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Lin Xiang Dong
Endocrinology
About me
Medical doctor.
Proficient in diseases
Deep research into diabetes, hyperthyroidism, and polycystic ovary syndrome. Proficient in thyroid fine needle aspiration and microwave ablation. Familiar with the diagnosis and treatment of common diseases in other internal medicine departments such as cardiovascular, respiratory, neurological, and digestive diseases.
Voices
Can diabetics drink alcohol?
It is not recommended for diabetes patients to drink alcohol, as alcohol consumption can lead to digestive enzyme disorders, causing problems with the blood sugar regulation mechanism in patients, significantly increasing blood sugar fluctuations. This can lead to severe hypoglycemia or severe hyperglycemia, severely affecting the patient's condition. Therefore, it is advised that diabetes patients should avoid alcohol, and it is best to quit drinking altogether.
Gestational diabetes range
Gestational diabetes refers to abnormal blood sugar levels occurring during pregnancy. This term is used if the diagnosis is made during pregnancy, and does not include patients who were already diabetic before pregnancy, who are referred to as having diabetes concurrent with pregnancy. The criteria for diagnosing gestational diabetes are based on the results of the OGTT (Oral Glucose Tolerance Test) conducted between 24-28 weeks of pregnancy. According to the OGTT results, a fasting blood sugar level ≥ 5.1 mmol/L, a one-hour blood sugar level ≥ 10.0 mmol/L, or a two-hour blood sugar level ≥8.5 mmol/L, meeting any one of these criteria confirms a diagnosis of gestational diabetes.
What should diabetics pay attention to in their diet?
There is a general principle for the diet of diabetes, which is to pay attention to controlling the total daily caloric intake. The second principle is to have a balanced diet, and to be more specific, there are several points: The first one is to eat at fixed times and fixed amounts. Fixed times means having three meals a day at regular intervals, eating on schedule and paying attention not to have extra meals. Generally, the majority of diabetic patients should not eat less in more meals. Fixed amounts mean that the portion size of each meal should be roughly the same every day, not less today and more tomorrow. The third principle is to try to eat drier foods and avoid liquid foods, as liquid foods are easy to digest and absorb, causing blood sugar to rise quickly after meals. Therefore, these are some of the points that need attention in the diet for diabetes.
How to regulate hypoglycemia?
If a patient suddenly exhibits symptoms such as dizziness, palpitations, cold sweats, pallor, and hunger, we would first consider the possibility of hypoglycemia. At this time, we use a glucose meter to determine the blood sugar level. If hypoglycemia is confirmed, oral glucose water can be administered and fasting imposed, which can relieve the symptoms. If the hypoglycemia is sporadic, it is likely due to prolonged periods without eating and lack of energy. If hypoglycemia occurs frequently, it is necessary to go to the hospital promptly for examination to rule out diseases causing hypoglycemia, such as the most common cause, an insulinoma.
Management of Hypoglycemia
The treatment of hypoglycemia mainly includes two aspects: the first is to alleviate the symptoms of hypoglycemia, and the second is to correct various underlying causes that lead to hypoglycemia. For various cases of hypoglycemia that have already occurred, rapid relief can be achieved by administering sugar water, sugary drinks, or consuming candies, cookies, bread, steamed buns, etc. If it is drug-induced hypoglycemia in diabetic patients, the relevant drugs should be discontinued promptly. If hypoglycemia occurs frequently, or even leads to coma, it is possible to investigate the primary disease, conduct a hypoglycemia test, and determine whether an insulinoma exists.
How to regulate hypoglycemia
If hypoglycemia occurs repeatedly, it is necessary to go to the hospital for an examination to rule out some diseases that may cause hypoglycemia. If no apparent diseases are found after the examination, self-regulation can be considered. The methods for self-regulation include the following: Firstly, pay attention to a reasonable diet, eat regularly, balance meat and vegetables, and develop good eating habits without excessive dieting. Secondly, persist in exercising to strengthen the body, enhance physical fitness, improve immunity, and reduce the occurrence of hypoglycemia. Lastly, develop good living habits, ensure adequate sleep, avoid staying up late, avoid excessive fatigue, and balance work and rest.
Causes of Gestational Diabetes
Gestational diabetes refers to the abnormality of blood sugar levels that occurs during pregnancy, at which time it is called gestational diabetes. The reason for the occurrence of gestational diabetes is due to significant changes in the body's endocrine hormones after pregnancy. The body releases many hormones, such as estrogen and progesterone, which can increase insulin resistance. Thus, a much greater amount of insulin is needed to maintain normal blood sugar levels. If the pancreatic beta cells are not sufficient to compensate for the increased insulin secretion needed to meet the normal metabolic requirements caused by these resistance factors, then elevated blood sugar and abnormal glucose metabolism occur, ultimately leading to gestational diabetes.
How long does prediabetes take to turn into diabetes?
How long it takes for prediabetes to progress into diabetes varies, with no definitive answer, as it differs from person to person. Whether prediabetes will develop into diabetes largely depends on blood sugar control. Clinical experience shows that some individuals never progress to diabetes after adjusting their diet and exercise routines. However, if a patient does not take their condition seriously and fails to change their lifestyle, it might take as little as 2-3 years or as long as 5-10 years to develop into diabetes. Therefore, it is crucial to manage lifestyle promptly upon prediabetes diagnosis, paying attention to blood sugar monitoring and pancreatic function tests.
incidence of diabetic foot
As the number of diabetic patients increases, the incidence of diabetic foot also rises. Currently, the prevalence of diabetic foot in China is 5.7%, which is below the global average. Diabetic foot primarily occurs in patients who have had diabetes for over ten years, often due to poor blood sugar control and inadequate care. Diabetic foot is also one of the three major non-traumatic causes of amputation. Therefore, the most severe consequence of diabetic foot is amputation.
How to check for hypoglycemia
We usually diagnose hypoglycemia based on the following three criteria. The first is the presence of hypoglycemic symptoms, such as palpitations, tremors, sweating, dizziness, etc. If these symptoms are present, we must immediately consider the possibility of hypoglycemia, and then proceed to monitor blood glucose levels. If the blood glucose reading is below 2.8 for non-diabetic patients and below 3.9 for diabetic patients, hypoglycemia can be considered. Subsequently, the patient should consume sugary water, and if the symptoms significantly alleviate after this, a diagnosis of hypoglycemia can be established. Moreover, if the patient does not have a history of diabetes, does not use hypoglycemic drugs, but experiences recurring episodes of hypoglycemia, further testing is required, such as a fasting test, checking C-peptide levels, insulin levels, etc., to rule out insulinoma.