehensive treatment. Ginseng, astragalus, maitake, schizandra have the function of regulating the immunity of the body; wolfberry, schizandra, raspberry, astragalus have the function of correcting the abnormal blood rheology; ginseng, maitake can improve the function of the heart, and have a certain protective effect on the heart.

　　The above content is for "how to early detection of diabetes" simple introduction, I believe we have a certain understanding. When the above symptoms appear must pay attention to, timely to the hospital examination and treatment is the key.