First, the type of diabetes 1 Diabetes is caused by the destruction of islet cells and absolute lack of insulin. At first, the cause of type 2 diabetes was mainly insulin resistance with progressive insulin secretion deficiency, and gradually changed into progressive insulin secretion deficiency with insulin resistance. Other special types of diabetes are a kind of hyperglycemia with relatively clear etiology at different levels (from environmental factors to genetic factors or the interaction between them). Gestational diabetes refers to the abnormal glucose metabolism in different degrees during pregnancy, excluding patients who have been diagnosed or have diabetes before pregnancy, which is called gestational diabetes. Simply put, some people's islet cells are damaged, unable to secrete insulin or insulin secretion is insufficient; Some people's islet cells can secrete insulin, but their bodies are no longer sensitive or insulin resistant.
Second, whether islet function can be restored depends mainly on the degree of reversibility of islet B cell function. Impaired islet function has a great impact on human body. Generally speaking, unless pancreatic disease is pancreatic inflammation, islet function can be recovered after the disease is recovered, and other diseases, especially diabetes, are difficult to recover, but there will be exceptions. The formation of diabetes is also influenced by many factors, and its etiology has not yet been fully clarified, but the medical community generally believes that the relative or absolute lack of insulin secretion is the basic pathogenesis of diabetes.
At present, the insulin treatment scheme used is generally to supplement insulin directly, but it can only play an auxiliary role and cannot restore the function of islet. Although insulin supplementation is a safe and effective solution for diabetic patients at present, long-term use may further worsen the pancreatic function of patients, and the dosage of insulin will have to be increased, eventually leading to complete loss of pancreatic function, which is completely maintained by exogenous insulin.
In a word, insulin is not the best choice for diabetic patients. Whether islet function can be restored depends mainly on the reversible degree of islet B cell function. Secondly, dietotherapy is the basis of all kinds of diabetes treatment. Some patients with mild diabetes can control their condition simply through diet therapy, and it is also important to cooperate with exercise at ordinary times.
Three, there are two situations that can restore the islet function to 1. The islet cells themselves are not damaged, but insulin resistance occurs.
Islets can secrete insulin normally, but the target cells are not sensitive to insulin, so they cannot dispose of excess glucose. Islets mistakenly think that insulin secretion is not enough, so they secrete more insulin to lower blood sugar. Over time, high-load work will inevitably damage islet function.
In this case, in the early stage of hyperglycemia, timely treatment with insulin sensitizers such as pioglitazone and rosiglitazone can delay the time of islet function damage or reduce the degree of damage. Insulin resistance may be reversed at an early stage. In addition, obesity has always been considered as an important factor leading to insulin resistance.
2. In the hyperglycemia environment, islet function may be temporarily shut down for self-protection.
At this time, if insulin is used externally to control blood sugar, the continuous stimulation of high blood sugar on islet cells will be eliminated, which is equivalent to breaking the vicious circle of continuous impairment of islet cell function and restoring islet cell function to a great extent. This situation is mostly caused by overeating, with high and low blood sugar and obstacles in blood sugar regulation.
This situation needs to be evaluated by a professional doctor. In either case, early detection and early treatment are very helpful. I advise you, both young people and middle-aged and elderly people, to pay more attention to the monitoring of blood sugar. By the time blood sugar continues to rise and sugar appears in urine, it will be too late to cause diabetes.
Fourth, several situations in which diabetes may be cured. If you have diabetes, is it really incurable? Not necessarily. There are many kinds of diabetes, and the causes are different. In some cases, it is a lifelong disease, and in some cases, it is still possible to be cured:
1, secondary diabetes. Because other diseases lead to temporary hyperglycemia and positive urine glucose, this secondary diabetes can be alleviated or disappeared by radical treatment of the primary disease that causes diabetes symptoms. This situation can be regarded as? Cure? . For example, when suffering from cerebral hemorrhage, brain tumor, skull fracture's disease, asphyxia and anesthesia, blood sugar may rise.
2. Patients with gestational diabetes mellitus. Most people can return to normal after delivery. Of course, this should emphasize time. Diabetes only occurs during pregnancy, but the chances of such women developing type 2 diabetes will increase in the future.
3. In type 2 diabetes, one is that blood sugar rises when islet cells are undamaged and can secrete insulin normally. This situation may be cured, but it is only possible. It was actually found that islet cells were damaged when blood sugar was high. So early detection and early treatment are actually helpful.