Two days ago, the emergency department of Shanghai Jiahui International Hospital admitted a patient who was comatose due to diabetic ketoacidosis after a new crown infection. When admitted to the hospital, the patient had blood pressure shock (Bp71/40mmHg), and the peripheral hyperglycemia could not be detected. Blood gas analysis showed severe metabolic acidosis (PH 6.89) and severe hyperkalemia (6.8mmol/l), and venous blood glucose exceeded 50mmol/L, the situation is very critical, was immediately sent to the recovery room for rescue.
New crown infection combined with diabetes greatly increases the risk of critical illness
In fact, middle-aged and elderly patients with underlying diseases have always been a high-risk group for severe illness among patients infected with the new coronavirus, and among them, patients with diabetes are more serious.
According to the "Guidelines for Disease Management and Emergency Response of Elderly Patients with Diabetes During the Epidemic of Novel Coronavirus Pneumonia", 10.1% to 20.0% of people infected with the new coronavirus suffer from diabetes, and the proportion of critically ill patients with new coronary pneumonia combined with diabetes is as high as 22%.
As for why diabetics are more prone to severe complications after being infected with the new crown, it is mainly because the receptor ace2 of the new coronavirus exists in the human pancreatic microvessels and pancreatic beta cells, and the invasion of the new coronavirus may cause pancreatic damage, which in turn affects to insulin production. In addition, an inflammatory response may occur after infection with the new crown, which can lead to insulin resistance and other conditions, which in turn can lead to abnormalities such as elevated blood sugar in diabetics.
Therefore, in the face of the current peak of infection, diabetic patients especially need to take good precautions to avoid infection as much as possible. At the same time, we must learn more about ways to avoid severe illness and reduce the risk of death caused by the new crown.
How do diabetics cope with the new crown infection? Start with these 3 aspects
First, strengthen life intervention. In terms of diet, focus on light food, pay attention to balanced nutrition, eat more fruits and vegetables, milk and soy products, and appropriately increase the intake of high-quality protein, such as fish, eggs, and meat; in terms of exercise, focus on moderate-intensity aerobic exercise , such as Tai Chi, standing still, etc.; in terms of mentality, learn to relieve anxiety, correctly deal with the epidemic and the ups and downs in life, and maintain a happy mood.
Second, insist on medication. Diabetic patients should adhere to regular medication and insulin injections according to the doctor's advice, and should not stop using the drugs without authorization. At the same time, some traditional Chinese medicine can be used to synergistically lower blood sugar, improve symptoms and signs, and prevent complications. For example, on the basis of metformin and other hypoglycemic drugs, Jinlida Granules can be added.
As the only Chinese patent medicine recommended by the 2017 and 2020 editions of the "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China" for the treatment of type 2 diabetes, Jinlida Granules have been proven to protect the structure and function of islet β cells, improve insulin resistance, and regulate blood sugar-raising hormones and insulin balance of blood sugar and glycosylated hemoglobin; it can reduce microalbuminuria and early kidney damage in diabetes; it can reduce the intima-media thickness of blood vessels and protect large blood vessels; it can reduce the risk of cardiovascular events in elderly patients with coronary heart disease with impaired glucose tolerance incidence.
In addition, according to the results of a series of studies led by Professor Zhu Dalong, the chairman of the Diabetes Branch of the Chinese Medical Association and the Drum Tower Hospital Affiliated to Nanjing University School of Medicine, Jinlida Granules can regulate blood lipids, reduce white fat accumulation, and activate brown fat cells at the same time. Increase thermogenesis and energy expenditure, improve overweight and obesity.
To sum up, Jinlida Granules can not only improve insulin resistance, stably lower blood sugar, and reduce chronic complications of diabetes, but also regulate blood lipid and fat, and improve obesity. It is very suitable for diabetic patients to keep at home.
Third, do a good job in blood sugar monitoring. Diabetic patients should keep abreast of changes in blood sugar, so that they can better adjust their life patterns, exercise, diet and medication. Patients with stable blood sugar control should monitor fasting and 2-hour blood sugar 2-3 times a week; patients with co-infection need to strengthen blood sugar monitoring, and closely monitor blood sugar before and after three meals and before going to bed.
Special attention should be paid to the fact that if the patient has unexplained vision loss, nausea and vomiting, general fatigue, drowsiness and other problems, it may be due to high blood sugar. At this time, he must be sent to the doctor for treatment in time to avoid serious complications.
In a word, during the special period, diabetic patients should be the "primary person responsible" for their own health, and go through this dangerous period smoothly.
