Jinzhong Shidi Long Shaohua, who has suffered from diabetes for many years, died of heart discomfort yesterday (25th). The doctor said that the risk of cardiovascular disease for people with diabetes is more than 5 times higher than that of ordinary people, and the symptoms are less obvious at the time of the onset.
Long Shaohua had been suffering from diabetes for more than 10 years in the past. Wang Zhiyuan, chairman of the Diabetes Health Teaching Association of the Republic of China and deputy director of the Department of Internal Medicine of National Taiwan University Hospital, said that he was very sad. With the news of sudden death, the physician group also mourned and regretted.
Wang Zhiyuan pointed out that the prevalence rate of diabetes in Taiwan is about 11% among people over 18 years old, and it is estimated that there are about 2.3 million patients. However, according to the statistics of the National Health Insurance Database, only about 1.7 to 1.8 million people have received treatment; there are also nearly 1 million people. Abnormal blood sugar but not up to the diagnostic criteria is considered “pre-diabetes”.
Diabetes is one of the diseases of modern civilization. Wang Zhiyuan mentioned that diabetes tends to occur in people over 40 years old. Age is an important factor in increasing the risk of diabetes. In addition, modern people’s refined diet and changes in work and rest are also one of the causes of diabetes. In addition, in recent years, diabetes has become more youthful, and the proportion of people under the age of 40 has increased significantly, and the future prognosis and complications are poor.
Rumor has it that Long Shaohua expressed heart discomfort before his death. Wang Zhiyuan mentioned that the effect of diabetes on the heart usually starts as early as 3 to 5 years before the diagnosis. Previously, there was a study in Sweden to analyze patients with myocardial infarction. In the long term, unstable blood glucose control is caused by The biggest influencing factor; and those with poor blood sugar control usually have the “three highs” symptoms of high blood pressure and high blood lipids, which will aggravate the impact on the cardiovascular system.
Wang Zhiyuan said that recent studies have shown that diabetes has two major “sad” mechanisms. One is to accelerate cardiovascular inflammation and cause an increase in mortality from cardiovascular diseases, and the other is to cause cardiac ischemia, and unlike heart disease, which has chest tightness and chest pain. Cardiac ischemia caused by diabetes usually has mild symptoms, may be mild fatigue, and may cause misfortune due to negligent symptoms.
Huang Ruiren, CEO of the Republic of China Heart Foundation and Dean of the National Taiwan University Yunlin Branch, said that medical research has confirmed that the risk of cardiovascular disease in patients with diabetes is 5 to 6 times higher than that of ordinary people. Some studies even believe that diabetes is equivalent to coronary artery disease. Disease, even if there is no history of colic or myocardial infarction in the past, 2/3 still have hypertension or hyperlipidemia.
Huang Ruiren said that because the “three high” diseases such as hypertension, hyperlipidemia, and hyperglycemia are closely related, diabetic patients cannot control blood sugar alone, but require comprehensive treatment. Blood pressure should be based on systolic blood pressure of 130 and diastolic blood pressure of 80. More stringent than ordinary people, low-density cholesterol should also be controlled below 100. He emphasized that since the cardiovascular status of diabetic patients is worse than that of ordinary people, it is necessary to quit smoking and alcohol, otherwise it will increase the risk of cardiovascular disease.
Huang Ruiren emphasized that the commonly recognized symptoms of myocardial infarction are nothing more than chest pain, chest tightness, dyspnea, sudden fainting, and fainting. However, diabetic patients are less sensitive to nerves and have less obvious symptoms, and may only have chest tightness, or Exercise and walking are easier to get tired than in the past. When the symptoms are severe, heart failure is often caused. In addition to diabetic patients, elderly people over 65 years old and women are also common risk groups for atypical myocardial infarction symptoms.
Wang Zhiyuan said that in normal times, don’t think that blood sugar is not important. Your lifestyle is closely related to diabetes. Regular diet, calorie control, and proper exercise are the best ways to prevent it. He also specially reminded diabetics to avoid staying up late. Staying up late can easily lead to changes in endocrine and blood sugar, leading to more serious cardiovascular complications.
.
