The diabetic should notice the following is checked

The diabetic should notice the following is checked
Brief content:Diabetes is a kind of chronic supersession disease, what organizing, the structure of many organs and change of function to often accompany. Do every relevant inspection in time, have extremely important meaning to guiding and treating and preventing complication. Then, which does the diabetic need to do on earth to check? What indexes should pay attention to at ordinary times?
1,Check in blood, urine laboratory:
( 1) Blood glucose is monitored:
The diabetic should decide to check frequency and time of blood glucose according to the detailed conditions, in ill initial stage, or adjust the healing solution, or while changing the diet, sport law, propose increasing and monitoring the number of times appropriately.
( 2) Urine acetone body is determined:
If the result reveals + or ++++, namely show that contains 5-160mg/dl acetone body in the urine.
( 3) C - peptide is determined:
Insulin, under the function of enzyme, cleavage is proinsulin and the same connection peptide of molecule of a molecule, abbreviated as C - peptide. C - peptide does not have physiological function of insulin, but the molecule relation of presenting with C - peptide etc. of secreting insulin of Langerhans' islits B cell. In other words, secrete several insulinogenic molecules, must secrete several C - peptide molecules at the same time. So, through determining the amount of C - peptide quantity in patient's blood, can reflect the function of Langerhans' islits cells.
( 4) Saccharified hemoglobin is determined:
Reflect and draw blood the blood glucose situation of the first 8-12 week, propose measuring once 2-3 months.
( 5) The fat of blood is checked ' Mainly include total cholesterol, triglyceride, low density lipoprotein cholesterol,etc.) :
The diabetic is often disorderly with the fat of blood, this is apt to cause atherosclerosis, cause various cardiovascular vessel diseases.
( 6) Liver renal function:
Diabetic nephropathy is diabetes and common chronic complication. Urine trace albuminous quantification, renal function,etc. are checked, contribute to finding diabetic nephropathy in early days. It is unusual that a lot of 2 type diabetics often have disorder of fat, fat of blood, fatty liver and liver function at the same time, so should also make liver function and fat of blood to test.
( 7) The checking of urine:
Observe urine albumens, in charge ofing type,etc., can reflect the kidney is given much trouble the situation; The leucocyte increases, indicate the patient has urine ways to infect in the urine; It may be caused by complications such as glomerulus hardening, little arteriosclerosis of the kidney, pyelonephritis,etc. that the erythrocyte increases in the urine. Micro- albumin and 24-hour urine albumen are quantitative to determine in the urine, contribute to the diagnosis in early days of the diabetic nephropathy.
2,Other special inspections:
( 1) Heart and lower extremities blood vessel are checked:
As to diabetic, there are not heart disease and symptom that do not mean the heart is OK, it is very essential to have an electro-cardiogram and check with the heart supersound in time. Can find various arrhythmia and find out about myocardium blood supply situation to check in regular electrocardiogram. In addition lower extremities color sonography and radiography may understand, have arteriosclerosis or narrow of lower extremities, in order to find the diabetic foot early.
( 2) Blood pressure is checked:
The morbidity of diabetic's hypertension is 2-6 times higher than that of common people, the diabetic's blood pressure controls the ideal goal to be about 120/80mmHg.
( 3) The ophthalmology department checks:
Diabetes can cause retinal pathological change, can lose one's sight while being getting serious, should fixed carrying on optical fundus check conventionally. The ophthalmology department can find diabetes retinal pathological change, cataract while checking, these pathological changes can cause eyesight to drop, look at things fuzzily or lose one's sight suddenly gradually.
( 4) Chest slice is checked in the X-ray:
Diabetic morbidity 3-4 time high than nondiabetic patient pulmonary tuberculosis have, chest X can clear to amalgamate pulmonary tuberculosis or lung, infect meanwhile in slice.
( 5) Belly Ultrasonography B inspection:
Can understand whether the diabetic has cholecystitis, cholelithiasis, renal pathological change, pancreas calcification or calculus,etc..
( 6) The bone density is determined:
Contribute to finding osteoporosis.
( 7) Dept. of neurology checks:
Go on sense of touch, check with the nylon yarn of form of 10 grams, can find neuropathy changes around diabetes in early days. In addition, do, set up, lie the intersection of location and the intersection of blood pressure and measurement, in order to judge " the the intersection of body posture and the intersection of and hypotension " ; Skin electric picture check, can understand, have the intersection of body and neuropathy change.
( 8) CT checks:
Once appear trick to be nimble, consciousness change, corner of the mouth crooked, drink ink and chock and cough etc., should make the head CT, check, in order to have cerebral hemorrhage or brain infarction clearly.

The editor recommends:Middle-aged and old men are fixed " Annual check " In order to avoid the canceration of prostate

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