A sugar addict asked.

Dr. Sun, I have diabetes. Now that I have stopped injections and medications and my blood sugar stays normal, is diabetes gone?
Dr. Sun, I got over my diabetes and now ****, it's happening again!

These are two conditions that you will often hear from patients in the clinic, so what are the causes of the above two conditions?

What's the honeymoon period?

There will be a period of time when diabetic patients do not need medication. This period of time is as sweet as a newlywed honeymoon for diabetic patients who need to apply medication for a long period of time, so it is clinically known as the honeymoon period.

The honeymoon phase can occur in type 1 diabetes mellitus, especially in adolescents in the early stages of onset of the disease, after intensive insulin therapy within a few weeks or months, there will be a significant remission of the disease, medication dosage is reduced, or even no need for medication, and blood glucose can be maintained in a basically normal state. Previously, the honeymoon phase was mostly thought to occur in patients with type 1 diabetes. With the development of therapeutic technology and clinical observation, it is found that some newly diagnosed type 2 diabetic patients will also experience this situation after intensive treatment with insulin.

Why is there a honeymoon period?

The reason for the honeymoon period is considered to be related to the fact that the patient's pancreatic islet function is inhibited by high glucose toxicity, and the islet B-cell function cannot be fully utilized; after intensive treatment with insulin, the islet cell inhibition is lifted, and they are able to perform normal secretory function, so that there can be a period of clinical remission.

In the past, it was thought that type 1 diabetic patients existed because when the onset of higher blood glucose, insulin intensive therapy would be chosen directly, so it is easier to find the honeymoon period of type 1 diabetic patients in the clinic, while type 2 diabetic patients with the early concept of treatment is preferred to take oral medication, you may miss this valuable period of opportunity.

Therefore, the honeymoon phase does not occur in all patients, but only in those who take aggressive and effective intensive insulin therapy in the early stages of the disease.

What comes after the honeymoon period?

However, even during the honeymoon period, pancreatic function will still be in a state of slow decline, and when it comes down to a certain level, blood glucose rises and glucose-lowering medication will again be needed. Diabetic patients who experience the honeymoon period, if they can maintain a strict diet during this period, adhere to exercise, and keep their weight in the normal range, they can appropriately extend the honeymoon period. If one thinks that diabetes is cured, forgets about it, and eats two and a half times, then the blood sugar will soon rise and the honeymoon will come to an end.

summarize

The honeymoon phase is a special period in the treatment of diabetes, which occurs early in the discovery of diabetes with aggressive and effective intensive insulin therapy and usually lasts for several months or years. Strict control of diet and exercise may prolong this time period, but with the decline of pancreatic islet function, all of them may eventually require glucose-lowering medication again.

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There are a lot of diabetics who don't realize that they are already seriously ill when they pass the honeymoon stage.

Diabetes is saved, nowadays science and technology have money on the line! My friend well, dietary regimen diabetes and hyperlipidemia with 42 days spent 150,000 normal, but the average family who can be willing to spend this money to regimen chronic diseases.

As long as you don't overeat and exercise, the honeymoon period will be longer, so cherish it, you can't find this place after this.

People die all the time, and no one escapes.