Mental factors on the impact of diabetes mellitus

With the development of psychosomatic medicine and pathophysiology of diabetes, genetic and treatment aspects of the accumulation of a large number of observations, there is growing emphasis on psychological factors and

social factors on the impact of diabetes.
Mental factors on the impact of diabetes mellitus

With the development of psychosomatic medicine and pathophysiology of diabetes, genetic and treatment aspects of the accumulation of a large number of observations, there is growing emphasis on psychological factors and

social factors on the impact of diabetes. Our clinical findings, diabetes is often due to mental stress, anxiety, worry, anger, fear, loneliness, despair, depression, frustration or emotion to make sicker, or even ketoacidosis, which is

due to emotional stress of adrenaline and adrenal cortex hormone secretion increases sympathetic excitement increased, and accelerated lipolysis, producing a large number of ketone bodies, and thus causing ketosis. On the

contrary, when the emotional stress to eliminate or to feel safe and satisfied with diabetes, the diabetes reduced insulin requirements are reduced, so patients with diabetes to keep thinking positive, emotional stability, and

diabetes control is beneficial.

Due to a toe, almost mourning the life

Diabetic foot is a common complication of diabetes, treatment difficult, maiming and killing the high rate of health care is expensive, which will reduce mortality rates of diabetic foot disability, the key is early, the scientific

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

My father was suffering from diabetes ten years, in May last year, one day, suddenly found that his left foot at the feet toe in black, which frightened us, and immediately sent his father to the hospital for treatment, diagnosis

of diabetes, gangrene, doctors at that time his father on the proposed black toes amputated.

Cut-off toe, which his father is far too difficult to accept, why treatment should do the toes amputated? "I Jiubu Xin, my feet cure!" As the fear of doing cut-off toe surgery, his father out of the hospital.

After returning home, his father heard that their feet or effect of Chinese herbal medicine quite good, but a three-month consecutive bubbles are ineffective. By August, due to hot weather, his father left foot developed

gangrene from a toe or two, three, four toes, and toes inflammation, redness, pain, and sometimes so painful that I could not sleep at night. Thus, we turn the father admitted to the hospital, although doctors and we are

strongly persuaded his father did not dare to do cut-off toe surgery, plus see the roommate of fellow patients for three years due to amputation, the wound is not healed, and a taxi ran back in fear of their own home after

home to their feet.

But not long before his father the entire foot all the black, but also with the stench, desperation, had surgery a week later. Originally thought to do the surgery, the father will be able to overcome the difficulties, Shuiliao his

father after a high fever, body swelling, severe coma, after a final rescue to save his life, but his left leg below the knee has been truncated.

Expert Comments

People's Liberation Army 306 Hospital, vice president of the Zhang-Rong Xu, director of diabetes

In fact, this patient's amputation is completely avoidable. If the diagnosis of diabetes, gangrene after actively improve lower limb blood supply, based on the time left in the toe amputated, while a good infection control and

other factors, the patient may avoid the parts of the amputated above the ankle. This will impact the quality of life in patients with less.

The story, the patient saw the sufferers amputation wound is not healed after three years, increasing the fear of amputation. In fact, the wounds difficult to heal, not the inevitable result of amputation. Although the diabetic

wounds compared to normal more difficult to heal, but as long as the lower limb blood supply is good, good blood glucose control, bearing in mind control or to prevent local infection, healing will be no problem.

If the foot to protect well, early detection of ulceration, the patient could also avoid the initial toe gangrene. All patients with diabetes should be to strengthen the foot protection awareness, old age, longer duration,

complications are many and serious, long-term smoking, foot abnormalities in patients with partial and even more so, once the signs of foot ulcers, etc., should be immediately to the diabetes specialist treatment.

Diabetic foot is a common complication of diabetes, treatment difficult, maiming and killing the high rate of health care is expensive, which will reduce mortality rates of diabetic foot disability, the key is early, the scientific

treatment. For risk factors of diabetic foot disease in patients with diabetic foot disease to enhance preventive education is also crucial.

Grading diabetic gangrene

Diabetic gangrene is a common complication of diabetes, the following description of its classification.
Grading diabetic gangrene

0: No open lesions, clearly insufficient blood supply.

Ⅰ grades: superficial ulcer. Blisters or other damage can be caused by, or arise spontaneously.

Ⅱ Class: ulcer depth of tendons, ligaments, bones and joints.

Ⅲ Class: deep ulcers, infection and abscess with osteomyelitis and sinus formation.

Ⅳ Level: There are toe and and (or) of the foot gangrene.

Ⅴ Level: All foot gangrene, which normally takes amputation.

Diabetic foot was actually caused by distressed

Most patients with diabetes-induced peripheral neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

Not long ago, Ms. Yang suddenly felt pain in the right ankle and foot pained, and she suspected he did not care sprain was not noticed until after the attack, thinking that after a period of time recuperating better on their

own. However, the two pain is increasing. As a result, she came to film city hospital of Chinese medicine orthopedic examination, the results are not sprain. In the doctor's advice, she went to medical examination, after a blood

glucose testing, Ms. Yang was diagnosed with diabetes, and soles of the feet and ankle pain is determined by its peripheral neuropathy caused by the merger.

This result gives Ms. Yang popular hit his only 40 years old, had no way other signs of diabetes. The doctors and nurses for their enlighten, counseling, diabetes prevention and treatment to explain to its knowledge, Ms. Yang

was calmed down. She handled hospitalized for treatment of diabetic subjects. Leng Ying Director to take the method of combining Chinese and Western medicine for Ms. Yang to adjust insulin therapy ketone acidosis. Pulse to

stimulate the body through the acupuncture points to treat the peripheral neuropathy. Treatment the next day, Ms. Yang feet symptoms improved after one week treatment, Ms. Yang has been discharged.

According to doctors, the summer high season is actually not diabetes, but the city of Chinese Medicine Hospital Diabetes Unit, 40 beds are filled, the majority of these patients the treatment of diabetes-induced peripheral

neuropathy and other complications. If it is found in patients with diabetes, hands and feet numbness, hair cool, toe turned purple and black, should go to hospital.

How do patients with diabetes foot care?

Diabetes is caused by a variety of reasons to chronic high blood sugar is characterized by metabolic disorders. Clinically, the majority of patients with hyperglycemia can polydipsia, food, polyuria and weight loss symptoms. If it is

not a long-term blood sugar control, can easily lead to a variety of complications in patients. Among them, diabetic foot is more common in patients with clinical diabetic complications. So, how do patients with diabetes foot care

work?

Diabetic patients with diabetic foot is the because of peripheral nerve damage, lower extremity arterial insufficiency, as well as foot infections by bacteria such as the emergence of foot pain, skin ulcers and gangrene in deep and

other symptoms. Early stage of diabetic foot can be produced on the skin of patients with foot ulcers. When the bacteria invade the wound ulcers, may result in local tissue necrosis, and thus the formation of gangrene. Once

gangrene formation, bacteria invade the blood in patients with the whole body will be various organizations, so that you can give patients the serious consequences caused by amputation, while the event of sepsis, may also

lead to death of patients. Therefore, patients with diabetes should not only adopt comprehensive and effective measures to control blood sugar, also must pay attention to foot care, to prevent diabetic foot. So, how do

patients with diabetes foot care work?

First, do a good job foot self-examination

1. Patients to carefully check the foot before going to sleep every night to see whether the foot swelling, wounds or secretions. Patients with poor vision may request the check on behalf of family members.

2. Patients need to do before going to sleep every night foot palpation. Note that if there foot drop in temperature place. At the same time to check whether there is tenderness point of foot to prevent foot ulcers bone

protruding parts.

Second, do a good job of foot skin maintenance

1. Every night before going to sleep to use the feet soaked in warm water about 10 minutes. The water temperature should not be overheated. After the foot washing the feet should be dried and coated with skin care oils,

such as glycerol and other non-alcoholic components of skin care products.

2. To properly trim nails regularly. Cut toenails straight line when you make the cut, do not cut the nail too deeply, so as to avoid nail embedded in a trough, causing localized infections.

3. Foot if thick calluses or corns should be to the hospital for treatment, not to themselves.

3, adjusting the shoes and socks

1. Diabetic patients is best to wear white, cotton socks. This will not only conserve the foot skin, but also easier to make if the foot was found in patients with bleeding or exudate.

2. Patients should check their shoes before wearing shoes whether there is foreign matter. Do not wear a pair of shoes for too long.

3. Patients in both indoors or outdoors did not want it barefoot, nor the long-term standing, walking or running.

4. Do not wear Japanese-style slippers and high heels. Wear Japanese-style slippers, people tend to form in the interdigital ulcers. While wearing high heels who are likely to form at the bottom of the previous foot ulcers.

5. To select the appropriate shoes.

① patients with the best pair of shoes in the evening, because at this time the volume of the largest foot. If the left foot sample sizes should be subject to a larger one foot.

② In selecting the size of shoe size, the longest toe to make the front foot with the shoe in front there is a certain gap, the size of the gap should be based on the width of patients with suitable hand thumb nail.