Does diabetic old person die before symptom?
summary
With the development of social economy and the improvement of people's life, the average life expectancy of Chinese residents is gradually extended, but at the same time, the prevalence of diabetes is also increasing rapidly, among which the elderly patients with diabetes account for about 40% of the whole diabetic population. According to the national diabetes survey in 1996, the prevalence of type 2 diabetes in the elderly over 60 years old was 11.34%, which was much higher than the average prevalence of diabetes in the same period (3.2%). In addition, 11.62% had impaired glucose tolerance (1gt). Does diabetic old person die before symptom? Let's talk about it.
Does diabetic old person die before symptom?
1. The symptoms are not typical and easy to be missed. The onset of senile diabetic patients is hidden. The symptoms are mild and lack of typical "three more and less" (polydipsia, polyuria, polydipsia and weight loss). Many patients have no thirst and polydipsia, and only show fatigue and emaciation of unknown reasons. Some patients even have no symptoms. Many patients are found by chance during physical examination.
2. Diabetic complications are the first symptom. Many old people have diabetes for many years but they don't know it. They don't go to the hospital until they have complications. Some patients went to the Department of Ophthalmology due to visual impairment, some to the Department of Nephrology due to edema and positive urine protein, some to the Department of surgery due to gangrene or furuncle of lower limbs, some to the Department of Cardiology due to coronary heart disease, some to the Department of gynaecology due to pruritus of vulva, and some to the Department of Neurology due to coma. Only after examination did they know that the root cause of the disease was diabetes.
3. Cardiovascular and cerebrovascular complications, the elderly itself is the high incidence of cardiovascular and cerebrovascular diseases, if combined with diabetes, the incidence of cardiovascular and cerebrovascular diseases will increase more than three times. It has been confirmed that as early as in pre diabetes (i.e. impaired glucose tolerance stage), patients already have insulin resistance, hyperinsulinemia, lipid metabolism disorders, hypertension and other cardiovascular risk factors. Cardiovascular complications of diabetes can even appear before the diagnosis of diabetes. Data show that: the incidence of coronary heart disease in elderly diabetic patients is 34.7% - 66.6%, and the incidence of cerebrovascular diseases is 20.4% - 24.6%. About 3 / 4 of elderly diabetic patients eventually die of cardiovascular and cerebrovascular complications.
matters needing attention
1. Dietary treatment: the total calories of food should be appropriately limited, and the food should be full at 7-8 minutes per meal. It is advisable to eat a small amount of meals. The staple food should be coarse grains and coarse cereals, eat more vegetables, increase cellulose, try to eat fish, shrimp, eggs, milk and other high-quality animal protein, and eat less fried food, peanut, melon seeds and other nut snacks. Diet should be light, not sweet, not salty, quit smoking and limit alcohol. 2. Exercise therapy: elderly patients with diabetes should have a comprehensive physical examination before exercise to understand the cardiopulmonary function of the patients, so as to determine whether the patients are suitable for exercise. Aerobic sports (such as fast walking, fitness dance, jogging, cycling, etc.) are more suitable for the elderly; Exercise should start at an hour after meals, each activity time not less than half an hour, not less than five times a week; The heart rate per minute after exercise should be controlled at about "170 age". The movement requires that we step by step, act according to our ability and persevere. 3. Psychotherapy: because of the psychological fear, health injury and economic pressure brought by diabetes, the elderly are more depressed or even abandon themselves. This kind of emotional fluctuation will lead to the increase of adrenal hormone secretion, increase of blood glucose and aggravation of the disease. Therefore, patient and meticulous care education to relieve the psychological burden of patients is very important to maintain the stability of the disease.
