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Why does diabetes have the word "urine"?What does it have to do with urine?How much does it matter?

author:Dr. Shen, University of Chinese Medicine

On a calm afternoon, Lieber, a retired elderly man with a 10-year history of diabetes, was told during a routine check-up that the condition of his blood vessels was worrying. Not only was this shocking, but it also made him realize that diabetes is not just a blood sugar problem. His doctor pointed out that Lieber's long-neglected oral hygiene, especially his irregular brushing habits, may have been a potential factor in the deterioration of his vascular condition. This discovery not only came as a surprise to Lieber, but also revealed an often overlooked truth: the oral hygiene of diabetics directly affects their overall health.

When we talk about diabetes and its complications, we often focus on blood sugar control and dietary management, and few realize that a simple brushing habit of three times a day can play such a critical role in the fight against diabetes complications. It's not just about the health of your teeth, it's about protecting your blood vessels and reducing your risk of diabetes complications. Through Lieber's experience, we will explore this underrated area, revealing why brushing teeth three times a day is not just a simple daily habit for people with diabetes, but a vital health action.

Why does diabetes have the word "urine"?What does it have to do with urine?How much does it matter?

Abnormal glucose metabolism: Why do you "urinate more"?

Diabetes, or more scientifically known as abnormal glucose metabolism, has a full range of effects on the human body, especially on urine, which is directly related to the quality of our daily lives. Let's dive into how this effect happens and why it's so important to our lives.

Increased glucose in the urine due to elevated blood sugar

In the case of abnormal glucose metabolism, the level of glucose in the blood increases. When blood sugar exceeds the kidneys' filtration threshold, excess glucose is excreted through the urine. This process is called "diabetes", which is where the name diabetes comes from. To put it simply, because the blood sugar is too high, the urine also contains more sugar.

Increased urine output due to osmotic diuresis

Due to the increased amount of sugar in the urine, it attracts more water to be excreted in the urine, a phenomenon known as osmotic diuresis. As a result, urine output increases. Not only does this mean more toilet visits, but it can also cause dehydration and electrolyte imbalances, which are issues to be concerned about and manage.

Why does diabetes have the word "urine"?What does it have to do with urine?How much does it matter?

Daily effects of frequent urination and nocturia

An increase in urine volume naturally leads to frequent urination, especially at night. Waking up frequently at night to go to the toilet not only affects the quality of sleep, but also may cause daytime fatigue, affecting daily life and work efficiency. This is especially important for middle-aged and older adults, as good sleep is one of the keys to staying healthy.

The importance of urine tests

Regular urine tests play an important role in the management of glucose metabolism abnormalities. Levels of sugar and ketones in the urine can reflect blood sugar control and help adjust treatment options. This is an indispensable means of monitoring, especially for patients with large fluctuations in blood glucose or those who are difficult to control.

Why does diabetes have the word "urine"?What does it have to do with urine?How much does it matter?

The key to mastering: intelligent urine management in patients with abnormal glucose metabolism

When discussing urine management in patients with dycometabolic diabetes, we need to focus on a few core points that not only contribute to a better understanding of the disease, but also provide patients with practical management strategies.

1. Understand the formation and control of urine glucose

Abnormal glucose metabolism leads to an increase in blood sugar levels, which exceeds the reabsorption capacity of the kidneys, leading to excess sugar in the urine. Therefore, by controlling blood sugar levels, the formation of glucose in the urine can be reduced. This includes proper dietary control, such as reducing the intake of high-sugar foods, and monitoring blood sugar levels regularly.

2. Cope with increased urine output and frequent urination

Patients with dybohydrate often have symptoms of increased urine output and urinary frequency due to the increase in glucose in the urine. In daily life, patients need to adjust their water intake appropriately and pay attention to avoiding drinking too much water at night to reduce the impact of frequent urination at night. At the same time, it is very important to maintain a regular urination habit.

3. Choice of drug therapy versus urine effects

Glucose-lowering drugs are an integral part of the treatment of glucose metabolism disorders. Some medications, such as diuretics, can affect the nature of urine. Therefore, patients need to pay special attention when using these drugs, and discuss the choice of drugs and dosage adjustments with their doctors if necessary.

4. The importance of regular urine tests

Regular urine tests are essential to monitor disease progression. This includes checking urine glucose, protein in the urine, and ketones in the urine. Through these tests, it is possible to keep abreast of changes in the condition and adjust treatment strategies accordingly.

5. Comprehensive lifestyle adjustment

In addition to medication and regular check-ups, lifestyle modifications are equally important for urine management. Moderate physical activity helps control blood sugar, which reduces the formation of glucose in the urine. At the same time, maintaining good lifestyle habits, such as regular work and rest, and reducing mental stress, can effectively improve urine-related problems.