Ms. Liu got up early in the morning, and when she danced in the square, she suddenly turned back and suddenly felt chest pain and dizziness. When she was black, she fell to the ground. Fortunately, someone helped her to the hospital for rescue. What she didn’t expect was that her heart attack was related to diabetes that had been suffering for more than 10 years.
“Diabetes is not terrible, and terrible is complications.” Yan Li, director of the Department of Endocrinology at Sun Yat-sen Memorial Hospital of Sun Yat-Sen University, said: “In dozens of complications of diabetes, cardiovascular and cerebrovascular diseases are the most dangerous. In general, patients with type 2 diabetes The risk of cardiovascular and cerebrovascular diseases is twice that of the general population. In addition, the kidneys of diabetic patients are also more likely to be injured. Therefore, for diabetic patients, in addition to effective sugar control, cardiovascular and renal diseases should be avoided to the utmost extent. Damaged, giving the heart and brain blood vessels and kidneys as much protection as possible.”
Why are diabetics more susceptible to injury?
Diabetes is a systemic chronic progressive endocrine and metabolic disease that causes metabolic disorders in the body such as sugar, fat, protein, water and electrolytes. Long-term persistent hyperglycemia and hyperlipidemia in the blood cause “erosion” of the arteries, causing the vascular endothelium to become smooth and flat. Blood lipids, platelets and other substances in the blood will condense and accumulate in the damaged part of the endothelium, become plaques attached to the blood vessel wall, make the arterial blood vessels hard, and become narrower and narrower, hindering the blood supply to the heart and brain, causing the heart Cerebrovascular disease.
The microvascular-rich kidney is the window of microvascular damage in diabetes, and many drugs are excreted through the kidneys. As the disease progresses, the renal function of diabetic patients decreases year by year. In addition, many diabetic patients are elderly people who suffer from several chronic diseases at the same time. Long-term use of multiple drugs increases the burden on the kidneys, which affects kidney function.
Kidney damage in diabetic patients often occurs silently and the symptoms are not easily detected. If the prevention and control are not carried out in the early stage, the kidney function will be irreversibly reduced, and the development of diabetic nephropathy in the middle and late stages will seriously affect the quality of life of patients and the difficulty of treatment will increase.
Determining the hypoglycemic strategy must start from the heart and kidney safety
“Type 2 diabetes is very common in patients with cardiovascular and cerebrovascular diseases and chronic kidney disease. The real purpose of treating diabetes is to reduce or delay the occurrence of complications and reduce mortality.” Yan Li stressed that “there are many drugs for diabetes treatment, patients must Consult a doctor, choose the medicine that suits you best, and pay attention to how to prevent cardiovascular disease and kidney disease. Pay attention to the safety of cardiovascular and kidney while paying attention to the effectiveness of hypoglycemic. Such hypoglycemic drugs can really bring More levels and longer-term benefits.” He pointed out that DPP-4 inhibitors, as a new type of hypoglycemic drugs that doctors have paid attention to in recent years, are widely used clinically in patients with type 2 diabetes.
Regular cardiovascular and renal function tests are important
Yan Li said: “Diabetes patients should have a physical examination every year, even if there are no complications, including renal function tests. If the patient already has proteinuria, it should be reviewed in three months or six months.”
What do you need to pay attention to in patients with diabetic nephropathy in daily life?
Yan Li said that, first of all, it is necessary to control blood sugar for a long time. Secondly, it is necessary to pay attention to blood pressure control. Hypertension is also the main cause of kidney damage. Again, attention should be paid to blood lipids, and elevated blood lipids can cause kidney damage. Finally, pay attention to urine. Road infections, especially female patients, should pay special attention to prevention.
Yan Li reminded that many people like to take Chinese medicine, and that Chinese medicine has absolutely no side effects. In fact, there are some Chinese medicines that may cause kidney damage either by themselves or during processing or when used with other medicines. Even taking some Chinese medicines may directly lead to kidney failure, so you should not take Chinese medicine without authorization.