Diabetic foot, diabetic nephropathy, diabetic cardiovascular disease, diabetic retinopathy, etc. are common complication of diabetes. Many diabetics may understand, however, some diabetics may not know yet, and if blood glucose control is not good, it is still possible Will be involved in the stomach, stomach gas paralysis.
The stomach is like a moving 'muscle bag' consisting of two layers of strong muscles, oblique and circular, which discharges food in the stomach downwardly by repetitive peristalsis, ie gastric emptying. , In general is due to the body's lack of motility of the stomach, gastrointestinal motility decreased, leading to gastric emptying caused the food in the stomach to stay longer, resulting in anorexia, fullness, nausea, vomiting, bloating, difficulty swallowing Other gastrointestinal symptoms, especially after a meal, the symptoms will be more obvious.
It is thought that the gastroparesis caused by diabetes may be related to gastrointestinal hormone disorders, microangiopathy, autonomic dysfunction and diabetes-related metabolic disorders, but the symptoms manifested by gastroparesis are very similar to the symptoms of general gastrointestinal diseases , Making many diabetic patients in these symptoms, they often mistakenly think that only gastrointestinal problems, the results of treatment of gastrointestinal diseases after treatment for some time, the disease has not been alleviated, and may even be due to delay Treatment makes the situation worse.
Therefore, patients with diabetes in the presence of unexplained gastrointestinal symptoms, need to be vigilant, especially the old sweet friends, as the elderly people's digestive organs will occur with the age of certain degenerative changes, gastrointestinal secretion And peristalsis will have different degrees of decline, while a longer history, blood glucose control is not satisfactory, vascular and nervous system complications are more these adverse factors may have some adverse effects on gastrointestinal motility, therefore, When the old friends appeared as fullness, abdominal pain, vomiting, should promptly to the hospital for examination, once diagnosed due to diabetes and gastroparesis, should actively cooperate with the doctor's treatment.
So, diabetic patients should be how to prevent gastroparesis it?
First of all, due to poor blood glucose control is the initiating factor of diabetic gastroparesis, so the most important thing is to strictly control blood sugar, blood sugar control in the ideal level.
Second, diet therapy is also based on the treatment of diabetes, coupled with gastroparesis patients have gastrointestinal dysfunction, it is recommended in the diet to eat less meals, low-fat diet, homogenized food is better every day Give 5-6 small meals to control postprandial blood glucose, promote gastric emptying, to be nausea, vomiting, abdominal fullness and other gastrointestinal symptoms reduced, and then adjust the number of meals properly.
Third, due to gastroparesis, delayed food evacuation after eating, the stomach can not be the normal rate of food and drug excretion, which will affect the normal functioning of hypoglycemic agents, which led to instability in blood glucose, therefore , Complicated with gastroparesis in patients with diabetes, to properly adjust the time difference between meals and insulin injection, usually recommended 15-20 minutes after injections of insulin ingestion, the more severe the symptoms of gastroparesis, the time of insulin injections and meal intervals are required Appropriate to extend, so that the peak of insulin and blood glucose concentration peak coincide, so that blood sugar is well controlled.
Fourth, diabetic patients with gastroparesis due to eating disorders, more prone to hypoglycemia, especially the use of oral hypoglycemic agents and insulin, often in the absence of typical hypoglycemic prodromal symptoms occurred under the awareness of change, so the families around We must learn to identify the performance of hypoglycemia, if found in patients with hunger due to palpitation, trembling, sweating, generalized weakness, should immediately stop using hypoglycemic agents, let them lie rest, and give sweets to alleviate the symptoms of hypoglycemia .
