Posts Tagged ‘managing diabetes’

Diabetes stomach just to “Hurt”!

Diabetes is complex and various reasons, good diabetes control, prone to complications during treatment of diabetes is also a lot of trouble. If the complications of diabetes by approaching the hospital for further examination and treatment. In addition to suffer the common diabetic foot complication of diabetes and diabetic eye disease, diabetic patients more susceptible to stomach.

Gastrointestinal complications of diabetes: diabetes, stomach paralysis, gastric ulcer, gastric acid deficiency and vitamin B12 deficiency.

According to the report, occurred 20% to 30% with diabetes, current paralysis. Present paralysis due to dominant surface gastric motility caused by nerve damage. In ketoacidosis, it may be temporary. Showed decreased gastric tone, dynamic field weakening and draining more. Conscious patients with abdominal complaints, such as eating a few bites of food with little feeling of fullness, nausea and vomiting. Violent vomiting from the stomach into the visible content of the food a few days, sometimes visible from the heavy food, a “bezoar form.”Frequent vomiting can lead to malnutrition. Since the gastric emptying of food on time and steamed bread and can not be included, can cause low blood sugar, and when the human intestinal emptying of food after a few hours later, would lead to high blood sugar levels that influence it can affect blood sugar levels to . control

The treatment of gastric paralysis may metoclopramide, domperidone, cisapride and other drugs to stomach emptying or a cyanide smell smoke and other drugs stimulate acid output inhibition is used, the latter class of drugs may reduce stomach secretions, and thus a feeling of fullness.If it Gastrolith endoscopy can be removed.

Reportedly occurs about 10% of diabetic ulcer, vomiting blood or even died from hemorrhagic shock. The reason for this is that the microcirculation dysfunction of the stomach, making the capacity of local defense, stomach acid is low, less or no endogenous insulin secretion, reduction of surface-induced secretion of gastric juices and the neurological disorder that reduce by Tan properties caused gastric . In addition, gastric mucosal microvascular disease, oral hypoglycemic agents may be combined with acute ulcers. In order to prevent occurrence of ulcers should avoid to improve smoking and drinking, and the hygiene of foodstuffs, stimulating food intake has to aspirin aspirin, phenylbutazone, Lee almost blood, caffeine, corticosteroids, etc., and ulcers associated with drugs, with caution and are not used.

Acid deficiency, caused by autoimmunity. Type I diabetes itself has its own immune system abnormalities, but also because the control of gastric acid secretion caused by nerve damage.Achlorhydria can not kill the alien bacteria, easy to infections, inflammation of the stomach, and the lack of stomach acid, even on the digestion of food.

If the stomach cells to reduce the internal factors, it can in the body of vitamin B12 deficiency anemia. Because the combination of internal factors that can prevent the destruction of vitamin B12, and the latter absorbed in the small intestine.

The three main causes of diabetic coma

One. Hypoglycaemic coma
If the blood glucose below 3 mmol / l, known as hypoglycemia, severe low blood sugar occurs coma. Common causes are: insulin, or with excessive consumption of oral hypoglycemic agents and less exaggerated, height increase exercise, but there is no corresponding increase in appetite.
2nd Ketoacidosis, coma
The reasons are: 1 Diabetic patients stop or reduce excessive insulin or exacerbations, 2 A variety of acute and chronic infections, 3 Stress, such as trauma, surgery, childbirth, pregnancy, acute myocardial infarction, hyperthyroidism, etc., 4th Eating disorder, eating too much or too little, excessive alcohol consumption.
Nonketotic hyperosmolar coma
This coma more frequently in older patients over the age of 60 diabetic patients. To severe dehydration, high blood sugar, high plasma osmotic pressure and neuropsychiatric symptoms as the most important clinical manifestations.

Treatment of diabetes

Treatment of diabetes, the immune therapy
Start by stimulating the body’s immune system, diabetes is now a very major way! In scientific journals, can often see marketing literature. Many such reports. Most of Japan’s leading imports “chitosan” as the first choice, by stimulating the body’s own immune system cells to treat diabetes is very surprising results.
II diabetes treatment is to eat regular meals
Based on age, sex, occupation, standard body weight [(height -100) × 0.9] estimated the total daily calorie needs. Calories per day than women need men to be higher by about 5%. The age difference also have different requirements for heat, control kcal per kilogram of body weight, the number of calories,> for young people> middle> old, requires a higher average of 5% each 10% per kg body weight / day. The energy consumption of the various manual is different every day.Light manual daily consumption per kg body weight 30 ~ 35kcal heat; medium manual daily consumption per kg body weight 35 ~ 40kcal heat, hard physical 40kcal per kg body weight per day for the necessary heat. In general, malnourished pregnant women, nursing mothers and to increase Wasting Disease, as appropriate, reduce obesity, so that the patient is to maintain a normal weight about 5% of body weight, and often can be satisfied with the control of the disease.
The third treatment of diabetes, proportionate share of the three most important nutrients adjustments
Dietary sugar, fat and protein of three nutrients, to a reasonable settlement and adaptation. The purpose of both to cure disease, but also the body’s physiological needs. Currently the American Diabetes Association (ADA) claims: dietary carbohydrates, diabetics should be ȗ% of total calories to 60%, protein intake should not exceed 15% of total daily calories. A daily 0.8 ~Ł.2 g / kg body weight is suitable. Development of young people and pregnant women, nursing mothers, or special training and other complications in patients may Zhuojia than 1.5 g; daily total fat intake should not exceed 30% of total calories to 0.6 kg of body weight per day and 1 g,such as obese patients, particularly those with high blood lipids or atherosclerosis, fat intake should be adjusted depending on the specific situation.
Four treatment for diabetes, food supply, computing and energy-calculation of body heat are three types of nutrients: protein, fat, carbohydrates. One per gram of carbohydrates and protein for thermal 4 kcal (= 1kcal 4.184kj), fat 9 kcal per gram of heat energy (37.74kj). Diabetics can be labor intensive, depending on the needs of the total calories per person per day (kcal) to 69% carbohydrates, protein 15%, 25% the proportion of fat distribution, the heat input calculated from different components and then per gram fat 9 kcal thermogenesis , carbohydrate and proteinń calories per gram equivalent of the heat supply different nutrient needs of the patient’s weight, can have three meals a day, and four meals. 15 heat distribution meals for breakfast, lunch and dinner all 25th 4 meals for breakfast 17 heat distribution and the remaining 27 per meal. For example: a manual of mean weight 60 kg, the normal size of adult diabetes patients, according to the daily calories per kilogram of body weight Ȉkcal calculates the total number of calories per day for the 2400kcal, divided according to the above, that 1440kcal calories from carbohydrates, 360kcal of energy Since the protein, 600kcal from fat. Supply of heat needed to bring such 360g carbohydrates, 90g protein, 66g fat.