“Doctor, I’m just thirsty and urinating a lot, how can I have diabetes? Did you misdiagnose?”
thirsty
Uncle Hu is 63 years old this year, and he is usually in good health. Recently, however, he has been experiencing frequent dry mouth, especially when he wakes up in the morning. At first, he thought it was because he drank less water. So, in the next few days, he insisted on drinking more water. After drinking too much water, the frequency of urination will definitely increase. During the day, it’s okay to urinate more often, but it’s more troublesome at night. Uncle Hu often gets up several times a night, which has seriously affected his quality of life.
Uncle Hu felt that something was wrong, so he went to the hospital for treatment. After fully inquiring about Uncle Hu’s condition, the outpatient doctor prescribed tests for venous blood glucose and glycosylated hemoglobin. After the examination results came out, the blood glucose was 12.6mmol/L, and the glycosylated hemoglobin was 8.5%. The initial diagnosis was diabetes. When Uncle Hu learned about his situation, he was more confused, so he asked the question at the beginning of the article.
After hearing the question from Uncle Hu, the outpatient doctor explained: Your random blood sugar value has reached the diagnostic standard of diabetes, and the glycosylated hemoglobin is obviously biased. High, basically can be diagnosed as diabetes, so the possibility of misdiagnosis is relatively small. After listening to the explanation of the outpatient doctor, Uncle Hu accepted the fact. Subsequently, after professional treatment, Uncle Hu’s symptoms of thirst have also been significantly improved.
Dry mouth
Many friends feel dry mouth when they wake up from sleep. What is going on? In order to clear everyone’s doubts, today the doctors have good words to talk about what they did.
1. Why is my mouth always dry when I wake up in the morning?
Many people believe that dry mouth is caused by disease, but this is not the case. The common cause of dry mouth is lack of water. Generally speaking, the symptoms of dry mouth can be relieved after adding water.
Mouth breathing
Meanwhile, some people may mouth breathing while sleeping. Mouth breathing itself causes fluid loss in the mouth, and fluid loss is more pronounced in dry weather, so you can feel your mouth dry when you wake up in the morning.
In addition, for middle-aged and elderly friends, their salivary gland function will decline to a certain extent, and after the salivary gland function declines, the secretion of saliva will decrease. Therefore, even if they are not dehydrated, they may experience dry mouths.
In addition to physiological factors, the causes of dry mouth and mouth in the morning may be caused by four major diseases. The specific summary is as follows:
< p data-track="17">❶Hyperthyroidism:
Hyperthyroidism
For patients with hyperthyroidism, the secretion of thyroid hormones in their bodies increases, and thyroid hormones promote metabolism , Improve the basal metabolic rate. After the human metabolism and basal metabolic rate are enhanced, it will cause an increase in sweating.
The increase in sweat secretion will increase the water loss. , and after a night of breathing, it will also take away some of the water itself. Therefore, it is not surprising that patients with hyperthyroidism wake up in the morning with dry mouth.
❷< strong>Sjogren’s Syndrome:
Maybe many of my friends have not heard of Sjögren’s syndrome. In fact, it is mainly a decrease in the secretion of lacrimal and salivary glands An autoimmune disease characterized by Sjögren’s syndrome. At present, the pathogenesis of Sjögren’s syndrome has not been fully understood, but it is considered to be related to infection, endocrine, genetic and other factors.
After a person has Sjögren’s syndrome, the secretion of salivary glands decreases, so it will cause obvious dry mouth.
In addition to causing dry mouth, Sjögren’s syndrome will also cause dry mouth. Other symptoms of dryness, such as dry eyes, dry skin, vaginal dryness, etc. Such patients may experience a series of symptoms, such as keratitis (insufficient tear production), rash teeth (insufficient saliva production), and itchy skin (skin dry), etc.
❸Diabetes insipidus:
A substance called vasopressin is present in the body, which helps the kidneys to reabsorb water. Antidiuretic hormone deficiency is common in people with diabetes insipidus. In this case, the reabsorption of water by the kidneys will be weakened, which can cause symptoms of polyuria.
Generally speaking, the daily urine volume of patients with diabetes insipidus is between 4 and 10L. Due to the loss of more water every day, such people will have obvious symptoms such as dry mouth and polydipsia.
If the above symptoms occur, you can go to the hospital to check the urine routine. If the osmotic pressure and urine specific gravity of the urine are found to be low, it can basically be diagnosed as diabetes insipidus.
❹Diabetes:
It is estimated that most people have heard of diabetes Well, one of the main characteristics of this group of people is high blood sugar. When blood sugar reaches a certain level, it will cause osmotic diuresis, resulting in increased water loss. Increased water loss can cause symptoms of dry mouth.
Dry mouth caused by diabetes will not be completely relieved after drinking water. Only when blood sugar is well controlled, the symptoms of thirst will be significantly reduced or even disappeared.
If you have symptoms of polyuria, polydipsia, dry mouth, and weight recently, you should be alert to diabetes and go to the hospital to check your blood sugar as soon as possible to determine whether you have diabetes.
3. My mouth is dry after getting up in the morning, what should I do?
If you wake up in the morning with a dry mouth, look for the cause. If the dry mouth is caused by a certain disease, it needs to be treated for the related disease. If the dry mouth is some physiological reason, then we only need to take certain measures to alleviate it.
If you wake up with a dry mouth in the morning because of diabetes, all you need to do is treat your diabetes and then control your blood sugar to your target. The treatment of diabetes requires comprehensive measures, such as taking medicine on time, controlling diet, insisting on exercise, actively learning about diabetes, and regularly reviewing blood sugar. #health star Plan#
If the dry mouth is not pathological, then we only need to pay attention to some details of life, such as drinking more boiled water, quitting smoking and alcohol, maintaining an optimistic attitude, avoiding staying up late, placing indoors Air humidifier, avoid spicy food, control salt intake, etc.#Health2022#
Usually don’t drink water after feeling thirsty. It should be a habit of drinking water regularly. For healthy adults, it is enough to drink about 1500ml of boiled water every day. When drinking water, you can drink a small amount of water many times. Water. For patients with kidney disease, ascites, heart failure, etc., it is necessary to control the intake of water, and you can consult a professional doctor for details.#Health Science Contest#