Wednesday, February 19, 2020

Diabetes starts without sound

▒ Diabetes starts without sound, but when left untreated, chronic disease causing scary complications.

Diabetes is the name given to the escape of sugar in the urine. The food we eat turns into glucose, which carries blood from the blood vessels to the cells. The glucose transported to the cells is used as an energy source for our bodies. To get glucose into the cells, a hormone called insulin is secreted from the pancreas. However, if the insulin secretion is insufficient or does not function properly, glucose will not be able to move to the cell, and the glucose in the blood becomes high blood sugar. So, leaving high blood sugar can lead to complications wherever blood flows.

Diabetes is divided into type 1 and type 2, and type 1 diabetes is also called pediatric diabetes. The reason is that it does not produce insulin at all. Type 2 diabetes is mainly caused by obesity and stress due to overeating, heavy drinking, and lack of exercise.

Diabetes is not a pain or acute pain that the patient feels. In low hyperglycemia, you may not feel symptoms or feel very weak and may not realize that you are a diabetic. However, if your blood sugar rises a lot, you will be thirsty, urinate frequently, hungry, and tired and lose weight. If these symptoms persist for a long time and maintain high blood sugar, there are many complications. This is why diabetes is terrible.

Diabetes complications can occur in all parts of our body where blood vessels pass. Retinopathy in the eye can cause blindness, and kidney function can worsen and hemodialysis may be necessary. In addition, diabetic foot disease, which causes ulcers in the feet, may occur, and the risk of cardiovascular diseases such as angina pectoris and stroke is also increased. Literally, head to toe cannot be free from diabetes complications. Hyperglycemia, which seems to be no big problem now, is actually the beginning of various complications of diabetes. How can you prevent this dreadful complication?

▒ Diabetes, the first three months dominate your life.

Lifestyle habits of diabetic patients actively managed through education, treatment and surgery

“The first three months after being diagnosed with diabetes determine life. Diabetes is very important for diet and exercise, or lifestyle. It is not easy to change the lifestyle you have lived in the meantime, but you should try to correct the lifestyle thoroughly for 3 months. That way, your blood sugar management can be stabilized and you can slow the progression of your diabetes and slow down the complications. ”

Prof. Moon Kyu-kyu says the answer is thorough education and practice in the first three months. Naturally, it led to a story about the educational program being conducted at Samsung Seoul Diabetes Center.

“There is a breakfast program at our diabetes center. I'm in the diabetes education room on an empty stomach early in the morning. That's where you take your blood sugar, take your prescribed medication, and go to the restaurant. In the restaurant, the nutritionist in the garden prepares the food and prepares the diet according to the recommended calories. Invite patients to cook their own rice and side dishes in calories. If a patient adds a lot of rice, the nutritionist takes it a little bit, and if it's small, he fills it up and trains himself. I'll tell you after you do it first, instead of ‘Please put as much as yo’, and it will be more effective if you are trained through trial and error. ”

In the bookstore's health corner, there are countless books about diabetes. The reality is that even if you search the Internet, you can find a lot of related information. However, it is true that there is a limit to such things. It's hard to memorize the many food types and calories of each food, and it's hard to grasp what kind of food you need to eat in real life. However, if you experience the first-hand experience through such breakfast education, you will receive great help in real life. No matter how well you explain how to ride a bike, it's like trying to pedal with two feet and falling down a few times before you can really ride.

The more advanced form of breakfast education is the inpatient treatment program, which helps diabetics stay in the hospital for a week to learn the correct lifestyle while learning diet, exercise, blood glucose measurement, and insulin injection.

And this kind of diabetes education is also done outside the hospital, diabetes camps.

“Our adult diabetic camp is the first educational program in Korea that started in 1996. No matter how you explain it to your patients, it's never been easier to change and settle a hardened lifestyle for 30 or 40 years. That's why we live together for three nights and four days, and let's talk about diet, exercise, self-glycemia, insulin injections, etc. Every year, I attend diabetes camps, give special lectures to patients, and let them know more about their questions. ”

In fact, many patients are diagnosed with diabetes, have no idea where to do it, and have difficulty managing it alone. If these patients experience diabetes for three nights, learn sports, and talk too much in the doctor's office, they will feel confident, 'Oh, you can do this.' Indeed, I wondered if the patients who participated in the camp were diabetic.

“Of course it will be different. It's hard to have a lifelong effect with a single education, but at least the diabetic campers will be outpatients after three months of blood glucose. Of course, it's also difficult because habits can be embodied for life. That's why this education has to be repeated over and over again. ”

In addition, Samsung Medical Center's Diabetes Center has various educational programs and materials, including basic education, in-depth education, injection method education, and pregnant woman education. In addition to the treatment of diabetics, he felt the need for lifestyle correction education and started actively earlier than any hospital in Korea.

Not only education. The therapeutic aspect is also leading the use of a continuous glucose meter for the accurate and accurate diagnosis and treatment of diabetic patients.

“Self-blood glucose measurement has a limited number of measurements per day. However, there is a continuous blood glucose meter that can measure blood sugar 24 hours a day. A sensor that delivers blood glucose levels is inserted subcutaneously to measure blood sugar in tissue fluid every five minutes. That's 288 blood sugar checks a day. While you can't sleep, you can't check your blood sugar yourself, and how many nurses do you have? And in fact, many people check their blood sugar at the hospital the day they come out and take only prescribed medicines without checking their blood sugar properly. So I think that continuous blood glucose measurement can change the paradigm of diabetes treatment in the future. It is a new medical technology that can make more accurate and accurate diagnosis and treatment. About half of the treatment using continuous blood glucose meter is done in our hospital. ”

Samsung Seoul Hospital's leadership does not stop here. The pancreas in patients with type 1 pediatric diabetes also allows transplantation. It is a surgery that selects and transplants only islet cells that produce insulin from another pancreas. In Korea, Samsung Medical Center was the first to start in 1999. Even now, pancreatic islets occupy a unique position as a transplant surgery.

▒ Diabetes, such as marathon

Live with the patient and complete diabetes through lifestyle correction and management!

Professor Lee, Moon-Kyu, who has been with him for many years, stresses the importance of improving the lifestyle of diabetics and education for improvement, there is a special patient memorable.

“One year, I had a hat with a diabetic camper. Both of them were diabetic. At first, my mother came to the diabetes camp, and one day I was forced to bring my son. My son, who was in his early 30's, had more severe symptoms. So I couldn't control my diet, and I drank a lot at drinking, so my blood sugar went up a lot. It was a young, handsome handsome bachelor, who was screaming inside. My mother was forced to take it to the diabetes camp because I couldn't manage my blood sugar. Since then, I have become a completely new person. (Laughter)

It was also a story of a patient who correctly received the education emphasized by Professor Lee Moon-kyu. Whatever the illness, the doctor's diagnosis and prescription are important, but taking medication is important, but the usual lifestyle

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