[This content is a story-based medical science article, please read it rationally, and do not sit down]
Dr. Li sat in the consultation room, looking at the middle-aged man in front of him with an anxious expression, and couldn't help frowning. The patient's name is Wang Lei, the creative director of an advertising agency, and he is busy with work and has a lot of pressure in life. He has been diagnosed with diabetes for five years, has been following the doctor's instructions for regular check-ups, taking medication on time, and controlling glycosylated hemoglobin quite well. But just last week, he suddenly noticed that his vision began to blur, and his right foot also experienced a slight numbness.
"Mr. Wang, I have read your recent glycosylated hemoglobin report, and it is still maintained at about 6.2%, which is well controlled." Dr. Li flipped through the medical records with a hint of doubt in his tone.
Wang Lei swallowed his saliva and his voice trembled a little: "Doctor Li, I'm really confused. I did as you said, I paid attention to my diet and exercise, and I didn't stop taking medicine. But why is this happening? Am I... Already having complications? "
Dr. Li pondered for a moment and said slowly, "Mr. Wang, I can understand your worries. Diabetes is indeed a complex metabolic disease, and even if glycosylated hemoglobin is well controlled, the possibility of complications cannot be completely ruled out. We will have to do further checks to determine your condition. "
Wang Lei's face instantly turned pale, and a panic surged in his heart. He didn't understand why this was happening when everything was going according to plan. This question may not only bother Wang Lei, but also confuse many diabetic patients.
In fact, glycosylated hemoglobin, although an important indicator of diabetes control, does not fully reflect a person's blood sugar fluctuations. Glycosylated hemoglobin reflects the average blood sugar level over the past 2-3 months, but it does not capture blood sugar fluctuations in daily life. Just as a person with a normal average body temperature but may have a fever, a person with a normal average blood sugar may also have a sharp fluctuation in blood sugar.
This kind of blood sugar fluctuation is like a repeated impact on the blood vessel wall, which will lead to impaired vascular endothelial function in the long run, accelerating the occurrence of complications. Imagine if you rinsed a glass with alternating hot and cold water every day, the glass would crack due to the drastic change in temperature, even if the average temperature was moderate. The same goes for our blood vessels, which can't withstand the sharp fluctuations in blood sugar.
In addition to blood sugar fluctuations, there are some factors that may affect the occurrence of complications. For example, high blood pressure, dyslipidemia, smoking, etc., can accelerate blood vessel damage and increase the risk of complications. We can't just focus on blood sugar and ignore other health factors.
In addition, the course of diabetes is also an important factor. Even if well controlled, the risk of complications gradually increases over time. It's like a leaky bucket, and even if we try to add water to it and the water level is well maintained, the bottom of the bucket will still rot in the long run.
It's also worth noting that some people may have a genetic predisposition. Even if blood sugar control is good, if there is a family history of diabetes complications, then the risk of complications is relatively high. It's like some people who tend to get darker even if they don't get a lot of sun, it's an innate trait.
Returning to Wang Lei's condition, Dr. Li recommended that he undergo a series of detailed examinations. The results showed that Wang Lei's blood pressure was slightly high, and his blood lipids were also somewhat abnormal. And through continuous glucose monitoring, it was found that although his average blood sugar level was good, there were significant blood sugar fluctuations every day, especially after meals and late at night.
"Mr. Wang, I have a general understanding of your situation." "While your glycosylated hemoglobin is well controlled, your blood sugar fluctuates, along with blood pressure and lipid issues, which increase the risk of complications," Dr. Lee said, pointing to the test report. "
Wang Lei's expression became even more worried after hearing this: "Then what should I do?" Is it irretrievable? "
Dr. Li smiled and shook his head: "Don't be discouraged, it's not too late to find out the problem." There are a few things we can do to improve your situation. First, we need to adjust your hypoglycemic regimen to not only control your average blood sugar, but also minimize blood sugar fluctuations. Second, we need to actively control blood pressure and blood lipids. Finally, it is also important to make lifestyle adjustments, including a reasonable diet, moderate exercise, quitting smoking and limiting alcohol. "
Wang Lei nodded thoughtfully, and a glimmer of hope ignited in his heart.
Dr. Lee continued, "In addition, I recommend that you monitor your blood sugar daily, especially after meals and before bedtime. This allows us to detect blood sugar fluctuations in time so that we can adjust our treatment accordingly. At the same time, regular fundus examination and urine microalbumin testing can help us detect complications early. "
Wang Lei carefully took down the doctor's advice and was determined to manage his health more actively. He understands that controlling diabetes is not just about looking at one indicator, but about paying attention to one's physical condition in all aspects.
Before leaving, Dr. Li patted Wang Lei on the shoulder and encouraged: "Mr. Wang, the management of diabetes is a long-term process that requires our joint efforts. As long as you can persevere and maintain a positive and optimistic attitude, I believe that your situation will definitely improve. "
Wang Lei nodded gratefully, secretly determined in his heart that he must take his health more seriously. He understands that health does not happen overnight, and requires hard work and perseverance.
This story teaches us that the management of diabetes is a complex process that cannot be relied upon by a single metric. We need to have a comprehensive understanding of our physical condition, actively cooperate with the doctor's treatment, and maintain good lifestyle habits. Only in this way can you really reduce the risk of complications and live a healthy, high-quality life.
As a medical worker, I hope that every diabetic patient can be like Wang Lei, have the courage to face problems and actively seek solutions. At the same time, I also call on everyone to pay attention to the prevention and early screening of diabetes. After all, prevention is better than cure, and early detection of problems can lead to timely intervention.
The last thing I want to say is that although diabetes is a chronic disease, it is not terrible. As long as we establish a correct concept of health, follow the doctor's instructions for scientific treatment, and maintain an optimistic and positive attitude, we will definitely be able to overcome the disease and embrace a better life. Let's work together for health!
[This content is a story-based medical and health science article, and any name, place name, or event that appears in the article except for the health science content is artistic processing, and it is not intended to offend or belittle any individual, group or organization. If there is any similarity, it is purely a coincidence, please read it rationally. 】