Diabetes, cardiovascular and cerebrovascular disease prevention
63Diabetes patients are afraid of complications because of the
complications of diabetes is the culprit against diabetes. Among them,
diabetes, cardiovascular disease is a major complication of diabetes,
its incidence and mortality are high. Diabetes, cardiovascular disease
incidence of 25-35%, 2-3 times that of non-diabetic patients. Diabetes,
cerebrovascular disease incidence of 20-30%, 4-10 times that of
non-diabetic patients. Its high morbidity and mortality of a serious
threat to human health and therefore diabetes, cardiovascular and
cerebrovascular disease prevention is essential.
(A) actively control the primary disease:
Because the level of blood glucose control that directly affect
their incidence and prognosis, it should be actively control
fluctuations in blood glucose level and scope, so that blood sugar
steady state, the general fasting blood glucose should be less than
8.0mmol / L, postprandial blood glucose should be less than 10.0mmol /
L, at the same time the scope of its volatility should be less than
4.0mmol / L, glycosylated hemoglobin control in a number of 7%. Only in
this way can we effectively prevent the occurrence of cardio-cerebral
vascular complications and development of its incidence rate was
controlled at the lowest level.
(B) actively controlling cardio-cerebral vascular disease risk factors:
Such as hypertension, hyperlipidemia, hyperviscosity, obesity.
Blood pressure should be controlled in less than 120/80mmHg, body mass
index of 25 below control, blood lipids and blood viscosity should be
controlled within the normal range.
1, control blood lipid
Lipid metabolic disorders are the most common pathological
findings diabetes, lipid abnormalities easier to promote
atherosclerosis, especially low-density lipoprotein increased even more
harmful, in addition to diet should light, the available statins and
lipid-lowering fibrates Western or Chinese medicine.
2, control blood pressure
High blood pressure is an independent cardio-cerebral vascular
diseases induced by factors, control blood pressure, can reduce cardiac
after-load, reducing atherosclerosis, improve brain blood supply and
prevent the occurrence of cardiovascular and cerebrovascular diseases,
multiple choice of calcium antagonists and angiotensin-converting
enzyme inhibitors agent, so that the ideal blood pressure stable at
130/80mmHg.
3, improved blood viscosity
Diabetes due to high blood sugar, high blood lipids, hypertension,
the blood viscosity and abnormal, so that adds to the risk of
cardio-cerebral vascular diseases, through the above measures will
enable the improvement of blood viscosity, while taking enteric-coated
aspirin 75mg, night time, or periodically, such as Astragalus Salvia
infusion fluid to improve the blood flow changes.
4, control obesity
Control of body mass index below 25.
(C) The focus of the various aura symptoms
Such as chest tightness, suffocation, palpitation, sweating, chest
pain, episodic dizziness, numbness, abnormal personality, the side of
the limb dysfunction, etc. These are a precursor to myocardial
infarction and cerebral infarction symptoms should actively intervene
in the event of a treatment .
(D) Regular monitoring of indicators:
Such as blood glucose, blood pressure, blood lipids, blood changes, body mass index, ECG, cerebral blood flow map.
(E) adjusting the living habits:
1. Giving up smoking, scientific diet.
Hunger breeds discontent, we can see the importance of diet, but
diabetes, in a sense is a bad lifestyle disease, can be said that the
irrational nature of diet is no doubt play an important role, we
advocate a scientific diet, neither blind diet, eat two more
non-drinking, scientific diet on the premise that it is necessary to
meet the human body for various nutritional needs, they will not be
over-nutrition, increased disease. The principle is Roudan Nai
moderate, ① eat morning, afternoon and eat late to eat less, ②
thickness of grain clever mix of vegetables every meal there, ③ eight
eat meal, the next Gordon is not hungry. Varieties of staple foods with
whole wheat flour, rice, millet, cornmeal-based, as far as possible
deprivation buckwheat, naked oats are difficult to digest food, in
order to prevent stimulation of the gastrointestinal tract. Rice grains
should be eaten, but also appropriate to eat fresh fruits and
vegetables, but also eat fish, lean meat, eggs (every 4 to 7), milk,
soy, garlic, vinegar. Eat less animal fat, sugar, butter and coffee.
Per day should be reduced to 5 grams of salt. Be sure to weight
control. Promote every morning to drink a cup of warm water. Not less
than six glasses of water a day. Food intake may be based on height and
weight, labor intensity of the. Protein to animal protein-based,
supplemented by vegetable protein, but kidney patients should be
limited to the amount of protein intake per day per kilogram of body
weight of 0.8 grams of fat each day about one or two of vegetable oil
is appropriate.
2, a reasonable exercise
A reasonable exercise to treat diabetes, to prevent an effective
method of cardiovascular diseases, exercise is different from the daily
labor, it does not need insulin can make the blood sugar drop, and can
adjust spirit, a strong heart and lung function, and should therefore
be a high priority. The principle is that each case of what one can,
step by step, and with perseverance. Time should be chosen after the
meal, especially dinner. Early morning exercise on patients with
diabetes is not scientific, easily lead to low blood sugar occurs.
Exercise can effectively control blood sugar and its risk factors to
improve cardiac function, increasing heart and brain of blood supply to
important organs such as kidneys, to effectively prevent the occurrence
and development of cardiovascular diseases. However, to avoid an
unreasonable exercise and intense physical labor.
3, emotional conditioning
Emotions are the external manifestations of human spiritual
activity, known as the seven emotions, namely anger, joy, worry,
thinking, sadness, fear, panic, because diabetes is a kind of lingering
refractory disease, so the majority of patients appeared irritable Yi
Yi anger, or pessimism, such a state can easily make blood sugar rise,
while more cardio-cerebral vascular diseases induced by the sudden
attack, so adjusted my attitude and maintain optimism, open-minded,
cheerful mood is essential.
4. According to climate change, change clothes, cold winter, note that the summer heatstroke, avoid respiratory infections.
In short, diabetes, cardiovascular disease is based on the
occurrence of diabetes, and by a variety of pathogenic factors leading
to serious complications, blood glucose control should be based on the
premise of a comprehensive prevention, in order to achieve the desired
objectives.
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