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Insulin is not a universal combination of exercise therapy

Now the insulin therapy has become the choice of many people with diabetes, insulin treatment is necessary for some patients, but patients with diabetes after injection of insulin that superstition, insulin regardless of diet and sport, whi...

Insulin is not a universal combination of exercise therapy

Feb 23, 2017 by Kidney Disease Expert

Now the insulin therapy has become the choice of many people with diabetes, insulin treatment is necessary for some patients, but patients with diabetes after injection of insulin that superstition, insulin regardless of diet and sport, which is a mistake. Here's how you talk about insulin to help sugar friends better control diabetes.

Type II diabetes requiring insulin injection

95% of all patients with type 2 diabetes. Type II diabetes was also called non-insulin-dependent diabetes mellitus, this name is misleading for many people think that only the type I diabetes patients need insulin injections, type II diabetes without insulin treatment. In fact, insulin resistance and insulin secretion are present in type 2 diabetic patients with long duration of disease. By injecting insulin, blood glucose can be controlled more effectively, thereby reducing the incidence of complications. Because of this, from the beginning of 1999, the WHO no longer mention the name of non-insulin-dependent diabetes mellitus.

In addition to type I diabetes, type 2 diabetes mellitus can be treated with insulin injections. Patients with onset of spatial and temporal blood glucose more than 9mmol/L, insulin secretion function is poor, suitable for injection 4 to 8 weeks of insulin. On the one hand to make blood sugar down, on the other hand to help restore the body's own insulin secretion. If the blood glucose level is reduced to a reasonable level, patients can be treated with oral hypoglycemic agents.

In addition, patients with type II diabetes mellitus acute complications, such as ketoacidosis, hyperosmolar nonketotic coma, lactic acidosis, and often endanger life safety, then we must according to the condition of the amount of insulin injection. Patients with type II diabetes appear more serious chronic complications, such as stroke, cerebral infarction, myocardial infarction, diabetic nephropathy, diabetic retinopathy, when the damage of target organs such as the brain, heart and kidney, insulin injections to help control and delay complications increased.

Diabetic patients with stress state, such as surgery, severe trauma, severe infection, pregnancy, delivery, insulin therapy should be taken, can play a role in stabilizing blood sugar, to avoid the onset of acute diabetes. Some specific types of diabetes, such as adult juvenile onset diabetes, or taking hormone caused by diabetes, and pancreatic resection caused by diabetes, etiology, with insulin deficiency, insulin must.

Insulin is not everything

Some patients believe that insulin, insulin does not need to control diet, hypoglycemic effect is good, it is completely wrong idea. As an obese diabetic patients may not need long-term insulin injection only in serious illness or surgery etc., because insulin can increase body weight, insulin allergy, injection site induration, subcutaneous fat atrophy and other side effects. Obese patients need to inject a large amount of insulin, hypoglycemic effect is often not good, but also may be at the same time reducing blood sugar body fat, increasing the incidence of cardiovascular and cerebrovascular diseases. Therefore, if the weight of the obese patients with insulin is satisfied while the weight gain continues to increase, the overall treatment is unsuccessful and is not conducive to long-term health. The ideal goal is not only to control blood sugar, but also to control blood pressure, blood lipids, weight, improve lifestyle (such as smoking cessation), in line with the concept of modern medicine.

The expert reminds, the treatment of diabetes should be combined with the characteristics of each person, considering the patient's length, body weight, islet function, whether there have been complications of diabetes, abnormal liver and kidney function, whether gastrointestinal diseases, the usual diet and exercise habits and living alone, the treatment plan design reasonable, is the right choice.

Combined with exercise treatment effect is good

Exercise can increase insulin sensitivity, can increase high-density lipoprotein, reduce low-density lipoprotein, regulate blood pressure, regulate blood sugar. So I hope that patients with diabetes for a period of time every day to do some exercise, the more appropriate exercise time of half an hour to 1 hours. The choice of sports vary from person to person, such as playing ball games, swimming, etc., suitable for personal hobbies can do sports.

Walking is considered to be a very good way to exercise, walk a little faster, every time 20-30 minutes. After the heartbeat to go to the "160- age = heartbeat (times / minutes)", in general, the heartbeat of not more than 120 times per minute.

There is a need to remind: diabetic patients made insulin will not immediately do strenuous exercise, play well after insulin first to eat immediately after the meal, can do some exercise, but can not be too severe. Had a diabetes clinic, to hit 20 units every morning insulin, after breakfast, breakfast immediately after exercise, he realized that if the movement is too severe hypoglycemia symptoms will. In the morning, fasting diabetes patients, if fasting blood glucose is not very high, can not immediately do strenuous exercise, but also pay attention to hypoglycemia. In addition there are serious complications such as diabetes, heart disease, cerebral infarction, severe renal insufficiency patients, also do not advocate strenuous exercise.

 

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