November 14 is the United Nations Diabetes Day. On the eve of the onset of the Diabetes Day, the Shandong Provincial Medical Association, the Shandong Provincial Physicians Association, and many major hospitals in the province have organized free clinic activities. Experts in the interview said that the peak age of onset of diabetes in China has been 10 years in advance; among them, self-management of diabetic patients is currently a prominent problem, only about 30% of patients can achieve blood sugar through self-management, and the remaining 70% of patients are basically missing. Both have a history of 21 years and are still not properly
On the morning of the 13th, at the Diabetic Day Clinic organized by hundreds of endocrinologists at the Huangting Gymnasium in Jinan City, Ms. Liu, a retired employee, made a sigh with Jiang Xiuyun, director of the Department of Endocrinology at the Provincial Hospital.
"How long have you been suffering from diabetes?"
"It's been 21 years."
"Is there any cure in the middle?"
"Just lived once."
"Your fasting blood sugar is already 12 and it's very high. Take control, especially if you have to check the complications..."
"There is no time. I have to look after my grandson. His wife is not very good.... forget it or not."
“Yeah is not the same thing!†said Jiang Xiuyun, the patient is clearly not aware of the dangers of diabetic complications. In her long medical history, like her, patients with a lack of self-management are common during daily visits.
Diet control, assurance exercise, drug treatment, blood glucose monitoring, and knowledge education are the “five wagons†that are crucial for diabetes management. However, through clinical observation, Jiang Xiuyun and colleagues have found that few people can do this. . “A previous survey showed that only about 30% of the patients passed the effective self-management standards at the time, and about 70% of the patients could not do it themselves,†Jiang Xiuyun said.
The age of complications also decreased
Jiang Xiuyun said that because the proportion of domestic patients receiving diabetes knowledge education is not high, many people do not fully understand the dangers of diabetes; at the same time, economic pressure is also the reason for many people regardless of whether they died or not. In poorly self-managed patients, rural patients account for a large proportion. most. The last point is that doctors at the grassroots level in China need to improve the treatment of diabetes. “The implementation of grading diagnosis and treatment began. The management of chronic diseases such as diabetes was devolved to the grassroots level. Many GPs may not pay enough attention to strict diabetes standards, nor can they effectively improve the patient’s behavior habits.†Jiang Xiuyun said that she had encountered a level When a non-low-ranking cadre was at a unit of health, the blood sugar level was already well above seven, but the doctor told him "Nothing, don't worry about it."
The lack of self-management, the result is that more and more complications of diabetes, many people have serious complications at a young age. Jiang Xiuyun has visited more than 30-40-year-old patients, proteinuria, retinal hemorrhage, poor control is the next step is uremia and blindness.
9-year-old child is fat
“The current incidence of diabetes has risen, and there is a clear trend toward younger age.†On the occasion of World Diabetes Day, on November 11th, Shanda Qilu Hospital held a large-scale clinic at the hospital’s Huameilou. At the clinic, talking about the incidence of diabetes, Professor Hou Weikai, chief physician and renowned expert of the Department of Endocrinology at Shanda University Hospital, said very emotionally.
Hou Weikai introduced that, according to the latest statistics, the incidence of adult diabetes in China is almost 10%, and our province, as a populous province, has a very large population of diabetic patients. “Before the peak age of onset of diabetes was about 60 years old, and now it has reached about 50 years in advance. The peak age of onset is 10 years earlier. It is even more important to note that the number of underage patients is increasing.†Jean Hou is very impressed. Yes, he recently received a 9-year-old boy with type 2 diabetes, "mainly because of obesity."
According to experts, diabetes may have no symptoms at first, but long-term abnormal blood glucose can cause many complications, such as cardiovascular disease, renal failure, and blindness.
According to statistics, the incidence of type 2 diabetes in China has grown "explosively" in the past few decades. In 1980, less than 5% of Chinese men had diabetes, which is currently more than 10%. Statistics show that nearly 10% of all adults in China have diabetes.
(Qilu Evening News, Qi Luwei Point Reporter Kong Yutong)
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