I believe everyone must have heard of the three highs: hyperglycemia, hypertension and hyperlipidemia. Now [the fourth highest] hyperuric acid is also increasing.
Moreover, these four [highs] often gather together to make trouble. Many sugar lovers are not only high in blood sugar, but also high in blood pressure, blood lipid and uric acid. They can be called [experts].
Why do so many [high] generation diseases prefer sugar lovers? Is there any way to prevent transformation? Today, diabetes doctors will tell you about this.
[Four Highs] This is a Brother
[Four Highs] Love comes together for the simple reason that they are all born to the same mother, whose name is [Metabolic Syndrome].
Hyperglycemia, hypertension, hyperlipidemia and hyperuricemia are all related to [metabolic syndrome]. One of the most important reasons for metabolic syndrome is insulin resistance.
As we all know, insulin is a hormone that reduces blood sugar. At the same time, it also has the function of regulating blood lipid and affecting synthesis to regulate metabolism. After insulin resistance occurs, the body is not sensitive to the information sent by insulin and does not listen to insulin’s command. Natural metabolic disorders, abnormal blood sugar, blood lipid and blood pressure, and weight will also increase.
Due to the same pathogenic factors, sugar lovers can easily become [experts]. Next, we will analyze one by one and what should we do when encountering other highs.
Hyperglycemia plus hypertension, complications come to your door.
If the upper limb blood pressure is measured three times not on the same day without antihypertensive drugs, all ≥ 140/90 mmHg, then hypertension is considered.
Diabetes and hypertension are both hereditary. They have some of the same genetic genes. Moreover, the two diseases often affect and aggravate each other.
- When blood sugar is high, blood is sticky, blood vessel wall is easily damaged, which makes arteries lose elasticity and become stiff, blood vessel resistance increases, thus blood pressure rises. When diabetes damages kidneys, blood pressure rises are obviously aggravated. For example, sugar friends are obese, eat too salty, drink too much, suffer from long-term mental stress, lack of physical activity, and the possibility of getting hypertension is further increased.
The coexistence of diabetes and hypertension significantly increases the risk of occurrence and progression of coronary heart disease, cerebral infarction, cerebral hemorrhage, diabetic nephropathy and retinopathy.
On the basis of diet, exercise and drug therapy for diabetes, if the blood pressure of sugar lovers exceeds 120/80 mmHg, they should adjust their diet, exercise and other living habits to prevent the occurrence of hypertension. People who have already suffered from hypertension should prevent the disease from worsening. Special attention should be paid to the following points.
- Avoid obesity: the weight should be as close to the ideal value as possible, the ideal value (kg) = height (CM)-105, the waist circumference of men should be less than 90 cm, and that of women should be less than 85 cm; Salt limit: the daily salt intake should not exceed 6g (a flat cap is equivalent to 6g after the rubber pad is removed from the cap of ordinary beer bottles), and the daily salt intake should not exceed 3g for those who have suffered from hypertension; Quit smoking and limit alcohol consumption; Pay attention to the details of life: avoid blood pressure fluctuation caused by breath-holding exercise or excessive force during defecation; Ensure sleep and relieve psychological pressure; Monitoring blood pressure: If there is no hypertension, the blood pressure should be measured at least once a month. If there is hypertension, it is better to monitor the blood pressure every day. It is recommended that the blood pressure should be controlled below 140/80 mmHg. If the blood pressure is young and there are no diabetic complications, it should be controlled below 130/80 mmHg. Use antihypertensive drugs: Under the guidance of doctors, benazepril, perindopril and other drugs with the word [Puli], or valsartan, irbesartan and other drugs with the word [Sartan] are preferred.
Hyperglycemia and hyperlipidemia, cardiovascular injury
If dyslipidemia is found, i.e. Blood total triglyceride > 150 mg/dL, high density lipoprotein cholesterol (HDL-C) < 40 mg/dL for men and 50 mg/dL for women, it is hyperlipidemia.
After the blood sugar rises, coupled with the body’s insensitivity to insulin, this directly leads to the increase of blood lipid production and utilization harmful to the human body. On the other hand, the decrease of blood lipid production and removal beneficial to the human body increase.
Diabetes mellitus and hyperlipidemia are linked together. Cardiovascular diseases such as coronary heart disease, myocardial infarction, cerebral infarction and diabetic nephropathy will take the opportunity to enter.
For sugar lovers with high blood lipid, besides routine diabetes treatment, attention should also be paid to:
- Avoid obesity: the weight should be as close to the ideal value as possible, the ideal value (kg) = height (CM)-105, the waist circumference of men should be less than 90 cm, and that of women should be less than 85 cm; ; Diet adjustment: Reduce the intake of animal oil, cholesterol and trans fatty acids. Foods with high cholesterol mainly include animal viscera, crab roe, fish, egg yolk, squid, etc. The main source of trans fatty acids is foods containing margarine. Choose vegetable oil, and the daily cooking oil consumption is less than 25g (equivalent to 2.5 tablespoons). It is not suitable to use oily cooking methods such as frying, frying and braising in soy sauce. Use lipid-regulating drugs: under the guidance of doctors, the primary goal is to reduce the most harmful low density lipoprotein to human body. For patients with coronary heart disease, low density lipoprotein should be controlled below 1.8 mmol/L, and for patients without coronary heart disease, low density lipoprotein should be controlled below 2.6 mmol/L; Monitoring of blood lipid: Blood lipid (including low density lipoprotein, high density lipoprotein, total cholesterol and triglyceride) should be checked at least once a year. People receiving lipid-lowering drugs may increase the number of tests.
Hyperglycemia and hyperuricemia, sweet pain
Hyperuricemia, Can damage joints, kidneys and other tissues and organs, Some patients will develop gout. The most common condition is gout arthritis, which has severe joint pain during acute attack. The taste is like chiseling bone and penetrating meat, which makes people unbearable. If in a normal diet, blood is drawn on different days to check fasting blood uric acid, and the following conditions are met twice: male > 420mol/L, female > 360mol/L.
Diabetic patients, due to the decrease of insulin sensitivity and improper diet, are easy to cause the increase of blood uric acid level, leading to gout.
Hyperuricemia can lead to a series of physical changes and aggravate diabetic complications, such as lower limb arteriosclerosis and diabetic foot.
If you are a sugar friend with hyperuricemia, besides controlling blood sugar, you should also pay attention to:
- Adjust diet: Avoid high purine foods, such as seafood, animal viscera, thick broth, drinking (especially beer and white wine), and eat as little salt as possible (including soy sauce and sauce); Drink more water: at least 2 L per day to ensure uric acid is excreted from urine, except for patients with heart and kidney insufficiency. How much water to drink needs to be determined by the doctor. Monitoring of blood uric acid: For those without hyperuricemia, blood uric acid shall be checked at least once every six months; After diagnosis, the examination shall be conducted every three months, and the long-term control shall be less than 360mol/L. Active control of related diseases: hypertension, hyperlipidemia, coronary heart disease, chronic kidney disease, etc. will also promote the increase of blood uric acid, which requires active control.
Hyperglycemia is never [alone]. When we sugar friends control the disease, we should have a comprehensive grasp, not just one head.
Dr. Clove reminded everyone to pay attention to their blood pressure, blood lipid and uric acid while actively controlling blood sugar. This time, it is conducive to the stability of diabetes and the prevention of complications.