For diabetic patients, the sooner the diabetes is discovered, the easier it is to control the condition, which can help early treatment. Diabetes of different types and stages have different appearances. The mild ones can feel nothing, and the severe ones can affect life. It can be typical symptoms or non-specific symptoms that seem to be difficult to associate with diabetes. The typical symptoms are polyuria, polydipsia, polyphagia, and weight loss. According to the mechanism, they should occur in this order, but it can also highlight only one symptom.
Early symptoms of diabetes：
Diabetes patients do not necessarily have the typical symptoms of “three more and one less”, especially those with type 2 diabetes. Therefore, if you have the following conditions, you should also doubt whether you have diabetes.
(1) There is a family history of diabetes. People with a clear family history of mild diabetes are more likely to develop type 2 diabetes, so attention should be paid.
(2) A history of abnormal childbirth. If there is a history of unexplained multiple miscarriagess, stillbirths, premature births, deformities or huge babies, etc.
(3) Repeated infection. Intractable genital itching, or repeated vulvar and vaginal fungal infections, or repeated carbuncle, may be suffering from diabetes. Many female patients find diabetes when they go to the gynecology department because of genital itching. In addition, people who have repeated respiratory, biliary, and urinary tract infections and wounds that do not heal may also suspect diabetes.
(4) Male fistula. For male patients with impotence, after the local lesions of the urogenital tract are ruled out, diabetes should be suspected.
(5) Polyuria, thirsty and polydipsia, or recent unexplained weight loss.
(6) Occasionally, those with positive urine glucose and normal fasting blood glucose should also be suspected of diabetes, and further examination should be performed.
(7) Reactive hypoglycemia. It usually occurs 3 hours or more after a meal, and manifests as palpitation, sweating, hunger, tremor, etc. If the blood sugar is measured, it is low or below normal. The above symptoms can disappear after eating sugary food. In some obese patients with type 2 diabetes, it can be manifested in the early stage.
(8) Diabetes should be suspected in young patients who develop arteriosclerosis, coronary heart disease, or fundus disease.
(9) When the elderly have unexplained perceptual disturbances, such as limb numbness, pain or hyperesthesia, etc.; autonomic dysfunction, hyperhidrosis, especially half-body sweating, orthostatic hypotension, unexplained urinary retention; urinary incontinence, Unexplained diarrhea or alternating diarrhea and constipation; lower limb vascular disease, such as coldness, swelling, intermittent claudication, acral necrosis, blisters, ulcers, etc.; coronary heart disease, myocardial infarction, kidney disease, cerebrovascular accident, etc.; unexplained diabetes should be suspected when unconscious.
If you find the above, you should go to the endocrinology department or the metabolism department. If the hospital does not have the above-mentioned specialties, you should go to the internal medicine department. If you suspect diabetes, you should go to the hospital for medical treatment and examination. Check contents include: urine glucose, fasting blood glucose, blood glucose 2 hours after a meal. If the diagnosis is still not confirmed, an oral glucose tolerance test can be done.
