Sugar diabetes symptoms in women of second type. Signs of various types of diabetes in women. Neurological manifestations of diabetes

23.08.2019 Complications

Diabetes - The disease in which insulin synthesis is broken. Insulin is called a hormone, which is involved in the process of converting sugar in glucose. If the pancreas produces an insufficient amount of insulin, sugar begins to accumulate in the blood, and diabetes develops. In some cases, its own hormone is not allocated at all - then the patient has to introduce artificial insulin to the form of injections.

Micrangiopathic damage as a result of diabetes mellitus. Violations on the capillary level are mainly affected by the kidneys, retina, nervous system and intramural, smaller coronary artery. In Germany, diabetes mellitus is the most common cause of dialysis. Hyperglycemia leads to activation of growth factors, which cause kidney hypertrophy with the thickening of the basal membrane and, thus, increase the permeability of the glomerular. It leads to renal failure through the processes of fibrous reconstruction.

This leads to microangiopathy with micromeurs, venous calibration, intracental bleeding. If the angiogenic growth factors are then generated, along with the unpoliferative form, there may be proliferative retinopathy with new formation. blood vessels on an optical disk.

Most often, women suffer from the disease. Provoking factors can be overweight, strong emotional shocks, reception hormonal drugs. The risk of developing diabetes by 50% increases after 40 years, when menopause comes, and a change in the hormonal background occurs. The cunning of the disease is that it does not show himself almost in any way, and to discover pathology can be accidentally when the planned survey is passed. That is why it is important to know which symptoms and signs may indicate diabetes (especially if someone suffers from this disease in the family).

Vasi microcirculatory disorders prevails due to glycosylation of various neural proteins. This usually leads to peripheral sensorine neuropathy with distally stressful, symmetric manifestation. In neurological examination, in addition to a trophic disorder lower extremities Both stop, reflection and pallerization occur. Those who were injured are often reported by the paresthesia and may suffer from a paresa.

In addition to this distribution form, diabetic main polyneeropathy, peripheral facial paresis or diabetic radiosopathy are also found. Often there is also neuropathy of vegetation. And sympathetic and parasympathetic nervous system may be damaged. Symptoms are just as diverse as the vegetative nervous system. We highlight Cardiovascular forms from autonomous diabetic neuropathy gastrointestinal tract, urogenital system, neuroendocrine system or thermoregulation.

In most cases, diabetes in women does not exhibit. Increased fatigue, sharp mood swings and periodic headaches The woman explains large loads at work or fatigue from everyday trouble. Chances of discovering the disease at the initial stage are higher in women who work in production requiring the passage of the annual medical examination (Russian Railways employees, catering staff, educators). The introduction of planned closerization also has a positive effect on the early diagnosis of dangerous diseases, so it is not worth refusing to pass the commission.

Tip for clinic: Diabetics often have warm and dry feet! Diabetic foot syndrome is the most common complication. Distinguish various forms Diabetic foot syndrome. Neuropathic diabetic stop Usually warm and dry. There is impaired sensitivity with good perfusion. Those who have suffered often carry irregular shoes or do not notice minor injuries, which leads to ulcerative, painless ulcers.

Ischemic stop in the case of peripheral occlusal disease, on the other hand, is cool and pale due to the lack of perfusion. Necrosis or gangrene can be very painful. Combined forms are particularly unfavorable, which, unfortunately, are present in 35% of diabetic stop. It is also more common in other forms of operational amputation.


For the development of diabetes, women over 40 are influenced by several factors associated with physiological changes occurring in the women's body at this age. These include:

  • change of hormonal background and status during menopause;
  • violations in work thyroid glandarising from a decrease in the synthesis of thyroid hormones;
  • slowing of metabolic processes in the body (including synthesis and glucose metabolism).

The main way to control the possible presence of diabetes after 40 years is a regular biochemical study of blood. According to the results of the analysis, it is possible to determine the level of sugar, and if it is increased, send a patient for additional surveys to help clarify the diagnosis.

Other complications of diabetes. In addition to micro and marginalgiopathogenic damage, diabetic cardiomyopathy can also develop, the decrease in immunological resistance leads to strengthening the infectious trend and lipid metabolism disorders, ultimately requires hepatitis steatosis.

In addition, glucose tolerance and diabetes mellitus can be diagnosed with emptying glucose or oral dough on glucose levels. Accordingly, pregnant women should have a close analysis of blood glucose levels. If there is reason to believe that there is a high risk of developing diabetes, it is recommended to carry out a test for glucose tolerance.


Sugar rate in women after 40 years

For research can be used venous or capillary blood. On sale now there is a large selection of glucometers designed to measure sugar at home. Specialists advise using this device to control sugar after diagnosis in the framework of therapeutic or maintenance therapy. For primary diagnosis It is better to get a laboratory study that allows you to get more accurate results.

If there are risk factors, this screening should be carried out earlier. If the diagnosis is made, further clinical researches Suitable in accordance with late complications, especially since many of them can be performed simply and without complex equipment. A detailed history of the disease requires additional risk factors to evaluate and treat angiopathic damage.

Nutrition with diabetes

At least once a year, a microalbuminuria test is necessary. In principle, the distribution of small dishes during the day is beneficial in order not to cause too much deviation in insulin needs. Alcohol inhibits glukegenesis and, therefore, increases hypoglycemia during insulin therapy. When drunk alcohol, carbohydrates should always be accepted at the same time.

In order for the analysis to show reliable results, it is important to prepare correctly. For this you need:

  • do not eat and not drink within 8 hours before analysis (it is better to withstand the interval at 12 o'clock);
  • during the day before research, exclude products from the menu, lowering sugar (cherry, apricots, spinach), alcohol and fried / acute food;
  • do not clean your teeth and not use chewing elastic bands;
  • do not smoke;
  • do not take vitamins and other synthetic additives.


The fact that diabetics especially "with low sugar content" is a popular opinion, but not an advantage. The need for glucose does not fall due to illness. Rather, a balanced diet should be taken into account with slowly absorbing saccharides. In combination with a sufficient amount of dietary fiber, mild sugar resorption can be achieved, which weakens blood sugar peaks. Fructose is processed without insulin, but leads to dlypoproteinemia and overweight more than other sugars.

Pharmacological therapy with diabetes

The optimal composition of food. 30% fat 55% of carbohydrate protein 15%. . With regard to nutrition guidelines, it is also necessary to distinguish between diabetic types. The following principles may be observed. As a result, a breakthrough of the above-described vicious circle can be achieved, and resistance to insulin resistance can be normalized again. Here, the optimal balance between the consumption of glucose and the introduction of insulin should be directed to the diet to avoid dangerous hypo - or hyperglycemia.

  • In the case of type 2, the normalization of the weight has the highest priority for diabetics.
  • Type 1 diabetics are usually normal or have insufficient weight.
The type 1 diabetes is mainly depends on the introduction of insulin due to its absolute insulin insufficiency.

If the patient takes medicine, it should be warned about this laboratory assistant, which will make a special mark. Doctor accounting possible reactions When evaluating the results of the study.

Sugar indicators in women after 40 years may look like this:

It is necessary to donate blood on sugar every six months. This is important for early diagnosis and timely start of treatment. If a woman ignores these recommendations, it needs to be particularly attentive and when any signs indicating the possible development of diabetes mellitus, immediately contact the doctor.

The type 2 diabetes is followed by a stepped stage of therapy, consisting of normalization of weight, oral antidiabetic preparations and insulin. Oral antidiabetic drugs. Due to the high prevalence of diabetes wide spectrum oral antidiabetic preparations. There are distinguished between insulinotropic and non-insulinotropic drugs.

Innsultrotropic drugs have peripheral effects on the target of the insulin fabric and increase its efficiency. Insulinotropic drugs cause increased insulin secretion on beta cells and can also be used at later stages of the disease.

  • The risk of hypoglycemia is significantly lower.
  • They are used, in particular, at the beginning of the disease.
  • Nevertheless, there is an increased risk of appropriate hypoglycemia.
Note: During the diagnosis high level Insulin is often the result of metabolic syndrome.


How to recognize diabetes after 40 years?

Type 2 diabetes occupies 3rd place among diseases diagnosed in women older than 40-45 years (after the uterine and diseases of the mammary glands). The disease proceeds almost asymptomatic, but certain signs allowing to determine clinical picture diabetes, nevertheless exist. Most of these symptoms are characterized by other diseases, so they do not attach much importance. This explains the fact that a woman's doctor falls on the launched stages of the disease that flow against the background of complications.

Insulinotropic substances improve blood glucose levels, but at the same time enhance metabolic syndrome.! Insulin is a polypeptide that contributes to both the absorption of glucose in muscles and fetal cells, as well as anabolic metabolism. Insulin also leads to the fact that the potassium is transported intracellularly.

We, people, usually experiencing constant liberation of basal insulin and food dependent increased liquor-vodka factory to cope with sudden sugar overload. If there is an absolute deficiency or relative deficit, which can not be absorbed by oral antidiabetic drugs, it is necessary to choose an option of therapy with insulin, which is as close as possible to the "natural" insulin production.


Worsening vision

A woman can complain about reducing visual acuity, vague contours. Eyes quickly get tired, a feeling of burning and sensation of "sand in the eyes" appears. Against the background of diabetes, eye diseases are often developing: myopia or hyperopia, glaucoma, cataract. If a woman spends a lot of time at the computer, the symptoms are enhanced, and by the end of the day, the vision can appear fog before his eyes. The phenomenon is short-term and lasts no more than 1-2 minutes.

To achieve this, there are a number of different insulins with certain pharmacokinetic properties. Therapy schemes for individual insulin therapy. For optimal use of individual needs in insulin, there are various strategies that, in particular, also take into account the risks and opportunities of patients.

Basal supported oral therapy: Here, oral antidiabetic therapy is complemented by the introduction of insulins. long action. Conventional insulin therapy: Patients with a regular daily schedule and comparable daily meals can be viewed by a double dose of mixed insulin.


Permanent thirst

Violation of cell sensitivity to insulin may be accompanied by dry mucous membranes oral cavity. This is expressed in constant thirst, which does not pass even after a woman gets water or a compote. Against this background, fluid consumption increases. In some cases, the patient can drink up to 3-4 liters of beverages per day. Given that the kidneys in diabetes cannot function normally, such an abundant drinking mode leads to the formation of edema, which usually occurs on the limbs and surfaces of the person.

A fixed amount of insulin is introduced for breakfast and dinner, which covers all daily needs. This concept is very easy to implement if the meal size remains constant. Problems in everyday structure can be problematic. Dangerous hyper is possible - or even hypoglycemia.

Intensified traditional insulin therapy: Insulin of long-term action is assigned as a fixed basal dose of insulin. The remaining daily need for insulin should cover blood sugar peaks in the form of doses depending on food. The number of insulin necessary for this number must be established independently and in addition to the calculated flour size also includes the real value of glucose on an empty stomach. This achieves appropriate insulin delivery.


Increasing the fragility of bones

Violation of salt metabolism can lead to the development of initial forms of osteoporosis - a disease in which calcium salts are washed out of bone tissue. The bones become weak and fragile, easily break. If a woman, without visible reasons, often began to occur injuries, you need to consult a doctor. The earlier the diagnostics will be carried out, the greater the chances of successful treatment.

Unconditional prerequisites for this therapy are, in addition to detailed diabetic preparation, joint patients with the ability to provide therapeutic self-service with the daily control of blood glucose levels, as well as the care provided by diabetic doctors.

This concept most successfully replaces the physiological production of insulin! However, this insulin concept is not suitable for each person. Can be applied. The pump delivers the hourly programmed amount of insulin continuously. When eating, users are determined in accordance with the reinforced traditional insulin therapy, the estimated bolus insulin, which is then "reported" with the pump, so that they add a bolus.


Skin itch

In diabetes mellitus, local and cellular immunity decreases, which increases the predisposition to bacterial and fungal infections. Most often skin covers and mucous membranes are affected. The most popular infection in women over 40 years old is the vaginal candidiasis (thrush). In patients with diabetes, the disease can recur by up to 4-6 times a year, while treatment each time becomes longer and requires the use of stronger preparations.

How can I treat a strong blood sugar level?

Insulin pump is used, for example, in pregnant women or explicit phenomenon of dawn. Acute hyperglycemic gatherings are part of everyday medical practice. In particular, for situations in the room emergency care Some useful basic thoughts should be remembered about the future.

This ratio is initially uniformly complemented depending on the flowing glucose in the blood, but the basal amount of insulin remains unchanged! The following additional table can be useful and used in everyday clinical practice.

Often the fungus appear on the scalp, as well as under the breast. In this case, the skin is beginning to appear characteristic wet stains of red or brown, which have nasty smell And cause severe itch.


Increased weight

If a woman leads an active lifestyle, itifies correctly, but at the same time gaining weight, it is necessary to check the endocrinologist. An increase in body weight (most often rapid) is one of the main signs of diabetes of any type resulting from a violation of a hormonal background. There are cases that in just a few months the weight of the woman increased by 30-40 kg, so the consultation of a specialist when a weight gain without visible reasons for this reason.


Violation of the regenerative skin function

In diabetes, skin cover cannot be fully recovered, which leads to a long disturbance of the integrity of the dermis. Any cuts, abrasions and wounds are long delayed. The formation of crusts occurs slowly, the wounds can be bleed over several days, although normal should be delayed in 1-2 days. The use of special ointments and creams that improve skin regeneration gives a weak effect.


Starting urination at night

The patient begins to urinate while sleeping, with the day the number of urges to empty bladder Stored within the normal range. This is explained by the impaired of the kidney function and abundant fluid consumption typical for type 2 diabetes. The amount of urine released at night does not significantly increase and ranges from 100 to 230 ml. The color is usually light yellow, a minor turbidity and precipitation may be observed (this symptom depends on the state of the kidneys and the degree of violations in their functioning).


Ozzles and spots on the skin

This symptom is rarely found (approximately 17% of cases). Women can appear spots on the skin, externally resembling sections with increased pigmentation. They may have pink, bodily, burgundy and light brown. The surface of the spots can be covered with white scales. It is usually not observed itching. Size - from a few millimeters to 10-12 cm.

Sometimes ulcerative lesions appear on the site of such stains. Most often they are localized on the legs and hips, but in rare cases they can appear on the stomach and upper limbs.


Tingling and numbness

The feeling of tingling in the legs during diabetes occurs in each second case. Some women associate it with a lack of magnesium. In fact, with an insufficient admission of magnesium, numbness and convulsions appear mainly at night, and in diabetes they can occur at any time of the day, while such phenomena is up to 3-5 minutes (unlike night tingling).

If a woman did not have a menopacteric period, a menstrual cycle may be observed. Also frequent diabetes satellites are chronic fatigue, apathy, reduced performance and headaches. These phenomena are constant and not pass after the vitamin therapy and other measures.

After 50 years, the main symptoms of diabetes become a decrease in vision and itching in the field of genital organs. The patient often appear infectious diseases The urogenital system (cystitis, urethritis, pyelonephritis), as well as purulent lesions of the skin and mucous membranes.


Important! Listed symptoms may occur single. Rarely all signs of the disease appear comprehensively, therefore, even one of them is a reason to appeal to the hospital and passing a comprehensive examination.

If diagnosed diabetes

If a woman has diagnosed with diabetes mellitus 2, it is important not to fall into despair. You can live with a disease, and live quite a long time and comfortable. To minimize the likelihood of complications and improve the quality of life, the woman should strictly fulfill all the appointments of the doctor. Systematic reception of sugar reduction drugs (" Sofor», « Glucophage."), And other drugs that are part of combined therapy and are selected individually, is a prerequisite for maintaining the normal work of the body and maintaining the life of the patient.


Drug glucophage with diabetes

Preparation Sioform

Some women after studying the annotation to the drug are afraid to take it because of a large number side Effects. It should be clearly understood that the benefits of such drugs are much higher than the alleged harm, since not only health, but also the life of the patient directly depends on treatment.

Important! In diabetes, it is necessary to take all the medicines that the doctor appointed. Independent cancellation of drugs is not allowed. In the event of side effects or worsening of well-being, you need to inform the attending physician, but do not stop taking medication.

Of great importance is the lifestyle, which will lead a woman after learning about the disease. The leading role is given to meals. The products are completely removed from the menu. glycemic index (that is, those that provoke sugar sharp fluctuations). These include:

  • baking;
  • white bread;
  • confectionery and sweets;
  • sugar;
  • some types of croup (pearl, bone);
  • sweet fruits (grapes, bananas, persimmon).


As desserts, a small number of marshmallows or grasses is allowed. You can eat a couple of petties of natural marmalade on pectin or seaweed. Especially useful fruits and berries. In diabetes, it is recommended to regularly use apples, cherry, raspberry, pears, plums. In the season you need to eat more apricots and sweet cherries - these are fruit perfectly reduce sugar and saturate the body with useful amino acids and vitamins.

Do not get involved in dried fruits. Despite all the benefits of dried fruit, it is allowed to be used only for the preparation of compotes, since the caloric content is very high.

Important! Any bad habits (overeating, alcoholism, smoking) reduce the life expectancy, adversely affect organs and may cause serious complications. Successful result from treatment will not be able to achieve if the patient does not completely abandon smoking and drinking alcoholic beverages.

Lifestyle with diabetes must be as calm as possible. Any stress and excitement can lead to hormonal vibrations that negatively affect the course of the disease and can contribute to its progression. Woman must learn to control their emotions. A good effect gives the use of relaxing techniques.


You can distract from negative thoughts and remove fatigue using one of the following methods:

If the patient suffers from insomnia, you can drink a glass of warm milk with honey before bedtime. In the appointment of a doctor, you can take lightweight preparations: " Valerian», « Glycine», « Motherwort».

Don't forget about exercise. A set of exercises for women with diabetes should be selected individually taking into account age features and availability chronic diseases. In many hospitals, there are special classes of exercise classes for patients with type 2 diabetes that can be visited in the direction of the attending physician.

Sugar diabetes - deadly dangerous disease, rapidly progressive every year, so it is important to pay attention to its prevention. Early diagnosis also refers to K. preventive measuresSince it allows you to identify the border forms of pathology and take timely measures to treat them. Knowing the symptoms and signs of illness that have been manifested in women after 40 years, you can quickly react and consult a doctor, warning the transition of the disease in the launched form.

Video - Sugar Diabetes: Symptoms

Sugar diabetes in women is not in vain is considered a very serious disease. During the illness, the human body is amazed by capillaries and vessels, and the organs lose the ability of normal functioning. The most dangerous and common complication of diabetes is cataract, which often leads to absolute blindness.

There are cases when developing chronic form renal failure, impotence, development trophic Yazv Stop, with a further defeat of their gangrena. As a rule, the consequence of this disease is neuropathy, when first appear in the legs painful feelingsAnd then the skin loses sensitivity. In addition, diabetes mellitus affects the liver condition, and does not rarely cause its cirrhosis.

The first signs of diabetes in women after 30, 40, 50, 60 years

Today, diabetes is divided into two types. Each form of the disease can be characterized by both indirect signs and main.

The main symptoms of diabetes in women are:

  • permanent thirst;
  • student urination;
  • significant weight loss that can reach fifteen kilograms;
  • total weakness organism and fast fatigue patient;
  • the presence of the smell of acetone from the mouth;
  • vision nebula;
  • dizziness and severity in the legs.

Concerning indirect signs Diseases include them:

  • long treatment of infectious diseases (immunity is weakened due to diabetes mellitus);
  • too long delaying wounds;
  • decrease in body temperature;
  • suggesogues appear in the calf areas.

All major signs of this disease in women, often depend on constitutional features. female organism. The special structure of their hormone system and the presence of female sex hormones, not rarely, represent the severity of diabetes not so distinctly, like men. However, despite this, many signs of diabetes in women pointing to the presence of this disease exist. It is important to be able to not only distinguish them, but also to contact the doctor (endocrinologist) in time for timely help.

So, the main signs of diabetes in women are:

  • weight weight loss or fast weight;
  • increased fluid consumption that does not entail swelling in the morning hours;
  • reducing appetite or increase;
  • failure B. menstrual cycle;
  • pronounced pigmentation on the face, as well as on the skin of the hands;
  • skin itch;
  • hair liness and nails;
  • unpleasant odor of acetone from mouth;
  • weakness and dizziness.

All these signs of diabetes in women make it possible to promptly determine this disease is still on early stages its development, as well as take necessary measures To prevent the risk of complications.

If you have some major signs of diabetes, it is not a reason to get upset immediately and start panicing. An unambiguous and accurate diagnosis can only be installed by the doctor by conducting laboratory studies.

Basically, diabetes mellitus does not develop at one point. Initially, there is a failed tolerance for glucose. Next increases insulin deficiency, and then develops diabetes mellitus.

We must not forget that all major signs of diabetes in women can be masked under symptoms and other serious diseases. That is why it is very important that every woman takes place a regular examination, which includes the surrender of blood analysis on glucose.

With a small increase in blood sugar, it is difficult to determine the diagnosis of diabetes. This state was called the border and means a violation of glucose tolerance. It is at this stage that there is a high risk of sugar diabetes. However, this phenomenon is reversible. If you will be sure to comply with the recommendations of your attending physician, you can avoid a serious illness.

Prevention

In order to protect yourself from diabetes, each woman should stick to the diet and eat fractionally, that is, about five times a day. It is necessary to reduce to a minimum consumption of all refined carbohydrates and saturated fat (honey, jam, sugar, etc.). Your feedstock can be only complex carbohydrates and those products that are rich in soluble fibers. If you submit a diet in the percentage, then the following is obtained: the content of carbohydrates should be at least sixty percent, fats - about twenty percent, proteins - no more than twenty percent. You should give preference to exclusively white bird puff meats, vegetable dishes, herbal beams, low-fat fish. Fried food needs to be replaced with boiled or stew. Sweets, drinks with sugar, smoked, carbonated drinks and salt must be eliminated from the diet, and do physical exercises. In this case, your prevention of diabetes will indeed be effective.