A professional doctor will answer for you
The reason why people with diabetes have high blood sugar is because their own pancreatic cells do not secrete enough insulin, blood sugar is not fully utilized and a large amount of excess caused by. What many people don't realize is that insulin also has a major physiological function of converting the remaining blood glucose into fat for storage, and it is first stored in the abdominal organs such as the stomach and intestines, and then to the subcutaneous storage of the limbs.
When people with diabetes do not have effective control of blood glucose, the body is not enough insulin has no "energy" to convert blood glucose into fat, the body will be more and more thin and is the whole of the thin; when the blood glucose can get a certain degree of control, insulin can take out part of the "energy" to convert blood glucose, "to convert blood glucose," the body will be more and more thin; when the blood glucose can get a certain degree of control, the body will be more and more thin. When blood sugar can be controlled to a certain extent, insulin can take out some of its "energy" to convert blood sugar into fat, which is mostly stored in the abdomen and less in the limbs, thus manifesting itself as a body shape with a big stomach and thin arms and legs. This situation is more common in people who inject insulin to control blood sugar.
The reason for this is that the body protein intake is insufficient, because people with diabetes need to control the diet, many people eat and drink a variety of measures, meat, milk and eggs and other high-protein food intake is often not enough, such as daily can not be guaranteed that there is a half a catty of milk, an egg, two lean meat, two soybean products, etc., which leads to protein intake is insufficient, and the amount of protein and limb muscles are strong with atrophy closely related. If coupled with their own blood sugar is not effectively utilized, the body has to move to protein breakdown to supply energy, and accelerated the loss of limb protein, there is a leg more and more thin results.
In summary, people with diabetes have a big stomach, limbs thin body type, or need to do some adjustments in the treatment. For example, people who inject insulin should calculate the amount of injection more accurately to avoid a large dose; people who use insulin agonist type of hypoglycemic drugs, should be appropriate to reduce the amount; diet lack of high-protein food, should be appropriate to eat more meat, milk and eggs; exercise should be added to muscle resistance exercises to strengthen the muscles, etc.
We hope to increase the number of people with diabetes who have a large stomach and thin limbs, but we also need to do some adjustments in the treatment.
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After diabetes legs more and more thin, is not the body is not good? Not necessarily, it needs to be related to the following conditions.
1. The legs are getting thinner and thinner, indicating that the gradual development of abdominal obesity most of the adipose tissue will be accumulated in the abdomen, which is a particularly typical clinical symptom in the late stage of diabetes, that is, abdominal obesity, which is mostly given to the usual reduction in the amount of exercise. These are associated with long-term poor glycemic control, abnormal lipid metabolism, adipocyte secretion disorders, vascular endothelial cell dysfunction, will induce this abdominal obesity, centripetal obesity fat accumulation in the abdomen, showing that the calves are thin.
2. Blood sugar control is not ideal, in this case there will be a large amount of adipose tissue consumption, in the long-term high blood sugar induced insulin cell deficiency. Adipose tissue will be consumed in large quantities, followed by fatigue, emaciation, malnutrition of the limbs, the most serious will appear in the lower limbs of the calves thin, adipose tissue lack, this is generally due to the unsatisfactory glycemic control of hyperglycemic metabolic syndrome after the metabolic breakdown of fat metabolism disorders have a relationship.
3. In addition to leg thinning, you also need to observe whether there is lower limb numbness and cold pain, which can be accompanied by pain allergy or pain, later motor nerve damage to muscle loss and myasthenia gravis, paralysis, severe reflexes disappear, electrophysiological examination of the slowing of nerve conduction velocity, the main will be a single peripheral nerve damage is relatively small, the main accumulation of cerebral nerves.
4. Diabetes mellitus accumulates to the distal lower limbs, nerve abnormalities, there may be different degrees of peripheral vascular disease will cause ischemia and hypoxia of the foot, if coupled with infection, vasospasm and atrophy of the adipose tissue will appear leg deformity, there may also be deformities of the foot, the skin's dryness and coldness of the lower limbs in the severe case of ulceration of the bad, gangrene, these are to the diabetic peripheral neuropathy peripheral circulation ischemia related. The first thing you need to do is to get rid of the blood pressure in the bloodstream.
The legs are getting thinner and thinner, not necessarily that the body is not good, so that we need to start from the above reasons that can cause the legs to become thinner and thinner, start to look for the cause of the disease in a timely manner to treat the original disease, regular review of the indicators of the change, and monitor the blood pressure, lipids, glucose, and drink more water to promote the metabolism of the cells, to improve the ischemic and hypoxic state.
This is a typical diabetic body type, which is normal.
This does not mean that the body is not good, I myself am a diabetic, as long as the blood sugar control, there will be no problem.
In fact, diabetes itself is not scary, but the complications of diabetes due to lack of control of blood glucose, such as diabetic foot, cardiovascular disease, blindness due to retinal detachment.
My personal feeling on the treatment:
First, it is to control the diet;
Second, it is to strengthen the exercise;
Third, it is to take medicine or insulin;
Fourth, it is to monitor the blood glucose frequently;
Fifth, to maintain a good mood and mental state.
As long as the control is good, diabetes live a 80, 90 years old.
The problem of thin arms and legs can also be changed by exercising the muscles of the upper and lower limbs.
The big stomach and thin limbs of diabetics are mostly caused by insulin injection and the use of insulin-promoting drugs. To improve this symptom, it is recommended that we can seek medical advice and consider changing the glucose-lowering drugs.
I. Causes of abdominal obesityDiabetes is a disease that is characterized by an increase in blood glucose, which is the main manifestation of the disease. And the only hormone in our body that can lower blood sugar is insulin. In addition to being able to lower blood sugar, insulin also has a role in promoting fat and protein synthesis.
At the same time, different parts of the body have different receptors for insulin, and the abdomen has relatively more receptors for insulin. When we inject insulin, or use drugs that promote insulin secretion, insulin not only helps us lower blood sugar, but also promotes fat synthesis in the abdomen.
Most of the body's fat is transferred to the abdomen, and the limbs are prone to thinning, which is why abdominal obesity occurs.
Second, the harm of abdominal obesity① aggravate insulin resistance
abdominal obesity will aggravate insulin resistance, so that the effect of insulin is getting weaker and weaker, and for the control of sugar is extremely unfavorable.
② fatty liver
abdominal obesity, it is not just "subcutaneous fat" problem, many are "visceral fat", very easy to lead to the formation of fatty liver.
How to improve
Now that we know the reason, then we have to target the adjustment:
1, seek the help of the doctor
Involved in the replacement of medication, we can not do it on their own, we must first seek the advice of the doctor. Then, the doctor will decide whether to adjust the glucose lowering program.
2, exercise
Increase the strength of abdominal muscles and limb muscles, especially resistance training. Through exercise, not only can you reduce your stomach and exercise your limb muscles, but you can also reduce insulin resistance and prevent and treat fatty liver, which can be said to be a multi-purpose.
There is certainly a danger that this is a classic symptom of diabetes, three more and one less leading to wasting.
We say that diabetes is not scary, the scary thing is its complications, so many diabetics will be treated by oral medication and insulin. And the current common drugs for diabetes treatment are pro-insulin secretagogues, biguanides, alpha glucosidase inhibitors, insulin sensitizers, insulin and so on, their role is either to promote the injured pancreatic islets to secrete more cells to produce and release insulin to lower glucose, which in itself is the whiplash, ultimately leading to the pancreatic islets do not work; or to inhibit the absorption of your carbohydrates or delay the carbohydrate absorption, which means it looks like you're eating food and absorbing nutrients, but in fact those nutrients are lost to the outside of your body for nothing. Without nutrition, how do you build muscle? How do you boost your immune system? How to improve your resistance? So that's one of the reasons why this new coronavirus pneumonia outbreak, there's a lot of people dying with underlying disease.
And the human pancreas is lazy, you take the medicine and it doesn't work, and that's why you can't stop taking the medicine for the rest of your life. That's why you can't stop taking them for the rest of your life. So if you want to change your situation, you have to start with health management and change your life, and I can help you with that.
First of all, I do not have diabetes, but the people around me have, most of them are overeating, do not pay attention to exercise and get, got diabetes, of course, the body is not good, the original quite fat, suddenly thin, the body in all aspects of the decline in function, the arms and legs more and more thin, the stomach is big, like a spider, that is certainly dangerous, they weave a web for themselves to row, diabetes, there is nothing special drugs, only their own control, strict self-discipline, diet, light, more exercise, break the The only way to get rid of this is to control yourself, have a strict self-discipline, eat a light diet, do more exercise, break the net, make yourself into a vegetarian good running goat, diabetes is far away from you.
Part of the diabetic patient limbs more and more thin is due to long-term poor glycemic control, hyperglycemic toxicity, in the body to produce inflammatory factor damage, resulting in neuropathy, vasculopathy, not able to supply enough nutrients to the muscles, so the muscles will appear atrophy. This is actually a phenomenon of diabetic neuropathy, called diabetic muscular atrophy, mainly distal limb multiple peripheral sensory nerve abnormalities, clinical manifestations of spasticity and weakness of the lower limbs, atrophy, and in some cases there will be pain, but no sensory impairment.
Diabetic patients will occur more drinking, eating, urinating, weight loss, "three more and one less" typical symptoms, there are many friends found that the problem of diabetes, especially with the development of the disease process, in terms of weight loss, the belly of the meat did not go down, but the legs are getting thinner and thinner, this situation is actually not uncommon, and it is worthwhile to wake up. We are alerted.
Why do diabetics lose weight and have thinner legs? It is based on 2 main reasons.
First, the reason why diabetic patients will appear high blood sugar problems, it is because the human body for the metabolism and utilization of blood glucose problems, whether it is insulin resistance or the body's insulin secretion is insufficient, will affect the normal use of blood glucose body cells, glucose in the blood is an important substance for the body to supply energy, when glucose can not be adequately utilized, the body and need to be more able to The first thing you need to do is to get your hands on some of the most popular products and services in the world, and then you'll be able to get your hands on some of the most popular products and services in the world.
The second reason for the thinning of the legs is more specific. With the prolongation of diabetes, if high blood sugar can not get effective and stable control, high blood sugar will gradually affect the health of blood vessels, especially the lower limbs of the capillaries and small blood vessels, will be subjected to the adverse effects of high blood sugar, which will lead to small blood vessel lesions, resulting in poor blood transport, poor blood circulation, the lower limbs do not get enough nutrient supply, naturally, there will be a gradual thinning of the problem. The problem.
Understanding the reasons why diabetes causes lower limb wasting, we should also understand that for lower limb wasting, we should actively pay attention to, lower limb wasting actually diabetes triggered microvascular lesions a specific manifestation, in addition to wasting, because of the lack of blood supply may also appear legs, feet cold, foot pain, lower limb foot sensory abnormality and other discomforts. The symptoms of these symptoms, if you do not pay attention to control, will gradually develop, diabetic foot, diabetic peripheral neuropathy and other complications, this is how to happen.
How to deal with the problem of lower limb wasting in diabetes? First of all, of course, it is necessary to strengthen the control of blood sugar, the earlier the active control of high blood sugar, it is easier to control blood sugar, but also better able to reduce the harm of high blood sugar on the body health, reduce the risk of high blood sugar caused by diabetic complications. Usually the reason why diabetic patients have lower limb wasting is because they do not pay enough attention to high blood sugar and do not actively control their blood sugar, but even so, it is important to understand that it is not too late to mend the fold, and in the case of initial microvascular complications, try to control blood sugar levels as early as possible, which not only slows down the process of diabetes-induced lower limb wasting and complications, but also reduces the risk of diabetes-induced complications. Generally speaking, through active blood glucose regulation, the fasting blood glucose level control to 7.0 below, postprandial blood glucose level control to 10.0 below, is considered reasonable to meet the standard level.
In addition to strengthening blood sugar control, let's talk about dietary regulation. Diabetics should pay attention to dietary control, but never excessive dieting, diabetic dietary control, is to control the balance of energy intake, but do not control to malnutrition or energy intake is far from enough to meet the body's needs, this practice is not only not conducive to the body's health, but also prone to the risk of hypoglycemia, but also cause excessive body wasting, the loss outweighs the gain. The right dietary regimen should be, control do not overnutrition, too much energy intake, but for the body's daily needs of a variety of nutrients, but also pay attention to balanced supplementation, the right amount of intake.
The last point emphasized is the most important. For diabetes-induced lower limb wasting, but also emphasize the importance of exercise. Exercise is one of the five carriages of glycemic control, which is very important for assisting in the regulation of blood glucose, and for the problem of diabetic wasting of the lower limbs, exercise can not only strengthen glycemic control, but also the greater benefit lies in the fact that exercise can promote the blood circulation of the lower limbs, stimulate the vitality of the lower limb muscle cells, enhance the utilization of blood glucose by the muscles of the lower limbs, and improve the insulin resistance of the muscle cells, which are all the benefits of exercise. These aspects of the benefit, are helpful to improve the lower limbs of the important benefit, therefore, if you are a diabetic, the lower limbs of the problem of wasting, daily life, but also did not pay attention to adhere to the exercise exercise, you may want to let yourself exercise, especially to do some enhance the strength of the lower extremities of the aerobic exercise, for the enhancement of blood glucose control, to protect the health of the legs and feet, is a useful and safe life conditioning.
Due to unhealthy lifestyle and dietary habits or genetic factors, more and more people are suffering from diabetes, which is a metabolic disease characterized by chronic hyperglycemia, and the relative or absolute shortage of insulin, some of the patients will have the typical symptom of "three more and one less", i.e., polydipsia, polydipsia, polyphagia and The patient's blood glucose control is not ideal for a long period of time, and serious vascular complications such as heart, brain, and kidney can occur.
And diabetic patients with wasting should first consider the blood sugar control is not ideal, and secondly, also consider whether to take metformin glucose-lowering drugs.
In short, diabetes is not scary, but requires us to control the diet, regular exercise, reasonable use of medication, regular review.
This is the control of fat intake formed by the lack of subcutaneous fat phenomenon, can not be said to be a bad body, so there is no need to worry about, as long as it is a good control of blood glucose levels, then the body health will not be a problem