Case Summary: ** Liu, male, aged 42, farmer, polydipsia, polyphagia, weight
loss treatment two months ago.
Condition: no obvious incentive to patients two months ago, food intake gradually increased from the original daily 460g to 570g per day, up to 800g, while the weight has decreased gradually, within 2 months of weight loss for more than 4kg while the mouth thirsty, like drinking plenty of water, the phenomenon of increased urine output. Conditioning with local oral medicine for more than a month, no significant improvement to our hospital for further diagnosis and treatment. Urine normal after the illness, sleep in general.
Past medical history: previously healthy, no history of drug allergy. No special personal history and family history.
Admission examination: T 36 ° C, P 80 / R 18 beats / min, BP 120/80mmHg.
Skin stained yellow, lymph node enlargement, the pupil CP and other round. Thyroid (-), cardiopulmonary (-), flat and soft abdomen, liver and spleen not palpable. Lower limbs edema, and normal tendon reflexes. Babinski sign (-).
Laboratory tests: Hb 120g / L, WBC 7.6 × 109 / L PLT 267 × 109 / L; (-), urine (+ +); fasting blood glucose 10.78mmol / L, urine: urine protein.
The initial diagnosis: type 2 diabetes
The diagnosis is based on: one in the history of a typical drink, eat, polyuria, and weight loss. (2) urine (+ +), fasting plasma glucose> 7.0mmol / L
Differential diagnosis: 1. Hyperthyroidism how food, weight loss, but often afraid of the heat, generally no more drinking. Thyroid checks easily identified. 2 diabetes a rapid onset, severe illness, has emerged ketosis.
Treatment options:
Early intensive treatment quickly stabilize blood sugar.
Conditioning diet, low sugar, low salt, low fat diet, high cellulose.
A timely manner to improve the examination, and symptomatic treatment.
4, given the topical "sugar pancreatic Sport" on the 1st penetration liquid combined oral Downing on the 1st treatment.
Clinic after:
1, the beginning of the patients on admission, fasting blood glucose of up to 10.78mmol / L, ZHANG Ai-rong, director recommended 3 to 4 times a day injections of insulin physiological supply "program of intensive insulin treatment programs in order to quickly stabilize blood sugar:
Speed / short acting insulin before meals injection + / injection of long-acting insulin at bedtime every day a total of four injections. After three days of insulin intensive treatment, fasting blood glucose control is 7.5mmol / L 6.7mmol / L and postprandial blood glucose decreased.
, Improve the treatment: the patient's blood sugar stable within the normal range, and further eliminate the symptoms of "a little", Zhang developed further treatment options for patients.
First of all, the scientific and rational diet program. In order to guarantee the stability of the patient's blood sugar within the normal range, Zhang recommend patients eat more high fiber foods, eat plenty of vegetables in order to ensure the patient's nutrient supply, Zhang also requested the hospital's nutrition experts to develop three meals a day for patients nutritional diet: Breakfast (1, staple foods: high fiber bread or bread high-fiber lunch two staple food, non-staple food: ① boiled eggs or poached ② The light soy milk, milk or millet gruel Choose one and ③ salad.) (1, staple foods: high fiber rice, high-fiber bread, high fiber noodles or other staple foods high in fiber 2, non-staple food: ① lean meat, fish, chickens, ducks can be selected depending on the circumstances. ② fried vegetables, salad vegetables, soy products etc.) dinner (1 staple food: ① high-fiber bread, high fiber rice, high-fiber staple ② like porridge can be selected according to personal habits millet gruel, mung bean porridge, red bean porridge, non-staple food: ① vegetables , soy products such ② chicken, duck, meat, fish and other personal favorite choice.) night before going to sleep, drink pure milk, a cup, about 300 ml.
More than a scientific and rational diet program is the basis of the treatment of diabetes, glycemic control, so that not only can effectively control blood sugar, but also to meet the nutritional needs of patients with growth and development.
Secondly, do check the care of their daily lives. In order to avoid the complications of diabetic eye disease, diabetic foot, diabetes, skin diseases, Zhang eye examinations for patients on a regular basis, together with the sugar Eye Health nutrition for the prevention of eye disease, bath and traditional Chinese medicine drug for prevention of skin throughout the infection, all times to supervise the movement of patients and the details of clothing, shoes, etc., ask the patient's feeling physically in a timely manner, and effectively avoid the complications of diabetes.
Finally, to Downing a fundamental treatment of the patient's condition, a little more than the symptoms disappeared completely, Zhang, after three days of intensive insulin therapy, together with the hospital characteristics of pharmaceutical topical sugar pancreatic health "on the 1st permeate combined oral on the treatment of sugar pancreatic health "on the 1st permeate 2-3 times a day, respectively, apply to the pancreas and stomach area, penetration through the permeameter to lesions of the pancreas damaged parts of the repair. "Downing" before a meal taking 15 minutes to effectively prevent the postprandial blood glucose fluctuations.
After a week of treatment, the patient's blood sugar stable within the normal range, the amount of insulin 38 units to 15 units after treatment to check the patient's islet function gradually returned to normal, the secretion of insulin and the insulin sensitivity degree to get greatly improved.
A month later to check the patient's pre-dinner 5.6mmol / l, postprandial 7.3mmol / l, check: T: 36.5 ° C Bp 102/73mmHg. The patient's condition improved and stable, superiors and physician approval be granted for discharge.
Case analysis:
Taking a week later, the patient sleep, polydipsia, polyuria symptoms have improved.
Half a course of medication, patients more than three a little "significantly reduce the symptoms.
Taking a course of treatment, the patient's condition is basically stable, the current consolidation therapy.
Medical record analysis: 95% of diabetes is Type II diabetes, Type II diabetes is not necessarily less insulin, but because of the lack of insulin activity or decreased susceptibility to, say, ten sugar molecules in the blood, and islet cell secretion is insulin and sugar molecules, but only five really works (like ten men to work, only five truly did in sleep) which cause insulin binding of sugar molecules together more blood sugar of course. World Health Organization studies have shown that the pH of body fluids for every decrease of 0.1 insulin activity decreased by 30%, and decreased insulin activity will aggravate the condition of diabetes. Diabetes is not terrible, terrible complications of diabetes. Experts to prevent diabetes is first to prevent acidic to prevent diabetes complications to improve your acidic.
Characteristics of hospital treatment therapy through direct input to the human body with a large number of chitin, and human bile acid, lipid anions, acidic organic compounds such as repair damaged islet cells, and to improve the sensitivity of insulin receptors, making the blood acidic environmental conditioning to normal 7.35-7.45, restore function and enzyme activity of insulin in the blood, improve islet function, blood sugar is in a steady state, and effectively prevent the emergence of complications of diabetes.
Condition: no obvious incentive to patients two months ago, food intake gradually increased from the original daily 460g to 570g per day, up to 800g, while the weight has decreased gradually, within 2 months of weight loss for more than 4kg while the mouth thirsty, like drinking plenty of water, the phenomenon of increased urine output. Conditioning with local oral medicine for more than a month, no significant improvement to our hospital for further diagnosis and treatment. Urine normal after the illness, sleep in general.
Past medical history: previously healthy, no history of drug allergy. No special personal history and family history.
Admission examination: T 36 ° C, P 80 / R 18 beats / min, BP 120/80mmHg.
Skin stained yellow, lymph node enlargement, the pupil CP and other round. Thyroid (-), cardiopulmonary (-), flat and soft abdomen, liver and spleen not palpable. Lower limbs edema, and normal tendon reflexes. Babinski sign (-).
Laboratory tests: Hb 120g / L, WBC 7.6 × 109 / L PLT 267 × 109 / L; (-), urine (+ +); fasting blood glucose 10.78mmol / L, urine: urine protein.
The initial diagnosis: type 2 diabetes
The diagnosis is based on: one in the history of a typical drink, eat, polyuria, and weight loss. (2) urine (+ +), fasting plasma glucose> 7.0mmol / L
Differential diagnosis: 1. Hyperthyroidism how food, weight loss, but often afraid of the heat, generally no more drinking. Thyroid checks easily identified. 2 diabetes a rapid onset, severe illness, has emerged ketosis.
Treatment options:
Early intensive treatment quickly stabilize blood sugar.
Conditioning diet, low sugar, low salt, low fat diet, high cellulose.
A timely manner to improve the examination, and symptomatic treatment.
4, given the topical "sugar pancreatic Sport" on the 1st penetration liquid combined oral Downing on the 1st treatment.
Clinic after:
1, the beginning of the patients on admission, fasting blood glucose of up to 10.78mmol / L, ZHANG Ai-rong, director recommended 3 to 4 times a day injections of insulin physiological supply "program of intensive insulin treatment programs in order to quickly stabilize blood sugar:
Speed / short acting insulin before meals injection + / injection of long-acting insulin at bedtime every day a total of four injections. After three days of insulin intensive treatment, fasting blood glucose control is 7.5mmol / L 6.7mmol / L and postprandial blood glucose decreased.
, Improve the treatment: the patient's blood sugar stable within the normal range, and further eliminate the symptoms of "a little", Zhang developed further treatment options for patients.
First of all, the scientific and rational diet program. In order to guarantee the stability of the patient's blood sugar within the normal range, Zhang recommend patients eat more high fiber foods, eat plenty of vegetables in order to ensure the patient's nutrient supply, Zhang also requested the hospital's nutrition experts to develop three meals a day for patients nutritional diet: Breakfast (1, staple foods: high fiber bread or bread high-fiber lunch two staple food, non-staple food: ① boiled eggs or poached ② The light soy milk, milk or millet gruel Choose one and ③ salad.) (1, staple foods: high fiber rice, high-fiber bread, high fiber noodles or other staple foods high in fiber 2, non-staple food: ① lean meat, fish, chickens, ducks can be selected depending on the circumstances. ② fried vegetables, salad vegetables, soy products etc.) dinner (1 staple food: ① high-fiber bread, high fiber rice, high-fiber staple ② like porridge can be selected according to personal habits millet gruel, mung bean porridge, red bean porridge, non-staple food: ① vegetables , soy products such ② chicken, duck, meat, fish and other personal favorite choice.) night before going to sleep, drink pure milk, a cup, about 300 ml.
More than a scientific and rational diet program is the basis of the treatment of diabetes, glycemic control, so that not only can effectively control blood sugar, but also to meet the nutritional needs of patients with growth and development.
Secondly, do check the care of their daily lives. In order to avoid the complications of diabetic eye disease, diabetic foot, diabetes, skin diseases, Zhang eye examinations for patients on a regular basis, together with the sugar Eye Health nutrition for the prevention of eye disease, bath and traditional Chinese medicine drug for prevention of skin throughout the infection, all times to supervise the movement of patients and the details of clothing, shoes, etc., ask the patient's feeling physically in a timely manner, and effectively avoid the complications of diabetes.
Finally, to Downing a fundamental treatment of the patient's condition, a little more than the symptoms disappeared completely, Zhang, after three days of intensive insulin therapy, together with the hospital characteristics of pharmaceutical topical sugar pancreatic health "on the 1st permeate combined oral on the treatment of sugar pancreatic health "on the 1st permeate 2-3 times a day, respectively, apply to the pancreas and stomach area, penetration through the permeameter to lesions of the pancreas damaged parts of the repair. "Downing" before a meal taking 15 minutes to effectively prevent the postprandial blood glucose fluctuations.
After a week of treatment, the patient's blood sugar stable within the normal range, the amount of insulin 38 units to 15 units after treatment to check the patient's islet function gradually returned to normal, the secretion of insulin and the insulin sensitivity degree to get greatly improved.
A month later to check the patient's pre-dinner 5.6mmol / l, postprandial 7.3mmol / l, check: T: 36.5 ° C Bp 102/73mmHg. The patient's condition improved and stable, superiors and physician approval be granted for discharge.
Case analysis:
Taking a week later, the patient sleep, polydipsia, polyuria symptoms have improved.
Half a course of medication, patients more than three a little "significantly reduce the symptoms.
Taking a course of treatment, the patient's condition is basically stable, the current consolidation therapy.
Medical record analysis: 95% of diabetes is Type II diabetes, Type II diabetes is not necessarily less insulin, but because of the lack of insulin activity or decreased susceptibility to, say, ten sugar molecules in the blood, and islet cell secretion is insulin and sugar molecules, but only five really works (like ten men to work, only five truly did in sleep) which cause insulin binding of sugar molecules together more blood sugar of course. World Health Organization studies have shown that the pH of body fluids for every decrease of 0.1 insulin activity decreased by 30%, and decreased insulin activity will aggravate the condition of diabetes. Diabetes is not terrible, terrible complications of diabetes. Experts to prevent diabetes is first to prevent acidic to prevent diabetes complications to improve your acidic.
Characteristics of hospital treatment therapy through direct input to the human body with a large number of chitin, and human bile acid, lipid anions, acidic organic compounds such as repair damaged islet cells, and to improve the sensitivity of insulin receptors, making the blood acidic environmental conditioning to normal 7.35-7.45, restore function and enzyme activity of insulin in the blood, improve islet function, blood sugar is in a steady state, and effectively prevent the emergence of complications of diabetes.
