How to treat diabetes?Of course insulin.Everyone knows about it, even those who are far from medicine.After all, sugar (then diabetes) is when sugar is increased.And insulin reduces this sugar.
In general, right.If you don't take into account a little insignificant, first glance, but in fact important details.
Insulin
Yes, insulin really reduces the high level of sugar in a blood plasma (more accurate - glucose).
With Type 1 diabetes that develops mainly at a young age, it is definitely insulin deficiency - this hormone is not hidden with a certain pancreatic structures (or not secreted in small quantities), Langerganes monster.
There is no insulin - no glucose use and more metabolic processes pathological.If you provide insulin within the replacement therapy, the situation can be fixed to some extent.
Under the influence of this drug, glucose enters the place where it is in a cage.Metabolism is normalizing.
Everything would be simple when this is not so difficult.The fact is that in some cases the application of insulin can lead to greater problems than its absence.The reason is hypoglycemia, a sharp fall in glucose in blood plasma.
The excessive dose of insulin has very quickly and sometimes immediately.
The skin is pale, blood pressure drops, a coma, the patient is very difficult to copy.
The cause of hypoglycemia is not only in the extreme doses, but also the wrong management of insulin.This medication should be managed only after receiving a light meal.Insulin application, physical activity, stresses are not undesirable.
Therefore, the insulin dose, the level of glikemia (blood plasma in the blood plasma) is carefully selected.
Daily dose depends on the level of glycemia and diabetes and is determined by a doctor separately for each patient.
A typical splitting of this dose is 30%, 35% of breakfast - before lunch, 25% - 10% before dinner.
These figures may vary depending on their lifestyle.To choose the correct insulin with the first detected diabetes, diabetes can be difficult to remove a few days away from a difficult.Landmark is the same - lab indicators.
The application of ambulance workers is prohibited in a prefix phase, which is not able to control high rice, insulin, giltemia.
Right, many portable devices recently appeared in glycometers designed to measure blood sugar.
But first the reliability of glikcometer leaves a lot to be desired.
Second, as already mentioned, the delayed application of insulin is not as terrible until its extreme dose.
It is noteworthy that the insulin is not homogeneous to treat diabetes.
Pig, cattle, cattle (can be obtained from the pancreas of blocked animals) and can be synthesized by human, genetic engineering.
Insulin is not the same in terms of action.If you need to reduce the glycemia as soon as possible, a short insulin is presented.The effect occurs quickly in the first 15-20 minutes, but does not last long.
Medium-term and extensive moving insulins are designed to create the necessary glycemic background during the day.Insulin types and their combination are appointed by an endocrinologist depending on a certain clinical situation.
Ihaharasses
If insulin is produced only in the form of injection solutions (destroyed in the gastrointestinal tract), then drugs below the sugar are represented by tablets for the internal intake.
It should be noted that insulin and sugar-dog agents cannot be replaced for diabetes.
Rather, insulin is effective with the type of diabetes only in 1 species mellitus.
And all sugar-in-agents are only used for 2 insulin - used for dependent types of the disease.This type is based on relative insulin failure.This means that the total amount of insulin produced by the pancreas is normal or even increased.But again it is missing.
When the amount of old tissue increases, the old age is happening with obesity and has little compensation capabilities of the human body.
There are several types of sugar tablets.It all changes the course of biochemical reactions in one way or another, and thus stimulates insulin production with beta cells.
At a time, the beta cells are running out of beta cells, the lack of relative insulin is absolutely and there is a need to pass into insulin treatment.
Sometimes the basis of diabetes can increase the production of contradictory thyroid hormones, adrenal glands and a pituitary gland.The action of these hormones is the opposite of such insulin - the glucose level in the blood.
After the high level of codes of hormones, special injection agents have been appointed to regulate their levels after confirmation of laboratory methods.
Glucose
It turns out that glucose in diabetes is more important than insulin.This is especially true for the severe forms of the disease.
Application of glucose in timehypoglycemic conditions- This is a matter of life and death.After all, blood sugar levels must be removed as soon as possible.For this, a concentrated 40% glucose is controlled as intravenous with a syringe.
MoodThe patient is conscious, He drank hot tea with sugar.
However, hyperglycemia (high sugar) also requires glucose leadership.
The bottom line is that the glucose is collected in a large amount of plasma in plasma.But the cell does not get this glucose.Pathological mechanisms of glycogenesia are being launched - intensively fragmented oil and glucose synthesis from proteins.
To prevent this, the glucose is introduced as part of polarizing polarity.This mixture includes 5% glucose, insulin and potassium medications.The insulin contributes to the glucose's cage, and at the same time "draws the potassium with him."This is the most important introduced element that manages almost all metabolic processes in the cell.
When glucose is important, another state, release of urine in diabetes, so-directed diabetic urethetics.
This is due to the high concentration of blood plasma and secondary kidney damage.Glucose is lost along with urine.In this situation, a fake positive picture, the glucose level in the blood decreases without insulin.
In fact, this is a potentially dangerous situation called "scissors" due to inconsistency between laboratory indicators and objective information.The only way to prevent this "scissors" is in the timely pedigree management of glucose solutions.
Certification and alkalization
Urinalism is primarily a loss of liquid, which is caused by dehydration or dehydration.At the same time, the blood is already becoming glucose, acid reaction to keton organs (acetone and other compounds).
This process is called ketoacidosis.
It is very difficult and is miserable when there is no treatment.Dehydration and ketoacidosis rose to each other.
A rehydration is carried out to eliminate dehydration - filling in liquid deficiency.Reconstruction for diabetes includes intravenous infusion of various solutions, up to 3 liters or more per day.
In addition to the above glucose, an ordinary isotoneic sodium chloride solution (saline), as well as other solutions that are sodium, chlorine, magnesium, potumium ions.
The filling of liquid deficiency normalizes the balance of acids and body bases and eliminates acid - acidosis.Effective ways to combat acidosis are the infusion of sterile alkalizing solutions.They include sodium bicarbonate or simply, Soda.The patient's condition allows you to drink plenty of alkaline in the form of alkaline mineral waters.
Other drugs
Diabetes Mellitus is a systematic disease.This means that the pathology is not limited to a single pancreas - in one way or another, almost all bodies and tissues suffer.In a large extent, it is related to diabetes angiopathy - the lesion of blood vessels and capillaries.
At the same time, blood circulation in these ships and capillaries, which lead to secondary lesions of the internal organs - primarily eye retina (retinopathy) and kidneys (nephropathy).Venades of various drugs that improve systemic blood circulation are underway to remove angiopathy.
Along with these drugs, medications of drugs are determined to affect metabolic processes in nerve fibers.
Violation of the blood circulation in the capillary network is often complicated by trophical ulcers, which dominated the dominant localization inside the lower leg.
The treatment of these Ülkers requires the use of local antiseptics and antibiotics.Diabetes are sick with angina pector with complex with cardiovascular disease-atherosclerosis, hypertension, myocardial infarction than others.
Cardioticisms are used in the treatment of these diseases, cardio and anti-player and hypotensive (reduce blood pressure) drugs.With diabetes, not only desirable, as well as pharmaceutical drugs and biologically active food supplements are required to adopt various vitamin mineral complexes.
Diet for diabetes
In the treatment of diabetes, proper nutrition is as important as medicine.Failure to match the diet reduces the effectiveness of these drugs to zero.This is true of the 1st diabetes, especially because the smallest mistakes in nutrition have caused serious consequences.Basic requirements for diabetic patients dietary diet:
- Food setting 4-5 times in small parts;
- A balanced proportion of protein, fat and carbohydrates;
- The number of calories accepted by meals should be equal to the number consumed;
- With obesity - reduction of more than the weight.
In this regard, it is easily digested carbohydrates, fatty meat, sweets, strong tea, coffee, fat, vineyards.Instead of white bread - black, black-sugar diabetics patients.
Grain grains should be preferred (buckwheat, oatmeal, wheat), light vegetable soups, fresh vegetables.For each patient, a diet is made by a dietitian separately.
Opinion
Of course, this article does not have any instructions for self-adaptation that can be expensive with diabetes diabetes.It should be noted that the insulin--Bears will be completely treated in diabetes.Unfortunately, it is a fact.But proper, regular treatment, protective regimens, food and physical restrictions will help you to return to a complete life and prevent unwanted complications.