Bad Berka, November 11, 2022 — On World Diabetes Day (November 14), Prof. Dieter Hörsch, head physician of the internal, gastroenterology and endocrinology clinic of the Central Clinic Bad Berka, pay attention to the typical symptoms of diabetes. and regular preventive medical examinations. “Anyone can develop diabetes. Diabetes is not immediately felt as a serious symptom. Anyone who observes symptoms such as increased thirst, exhaustion and fatigue as well as unexplained weight loss should get it clarified,” explains Prof. Dieter Hörsch. This is also true for children, especially if several of these symptoms appear.
The head doctor does not recommend self-diagnosis using urine test strips: “For these sticks to react positively, you need a fairly high sugar level. Depending on the concentration of urine, the result is imprecise and therefore unreliable. It is better to have your sugar checked by a doctor, either on an empty stomach or as a random value or as a long-term value. It develops gradually in most patients. General practitioners are usually very sensitized and always check blood pressure and blood sugar levels, sometimes blood lipids, especially in middle-aged patients who are a few kilos overweight. A fasting glucose test as well as a long-term blood glucose test offer even better options. This allows you to find out very early whether the patient is suffering from prediabetes or diabetes.”
Early detection also helps with subsequent individual therapy for secondary disease, e.g. B. avoid blood vessels, kidneys, nerves, heart and liver. “In principle, diabetes can be treated very well, for many years with effective medication with minimal side effects and only later with insulin,” says Prof. Dieter Hörsch.
Lifestyle changes are part of the therapy. Regular exercise such as B. 3 x 30 minutes of physical training per week is recommended, such as brisk walking and a change in diet. “If you still manage to lose a few pounds when you’re overweight, then your metabolism improves significantly.” Basically, sugar does not lead to “sugar”, as diabetes is colloquially called. The main risk factors for developing diabetes are lack of exercise and obesity. “Fat distribution also plays a role here. Belly fat has metabolic properties that are unfavorable. A little more on the hips or thighs is not so dangerous. In the end, it doesn’t matter if you eat too many sausages or too many pies – it depends on the excess weight and the distribution – the higher the excess weight and the more unfavorable the distribution, the greater the risk of diabetes.
In diabetics, the nervous system also suffers, which increases the risk of a “silent heart attack” in those affected. “The insidious thing about diabetes is that sufferers are no longer as sensitive to pain. Normally, a heart attack is accompanied by severe pain and patients go to the hospital.” People with diabetes feel tired and exhausted. In such a silent heart attack, heart tissue is lost. Diabetics and general practitioners know this, in diabetics it is necessary to regularly check the blood vessels in the legs, examine cardiac output and heart activity with ultrasound, ECG, MRT or CT.