Recent
Many people said to the editor
Yang is not afraid
I am afraid of becoming seriously ill
Most people just need to rest well and take medicine for symptoms
It can go smoothly
However, older patients and patients with underlying diseases are indeed more likely to develop severe disease
thereinto
People with diabetes are one of the high-risk groups
For all this time
The First Hospital of Zhejiang University has successively received a number of post-diabetic patients
Development of ketoacidosis
If treatment is not timely
Can be seriously life-threatening
Expert reminder
During the coronavirus pandemic
Pay more attention to blood sugar
58-year-old diabetic aunt Yang
Emergency room for rescue
"I shouldn't be so careless, I sweat cold when I think about it now!" Aunt Lin'anhua (pseudonym), 58, is half lying in a hospital bed, and although she has been released from danger, she is still relatively weak.
Aunt Hua was found to have diabetes during a physical examination in the hospital 5 years ago and has been taking related drugs, but in recent years, she has not monitored her blood sugar well, and she does not know how well she controls it. A few days ago, Aunt Hua and her family were infected with the new crown virus, began to have a fever and headache, Aunt Hua had a maximum fever of 39.8 °C, and the whole person was lying on the bed with a dizzy fever, and I don't remember whether I took hypoglycemic drugs.
Aunt Hua's repeated fever lasted for five days, and the whole person was weak and had no appetite, but she and her family thought it was a normal reaction to the disease, until one evening, her daughter, who was slightly better, made a hearty dinner, and wanted Aunt Hua to eat more, but found that Aunt Hua was confused, no response to how to call, and even talked nonsense, so she was quickly sent to the first phase of the headquarters of the First Affiliated Hospital of Zhejiang University School of Medicine near her home.
In the first phase of the emergency department of the headquarters, the medical team of the emergency department learned about Aunt Hua's medical history and perfected the relevant examinations for her, her fasting blood sugar was as high as 28mmol/L (the normal value of fasting blood glucose in adults was 3.9~6.1mmol/L), which greatly exceeded the normal standard, and there were electrolyte disorders, acute renal function damage, etc., and lung CT showed inflammation and exudation.
After consultation with the endocrinology department, combined with the medical history and examination results, Aunt Hua was diagnosed with diabetic ketoacidosis and new crown infection and was transferred to the endocrinology ward for further treatment.
A few cases a month before
Now almost every day
"Many diabetics like Aunt Hua have ketoacidosis after yang." Zhou Weibin, deputy chief physician of the Department of Endocrinology, said that of the 14 hospitalized patients he was responsible for, 12 were diabetic patients with poor post-positive blood sugar control, and 3 of them had developed ketoacidosis.
In the emergency department and ICU, there are not a few patients with ketoacidosis, Liu Zhihai, deputy director of the emergency department of Zhijiang Campus, said that ketoacidosis patients have been treated almost every day in recent times, and several cases have been received in almost one month before.
Ketoacidosis is a serious acute complication of diabetes, manifested as polyuria, thirst, obvious fatigue, loss of appetite, nausea and vomiting, dyspnea, dehydration, lack of energy, dizziness and headache, keto odor similar to rotten apples in the mouth, etc., severe cases even shock coma, if not treated in time, can be life-threatening.
Why are diabetics prone to poor blood sugar control and even develop ketoacidosis after suffering from the new crown?
On the one hand, fever and infection will cause blood sugar fluctuations; Secondly, because of illness, taking other drugs, or physical discomfort, many diabetic patients do not take drugs or inject insulin to control blood sugar as prescribed; In addition, many people will have poor appetite, less diet, work and rest disorders, diarrhea, vomiting, etc. during the disease, which will also cause severe fluctuations in blood sugar.
The combination of multiple factors can make people with diabetes more likely to develop severe disease than the general population. Moreover, some symptoms of ketoacidosis, such as lack of energy, dizziness and headache, fatigue, difficulty breathing, etc., are very similar to the symptoms of new coronavirus infection, which will increase the confusion of the condition, often diabetic patients have developed ketosis (the previous step of ketoacidosis), but I and my family have not yet realized it, and after the occurrence of ketoacidosis, it will greatly increase the difficulty of treatment, which is likely to threaten life.
How can diabetics pass safely?
After Yangkang, you should also pay attention to these things
In the mainland, the proportion of diabetic patients is about 13%, which is equivalent to more than 1 in 10 people being diabetic, and the proportion of diabetics is higher as they age.
"Older age and diabetes make this group at higher risk of developing severe disease after being infected with the new coronavirus than the general population." Chief physician Shen Jianguo, director of the Department of Endocrinology of the First Hospital of Zhejiang University, said, "Compared with ordinary people with symptoms of new coronavirus infection such as fever, cough, and sore throat, they also face the problem of aggravation of infection-induced metabolic disorders, and the new coronavirus can invade the pancreas and damage the islet function of infected patients, so diabetic patients, or diabetic patients with diabetes, must pay attention." ”
Experts said that although diabetic patients have a greater probability of aggravation of underlying diseases after impotence, there is no need to be too anxious, and the key is to do the following:
01
Strict monitoring of blood sugar: diabetic patients should also monitor blood sugar, after the yang should pay more attention to increase the number of monitoring, especially recommended in the physical examination found to be high blood sugar but not yet to the level of diabetes, also pay attention to monitoring blood sugar;
02
Pay attention to diet: Although many people will have loss of appetite and poor appetite after yang, they must ensure nutrition, and the diet of diabetic patients should be diversified, especially do not choose a single rice noodle food because they feel sick and eat foods that are easy to digest and absorb. In addition, some people said that after the yang has a great appetite, diabetics or those who find high blood sugar during physical examination should pay special attention and should not eat and drink;
03
Appropriate exercise: exercise is conducive to blood sugar control, but during the infection, it is not recommended to exercise a lot, in the case of good blood sugar control, you can do some soothing exercises such as walking, tai chi, etc.;
04
Medication: Diabetic patients need to pay attention to 2 points. First, appetite decreases, hypoglycemic drugs, insulin, etc. have not been reduced accordingly, and there are not a few people with hypoglycemic coma; The second is to stop all the diabetes drugs rashly, and as a result, the blood sugar quietly rises, resulting in a lot of ketoacidosis coma. Therefore, the family must strictly monitor the blood sugar of the fingers and seek medical attention in time.
After diabetic patients are infected by the new crown virus, they must pay special attention to the fact that once the blood sugar continues to exceed the standard, or they feel that they have shortness of breath, rapid heartbeat, abdominal pain, vomiting, inability to eat, poor mental state, fatigue and sweating, and the smell of rotten apples in their breath, they must seek medical attention in time! The earlier you intervene, the better the treatment!
In addition, it should be especially noted that diabetic patients should also pay attention to their physical state, monitor blood sugar in time, and pay special attention not to "eat and drink" to celebrate recovery.
This article is the original of the First Academy of Zhejiang University