What Is the Relationship Between Glaucoma and Diabetes?

Diabetic retinopathy is a major blinding disease. However, if patients with diabetes can be found in time and receive standardized treatment, most of them can get rid of the risk of blindness. Almost all eye diseases can occur in people with diabetes. Such as fundus hemangioma, fundus hemorrhage, dacryocystitis, glaucoma, cataracts, vitreous opacity, optic nerve atrophy, macular degeneration, and retinal detachment. And those with diabetes have a significantly higher chance of developing these eye diseases than non-diabetics.

Diabetic eye disease

Diabetes is a common

Western medicine therapy is mainly used in the first three stages of diabetic retinopathy. How to prevent diabetic eye disease: Western medicines commonly used today include pancreatic kallikrein, micobalamin, and dobes. However, western medicine lacks a holistic view and treats the symptoms but not the root causes. At the same time, due to long-term hyperglycemia in patients with diabetic eye disease, organs such as heart, liver and kidney are damaged, and western medicine will aggravate the damage, leading to cardiovascular and cerebrovascular disease and renal failure. Western medicine treatment is mainly for diabetic eye disease patients through some chemical ingredients

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Early treatment of diabetic retinopathy is better. Due to the irreversibility of lesion damage, prevention is the most important part, and the cost of early prevention is much lower than the cost of advanced surgery, and the effect is better.

(1) Strict control of blood glucose is the fundamental measure to prevent and treat diabetic eye disease. Some people have observed this type of patients for more than 20 years, and found that more than 80% of diabetic patients with poor blood glucose control will develop retinopathy 20 years later, and only about 10% of patients with good control will have retinopathy, which is very different. .

(2) Patients should be educated to understand that ocular complications are common in diabetic patients, it can seriously affect vision, and complications may have occurred when vision is normal. Early detection and reasonable treatment of eye complications can greatly reduce blindness caused by diabetic eye complications.

(3)

Limit the amount of staple food, but not excessively, so as not to cause hunger;

Eat less and eat more;

Don't eat all kinds of sugar and sweet food;

Eat more stem and leafy vegetables, eat more crude fiber, and low-fat diet;

Restrict foods with fats, fats and cholesterol;

Prohibit drinking, especially hard alcohol;

The Chinese wolfberry, yam, and amaranth can be used as a decoction for tea. Frequently taken, it can lower blood sugar and lower blood pressure.

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First, many patients with diabetes complications, it is recommended not to eat high sugar content fruits, drinks, etc. If blood sugar is well controlled, fruits can be eaten appropriately, but do not overdose, and must be calculated in the total daily calories.

Second, control your weight. Calculate total calories daily and do not exceed the standard. A balanced diet, with about 15% of total calories, 25% of fat, and 65% of carbohydrates. Oil foods are mainly vegetable oils, and common are peanut oil, soybean oil, rapeseed oil, etc. These oils can reduce the increase in blood lipids. Try not to use animal oils and avoid foods high in cholesterol, such as egg yolks.

3. Among diabetic complications, diabetic eye diseases such as diabetic fundus hemorrhage are caused by yin deficiency and liver heat, so foods that nourish yin and clear liver heat are the main foods. Common staple foods are beans, corn noodles, and buckwheat noodles. Mainly green leafy cabbage, celery, spinach, pakchoi, etc.

Fourth, patients with diabetes complications should not spicy food, pepper, raw onions, raw garlic, etc. are not recommended to eat more. It is also not advisable to eat fried foods, which can easily cause blood sugar to rise and lead to aggravated conditions. In addition, science shows that eating a tomato a day can effectively prevent fundus bleeding.

Some of the dietary contraindications for the above diabetic eye disease patients must be kept in mind. Finally, diabetes treatment experts remind everyone that proper diet and health care play an important role in the control of complications, and conversely, it may lead to serious consequences.

1. Diabetic corneal pathology

2.

As a chronic disease, the treatment of diabetes is long and complicated. In addition, different treatment methods are adopted according to the patient's body, and the intake of appropriate trace elements, especially selenium, brings great benefits for people with diabetes.

The most important biological functions of selenium are anti-oxidation, elimination of free radicals, and proper selenium supplementation can help improve the insulin free radical defense system and endocrine cell metabolism, which provides a new basis for preventing complications of diabetes. In addition, selenium can also delay the occurrence of diabetes complications and improve the prognosis of diabetes by improving the blood viscosity of diabetes.

Selenium is the active ingredient that constitutes glutathione peroxidase. It can prevent the oxidative destruction of pancreatic islet cells, normalize its function, promote glucose metabolism, reduce blood sugar and urine glucose. Doctors can take selenium doses for people with diabetes to protect and restore islet function, help to improve the symptoms of diabetes, and reduce glucose and hemoglobin levels in urine.

In addition, in addition to insulin-like effects, selenium has a synergistic effect with insulin, which makes selenium's role in the pathogenesis of diabetes more noticeable.

So what do people with diabetes eat in their daily diet?

Foods rich in selenium include eggs, peanuts, malt, liver, garlic, mushrooms, etc. People with diabetes can choose reasonably according to their own conditions. But the best way to supplement selenium is to take selenium supplements suitable for people with diabetes.

TCM dialectical treatment of diabetes

Diabetes is closely related to the five internal organs. Doctors usually discuss from the lungs, stomach and kidneys, but also from the liver and spleen. However, the status of the mind in the occurrence of thirst should also be taken seriously. As early as in "Lingshu · The Dirty Article", it reads: "Fragile heart is good for the sickness and dispel the fever", "Those who have a small heart pulse are dispelled"; , Gang is more angry, anger is upside down and turned into heat, heat is to eliminate the skin, so it is to eliminate qi, "this is the bud of thirst to discern the concept of governance from the heart.

1. Excessive fire and qi and yin deficiency

Symptoms: Drinking more than thirsty, upset and nagging, insomnia, shortness of breath, spontaneous sweating, night sweats, or polyuria, red tongue, pulse count.

Etiology and pathogenesis: Insufficient diet, accumulation of heat can cause hyperthermia; if the heart is hidden, if the mood is unsatisfactory, the worry is too much, and the depression and the fire can also cause hyperthermia; at the same time, the atrioventricular Festival is also the reason for the high spirits. Heartburn burns Jin, thirst and drink more if you can't bear it; heat upsets the chest Yang is upset; heat upsets the mind, if God does not abstain, then heart palpitations and insomnia. If the fire consumes gas, shortness of breath, fatigue, spontaneous perspiration; if the heart robs the kidney yin, and the opening and closing of the kidney loses division, it will polyuria; if the fire hurts the yin, the yin deficiency causes the fire to become more prosperous, and the fire can prevent the yin from flowing Shou, night sweats.

Rule: Qingxin Jianghuo, Yiqi Yangyin.

2, heartburn, phlegm and heat

Symptoms: Thirst for drinking, dry throat, upset, cough, yellow phlegm, polyuria and dryness, chest tightness, red tongue, yellow fur, slippery pulses.

Etiology and pathogenesis: The lung is the source of water, and the main application is fluid. If the heart is inflamed, the lungs are burned by the heart, and the lungs are not swollen, then the throat is dry and thirsty, and the water diversion is self-rescue; the dressing is out of order, and the fluid tends to go down, then polyuria; the heat is disturbed, the heart is upset; the lungs are injured by dryness , Su Jiang lost the Secretary is coughing; fiery fever lungs, burning sputum is phlegm, so phlegm yellow; phlegm and heat are intertwined, hinder the air, and chest tightness.

Rule: Eliminate irritations by purging fire and clearing phlegm.

3. Heart and spleen heat and damp gas

Symptoms: irritable face, thirst, drink more, odor in the mouth, nausea, hunger after eating more, bloating, or see puffiness, red tongue, yellow greasy fur, slippery pulses.

Etiology and pathogenesis: "Su Wen · Yin Yang Distinguishment" reads: "The disease of the two yang spleens the heart and the spleen, there must be no hidden music, and it is transmitted as the wind disappears." Because thinking is the spleen, but the essence is in the heart. Thought is suffocating, and the depression is turned into fire, so that the mind is consumed. " Internal disturbance of heart fire is irritable face; hot and burning is thirsty and drink more; spleen is opened to the mouth, spleen is hot and rotten, so odor in the mouth; accumulated heat and valley is eaten easily and hunger; long-term accumulation of evil heat, spleen loss Health, the water does not become wet, wet air compressor is bloated full stomach; or see puffiness.

Rule: clear the mind and spleen, qi and dampness.

4, both heart and spleen deficiency, Qi and blood loss type

Symptoms: palpitations, insomnia, forgetfulness, paleness, muscle wasting, fatigue, laziness, dry mouth, thirst, lack of appetite, women with more or less menstrual flow, pale tongue, white fur, and weak pulses.

Etiology and pathogenesis: The spleen is the source of qi and blood biochemistry, the heart is the official of the monarch, and the main blood. If the thirst is prolonged, the blood loss, and the lack of chemical sources, the heart is lost, the heart palpitations, insomnia and forgetfulness; physical insufficiency, the complexion is pale, the muscles are wasted, the fatigue is lazy; If it is inherited, the mouth is dry and thirsty; if the spleen is incapable of movement, it will eat less, and if the spleen has no right to control, the moon will not adjust.

Rule: Nourishing qi and nourishing blood, nourishing heart and spleen.

5, heart-burning, consuming Yin blood type

Symptoms: irritability, irritation, or pain in the ribs, bitter thirst, hot face, palpitations, insomnia, tongue sores, tinnitus and deafness, vision loss, more or less menstruation, red or yellow tongue coating Moss, pulse number or string number.

Etiology and pathogenesis: Qu Yun is laborious, thinking about laboring the liver, hiding the heart, the liver and the soul. If the mood is unsuccessful, the depression will turn into fire, and for a long time, the heart meridian will be hot, and the liver depression will turn into fire. The main blood in the heart, the blood in the liver, fierce movement, easy to hurt the yin and blood, cause endogenous fiery fire, and become a mixed reality of fictitious reality. , Face is hot, tinnitus, deafness, and vision dizziness; fire disturbs the heart meridian, chest tightness, chest pain, palpitations, insomnia, and sore tongue; hot and bloody delusions are more frequent; and hot and yin are lesser.

Rule: clear heart and diarrhea, nourish yin and lower fire.

6, the heart and kidneys do not cross, water deficiency and fire type

Symptoms: thirst and urination, palpitations, upset, insomnia, dreams, sore waist and knees, nocturnal emission, hot flushes, night sweats, red tongue and less moss, pulse count.

Etiology and pathogenesis: Under physiological conditions, the kidneys are warmed under the fire, and the kidneys are watered to the heart. If you think too much, your emotions will be depressed, which will make your heart fire rise above your heart, and it will hurt your heart and yin. , Insufficient kidney water, water is not good fire, can also cause the tendency of renal failure and hyperactivity. Heart fire is high, Xiaoshuo fluid is thirsty; kidney water is deficient, and urine loss is more urine. Uneasy, palpitations and upsets, or even insomnia and dreams. Insufficient kidney water, loss of waist and knees, sore waist and knees; yin deficiency produces internal heat, disturbing the seminal chamber, then nocturnal emission; deficiency heat forced fluid leakage, hot flashes and night sweats.

Rule: nourish yin and lower fire, traffic to heart and kidney.

7, chest Yang is weak, heart pulse obstruction type

Symptoms: chest pain, even back palpitations, palpitations, insomnia or less diarrhea, dry mouth, but not swallowing water, dark tongue, or petechiae, petechiae or tightness.

Etiology and pathogenesis: At the beginning of thirst, the evil of hotness is easy to cut righteousness, and the deficiency of qi is handsome and weak, and the blood stasis is endogenous; In the later stages of the disease, yin damage and yang. If the kidney yang is insufficient, it is unfavorable to open the diarrhea, and the wetness will be convicted, and the spleen will be sputum; if the spleen yang is insufficient, the water valley will not become subtle, and the wet will become phlegm; Eventually, the chest yang is weak, the phlegm and stasis are intertwined, and the veins are not smooth. The heart pulse is obstructed, and the pain is caused by the incompatibility, so see chest pain, or even hinder the back; internal blood stasis, new blood is not born, and blood does not support the heart, palpitations; due to internal resistance of phlegm and blood stasis, Wei Qi cannot enter the Yin points , Yin does not contain yang, cause insomnia or less suffocation; internal stasis and blood, unfavorable gasification, dry mouth; disease is not enough fluid, so do not want to swallow.

Rule: Tongyang Sanjie, Huoxue Quyu.

In short, the treatment of thirst should pay attention to the internal relationship between the heart and his internal organs, distinguish the cold and heat of the disease, and distinguish the difference in the position of the disease.