China-Singapore Online, July 6th (Reporter Chen Jing) In the past, diabetes was an old disease, but now, the trend of young people with diabetes is very obvious. Zou Dajin, former chairman of the Diabetes Society of Shanghai Medical Association and chief physician of Shanghai Tenth People's Hospital, said in an interview on the 6th that young people's obesity, staying up late, eating and drinking, and lack of exercise are the main factors for diabetes. He emphasized personalized treatment of diabetes and source management.
The expert bluntly stated that China has a large number of patients with type 2 diabetes, and the diabetes reserve army is transformed into type 2 diabetes at a rate of 7% every year. However, the control of diabetes in China is very unsatisfactory, and compared with developed countries in the world, the prevention of diabetes complications is far from enough.
Zou Dajin pointed out that among diabetic patients, those who take medication and treatment seriously, that is, the treatment rate is 32%; the blood sugar control has reached a satisfactory standard, that is, the compliance rate is only more than 30%; the awareness rate of diabetes is 33%.
Zou Dajin told reporters that lack of insulin or too high insulin levels and too little secretin were the main factors of high blood sugar, and pointed out that the control of blood sugar should be managed from the source. He emphasized personalized treatment of diabetes. The so-called personalized treatment is a patient-centric hyperglycemic management strategy. According to the patient's age, complications, and other individualized conditions of the patient, the patient's medication plan is formulated to formulate the most suitable treatment strategy for the patient.
Zou Dajin said: "It is necessary to continuously adjust according to the actual situation of the patient, and choose a blood glucose control scheme suitable for the patient, rather than'grasping eyebrows and beard'." While adopting a personalized blood glucose management strategy, he believes that the degree of blood glucose control of patients varies from person to person. The goals to be achieved by the elderly and the young should be different.
In the interview, Zou Dajin emphasized on carbohydrate intake and pointed out that dinner is best eaten before 7 o'clock. The expert said with a smile: "If you don't eat carbohydrates at night, let insulin rest." "We adults have to sleep on their own, and the islets also have to sleep. Have a supper, a bowl of miso noodles, or order a takeout late at night, the islets struggle. Can't handle it in one night."
In addition to paying attention to diet, Zou Dajin also said that to strengthen exercise, if there are too few muscle components, the metabolism will slow down. He told reporters that human basic metabolism is determined by muscle composition. After 30 years old, human muscles are declining at a rate of 1.5% per year. This is why it is easy to gain weight with age. (Finish)