Can diabetes be cured? See if you are this particular type of diabetes
Diabetes is a lifelong disease
Long-term management and treatment are needed after illness
The reason why diabetes is a lifelong disease
To a large extent related to its complicated pathogenesis
And this particular type of diabetes-steroid diabetes
The cause of the disease is very clear
Just eradicate the cause
Steroid diabetes is more harmful
Steroid diabetes is generally a secondary diabetes in which a disease or drug causes an increase in steroids in the body, which leads to elevated blood sugar. This type of diabetes is not uncommon and can easily be ignored by people.
Li Jiaying, an attending physician at the Endocrinology Department of the First Affiliated Hospital of Jinan University, pointed out that many people start routine treatment after they are diagnosed with diabetes. As everyone knows, if it is steroid diabetes, the treatment method is different.
More harm steroid diabetes, may lead to high blood pressure, heart failure and osteoporosis , etc., according to the ordinary diabetes treatment, is likely to accelerate the progress of these “complications”, so that patients with early diabetic complications, even Affect life span.
Two types of people are wary of steroid diabetes
The manifestation of steroid diabetes is roughly the same as that of ordinary diabetes, that is, there are abnormally high blood sugar, “three more and one less” symptoms, and obesity. It is difficult to distinguish from the symptoms alone. It usually needs to be tested to know, a simple blood draw for cortisol testing It can be preliminarily judged whether it is steroid diabetes.
The cause of steroid diabetes is very clear, and there are usually two conditions:
First, the problems leading to excessive secretion of endogenous steroids such as adrenal tumors, adrenal hyperplasia, pituitary tumors and certain malignancies , etc., such a situation can be diagnosed by clinical and radiological examination;
Second, long-term use of glucocorticoid drugs, such as gout, rheumatoid arthritis and other disease patients need long-term use of these drugs, according to the study, usually for taking more than three months of glucocorticoid drugs may It can lead to increased blood sugar, which can be known by asking past medical history.
Furthermore, steroid diabetes due to excessive body steroids, appearance also show some characteristics, such as facial flushing, moon facies, buffalo hump, central obesity, skin purple stripes, hypertension , etc., may face diagnosis by the doctor preliminary Determine whether the patient needs to be tested for cortisol.
How to prevent steroid diabetes
If steroid diabetes is diagnosed, adjustments can be made to the cause, such as removal of related tumors or adjustment of drugs, blood sugar may return to normal, and diabetes can be cured.
However, it should be noted that if steroid diabetes has caused complications before, such as diabetic retinopathy, diabetic peripheral neuropathy, diabetic nephropathy, etc., these damages are irreversible.
Therefore, sugar friends should pay attention to early screening, and do not let the steroid diabetes that can be cured cause irreversible damage to the body.
Experts advise: glucocorticoids cannot be stopped at will
For diabetes caused by excessive endogenous steroid production, surgery is usually required. But can steroid diabetes caused by drugs be cured by stopping the drug? Li Jiaying said that in theory, diabetes caused by glucocorticoid drugs can be cured after the drug is stopped. However, it should be noted that the drug needs to be gradually reduced until the drug is stopped. If glucocorticoid drugs are stopped suddenly, the patient is likely to have hormone withdrawal syndrome, manifested as fatigue, anorexia, indigestion, hypotension and other discomforts, and it will also affect the condition of the original disease. Therefore, in the process of drug withdrawal, it is best for the patient to cooperate with the doctor to gradually reduce the drug until the drug is stopped.