The 28-year-old Xiao Zhang has recently been particularly able to eat and often feel thirsty, drinking more water every day, and naturally having a lot of urine.
It is reasonable to say that if you can eat and drink, you should get fat, but he is obviously thinner than before, and he feels dizzy and weak from time to time. After the test to the Hunan Second People’s Hospital, the fasting blood glucose reached 18mmol/L, and the doctor told him that he had diabetes.
With hospitalization, blood glucose control is better, diagnosed as type 1 diabetes, and continue to be injected insulin therapy after discharge, and may need insulin for a lifetime. treatment.
Coincidentally, Xiao Zhang’s 60-year-old father also had diabetes, but he did not have any symptoms. When he was physical examination 3 years ago, he found that his blood sugar was higher than normal, and after further examination, he was diagnosed with Type II diabetes.
Oral hypoglycemic agents, diet control, and exercise enhancement, blood sugar control is very good, even blood pressure is normal. Xiao Zhang does not understand, he and his father are both diabetic, is his diabetes inherited by his father? Why is it different from my father’s treatment plan?
First talk about whether Xiao Zhang’s diabetes is caused by her father’s inheritance.
Xiao Zhang suffers from type 1 diabetes, and his father is type 2 diabetes. Although both types of diabetes are genetically related, they are not hereditary diseases. Their pathogenesis is complex and genetic. There are also environmental factors, but type 2 diabetes does not convert offspring into type I diabetes.
In other words, Xiao Zhang’s diabetes has no genetic relationship with his father’s diabetes.
Second, Type I diabetes occurs mostly in young people before 30 years old, the onset is relatively sudden, often with acidosis as the first symptom, prone to acute complications, acidosis , fundus retinopathy, renal lesions.
The symptoms of “three more and one less” are obvious, which is related to autoimmunity. The function of insulin secretion by β cells is problematic. Insulin is lacking, so it is necessary to inject insulin.
Type II Diabetes is more common in middle-aged and elderly people. It begins to develop after the age of 35. Obese people are more common, often accompanied by hypertension, dyslipidemia, arteriosclerosis, and there are no symptoms in the early stage. Mostly found in physical examination, mainly insulin deficiency or insulin resistance, the risk of ketoacidosis is relatively low, and the risk of cardiovascular disease is high.
In terms of treatment, according to the blood sugar condition, insulin treatment can also be used, and hypoglycemic drugs can also be used. It is necessary to control the diet, strengthen exercise, blood sugar test, and health education.
(Source editor Anne network, for reference.)
Hunan Medical chat contributing author: Hunan Provincial People’s Hospital Pharmacy Nie Lin
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