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Xinhua News Agency, Chengdu, November 13 Question: What should we do if there are more and more young “sugar farmers”?
Xinhua News Agency reporters Dong Xiaohong and Zhao Dandan
The 14th is the 14th United Nations Diabetes Day. Clinically, the trend of younger diabetes is found to be increasingly evident. Why are there more and more young “sugar farmers”? How should it be prevented?
Young “sugar growers” gradually increase
The Department of Endocrinology and Metabolism at Jilin University First Hospital recently came to a 13-year-old patient who originally felt uncomfortable in his stomach. As a result, an examination found that the glycosylated protein of glucose in the blood exceeded 14, and the Fasting blood glucose index also exceeded the standard. It proved to be a patient with type 2 diabetes.
“There are more and more ‘sugary’ young people in outpatient clinics, and many young people have high blood sugar levels,” said Wang Guixia, director of the Department of Endocrinology and Metabolism at First Hospital of Jilin University.
Dr. Huang Xiaofei from the Department of Endocrinology and Metabolism at Chengdu Third People’s Hospital also feels the same way. In recent years, the number of young diabetic patients coming to the department for treatment has gradually increased. “Before everyone said that diabetes is an ‘old disease’, now there are more young patients,” he said.
Xiao Yang Gang, 22, graduated from university and worked for an Internet company in Chengdu. Recently, he always felt dizzy and fatigued. He thought it was due to tired work and not getting enough rest. After going to the hospital, he discovered that he was already a “sugar man” and that his fasting blood sugar level was seriously exceeding. You need to take medicine immediately. “Usually I drink tea with milk, sometimes I drink a few cups a day and I also like to eat sweets. I always feel young and in good health. I did not expect to have diabetes,” Xiao Yang said regretfully.
Huang Xiaofei introduced that according to data released by the International Diabetes Federation in 2019, the number of diabetic patients in China has exceeded 100 million, ranking first in the world. The younger age of obesity and overweight problems has significantly increased the number of people under the age of 30 who suffer from type 2 diabetes.
Bad lifestyle is the “culprit”
“Diabetes is mainly caused by ‘internal factors + external factors’. Internal factors are mainly susceptibility genes, but many young people are caused by poor lifestyles,” Huang Xiaofei said.
According to data from the Institute of Nutrition and Health of the Chinese Center for Disease Control and Prevention, the average daily intake of added sugar (mainly sucrose) per capita in China is about 30 grams, and the intake of edible oil is 42 , 1 grams, both higher than those of the World Health Organization and the “Chinese Residents Recommended Intake in the Dietary Guidelines.
A poor lifestyle causes many young people to have high blood sugar levels and prediabetes symptoms to appear early. Wang Guixia said that especially the younger trend of type 2 diabetes is very obvious. These people have four characteristics: first, there are immediate relatives with diabetes and a genetic predisposition; second, the body is obese and the pressure of study and work is heavy and there is little exercise. Diet and lifestyle are not healthy; third, overweight at birth; fourth, the mother has gestational diabetes during pregnancy. These are the reasons for the high incidence of diabetes among young people.
The journalist learned that the low awareness rate, low inspection rate and low treatment rate are also reasons for the gradual increase in young “sugar farmers”. Wang Guixia pointed out that national epidemiological data show that the current awareness rate of diabetes patients in China is around 30%. After the diagnosis of diabetes, the treatment rate of patients is only 26%, while the control rate of diabetes patients taking hypoglycemic therapy Only about 40% can meet the standard. There is still much room to strengthen the management of diabetic patients.
Strengthen early diagnosis and treatment: “Keep your mouth closed and open your legs”
“Diabetes can be prevented and controlled. The key is ‘cover your mouth and spread your legs,'” said Huang Xiaofei. He urged that to avoid the growing number of young “sugar farmers”, it is necessary for the whole society to work together to actively create a good advertising environment, raise awareness about the dangers of diabetes and the importance of prevention and treatment, and enable more people understand and master common chronic diseases like diabetes. Preventive measures.
“At present, oral hypoglycemic agents for children are very scarce on the market. Some commonly used hypoglycemic agents do not have a large amount of clinical observational data on how children should be administered. It is more difficult for children to use them. drug treatment, we must adhere to a healthy and active diet Exercise so that the blood sugar level reaches the target as soon as possible. ”Wang Guixia suggested that the detection and control of diabetes in pregnant women is also very important, which can effectively reduce the risk of fetal diabetes.At the same time, the weight of the fetus should be controlled to reduce the risk of diabetes in the future.
In September this year, the Diabetes Professional Committee of the China Geriatric Care Association, together with industry experts and the national chronic disease management platform “Medical Federation”, jointly issued the “Expert Consensus on Management Diabetes Standardized Internet Hospitals “, which will provide more standardized Internet diagnosis and treatment services for patients with diabetes.
Xiao Xinhua, chairman of the Professional Diabetes Committee of the China Geriatric Health Association and chief physician of the Department of Endocrinology at the Beijing Union Medical College Hospital, believes that diabetes management is a long-term comprehensive management process which is constantly adjusted as the disease progresses. With the interconnection of medical information and the integration of high technology such as artificial intelligence, it will also provide safer, more convenient and better quality medical and health services for patients with chronic diseases such as diabetes.
The experts also recalled that young people must develop a good lifestyle. If they frequently find dry mouth, thirst, excessive urination, fatigue, etc., they may be previous symptoms of diabetes. They should not be taken lightly and require prompt medical treatment.
