It is estimated that between 500,000 and 800,000 French people have diabetes they ignore. However, it is essential to detect diabetes before the onset of complications associated with this disease. Professor Patrick Vexiau * clear symptoms suggestive of diabetes and those most at risk.
Can you have diabetes without knowing it? How then carried the diagnosis of diabetes?
Professor Patrick Vexiau: YES, you can have diabetes without knowing it. It is currently estimated that there are between 500,000 and 800,000 people with diabetes are unaware that France, more than 3 million known diabetics. Specifically, data from the UKPDS (United of Kingdom Prospective Diabetes Study) showed that the actual onset of diabetes ahead of them 8 to 10 years diagnosed with the disease. Over 80% of cases, diabetes is diagnosed during a blood test requested as a routine. In the cardiac intensive care units, 20% of patients are actually suffering from diabetes and half of them are diagnosed at this hospital, and therefore acute coronary complications. Thus, in many people, the diagnosis of diabetes is made on the occasion of a complication of the disease, knowing that it occurs ten years or more after the onset of diabetes, thus confirming the diagnosis is often overlooked during an entire decade.
How to spot symptoms of diabetes?
Professor Patrick Vexiau: Symptoms suggestive of the existence of diabetes are polyuria polydipsia syndrome, that is to say the appearance of a large thirst due to the fact that the patient urinate frequently, especially at night, who wakes up and needs to stand up. However, these symptoms only appear when the sugar appears in the urine, which occurs when blood glucose exceeds 1.80 g / l. In practice this means that blood sugar is well above 2 g / l when these symptoms are visible. So often associated weight loss. Thus, when these symptoms occur, the diagnosis is already very late. We must therefore insist that this is not directly on the symptoms associated with diabetes need to discuss the disease, but before the events that predispose to diabetes:
* Above all, the existence of family history. If a parent has become known diabetes at the age of 50 years and was ignored for 10 years, the disease has therefore emerged around the age of 40. Then 35 years from a systematic search should be performed periodically in children.
* The existence of other abnormalities such as dyslipidemia, hypertension or unexplained inflammation, should be investigated, metabolic syndrome, which is frequently associated with diabetes.
* Finally, lack of physical activity and overweight are major factors indicating a genetic predisposition to diabetes. Patients are less active and / or overweight should regularly check the existence of diabetes, especially when obesity is android (abdominal obesity).
* We know that diabetic patients have often had big babies at birth. Thus, any woman who had a baby weighing more than 4.5 kg should be periodically scan diabetes.
It is only a screening and systematic research that can arrive early enough to diagnose and therefore treat diabetes, to avoid complications.
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