Message

Many sugar friends think that,"I have diabetes, not vascular disease". To say this is a sign that I have no in-depth understanding of diabetes and vascular disease.

The most common complications of diabetes patients are vascular diseases, such as macrovascular complications, microvascular complications, neuropathy, diabetes foot, etc; have70%~80% of diabetes patients died of vascular diseases;

The occurrence of vascular diseases is related to many risk factors. Hyperglycemia and related metabolic disorders in diabetes patients are extremely harmful to the vascular system.

In 1999, the American Heart Association put forward the view that "diabetes is a cardiovascular disease". Later, diabetes was also listed as a critical disease of coronary heart disease, which means that the risk of diabetes to the human body is equal to that of coronary heart disease.

In particular, patients with diabetes are not only prone to vascular diseases, but also suffer from vascular diseases with particularity. There are often no obvious symptoms in the early stage, which leads to many diabetes patients missing the treatment opportunity.

So, what vascular diseases are likely to occur in patients with diabetes?

1. Cardiovascular disease

The most common cardiovascular diseases are coronary heart disease and acute myocardial infarction. The symptoms of angina pectoris, such as paroxysmal chest tightness, chest pain, palpitation, dyspnea, and so on, can occur during work. After rest or taking medicine such as Jiuxin Pill, it will be relieved.

Many diabetes patients with coronary heart disease and acute myocardial infarction often show"Painless", that is, there is no obvious pain symptoms. This is because diabetes causes vascular neuropathy, leading to the loss of pain perception.

Because patients often cannot perceive the heart attack, which leads to the loss of timely treatment opportunities and further deterioration of the condition, diabetes patients have a greater risk of angina pectoris or acute myocardial infarction than non diabetes patients.

2. Cerebrovascular disease

The cerebrovascular diseases caused by diabetes are mostly ischemic, mainly manifested as cerebral infarction.

The patients with mild condition are mainly lacunar cerebral infarction, which may have no obvious symptoms or only slight dizziness, unclear speech and limb weakness;

The area of cerebral infarction in patients with severe illness is large. Clinically, there will be obvious limb numbness and movement disorder, hemiplegia, sudden language disorder, balance disorder, mental symptoms, and even coma.

Another characteristic of cerebrovascular disease caused by diabetes is that it is easy to recur, and each recurrence will further damage the brain function, which will further worsen the condition and even lead to death.

3. Lower extremity vascular disease

The lower limb vascular disease caused by diabetes is mainly atherosclerosis of the lower limb. The formation of lower limb vascular plaque leads to insufficient blood supply of the lower limb. In the early stage, numbness of the lower limb, cold feet, intermittent claudication, rest pain or nocturnal pain may occur. In the later stage, when it is serious, the pulse of the dorsal artery of the foot will weaken or disappear, and the foot will become black due to ischemia.

If combined neuropathy occurs, it will also lead to the reduction of the resistance of the lower limbs and the reduction of the anti-infection ability. Some minor injuries, such as the grinding of the feet of the shoes that do not fit, and the careless cutting of the skin when trimming the toenails, can induce infection, leading to foot ulcers, gangrene and even amputation, and ultimately death.

Once diabetes vascular disease occurs, it should be treated in time. In addition to actively controlling blood sugar, it should also be treated according to the location of vascular disease.

In the event of ischemic cerebrovascular disease or ischemic heart disease, vasodilators should be given to increase the blood supply of the heart and brain. Drugs that nourish nerves and cardiac cells should be used to promote cell metabolism, increase the tolerance to ischemia and hypoxia, increase cell survival, and use drugs that prevent platelet aggregation and thrombosis to improve microcirculation and prevent disease recurrence.

When atherosclerotic plaque forms in lower limbs or diabetes foot occurs, in addition to vasodilators and neurotrophic drugs, powerful antibiotics and surgical debridement should also be given according to the specific situation of diabetes foot.