Briefly talk about endocrine | Sugar friends are dizziness and tremor, in addition to checking the brain nerves, you need to consider this disease!

Author:Guangdong Provincial Hospital Time:2022.07.26

Wu Bo is a diabetic patient who injected four insulin to control blood sugar every day. In recent months, he has repeated dizziness and tremor, heavy heads and feet, and his eyes are rolling. His upper limbs are unknowingly shake, difficult to stand, and sometimes panic, and he needs to sit down or lie down and rest, but the symptoms are not obvious. Wu Bo thought it was cervical spondylosis or cerebrovascular disease, and he seemed to seek medical treatment, but he still had no understanding of the cause. He continued to increase his condition, and even almost fell several times, which was distressed.

Later, Wu Bo came to the Department of Endocrinology Department of Fangcun Hospital in Guangdong Province because of poor blood sugar control. When Director Liu Zhenjie's inspection room, he asked about Wu Bo's onset in detail and found that there are several characteristics of Wu Bo's condition: first, the recent appetite and reduction of eating; the other is that every time I dizzy occurs before eating, accompanied by hand shake, with hands shake, with hands shake, with hands shake, with hands shake, with hands shake, with hands shake, with hands shaking, with hands shaking, shaking, shaking, shaking, shaking, shaking, shaking, shaking, shaking, shaking, shaking Heart panic, occasionally cold sweat. In addition, Wu Bo averaged insulin daily, with a dosage of up to 40 units. Therefore, Director Liu Zhenjie suggested that he do dynamic blood glucose monitoring and found that the lowest blood sugar was 3.5mmol/L.

At this point, Director Liu found the "culprit" of Wu Bo's dizzy -hypoglycemia.

What is hypoglycemia and hypoglycemia?

Diabetes patients with blood glucose below 3.9mmol/L can diagnose hypoglycemia. Hypoglycemia refers to a series of related symptoms and signs caused by the low concentration of serum glucose, which is generally based on sympathetic nerve excitement and neurological symptoms. The patients are mainly symptoms of the nervous system, such as dizziness, nonsense, and even loss of consciousness. Severe hypoglycemia can also induce myocardial infarction and stroke of acute cardiovascular and cerebrovascular accidents, leading to death. Therefore, there is such a saying that a severe hypoglycemia may offset the benefits of maintaining blood sugar in life.

Why do diabetic patients have hypoglycemia?

1. Dietary sports factors

Such as unreasonable diet, decreased diet, drinking, sudden high -intensity exercise and other factors can cause hypoglycemia. This requires sugar friends to eat and exercise regularly, and daily meals or exercise regularly, which is conducive to promoting blood sugar stability. If the appetite becomes poor, you should seek medical treatment for the cause in time to avoid severe hypoglycemia.

2. Drug factors

The irrational application of hypoglycemic drugs is also an important cause of hypoglycemia. Such as sulfur, insulin, or combined medication, there is a certain risk of hypoglycemia. This requires sugar friends to use medication under the guidance of a specialist, and timely detect the blood glucose adjustment of hypoglyception.

3. Diseases factors

Sugar friends combined with liver and kidney insufficiency, the metabolism and removal of drugs and slowing down, which extended the role of drugs in the human body; merging cardiovascular and cerebrovascular diseases, and the regulatory function of hypoglycemia weakened; merged autonomic neuropathy, secreted hypoglycemia antagonist regulating hormones Decreased capabilities, these situations also easily lead to hypoglycemia in sugar friends.

4. Age factor

Elderly sugar friends are more likely to have hypoglycemia, which is gradually aging with the growing age of the elderly. After the medication, the drug absorption, metabolism, distribution, and excretion functions are reduced, and the self -regulating blood sugar ability is related to the decline in blood sugar. Therefore, for elderly patients should try to use hypoglycemic drugs with low risk of hypoglycemia and closely monitor blood sugar changes. If you have physical discomfort, you should seek medical treatment as soon as possible.

Poor appetite, hypoglycemia Chinese medicine to condition

In clinical work, the endocrine department of Fangcun Hospital cured many hypoglycemia friends, and found some rules. If the appetite is not good, it will reduce eating, and the patient's hypoglycemic plan has not been adjusted accordingly, causing hypoglycemia. For sugar friends, the appetite has always been good. Suddenly it is definitely a reason for it. When the appetite is not good, it is difficult for blood sugar to control stability. Therefore, when treating diabetes, we must pay attention to the patient's diet. For the poor appetite of sugar friends, the common causes are poor stomach because of the feelings of external evils; some have poor appetite due to weak spleen and stomach; there are also poor food because of emotional changes and liver depression and spleen. At this time, traditional Chinese medicine can be used for syndrome differentiation. The corresponding use of Xiao Chaihu Decoction and Chen Xia Liu Gongzi Decoction can often be achieved.

Wu Bo in the above case belongs to the weak spleen and stomach, which causes poor stomach and reduced diet. In addition, the amount of insulin is too large, resulting in hypoglycemia. After being admitted to the hospital, the spleen and stomach of the Chinese medicine, regulating the middle coke, and the treatment of Chen Xia Liu Gentleon Decoction, Wu Bo's appetite quickly improved. Subsequently, Wu Bai adjusted the hypoglycemic plan and adjusted the insulin scheme in the previous four injections to the insulin scheme before bedtime. Wu Bo's blood sugar was controlled smoothly, and dizziness and tremor disappeared.

The Department of Endocrinology, Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, is committed to the combination of traditional Chinese and Western medicine. It uses traditional Chinese medicine syndrome differentiation and traditional Chinese medicine coating, smoked washing, acupuncture, acupoint injection and other special therapies to achieve good results in the following diseases.

神 Diabetes peripheral neuropathy, improving patients with abnormalities such as paralysis, pain, and burning of patients.

制 For patients with poor blood glucose control and early diabetes, in conjunction with traditional Chinese medicine treatment, to protect islet function, and strengthen blood glucose.

Diabetic gastrointestinal disease, traditional Chinese medicine treatment improves patients with long -term constipation and abdominal distension.

For repeated attacks and delayed gouty arthritis, traditional Chinese medicine internal or plum needle treatment is used to reduce symptoms and reduce the frequency of seizures

， Diabetes foot, conservative treatment of traditional Chinese and western medicine, reducing amputation risks.

病 Diabetic osteopathy, senile osteoporosis, clinically seeing back and backproof pain and weakness.

Other diagnosis and treatment diseases: thyroid diseases (including hyperthyroidism, thyroiditis, hyperthyroidism, hyperthyroidism, thyroid dysfunction), obesity diseases, pituitary diseases, adrenal diseases, special edema, and hyperculfinemia.Chief Physician Liu Zhenjie

He is good at treating diabetes, diabetic peripheral neuropathy, diabetic gastrointestinal diseases and other diabetes complications, as well as endocrine disease such as metabolic syndrome, gout, polycystic ovary, and thyroiditis.

Tao Yiming residents

Master of Medicine, good at diagnosis and treatment of endocrine -related diseases such as diabetes, thyroid diseases, hyperlipidemia, gout, etc., and has certain clinical experience in the combination of Chinese and Western medicine in the complications of diabetes.

Supply: Fangcun Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine Hospital