This problem is similar to that of people of the same age. Some people look older than their actual age, and some people look younger than their actual age if they are properly maintained, but their actual age will not change anyway. If it has been clearly diagnosed as type 2 diabetes, controlling blood sugar is the most basic intervention treatment, which can minimize the harm of hyperglycemia, but it cannot change the pathological basis of diabetes. How to understand it?
First of all, from the mechanism of diabetes, the reason why hyperglycemia occurs is that blood sugar is not fully utilized, which mainly includes two aspects: one is that blood sugar cannot enter cells, and the other is that blood sugar cannot be converted into fat. As we all know, blood sugar is an energy substance for cells to carry out physiological activities, but it can only be transported through insulin secreted by islet cells in order to be used. The reason of type 2 diabetes is that islet cells are damaged and some apoptosis leads to insufficient insulin secretion, and blood sugar can not be transported into cells in sufficient quantity and is "stuck" in the blood, which leads to hyperglycemia.
Under normal circumstances, when there is excess blood sugar in the blood, insulin will also play the role of converting blood sugar into fat and storing it. However, people with type 2 diabetes have insufficient insulin secretion, and they are unable to complete the "task" of transporting blood sugar into cells, and they have no time to take care of the "task" of converting blood sugar into fat, which has become another cause of hyperglycemia.
It can be seen that the root cause of type 2 diabetes is the damage and apoptosis of islet cells. Once islet cells die, they are non-renewable. Although hyperglycemia can be effectively controlled by controlling diet to reduce blood sugar sources, doing more exercise to increase blood sugar, and mobilizing the remaining islet cells to exert their maximum secretion function, it cannot fundamentally increase the number of islet cells. Therefore, even if blood sugar is well controlled, type 2 diabetes still exists.
Secondly, from the consequences of diabetes, the biggest harm of hyperglycemia lies in the damage to vascular endothelium, which makes the fat in blood enter and deposit in vascular endothelium from the damaged place, and then causes a series of inflammatory reactions to denature and form atherosclerotic lipids, causing atherosclerosis, leading to insufficient blood supply and oxygen supply to surrounding tissues and organs, affecting their normal function and even pathological necrosis.
However, if blood sugar is well controlled and vascular endothelial damage is prevented, the occurrence of atherosclerosis can be effectively prevented, the damage, pathological changes and necrosis of subsequent organs can be avoided, and the ultimate harm of diabetes can be effectively controlled, just as it is impossible to prevent the growth of age, but it can be younger through effective maintenance.
To sum up, it is not terrible to have type 2 diabetes. The key is whether you can control your blood sugar and minimize its possible damage to blood vessels. To do this depends on your knowledge and attitude towards diabetes. Facts have proved that as long as we face it correctly, although diabetes can't return to normal, we can enjoy life and enjoy the life expectancy as normal people. What is there to regret?
I hope this answer can help you. Welcome to click on the attention and leave a message to learn and exchange more health knowledge together.
Hello, Sannuo talks about sugar. I'm glad to answer it for you!
I regret to tell you that no matter whether it is 1 type diabetes or type 2 diabetes, even if the blood sugar is well controlled, diabetes cannot be cured with the current medical technology.
As for your "normal", if you just mean that you can live like a normal person, it can be achieved. In the early stage of diabetes, if you realize the so-called "reversal" of diabetes, you can control your blood sugar and achieve streaking only by controlling your diet and insisting on exercise, which is not much different from ordinary people. There are many examples of diabetic friends successfully controlling sugar around them. After they were diagnosed with diabetes in the early stage, they took intensive insulin therapy and oral hypoglycemic drugs, and then they went through slow drug reduction and withdrawal, followed by strict diet control, persistent exercise all the year round and regular review. They achieved the goal of controlling blood sugar for more than ten years or even longer without taking medicine, and their mental state was also very good without complications.
But! ! This requires great perseverance. You know, diabetes lifestyle intervention, although it sounds simple, "keep your mouth shut and open your legs", is by no means so simple to do, especially it needs years of persistence:
We should resist the temptation of delicious food, quit smoking and drinking, stay away from unhealthy lifestyles, keep exercising regardless of wind and rain, keep blood sugar monitoring and keep records all the year round, and control blood lipids, blood pressure, weight and other indicators ... Every goal needs strong perseverance as the backing, and we must have a positive and optimistic attitude, so as to finally control blood sugar.
The following is a diary made by a sugar friend who streaked 10 for reference only:
I wish you can get what you want!
Type 2 diabetes mellitus is characterized by elevated blood sugar, which can induce acute life-threatening complications such as ketoacidosis, hyperosmotic coma, lactic acidosis, etc. The chronic damage is mainly cardiovascular and cerebrovascular atherosclerosis, renal function damage, nonalcoholic fatty liver and so on. So, can patients with type 2 diabetes control their blood sugar well and return to normal? Next, medical science will analyze it for you. The normal range of fasting blood glucose is 3.9-6. 1mmol/L, and the normal range of blood glucose 2 hours after meals is 4.4-7.8 mmol/L. When the fasting blood glucose is higher than 6. 1mmol/L, and the blood glucose is higher than 7.8mmol/L 2 hours after meals, the target organs such as blood vessels, kidneys, nerves and retina will be damaged to varying degrees. The damage of diabetes to target organs is chronic, and there will be no obvious symptoms in a short period of time. With the extension of the course of disease, blood sugar will gradually increase and the damage will gradually increase. Without intervention, after several years and decades, serious complications such as myocardial infarction, stroke, renal failure, blindness and amputation will be greatly increased. In the process of diabetes, reasonable intervention measures as soon as possible can not only reduce the damage to target organs, but also make some patients' blood sugar return to normal and get rid of drug treatment.
Blood sugar intervention begins at different periods, and the prognosis of patients is different. When fasting blood glucose reaches 7.0mmol/L for many times, and blood glucose reaches11.1mmol/L for many times 2 hours after meals, it should be diagnosed as diabetes. If intervention measures are taken when the fasting blood glucose is lower than 7.0mmol/L and the blood glucose is lower than11.1mmol/L 2 hours after meals, the blood glucose may return to normal. At this time, lifestyle intervention is the main treatment, which mainly includes reducing the intake of foods rich in carbohydrates and fats, and foods rich in dietary fiber, such as coarse grains and potatoes, can replace staple foods; Exercise for half an hour every day, mainly with moderate-intensity aerobic exercise, such as jogging, cycling and tai chi; Reduce weight by at least 7% through exercise+diet control; Quit smoking, alcohol or alcohol, and after 3-6 months, blood sugar will be improved.
Non-drug intervention in pre-diabetes, different patients, the outcome will be different, some patients' blood sugar can return to normal, some patients' blood sugar can stop rising, which can effectively reduce the risk of diabetes. For patients who have progressed to diabetes, the goal of lowering blood sugar is to control their fasting blood sugar below 7.0mmol/L, their postprandial blood sugar below 10mmol/L, and their glycosylated hemoglobin below 7.0%. Some patients can also control their blood sugar within the target range through lifestyle intervention, and there is no need to start drug treatment for the time being. Because diabetes is a progressive disease, with the extension of the course of disease, the difficulty of treatment will gradually increase. Therefore, even if the blood sugar control reaches the standard, it should be monitored regularly. If the blood sugar gradually rises above the target range, drug treatment should be started as soon as possible in order to reduce the damage of target organs.
To sum up, some patients with pre-diabetes can return to normal blood sugar through lifestyle intervention. Diabetic patients, if their blood sugar can be controlled by non-drug treatment, do not need drug treatment for the time being; If the blood sugar rises progressively, drug therapy should be started. At this time, only through reasonable medication can the blood sugar be controlled in the target range, which usually requires lifelong medication.
Thank you for reading!
If there is anything wrong, please correct it! Welcome to the comment area for consultation and exchange!
Note: The content of the article is only used as health science, not as medical advice or opinions, and it does not have medical guidance conditions.
Patients with type 2 diabetes control their blood sugar very well. Is there any chance to return to normal? It is the dream of every diabetic to be completely cured and all kinds of metabolism return to normal. However, diabetes is difficult to cure without self-healing, and the so-called reversal is only the control of the development speed of the disease course (slowing down the development speed is also a substantial reversal). The control here refers not only to the blood sugar level, but also to important indicators such as blood pressure, blood lipid, creatinine, uric acid and homocysteine. If all indicators are well controlled comprehensively, the development of the disease course will be slow, and complications may be avoided or delayed. The level of blood sugar control depends on the control level in the stage, not the level of a node; To combine the fasting blood glucose with the blood glucose two hours after meals, some special patients should also consider the fasting, pre-meal, second meal, bedtime and nighttime blood glucose levels comprehensively.
For diabetic patients, controlling blood sugar is only one of the control indicators, not the whole. Many patients focus on blood sugar and ignore other important indicators mentioned above. Even if blood sugar is always stable, it may encounter complications.
The apparent feature of type 2 diabetes mellitus is hyperglycemia, but the real problem is that insulin resistance and insulin secretion deficiency lead to various metabolic disorders including sugar, fat, protein and so on, and then induce chronic damage, dysfunction and even failure of various organs. Although blood sugar can be controlled, it is difficult to reverse the damaged organ function, and the symptoms are not cured. Therefore, it is difficult to return to normal and achieve the goal of complete cure, at least the current medical level is difficult to achieve.
Blood sugar, blood pressure, blood lipid, creatinine, uric acid, homocysteine and other important indicators are all control indicators that diabetics need to pay attention to. Most diabetics will have abnormalities in these indicators during the course of the disease. If the control is not good, the complications will not be spared! If all indexes are well controlled, complications can be avoided or delayed to a great extent. In addition to the attention and control of various comprehensive indicators, diet, exercise, rest and sleep, and living habits (such as quitting smoking and drinking, etc.) should be implemented in a coordinated manner. Although it can't be completely cured, it can stably control the development speed of the disease course. If it can't be stopped, we should try to slow it down. Good control, longevity is not difficult, come on!
Type 2 diabetes is the most common type of diabetes at present. Different from the absolute lack of insulin secretion in 1 type diabetes, the occurrence of type 2 diabetes is caused by partial lack of insulin and/or resistance of peripheral substances to insulin.
Under normal circumstances, once diabetes is diagnosed, there is no radical cure, but for patients with type 2 diabetes who are mainly insulin resistance, such as obese people, some patients can stably control their blood sugar to reach the standard through active lifestyle intervention in the early stage, and very few patients can even return to normal without taking hypoglycemic drugs for a long time.
For patients with type 2 diabetes, we should pay attention to active medical treatment in daily life, carry out standardized treatment under the guidance of doctors, reasonably match the diet, strictly limit the total daily calories, and regularly quantify three meals; It is necessary to exercise properly, mainly aerobic exercise, and emphasize step by step; We must also control our weight, and obese people should pay attention to losing weight; At the same time, diabetic patients should try not to drink alcohol, and those who are difficult to stop drinking must strictly limit the amount and frequency.
In daily life, people should also pay attention to rational drug use under the guidance of doctors, and pay attention to monitoring the changes of blood sugar levels and regular review. If necessary, insulin replacement therapy can be used to stabilize the disease, reduce complications and improve the quality of life. Type 2 diabetes is not terrible. Under regular treatment, blood sugar can often be well controlled to reach the standard. Everyone should correctly understand it.
Let me say my opinion first, yes, it can. Diabetes is divided into four types: type I, type II, gestational diabetes and other special types of diabetes.
What is the harm of diabetes?
Mainly because long-term hyperglycemia damages the vascular system, leading to the acceleration of systemic vascular aging.
The normal aging process of human body is mainly a process of gradually decreasing organ function based on vascular aging, and diabetes accelerates and promotes this process, which causes a series of pathological changes. Vascular system damage includes macroangiopathy and microangiopathy.
Here we mainly talk about the health management measures of type II diabetes, and the most important thing is to control the risk factors of diabetes.
So what are the main risk factors for type II diabetes?
What are the main interventions for diabetes? What is the key content of the main non-drug treatment of diabetes? (1) indicator self-monitoring
(2) Reasonable diet
(3) increase physical activity and exercise
The key factor of rational diet for diabetic patients: Type 2 diabetes is different from 1 type diabetes, which is the increase of blood sugar caused by partial lack of insulin or resistance of peripheral tissues to insulin, especially for newly diagnosed type 2 diabetes, obese people, and some patients even make blood sugar reach the standard through simple lifestyle intervention.
Type 2 diabetes belongs to the category of metabolic diseases. Once diagnosed, there is no radical cure. However, if everyone insists on standardized treatment, pays attention to maintaining good living habits, and uses drugs rationally under the guidance of doctors, we can control blood sugar well and reduce complications.
Of course, some people will say that someone did not take medicine after the diagnosis of diabetes, and his blood sugar returned to normal. Is it a radical cure? Of course, it can't. Although everyone did not take medicine, it improved their lifestyle, which is also a kind of treatment. If you don't pay attention to your living habits, your blood sugar will rise again soon, so everyone should correctly understand it and avoid being biased, so as not to delay the illness and cause irreparable consequences.
If you have any questions, please leave a message at the end of the article. Pay attention to the author and update health knowledge continuously every day.
Type 2 diabetes, the blood sugar is well controlled, can it return to normal?
In the face of such a problem, we have to say that the key lies in how we treat this "normality". If you mean a complete cure, generally speaking, for patients who have been diagnosed with diabetes, the probability of this is very small, but we control blood sugar very well, and our health in all aspects is not affected by hyperglycemia as much as possible, and there are no complications of diabetes. Isn't this a kind of "normality"?
There is also such a situation, the newly diagnosed diabetes, the blood sugar is slightly higher than the diagnosis value of diabetes, and the physical condition is also better. Through reasonable and strictly controlled diet and exercise intervention, the blood sugar level has dropped. By maintaining such a diet and exercise conditioning, the blood sugar level can continue to maintain a normal level for a period of time, which may be several months or several years, and the most common record is more than ten years.
Why can we do this? We have to talk about the memory effect of our blood sugar metabolism, and diabetes shows that the body has problems with the metabolism and utilization of sugar. However, through the intervention of healthy lifestyle, we can control the slight increase of blood sugar, so that insulin resistance can be controlled and the blood sugar level will return to normal. Such early blood sugar intervention will save "memory" for the use of sugar by cells in the body. This memory effect may make our body maintain normal blood sugar metabolism.
Therefore, we emphasize that once there is a trend of rising blood sugar, you don't even have to wait until you are diagnosed with diabetes. In pre-diabetes, you should strengthen life control as soon as possible and control blood sugar as well as possible. If you can't control blood sugar effectively through life control, you should also control blood sugar through rational medication. The sooner you control blood sugar, the greater your health benefits, the slower the progress of diabetes in the later stage and the lower the risk of related complications.
This is some advice for your friends in pre-diabetes and early diabetes. For some friends who have had diabetes problems for many years and their blood sugar has not been well controlled before, it is often more difficult to completely return to "normal", but how difficult it is is is not an excuse. Now, the research on diabetes control and the types of drugs can achieve good blood sugar control effect for the vast majority of patients with type 2 diabetes. In this case, more consideration should be given to how to control the blood sugar level as much as possible and reduce the high blood sugar.
For some friends with a long course of diabetes, in the long-term diabetes control process, don't control blood sugar by feeling, take some medicine if you feel it, and leave it alone if you don't feel it. This way, you can't really control your blood sugar level, monitor your blood sugar for a long time, really adjust your life, and control your blood sugar to a healthy range with reasonable drug application. Most friends with type 2 diabetes are really good at blood sugar control. If the glycosylated hemoglobin level can be controlled below 7.0% under the premise of physical tolerance and without increasing the risk of hypoglycemia, it can be considered as the standard level. The fasting blood glucose level corresponding to this level should be below 7mmol/L, and the blood glucose level 2 hours after meals should be below10 mmol/L. No matter whether it is early or late, if we can recognize the health hazards of diabetes and strictly control the blood glucose within the above-mentioned standard range, it will be
In fact, for type 2 diabetes with a long course of disease, it is not easy for many friends to achieve long-term and stable blood sugar control with glycosylated hemoglobin below 7.0%. It is often not difficult to insist on medication, but it is often more difficult to strengthen life control, diet conditioning and exercise, which often requires strict self-discipline. At the same time, it is also recommended that friends with type 2 diabetes continue to learn relevant knowledge about diabetes regulation during the control of diabetes. Controlling blood sugar is not only a doctor's business, but also an important matter closely related to oneself. Pay attention to self-study, pay attention to blood sugar monitoring, do a good job in life control, reasonably adhere to medication, and control the blood sugar level. Diabetic people can also live a "normal" life, live a healthy and long life.
Type 2 diabetes, if we can adjust the diet structure in time, strengthen physical exercise and cooperate with appropriate drug treatment in the early stage, we can completely control the blood sugar to a better level. However, when you say return to normal, you mean cure, which is very unlikely. At least at present, there is no real cure for diabetes.
What I want to say here is that there are indeed many people who control their blood sugar to normal through their own efforts when their blood sugar is found to be elevated in the early stage and they have been diagnosed as diabetes. And in the end, you don't have to take medicine for a long time, and your blood sugar can be kept in a good state.
However, this number is a very small part of diabetics. It should be related to problems such as obesity and insulin resistance. There is no problem with endocrine function in other aspects. In this case, it is possible to reach the degree of clinical cure in the case of early detection of diabetes.
In addition, there is another situation, called honeymoon period, that is, during the treatment of diabetes, blood sugar may remain normal for a long time, even without taking medicine. However, if we continue to control without medication, it will eventually rise, and this situation cannot be called cure.
Therefore, even if your blood sugar can reach normal and you can keep it for a long time without taking medicine, you should not take it lightly. You must monitor your blood sugar at any time.
This problem itself is a doubt that diabetes can be cured, and I don't believe that diabetes can be cured.
Of course, if you control sugar in a five-carriage style, you can't do without medicine. Even if you control your blood sugar well, once you leave medicine or eat food that you don't want to eat, the balance will be broken immediately. The blood sugar value that enters the normal range will change and leave the normal range. Therefore, such a situation cannot be said to have cured diabetes.
I don't take medicine or avoid eating. "You have to tie the bell to solve the problem." How did you get diabetes and how high your blood sugar was? Just do the opposite, and let his blood sugar drop steadily and return to normal. The blood sugar level is normal, which can only be realized when the islet function returns to normal. Such healing depends entirely on the self-healing function of human organs. If human organs can't return to normal, the normal blood sugar range is empty talk.
Some people still doubt whether it is possible to get blood sugar back to normal. I can definitely answer you, my fasting blood glucose 16.4 1, postprandial blood glucose 18.2, glycosylated hemoglobin 12.2 in 20/4 years, which is the conclusion of the hospital physical examination report. At present, the self-rated fasting blood glucose is within the range of 4.7 5.4, and the average monthly blood glucose of the second meal is 8.7. Recently, the highest blood sugar on the second meal is 9.9. There is no record of blood sugar control, such as no diet, no insulin and no medicine. With such a blood sugar range, some people will say again, is this the honeymoon period?
During this trip to Tibet, the fasting blood glucose of altitude sickness reached 7.8, but when I returned to Shijiazhuang, it returned to 4.8 on an empty stomach. Moreover, the blood sugar of the second meal never exceeded 9.9.