Living with diabetes: what to consider?

I was recently diagnosed with prediabetes.
Is it possible to prevent the development of the disease? Is it necessary to take hypoglycemic drugs?

In general it is good. They are tumors that are usually diagnosed before they infiltrate the muscle, allowing the bladder to be preserved. The problem is that it is a chronic disease that recurs and relapses over time. It needs many check-ups and treatments and the patient adheres without skipping the check-ups that can lead to metastasis.

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When and what studies should be carried out in order not to miss the onset of the disease?

From the age of 45, a blood test should be carried out once a year to determine the level of glucose in the blood, as well as to all people who are at risk. That is, those who have one of their close relatives with type 2 diabetes mellitus, people with high blood pressure, cardiovascular diseases, having high-density blood cholesterol less than 0.9 mmol/l and/or a triglyceride level greater than 2 0 .82mmol/l; extra pounds - violations of carbohydrate metabolism can often lead to the development of diabetes. If necessary, the analysis can be prescribed more often and not only on an empty stomach, but also after a meal, a test with a food load or a glucose tolerance test.

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When bleeding is perceived with the naked eye, it must always be studied. When it is microscopic, that is, it is not perceptible to the eye, when it must be studied whenever it is significant (more than 3 red blood cells per field), especially in patients with risk factors: over 40 years of age or smokers or exposed to certain substances of dye or paint.

It is normal to be scared, but we have many options to get healed. Depending on the characteristics of the tumor, we can propose focal treatment, prostatectomy or radiotherapy. The heals are very high, but we have to carefully weigh the pros and cons of each.

From the age of 50 or if you have urinary symptoms. If you have a family history of prostate or breast cancer, it is advisable to start check-ups at age 40.

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Institute of Urology

The main objective of the Institute of Urology of doctors De la Peña, Hidalgo and Alonso y Gregorio is to offer each of our patients the best treatment, always accompanied by our professionalism and commitment to their health and well-being. Our doctors are pioneers in non-invasive surgery, prostate cancer interventions, benign prostatic hyperplasia, among others.

Experts recommend taking a blood test for glycosylated hemoglobin: this indicator immediately indicates whether a person has normal carbohydrate metabolism, is at risk of developing diabetes, or already has this disease. Today this indicator can be measured in many clinics and laboratories, and at any time of the day, and not strictly on an empty stomach.

What's new in the treatment of diabetes?Fundamentally new drugs have appeared. Some of them eliminate insulin resistance, others stimulate insulin secretion, but sparingly (as needed), without causing a drop in blood sugar below normal. Newer drugs have several mechanisms of action at once: they lower blood sugar due to its excretion in the urine, reduce body weight and blood pressure. Some are able not only to control the disease, but also to prevent its development in the prediabetes stage. They are available, included in the Vital and Essential Medicines List.

For many years I have been living with diabetes, which has given me a complication: my eyesight is catastrophically deteriorating. I've heard that anti-VEGF therapy can stop the process. What is this method and where can one get such treatment?

It is very important for mothers-to-be to control their sugar levels: they often have gestational diabetes (occurring during pregnancy, which is often overlooked), which increases the risk of developing type 2 diabetes several years after birth . Therefore, it is necessary to take preventive measures in time.

If you have any questions, you can ask the endocrinologist online in the Doctis application.

VEGF "stands for" vascular endothelial growth factor; Briefly, in diabetes, the action of VEGF is manifested in the growth of newly formed vessels and increased retinal edema, which leads to loss of vision. The use of anti-VEGF therapy can block the action of this growth factor, relieve swelling, and restore vision. Drugs are prescribed in the form of injections, treatment is carried out in ophthalmic hospitals. This is a very expensive type of therapy, but this technique is included in the fee. Diabetes mellitus is always accompanied by vascular damage, so patients have serious heart, kidney, eye and leg problems. To avoid complications, it is important to learn how to manage the disease. That's what diabetes schools are for. Unfortunately, many patients believe that it is enough to take a course once and you are "armed". This is not so: every 2-3 years in the treatment of the disease, a new one appears - effective drugs, high-tech innovations that the patient must help to master. Practice shows that those who are trained in diabetes schools every three years, the frequency of complications is several times lower.