Source: Department of Metabolic Endocrinology, Second Xiangya Hospital

Patient, Liu, female, 33 years old, was diagnosed with blood sugar Increased for 3 years, limb weakness for 1 year, aggravated 1 month wheelchair admission. Physical examination on admission: T 36.5 ℃, P120 beats/min, R20 beats/min, BP105/64 mmHg, clear consciousness and poor spirit. Laboratory examination: BS 52.04 mmol/L, HbA1C 16.26%, renal function test results suggest chronic renal insufficiency CKD stage 5, which is often referred to as uremia stage.

33 years old, only 3 years from the discovery of diabetes to uremia, what exactly did the patient experience, the condition will be Progress so quickly? From the current laboratory test results: BS 52.04mmol/L, HbA1C 16.26%, it is not difficult to see that her blood sugar control is extremely poor! Let’s take a look at her sugar control process.

Early onset: Diabetes is not scary

Three years ago, the patient went to the local hospital and found high blood sugar due to joint pain in the limbs. The highest blood sugar detected at that time was more than 30mmol/L. After being treated with insulin during the hospital stay, her blood sugar quickly returned to normal. After discharge, the patient was discontinued from insulin therapy, diet was not controlled, and blood glucose was not monitored. At that time, her thoughts: blood sugar has been well controlled, and insulin is no longer needed; blood sugar will soon return to normal after insulin use, and diabetes is not terrible.

Disease progression: long-term blood sugar management is too troublesome

With the development of the disease, the patient was re-admitted to the hospital 1 month ago due to the discovery of elevated blood sugar for 2 years and limb weakness. The local hospital gave a “3 short and 1 long” insulin hypoglycemic plan. After discharge, the patient thought that 4 injections of insulin per day was too troublesome, so he switched to oral hypoglycemic drugs. She thought: I’m still so young, it’s impossible to take insulin all my life, right? 4 injections a day! So many people are well controlled with oral antidiabetic drugs, and so can I!

End stage of disease: I want to manage blood sugar with heart, but it is difficult to manage it well

4 A month ago, the patient was admitted to a local hospital due to repeated diarrhea for more than 40 days, and the “3 short and 1 long” insulin treatment plan was started again. At this time, although she had realized the importance of blood sugar management, she wanted to make up her mind to cooperate with the doctor to manage her blood sugar. However, after 3 years of disregarding her blood sugar, it was difficult to manage her blood sugar. In her own words: I feel that taking one more bite will raise my blood sugar, and taking one less bite will make my blood sugar low again. This blood sugar can’t be managed!

Many diabetic patients have similar experiences with this patient. In the early stage of the disease, with a little more energy, it is easy to control blood sugar well, but ignore diabetes and let it develop. With the prolongation of the course of the disease, complications of diabetes appear, sometimes even serious complications, before realizing the importance of blood sugar management, but it is difficult to manage blood sugar at this time.

At present, although she can control her blood sugar well after being hospitalized, it is almost impossible to reverse the chronic complications of diabetes that have occurred. The progression of these complications can only be minimized through good blood sugar management and symptomatic management of the various complications.

This is a real case. After reading the experience of this sugar friend, those sugar friends who still feel that diabetes is not scary in the early stage of diabetes and ignore blood sugar should have some feelings! In addition to feeling that blood sugar is not well controlled, complications progress rapidly, and harm is serious, we can also see:

• Diabetes is not a patent for the elderly It should be much more than 3 years. Indeed, we have also found in clinical practice that more and more young people are suffering from diabetes, and the age of onset is getting younger and younger. Those of you who think that I am still young and diabetes is still far away from me, you need to pay attention to the prevention of diabetes early, develop healthy living habits, and don’t let diabetes focus on you.
  • Not all diabetes mellitus have typical symptoms

  This patient was hospitalized for limb and joint pain and was diagnosed with high blood sugar. If it weren’t for this hospitalization, she might not even know she has diabetes. Many people with diabetes have atypical symptoms, and even some people with diabetes have no symptoms at all in the early stage, and it is only through physical examination or other disease inspection that high blood sugar is accidentally discovered. This is also an important reason why more than half of people with diabetes in my country do not know that they have diabetes.

  Although diabetes is very harmful, as long as we detect it early, pay attention to it early, and manage it scientifically, we can live a healthy life like everyone else. We also found that many people with diabetes manage their blood sugar well. Although they have been sick for 40 to 50 years, they have no diabetes complications.

  Review: Xinya