出现这10个症状，可能糖尿病并发症来了，看看你有吗
<section style="box-sizing: border-box;"><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"><br></section><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"><section class="" style="box-sizing: border-box;"><section class="" style="box-sizing: border-box;"><section data-role="outer" label="Powered by 135editor.com" style="font-size:16px;"><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病并发症遍及全身，心、脑、肾、眼、下肢等全身各个组织器官均可受累，如果不能早期发现和及时治疗，将会导致冠心病、脑卒中、尿毒症、失明、足坏疽等严重后果。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">一般说来，当机体某一组织器官发生病变时，常常会暴露一些蛛丝马迹——要么是异常的症状表现，要么是异常的检查结果。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">正是凭借这些临床上的异常信号，我们才得以早期发现糖尿病并发症。如何看出糖尿病并发症的蛛丝马迹呢？</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">1.来自眼睛的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">当糖尿病患者出现视物模糊或眼前黑影时，不要想当然地认为是年老眼花，这很可能是长期高血糖引起视网膜病变或白内障所致，一定要去医院检查，排除糖尿病眼病。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">2.来自口腔的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病患者出现牙龈萎缩或肿痛、牙周感染或口臭、牙齿松动甚至脱落时，都可能与患者血糖长期控制欠佳，导致机体免疫力下降、继发感染、钙质流失增加有关。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">因此，当糖尿病患者出现上述症状时，一定要引起警惕，及早处理。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">3.来自皮肤的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病患者出现全身皮肤及外阴顽固性瘙痒、皮肤真菌感染（如手癣、足癣、股癣、甲癣等）、毛囊炎或疖痈、皮肤不明原因地起水疱，且反反复复、久治不愈，要想到这可能是由于长期高血糖所致的糖尿病性皮肤病变。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">4.来自四肢的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">当糖尿病患者出现两侧对称性的肢端麻木、蚁行感、针刺感、灼热感、疼痛感，或者是痛、温、触觉减退或丧失等感觉异常时，往往提示糖尿病患者已经出现周围神经病变。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">5.来自汗腺的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">有 些 糖 尿 病 患 者 特 别 爱 出汗，即便在大冷天也是如此，往往一吃饭或稍微活动一下就大汗淋漓，而且出汗还有个特点，就是头面部和躯干大汗淋漓，但四肢一点汗也不出。出汗异常说明患者调节汗液分泌的自主神经受损。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">6.来自消化道的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">当糖尿病患者出现上腹部饱胀、顽固性便秘；或是出现顽固性腹泻，但又不伴有发热、腹痛及脓血便，这很可能是长期高血糖损害胃肠道自主神经，导致胃肠道功能紊乱所致。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">7.来自肾脏的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">当糖尿病患者出现尿液泡沫增多、夜尿增加、眼睑及双下肢水肿，往往提示可能出现糖尿病肾病。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">8.来自心血管的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">正常人往往活动时心跳比休息时快、白天比夜间快。而某些糖尿病患者则表现为休息状态下心跳过快（我们称之为静息心动过速），并且白天与夜间的心率变化不大（我们称之为固定心率）。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">此外，还有些患者表现为体位性低血压，即从卧位（或蹲位）起立时，常伴有血压下降、头晕、心慌、眼前发黑，严重时会出现晕厥。出现上述症状说明患者的心脏自主神经受累。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">9.来自性腺的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病可以导致周围血管及末梢神经病变，可导致性欲减退、阴茎勃起不坚的症状，随着糖尿病病程的延长，可逐渐发展成完全性阳痿。因此，性功能减退也常常是糖尿病并发症的一个信号。</p><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="_135editor" data-tools="135编辑器" data-id="39" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;" data-color="#1e9be8" data-custom="#1e9be8"><section style="max-width: 100%;margin-top: 0.8em;margin-bottom: 0.5em;overflow: hidden;"><section class="135brush" data-brushtype="text" placeholder="请输入标题" style="height: 36px;display: inline-block;color: rgb(255, 255, 255);font-weight: bold;padding-right: 10px;padding-left: 10px;line-height: 36px;vertical-align: top;background-color: rgb(216, 40, 33);box-sizing: border-box !important;">10.来自骨骼的信号</section><section style="display: inline-block;height: 36px;vertical-align: top;border-left: 9px solid rgb(216, 40, 33);box-sizing: border-box !important;border-top: 18px solid transparent !important;border-bottom: 18px solid transparent !important;border-right-color: rgb(216, 40, 33);"></section></section></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">当糖尿病患者感觉腰酸背疼，且有明显驼背时，很可能是骨质疏松所致。骨骼是以蛋白质(胶原蛋白)为基质，大量的钙沉积于上而形成的。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病患者由于血糖浓度较高，肾脏在排出过多葡萄糖的同时，血液中的钙也随尿大量流失。此外，由于胰岛素缺乏，糖尿病患者胶原蛋白合成不足，骨基质减少，因此，容易引起骨质疏松。</p><section class="_135editor" data-tools="135编辑器" data-id="71382" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section class="layout" style="width: 60%;border-width: initial;border-style: none;border-color: initial;margin: 5px auto;padding-right: 5px;padding-left: 5px;box-sizing: border-box;" data-width="60%"><section style="box-sizing: border-box;color: inherit;border-color: rgb(216, 40, 33);"><p style="border-radius: 0px 0em 0em 0px;box-sizing: border-box;color: rgb(255, 255, 255);text-align: center;padding: 0.8em 0.5em;border-color: rgb(216, 40, 33);background-color: rgb(216, 40, 33);"><span class="135brush" data-brushtype="text">每年做这4个检查，早期发现并发症</span></p></section><section data-bcless="darken" data-width="0px" style="width: 0px;border-right: 4px solid rgb(127, 24, 19);border-top: 4px solid rgb(127, 24, 19);box-sizing: border-box;color: inherit;height: 4px;border-left: 4px solid transparent !important;border-bottom: 4px solid transparent !important;"><br></section></section></section><section class="_135editor" data-tools="135编辑器" data-id="44423" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;"><span style="color:#FFFFFF;font-size:18px;"><strong><span class="135brush" data-bcless="darken" data-brushtype="text" style="border-bottom: 4px solid rgb(127, 24, 19);border-top-color: rgb(127, 24, 19);border-right-color: rgb(127, 24, 19);border-left-color: rgb(127, 24, 19);border-radius: 3px;line-height: 36px;margin-right: 7px;margin-bottom: 11px;padding: 5px 10px;text-align: center;background: rgb(216, 40, 33);">1.眼底检查</span></strong></span></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病病友无论视力有无问题，都需要定期去医院检查眼底。中国糖尿病视网膜病变防治指南建议：</p><ul class=" list-paddingleft-2"><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">青春期前或青春期诊断的1型糖尿病在青春期开始（12岁后）筛查眼底，此后每年一次；</p></li><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">2型糖尿病患者应在确诊伊始筛查眼底，每年随诊一次。如果被检查出有糖尿病性视网膜病变，那么，患者需要3～６个月查一次眼底。</p></li></ul><section class="_135editor" data-tools="135编辑器" data-id="44423" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;"><span style="color:#FFFFFF;font-size:18px;"><strong><span class="135brush" data-bcless="darken" data-brushtype="text" style="border-bottom: 4px solid rgb(127, 24, 19);border-top-color: rgb(127, 24, 19);border-right-color: rgb(127, 24, 19);border-left-color: rgb(127, 24, 19);border-radius: 3px;line-height: 36px;margin-right: 7px;margin-bottom: 11px;padding: 5px 10px;text-align: center;background: rgb(216, 40, 33);">2.尿微量白蛋白检查</span></strong></span></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">临床可通过检测尿微量白蛋白发现早期糖尿病肾病。2型糖尿病确诊的同时，以及1型糖尿病病程5年以上者均应该开始该项筛查，以后6～12个月筛查一次。</p><section class="_135editor" data-tools="135编辑器" data-id="44423" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;"><span style="color:#FFFFFF;font-size:18px;"><strong><span class="135brush" data-bcless="darken" data-brushtype="text" style="border-bottom: 4px solid rgb(127, 24, 19);border-top-color: rgb(127, 24, 19);border-right-color: rgb(127, 24, 19);border-left-color: rgb(127, 24, 19);border-radius: 3px;line-height: 36px;margin-right: 7px;margin-bottom: 11px;padding: 5px 10px;text-align: center;background: rgb(216, 40, 33);">3.心血管检查</span></strong></span></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">糖尿病患者没有心脏病症状并不说明心脏就一定没有问题，定期进行心血管筛查（心电图、动态心电图、心脏彩超等）非常必要。</p><section class="_135editor" data-tools="135编辑器" data-id="44423" style="border-width: 0px;border-style: none;border-color: initial;box-sizing: border-box;"><section style="margin-top: 10px;margin-bottom: 10px;"><span style="color:#FFFFFF;font-size:18px;"><strong><span class="135brush" data-bcless="darken" data-brushtype="text" style="border-bottom: 4px solid rgb(127, 24, 19);border-top-color: rgb(127, 24, 19);border-right-color: rgb(127, 24, 19);border-left-color: rgb(127, 24, 19);border-radius: 3px;line-height: 36px;margin-right: 7px;margin-bottom: 11px;padding: 5px 10px;text-align: center;background: rgb(216, 40, 33);">4.足部及下肢血管检查</span></strong></span></section></section><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">足部及下肢血管检查包括：</p><ul class=" list-paddingleft-2"><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">检查足部皮肤有无紫绀、皲裂、擦伤及破溃；</p></li><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">足部有无胼胝、鸡眼及畸形；</p></li><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">患者肢端神经感觉（主要指痛、温、触3.觉）是否正常；</p></li><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">足背动脉、胫后动脉搏动有无减弱；</p></li><li><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">对疑有下肢缺血者，可进行下肢血管多普勒超声检查或测定“踝肱指数”（ABI，代表踝动脉收缩压与肱动脉收缩压的比值，正常值应大于0.9；若ABI小于0.9，则表示下肢动脉血管有硬化；若ABI小于0.6，则表示下肢血管病变比较严重）。</p></li></ul><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">一般建议糖尿病患者6～12个月进行一次系统的足部检查。</p><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">早期发现糖尿病并发症的方法，您get到了吗？</p><blockquote><p style="line-height: 2em;margin-bottom: 20px;margin-top: 20px;">作者：山东省济南医院糖尿病诊疗中心主任医师 王建华 </p></blockquote></section></section></section></section><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"><section class="" style="margin-top: 0.5em;margin-bottom: 0.5em;box-sizing: border-box;"><section style="border-top: 1px dotted rgb(142, 142, 150);box-sizing: border-box;" class=""></section></section></section><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"><section class="" style="box-sizing: border-box;"><section class="" style="display: inline-block;width: 100%;vertical-align: top;background-color: rgb(239, 239, 247);padding: 10px;box-sizing: border-box;"><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"><section class="" style="margin: 8px 0% -2px;font-size: 13px;box-sizing: border-box;"><section class="" style="display: inline-block;vertical-align: top;box-sizing: border-box;"><section class="" style="background-color: rgba(255, 255, 255, 0);color: rgb(55, 55, 93);font-size: 16px;padding-left: 5px;padding-right: 5px;margin-bottom: 4px;box-sizing: border-box;"><p style="box-sizing: border-box;"><br></p></section></section></section></section><section class="Powered-by-XIUMI V5" style="box-sizing: border-box;" powered-by="xiumi.us"></section></section></section></section></section><p></p><p>转载声明：本文转载自「糖尿病之友」，搜索「tnbzy2013」即可关注。</p><p></p> 学习
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