Does diabetes have fever?
summary
The body resistance of diabetics is far less than that of healthy people. Therefore, it is difficult to avoid acute diseases such as cold, fever and diarrhea. These diseases may be nothing to ordinary people, but the problems of diabetics may be much more serious. If not handled properly, it will not only lead to out of control of blood glucose, but also lead to serious consequences such as "ketoacidosis" and even life-threatening. Does diabetes have fever? Let's talk about it.
Does diabetes have fever?
What is the effect of illness on patients with diabetes? Cold and fever will not only affect the patient's eating and medication, but more importantly, this stress state will stimulate the body to secrete a large number of stress hormones (such as epinephrine) to fight against the disease, which will antagonize the effect of insulin, leading to a significant increase in blood glucose and large fluctuations, which is very easy to induce "ketoacidosis" and "ketoacidosis" The former is more common in patients with type I diabetes, while the latter is more common in patients with type II diabetes, especially in elderly patients.
How to arrange diet during illness? During illness, appetite will certainly be affected to varying degrees. In order to reduce this effect, patients can eat some delicious and easy to digest food to meet the basic caloric needs of the body. If it is difficult for patients to swallow common food, they can change to liquid, semi liquid or soft food, such as porridge, noodles, cereal, juice, milk and other food. Clear broth is also a good choice. If the appetite is too poor, can take a small number of meals, eat several times. For example, every 1-2 hours intake of 15 grams, or every 3-4 hours intake of food containing 50 grams of sugar, in order to prevent the occurrence of hypoglycemia.
How to monitor the disease during illness? The patients with diabetes need to strengthen the monitoring of blood glucose and urinary ketone body during their illness. It is usually required to measure blood glucose every 4-6 hours, at least four times a day, that is, before meals and bedtime: when blood glucose > 13.9 mmol / L, urine ketone body should be measured every 4-6 hours. It is very necessary to detect the urinary ketone body, because the stress factors such as fever and infection are easy to induce ketoacidosis, especially for patients with type I diabetes.
matters needing attention
1. Infection control is not ideal, fever lasts for several days. 2. Vomiting and diarrhea for several days. 3. The patient's symptoms of "three more and less" were aggravated, and digestive tract reactions (nausea, vomiting, abdominal pain, etc.), severe dehydration and other symptoms (dry and cracked lips and tongue), unconsciousness, breath with apple flavor, and urine ketone examination was positive.
