The secret of the life-threatening disease, diabetes complications ‘The increasing number of diabetes drugs, the reason for the failure of blood sugar control’

[한국강사신문 이미숙 기자] Find out why diabetes patients’ medications increase and why they fail to control blood sugar through drugs, eating habits, and exercise methods on KBS 1TV’s ‘Secrets of Life and Death’.

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Diabetes is recorded in the ancient Egyptian medical book Evers Papyrus. ‘People with this disease show extreme thirst and polyuria and their bodies are very dry.’ This is a typical symptom of high blood sugar.

As of 2018, the prevalence of diabetes was 13.8%, with regarding 3.02 million people suffering from diabetes. Diabetes, a disease that desperately needs active management! Many patients take diabetes drugs, but soon reach a limit when the amount of the drug starts to increase. This is because the drug cannot be increased indefinitely, and the efficacy of the drug begins to decline. Prejudice once morest insulin injections sometimes misses the right time for treatment. Diet and exercise are also factors that diabetic patients need to know accurately. Experts point out that many diabetics have problems with their diet and exercise regimen.

<당뇨합병증, 당뇨망막병증과 당뇨병성 족부병변>

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The most common place for diabetic complications is the retina of the eye. As of 2019, regarding 12.7% of all diabetic patients had diabetic retinopathy. The retina is the area where the image of an object is formed, and it needs a lot of nutrients and oxygen. If the hyperglycemic state persists, it becomes difficult to supply oxygen and nutrients due to impaired blood circulation, and bleeding occurs. When this phenomenon worsens, the nerve tissue of the retina is damaged and vision deteriorates.

A man wearing sunglasses indoors. This is because of the glare symptoms caused by diabetic retinopathy. I have had surgery and injections for diabetic retinopathy in my left eye, but I have a retina problem once more. What was wrong with his eyes?

Diabetic foot lesion, also known as ‘diabetic foot’, is a disease in which the foot tissue is necrotic due to inflammation. As high blood sugar affects peripheral nerves, motor nerves are damaged, foot shape is deformed, and blood vessels are clogged. In severe cases, it is a disease that can result in loss of a foot. A 70-year-old male patient with diabetic foot lesion who is regarding to undergo surgery. Why did he have these complications?

<당뇨약이 늘어나고 있다>

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Many diabetic patients are concerned regarding the complications of diabetes. Han Myeong-hwa, who was diagnosed with diabetes 15 years ago, is worried regarding the increasing number of diabetes medications. I’m trying to manage my diabetes the way the hospital told me, but it’s only a short time to follow along. He goes to the hospital and following a few days he forgets that he is diabetic. The diabetic drug, which used to be a single tablet, continued to increase over time, and as the number of drugs increased, I was worried regarding complications due to failure to control blood sugar.

Ki-jong Han, who has suffered from diabetes for more than 20 years. He had been exercising regularly, so he thought there was no problem with his blood sugar control, but he was surprised by the high fasting blood sugar. He also paid attention to his diet, but his diabetes medication continued to grow over the next 20 years. As his medications increase, his worries regarding diabetes increase as well. He wonders if he may need insulin injections if he can’t increase the dose further.

<혈당조절에 실패하는 이유>

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What is the current state of the patient who is worried regarding the increase in diabetes drugs? Experts point out that if the treatment period is delayed due to fear of insulin injection treatment, the pancreas’ insulin-secreting function may worsen. This is because the function of the pancreatic islet cells that secrete insulin from the pancreas decreases as diabetes increases. It is difficult to control blood sugar with only diabetes medication, how to manage it?

Insulin opens the door for muscle cells to use glucose as an energy source. Type 1 diabetes is the inability to produce insulin due to the destruction of beta cells in the pancreas. In type 2 diabetes, where there is no problem in insulin secretion, the function of beta cells gradually declines, making it difficult to control blood sugar due to decreased insulin secretion. In this case, extracorporeal insulin supply is required. Why do diabetics feel reluctant to take insulin injections?

<인슐린 주사 치료, 어떻게 하면 좋을까>

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One case hesitates when talking regarding the need for insulin injection treatment. Considering the function of the pancreas, it is necessary to start insulin injection therapy to control blood sugar. About 2 months following insulin prescription, visit the hospital once more to check the insulin injection effect and current status.

A man reported that he had gained 10 kg in weight in a few months. He has been battling diabetes for 20 years, but his recent weight gain has caused his blood sugar to soar. Diabetes complications with high fasting blood sugar. Nerve damage caused numbness in the limbs and great pain in the feet. He has been taking insulin injections since 5 years ago, but the sudden rise in blood sugar levels following eating is a big concern. Why does he regret delaying insulin injections? Why do diabetic patients have difficulty managing their blood sugar even when they receive insulin injections?

<약만큼 중요한 당뇨병 생활 습관>

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When it comes to managing diabetes, lifestyle is just as important as medicine. Eunkyung Lee, who has been suffering from diabetes for more than 10 years. Even if you know that managing your diet is important, managing it is not easy. I am well aware of the need for exercise, but it is difficult to exercise for more than 20 minutes a day. Check to see if your blood sugar is being managed well and if there are any problems with your eating habits.

Those who need overall improvement in diet and exercise as well as diabetes medication. Irregular meal times and high calorie intake, what other problems were found in their diet? In addition, the patients who had difficulty in controlling blood sugar had in common that they had little activity, weak exercise intensity, and lack of strength training. Find out what exercise is recommended for diabetic patients. How has your blood sugar level changed following changing your lifestyle?

Diabetes can be overcome with lifelong management! Find out how to properly control blood sugar through diabetes medication, diet, and exercise correction in KBS 1TV 813 ‘Secrets of the Life and Death’.

​About ‘Secrets of the Living and Lost Soldiers’: This is a current affairs/cultivation program that suggests a ‘healthy way of life’ that can simultaneously increase the ‘health index’ and ‘happiness index’ through a holistic approach to our lives in which we eat, sleep, and be active. . Even the official video, episode information, ratings, and cast members are attracting viewers’ attention. The broadcast time is every Wednesday at 10 PM.