There are nearly 100 million diabetics now in China The younger trend is obvious day by day

There are nearly 100 million diabetics now in China The younger trend is obvious day by day
Chinese diabetic 92,400,000, China has already surmounted India and become the first big country of diabetes The younger trend of diabetes is obvious, diabetes has illness coming on in " undertaking type " 30- 45 years old Increase in the personage fastest The data reveal, 25% of the diabetics should use insulin but of no use at least in China. The thematic report is the day of diabetes of world on November 14 on the day of diabetes of world, the theme of this year is to " controls diabetes, very urgent! " No matter seen from clinical experience or census data, the diabetic current situation of China has been already very severe: China's diabetic association's newest investigation finds, the diabetic morbidity of China is up to 9.7%, the national diabetes patient is close to one hundred million. No doubt, China has already become the area with fastest-rising in disease of glycosuria of global range, and surmount India and become the first big country of diabetes. But the consciousness that compatriots prevent and cure to diabetes is far not enough, two is especially represented big - -Busy working and lacking sports as the person between twenty and fifty of the social pillar, diabetes has already approached them step by step but never paid attention to, even annual physical examination is so busy as to have no time to participate in; Second, many in the diabetic treats the mistaken idea, just use insulin to already become the global doctor's common understanding as soon as possible, but in China, at least 25% of the diabetics should treat but of no use with insulin, it is generally relatively late in the time that the Chinese diabetic injects insulin. Medical advice / subsidiary endocrine head of the department Liu Wei of Yan Chai Hospital of Shanghai Communications University, southern chief physician of hospital division of endocrinology Xue YaoMing, chief physician of division of endocrinology of the People's Hospital of Guangdong Province Yang's brilliant work document / reporter Lu WenJie, Li Heng The onset is investigated: Morbidity is nearly hundred million for 9.7% of the patients The diabetic morbidity of developing countries increases very fast, China " stands in the breach " even more . 2008, the situation investigation that diabetes that the diabetic association and organization of China carries on 15 cities and areas in the whole country will have illness coming on, find the diabetic morbidity of China is up to 9.7%, it is estimated nearly there are 92,400,000 national diabetics, this investigation result will be published on the magazine of " New England " in 2009. According to this investigation result, in fact the diabetic number of the infected of China is the first in the world. Though it is difficult to explain the morbidity current situation of Chinese diabetes accurately by an investigation, but various trends indicate Chinese diabetes is prevented and cured already to very severe moment. Southern chief physician of hospital division of endocrinology Xue YaoMing says, when he undertakes a scientific research project of Guangzhou Municipal Health Bureau in 2008, carry on investigation of diabetes in two representative communities of Guangzhou, find the diabetic morbidity of Guangzhou is 8.9%, also very high. "Thus, diabetes has already become and endangered Chinese we including each area of Guangdong's main disease. " "China global the intersection of glycosuria and with fastest-rising in disease area, the intersection of diabetes and day the intersection of theme and outstanding very urgent 4 word of this year. " Chief physician of the People's Hospital of Guangdong Province division of endocrinology Yang HuaZhang thinks, correlating with two main factors swiftly and violently of China's diabetic development: First, China lives in the fastest area of improvement of terms in the world. While eating well, eating much, the need is " moved" in daily life Chance fewer and fewer: Go out, have car, have lift upstairs, there is very little amount of exercise in the one day such as people. Meanwhile, the long-term high protein fatty diet adds few physical training, already diabetic " Hide " In other. Second, though is better-off, people's health care consciousness is far insufficient, can go voluntarily every year in the crowd there are few persons of physical examination, the great majority are all participant's physical examination, do not check blood glucose in but physical examination of a lot of units. Even if there are physical examinations in the unit, many people do not bother to go. Therapeutic insulin is sold in diabetes is treated when used and should be sold, insulin plays a irreplaceable role in controlling blood glucose to be up to standard, prevent complication, also one of the most effective diabetic treatment means at present. However, the data reveal, 25% of the diabetics should use insulin but of no use at least in China. Director Liu Wei of the division of endocrinology of Shanghai Communications University Yan Chai Hospital points out, this kind " should sell hour " Hesitation last patient mainly to to afraid of by psychology: " afraid habit-forming, afraid hypoglycemia, trouble of afraiding of, afraid of aching " . "In fact, the worry can be reduced through optimization, choice of the injection device and improvement of injection technology of the insulinogenic healing solution. " Liu Wei still emphasizes, insulin is the only lowering hormone of candy in the human body, it is not the drugs, so does not exist " Habit-forming " Say. Oral administration must be chosen according to the introduction of Liu Wei while lowering invalid insulin of candy medicine, different from treating all one's life in hypertension, though diabetes needs to treat all one's life, most patients will be with failing and oral administration appears to lower the invalid question of candy medicine continuously of Langerhans' islits ��'s cell function. Liu Wei explains, oral administration will fail while lowering candy medicine, the reason is when a lot of diabetics are made a definite diagnosis of, the �� cell function that the pancreas is responsible for secreting insulin has already failed and more than 50%. Before this, though Langerhans' islits ��'s cell function has already begun to fail, has secreted through compensating insulin, blood glucose can also keep the normal level. But in China, because of physical examination in time, a lot of the intersection of people and blood glucose rise in the several year diagnosing as into 2 type diabetes. "Patient these when making a definite diagnosis of, exceed half the people appear the chronic complication at least, if select oral medicine for use to treat at this moment, for example smoke an old horse more resolutly with the whip, though under the stimulus of lowering candy medicine, ��'s cells can produce certain insulin, but the result that often lowers blood glucose is unsatisfactory, it is very difficult to be up to standard that blood glucose is controlled. " Liu Wei thinks, should use insulin to treat as soon as possible to this kind of patient, improve the harmful effects to health all internal organs of chronic high candy toxicity as soon as possible. In fact as far back as 2004, " China's diabetic magazine " published the article, explained that 50% of the 2 type diabetics can't be up to standard of to take blood glucose of oral medicine in China. Research reveals, compared with oral medicine, insulin can lower the blood glucose level better, use the strong weapon that insulin is diabetic blood glucose up to standard. Can lower blood glucose is predominant to can control development of diabetes and prevent complication like this. Blood glucose can not control well and increase the complication risk to a lot of diabetics for a long time, the treatment of diabetes means taking medicine, keeping on a diet and taking exercises more, but use insulin to think to be by most people " The last straw " ,Until having no idea not to use. In fact, according to the adjusting of the 2003 of our country Check that reveals, the proportion that blood glucose of the diabetic of our country is not up to standard of exceeds 2/3. Relevant research reveals, the important reason why blood glucose is not up to standard of is while the traditional ladder type is treated, single the intersection of medicine and treatment, to treat, change delay jointly, and insulin use opportunity it delays to be main reason one of. "Two major reason these cause patient until insulin treat, blood glucose its higher than normal time of value often already for 10 year, have increased the emergence risks of different complications. " Liu Wei says. The materials reveal, what most 2 type diabetic treatments were adopted was " ladder type treatment " in the past : Namely move from diet to single medicine and take orally, and then to jointly take orally, until the condition can't already get effective control, reuse insulin to treat. But in the clinical practice, quite a few of patients experience long blood glucose and control " years of fluctuating " not good And then, just use insulin, and this period of years of fluctuating caused the patient to be in up to standard of in blood glucosing state for a long time directly. A lot of patient and which think slight disapproving blood glucose rise and have little trouble when blood glucose can not be controlled well, but behind long-term hyperglycemia, complication has already been produced quietly. "Perhaps the diabetic does not know, if the human body is in the hyperglycemia state for a long time, even treated actively latering makes the blood glucose level reduce, the risk that will still be brought about in diabetes and relevant complication increased, this kind of phenomenon is known as the ' supersession memory ' effect. " That is to say if previous blood glucose in up to standard of for a long timing state, treatment later even if blood glucose control up to standard and less than, may still cause the emergence of the chronic complication. Early insulin it strengthens to be getting up to standard and high to treat blood glucose " 2 type diabetic in early days should accept insulin treat. " Zhongshan University attached to the Jianping professor, old man of third hospital, to issue his research results on the medical magazine " lancet " of international authority, have proposed and proved this view with great significance to 2 type diabetic treatment. The research results reveal, in 382 diagnose the 2 type diabetic newly, compared with the situation that oral administration lowers the candy medicine group, early insulin can reach the control goal of blood glucose within shorter time while having more patients to treat the group to strengthen. Compare the traditional ladder type treatment, strengthen and can make the 2 type diabetic's �� cell function diagnosed to treat newly resume better to use insulin in early days, obtain better curative effect. This indicates, once the patient makes a definite diagnosis of 2 type diabetes, should accept early that strengthen insulin to inject and treat in a short time. Liu Wei points out, the insulin treatment that is optimized not merely can make blood glucose up to standard, the consumption of insulin will not use greater and greater either; While insulin treats, monitor the blood glucose level, adjust the insulinogenic dosage and well prevent the hypoglycemia from taking place rationally normally; Bring in constant renewal in at present listing insulin inject pen and syringe needle, relieve inject trouble and question that ache well already. These devices are combined with insulin, can make the diabetes patient control blood glucose relaxedly, more conveniently. "Compared with this ' four fearness ', complication of diabetes is more terrible. " Liu Wei says. 30- It is very obvious that 45 years old age levels have illness coming on and increase the younger trend of fastest diabetes, Yang HuaZhang says, diabetics were basically all over 45 20 years ago, but two thirty -year-old patients can be found everywhere now. Especially need to watch out for, investigation shows diabetes has illness coming on and increases in crowd of this age level of 30- 45 years old fastest. "We notice, this age level personage is the pillars of family and the society, but the young and middle-aged personage of the undertaking type, should pay attention to diabetes. " Yang HuaZhang emphasizes, a lot come at a time the so-called undertaking type personage between twenty and fifty have two major characteristics: Exert the utmost strength to work, not move, they often count on in the prime and neglecting self- health carely. "Government functionary of a age under the age of 40 and occupying an important position, has not had participant's physical examination for 5 years in succession, always think oneself very healthy, but because complication of diabetes is handed over to the institute promptly on some day. In the endocrine clinic, the similar example is often met. " Xue YaoMing proposes, the younger question that brings of diabetes is, the time that patient and diabetes follow is longer and longer, it is taller and taller that the probability of complication will happen in the future, because complication is closely related with with the course of disease. If are more and more young people in the patient, mean cost and pressure of preventing and curing diabetes in our country are larger and larger. "Diabetic itself is not terrible, its complication is endangered but very big. " Xue YaoMing says, the chronic complication of diabetes includes the vascular pathological change of lower extremities that heart brain vascular disease, kidney trouble, optical fundus disease, diabetes cause - -Diabetic foot,etc.. With long diabetic course of disease, the hospitalization cost is very expensive too. YaoMing Xue some the intersection of medical insurance and fixed hospital of city make, count in Guangzhou, one expenses take 5000 more than in hospital, a complication is spent for example diabetic foot, diabetic eyelid want between 10,000 yuan and 20,000 yuan on average. It is very concealed that the high-risk group check diabetes once every year, there is not any symptom for many years on a person to can hide. Most patients find diabetes during physical examination on clinic at present, but most people can not feel symptom while finding. But diabetes stresses, treats very much early, treat and can reduce and treat the expenses and difficulty greatly in early days. And how to find early? The expert remind, the high-risk group of the following must make diabetes once, check every year. The high-risk group include: It is 40 -year-old for age to greater than, fat, have hypertension, hyperlipemia, the family has diabetic medical history, there has been pregnant diabetes etc.. Check blood glucose of the empty stomach and blood glucose after the meal every year as to these high-risk group.

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