Source: Qianjiang Evening News
Xiao Du (pseudonym), 31, has been shocked and depressed recently, and if he hadn't been to the hospital for a significant decline in his eyesight, he would not have known that he had diabetes, high blood pressure, and two terrible blinding eye diseases that were frantically eating away at his vision.
All this,
Drink sweetly with him and wait
Bad lifestyle related.
This matter also rushed to the hot search
Long-term sweet drinks high blood sugar
Damage to the eyes
"When I first arrived, my eyesight was only about 0.05, I was very fat, and I looked older, like I was in my 40s." This is Liu Hui, deputy chief physician of the ophthalmology department of Zhejiang Provincial People's Hospital, his first impression of Xiao Du.
Xiao Du's family lives in a town in Shaoxing, and his eyesight has declined severely for a period of time, and everything in front of him has slowly become more and more blurred, which has a significant impact on life and work. He was first diagnosed with simple iridocyclitis in a nearby hospital, but after treatment, he did not improve, and was introduced to Hangzhou University Hospital.
"After carefully looking at the bottom of the eye, I found that there was bleeding inside, and I suspected high blood sugar at that time, but the patient firmly denied that he had diabetes." Liu Hui said.
Blood glucose test showed that Xiaodu's fasting blood glucose was about 30, up to 5 times the upper limit of normal value (normal people's fasting whole blood glucose value is between 3.9~6.1 mmol/L).
Because he feels that he is young and in good health, Xiao Du has not had a physical examination for many years, so he does not know that his blood sugar has increased. It was later found that his blood pressure was also higher.
The doctor finally diagnosed that the severe loss of Xiaodu's vision in his eyes was due to diabetic retinopathy (referred to as "sugar net"), accompanied by cataracts.
After a detailed understanding of the medical history, it was found that Xiao Du's life was not very healthy: on weekdays, he liked to drink carbonated drinks, milk tea and other sweet drinks, coupled with eating more and moving less, and his weight was close to 200 pounds, which caused his blood sugar to soar at a young age.
"Ordinary people's drinks, milk tea and other sweet drinks are not a big problem to drink. But for diabetics, high sugar is likely to promote diabetes complications. Especially in younger patients, retinopathy progresses more quickly. ”
Almost overnight, from "strong and strong" to sick, Xiao Du panicked and regretted, and was depressed for a while. Director Liu Hui comforted Xiao Du and asked him to actively cooperate with the treatment, according to the condition, first arrange him to go to the endocrinology department for treatment, and after the blood sugar control is stable, then transfer to the ophthalmology department for surgery, "Now after about two weeks, the vision has returned to 0.4, and the effect is not bad." ”
"The patient also has severe cataracts, and at this age, it is generally too early to get cataracts. Therefore, considering cataracts, including his iridocyclitis, should also be associated with diabetes. 'Sugar net' and cataract are not actively treated, which can lead to blindness. Director Liu Hui reminded.
Prevent diabetic eye disease
You have to change your lifestyle
Director Liu Hui introduced that diabetic retinopathy is caused by long-term high blood sugar in diabetic patients, resulting in damage to vascular endothelial cells, thereby causing damage to retinal microvessels in the eye and causing a series of fundus retinopathy, which will cause vision loss, blurred vision, and cause blindness in patients in severe cases, and irreversible. The incidence of the disease increases with the duration of diabetes, and data show that about 60% of patients who have had diabetes for more than 15 years will have damage to the blood vessels in the eye.
"Diabetic cataracts are common in younger patients with more severe diabetes. Because the patient's lens is cloudy, it can lead to visual disturbances, manifested by decreased vision. The risk of cataract development in diabetic patients is 4 to 5 times higher than that of non-diabetic patients, and diabetic cataract has earlier onset, faster development, higher nuclear hardness, and more severe disease. Crystals can quickly become cloudy in a short period of time, leading to severe vision loss. ”
Director Liu Hui said that diabetes is related to an uncontrolled lifestyle, such as excessive intake of high-calorie foods such as high sugar, high fat and greasy, coupled with lack of exercise, obesity, stress and other factors. In view of this, the prevention of diabetic eye disease starts with lifestyle changes.
"In addition to controlling blood sugar, diabetic patients should also have regular eye examinations and professional assessment of fundus health conditions." Director Liu Hui reminded that if it is mild retinopathy, it can be checked once a year, if it is moderate, it is best to check once every 3~6 months, if it is severe, it must be checked every three months to prevent further loss of vision. Once there are eye symptoms such as decreased vision, deformed vision, a sense of flash when looking at things, an increase in floating objects in front of the eyes, and dark shadows to see things, seek medical attention as soon as possible; If you have diabetic retinopathy, you should strictly follow up and timely treatment according to the staging standards after examination to save and preserve better vision.
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Source: Chao News Qianjiang Evening News Comprehensive from Chao News Reporter Wu Chaoxiang Correspondent Song Lisheng, netizens, etc