I am a medical doctor, a resident, specializing in the popularization of medical knowledge for the benefit of human health, if you want to know more, please pay attention to me, have questions can be left a message, will respond!

At present, the incidence of diabetes in China has exceeded 10%, so the number of people with diabetes in China has exceeded 100 million, and diabetes is an incurable disease, patients need to take medication for a long time, so it has brought a heavy burden to the patients and society. Maybe in everyone's subconscious, diabetes is only elevated blood sugar, but do not know, diabetes can damage the blood vessels throughout the body, so it is able to invade all the organs and tissues of the human body.

Although many people have diabetes, but people do not know enough about diabetes, many people are waiting for blood sugar control in the normal range to stop taking medication, high blood sugar to continue to eat, long-term down the potential risks. In order to let you better understand diabetes I'll share some knowledge about it.

1. Why can't I stop taking my medication when my blood sugar is under normal control?

Many people may have heard doctors' advice that once diabetes is established, they need to take medication for the rest of their lives. This statement is suddenly correct, but it has its own flaws. This is because at the grassroots level, there are many doctors who diagnose a patient as diabetic because of a high blood sugar level detected at one time, and many people therefore take medication for a long period of time. In fact, this practice is not correct, the diagnosis of diabetes is needed to measure blood glucose several times to determine, only one time can not confirm the diagnosis.

If you are diagnosed with diabetes, you can't stop taking your medication even if your blood sugar is normal. Because the only glucose-lowering hormone in our body is insulin, once diagnosed with diabetes, it means that the pancreatic islet cells have problems, the body is not able to secrete enough insulin or insulin receptors are not sensitive to insulin and insulin can not play a role in lowering glucose, at this time, the only way to maintain normal blood sugar is with the help of some drugs. When the drug is stopped, the blood glucose will still be higher than normal, and the damage of elevated blood glucose to the human body is a chronic process, and this damage will be obvious only after several years.

2. How can diabetic lower limb wasting be improved?

Some people may find it strange that diabetic patients don't have high blood sugar. How can so much energy make a person lethargic? This is mainly because for us to utilize this glucose well, they have to get into the cells, and getting into the cells requires the action of insulin. Most diabetic patients either lack insulin or their insulin receptors are insensitive to insulin, and insulin is unable to perform its normal glucose-lowering function, hence the wasting.

For diabetic patients, to improve the lower limb wasting, the most important thing is to control blood glucose, try to control fasting blood glucose <7mmol, postprandial or random blood glucose <10mmol/L, glycated hemoglobin ratio <7%. To control blood glucose well you need to monitor blood glucose, then adjust the medication according to blood glucose, and then stick to the hypoglycemic drugs later.

In addition, diabetic patients control body mass index <24 is also necessary, because obesity will cause insulin receptors insensitive to insulin, so that the body in order to maintain blood glucose in the normal range will have to work hard to secrete insulin, so that the burden on the pancreatic islet cells will be increased, and over time, the pancreatic islet cell failure, will aggravate the condition.

In addition to diabetic patients should do not drink rice, adhere to exercise, quit smoking and alcohol, do not stay up late, maintain a good state of mind, eat 8 minutes full, which exercise is more important, on the one hand, it can increase insulin receptor sensitivity to insulin, and on the other hand, the exercise can also increase the leg muscles, which is conducive to improve the wasting of the legs.

Final Summary: To improve the problem of lower limb wasting in diabetic patients, you should first control your blood glucose and then adhere to exercise.

Purely hand-typed, it is not easy, if you feel that the writing can also be rewarded a praise, point a concern, if you have any questions can be left below ......

What you need to do in your diet for wasting diabetes mellitus

1, the diet to increase caloric intake, while increasing a certain amount of high-quality protein, appropriate increase in lean meat, milk, eggs and soybean products food, but do not eat fatty meat, to avoid excessive fat.

2, to ensure adequate vitamin and iron intake. Combine meat and vegetables to promote iron absorption.

3. Eat less and more frequent meals, as far as possible to ensure that the calories and nutrients of each meal can be fully consumed by the body.

The staple food is recommended to eat quinoa, quinoa is a whole grain whole food, is a plant-based staple food rare high-quality protein food, is the traditional staple food grain is far beyond. The iron content in quinoa is four times that of common grains, and the vitamin content is much higher than that of common grains. Quinoa is also a low glycemic (35) food, rich in dietary fiber, and a fine grain within a coarse grain. Quinoa is gluten-free, which reduces or avoids indigestion. The Food and Agriculture Organization of the United Nations (FAO) has concluded that quinoa is the only food that can satisfy the basic nutritional needs of the human body from a single plant, and has officially recommended it as the perfect whole food for human beings.

Exercise to do

Strengthen the exercise body, especially the lower limbs exercise, more walking, after walking must remember to press the legs, support the tendons, with the hands of the lower limbs, rubbing the lower limbs of the various parts of the lower limbs, to promote lower limb blood circulation.

hygiene practices

Hot water foot soak every night, preferably a deeper soaking tub, can not be over the ankle and calf large, promote blood circulation in the lower limbs.

Attention to the impact of wasting disease

It is important for patients to have a clear understanding of their physical condition. Patients with wasting diabetes need to know if they have a wasting disease, such as tuberculosis or chronic nutrient indigestion due to celiac disease.

If you have a wasting disease, you will need to supplement with more nutrients.

Weight Check

Check your weight daily and adjust your diet once your weight returns to the normal range so that you do not become overweight and progress to the other extreme and become obese.

Three more and one less is a typical symptom of diabetic patients, that is, eating more, drinking more, urinating more and losing weight, but not all patients will have the above three symptoms. The ancients said that diabetes is a "thirst-quenching disease", and according to its symptoms, it is categorized into "upper consumption", "middle consumption" and "lower consumption". The first thing you need to know is that this is not a symptom of thinning of the lower limbs, it is a symptom of polyuria.

If a patient has poor glycemic control, he or she usually experiences weight loss and fat loss throughout the body, which manifests as wasting. However, patients with diabetes sometimes experience localized wasting, such as lower limb wasting.

If the blood sugar control is stable, the weight will usually gradually return to normal weight. If the weight cannot be restored, or if the weight is still gradually decreasing, then we should exclude whether there are infectious diseases, tumors, tuberculosis, nutrient absorption disorders and so on.

If the above reasons are excluded, the patient's blood sugar is also relatively stable, just presenting as lower limb wasting. Moreover, diabetic patients with thin lower limbs are more prone to peripheral neuropathy, and may experience pain, numbness, abnormal sensation and other discomforts, which is because the amount of fat in the lower limbs is too small, and also can not effectively wrap the peripheral nerves, the nerves are relatively more money, and the possibility of injury will be greater.

Lower limb wasting alone is considered to be related to the muscles of the lower limbs not being strong enough. If the muscles are more developed, then the lower limbs are less likely to show up as thin.

Therefore, in order to improve the situation of lower limb wasting, you should consciously strengthen the exercise of the lower limbs, increase the muscle size, then the situation of lower limb wasting will also be improved.

Exercise form selection cycling, running, rope skipping, weighted deep squatting, horse stance training, etc., can effectively make the strength of the lower limbs. Many people in the gym exercise, only focus on jerking iron, 160 pounds, 180 pounds, 200 pounds, happy, but the simple upper limb muscular, pectoral muscle is obvious, weak leg strength, is also uncoordinated.

Hi, Sanno Speak Sugar is happy to answer your questions!

Typical symptoms of diabetes are "three more and one less", of which "one less" refers to weight loss, which is usually generalized wasting, including lower limb wasting.

Why do you lose weight when you have diabetes?

Diabetes mellitus in ancient China is called thirst-quenching disease, with people living better and better diabetic patients year by year the popularity of the increase in the incidence of patients appeared young trend.

从消渴症的字面上可以看出糖尿病患者的表现是身体消瘦，口渴总是喝水，糖尿病主要表现为慢性的血浆葡萄糖升高，葡萄糖属于最重要的糖类，主要给人们活动提供能量，葡萄糖升高会打破正常的人体的三大营养物质代谢，长此以往会引起全身各个器官组织受到血糖升高代谢失衡的伤害，从 From the soles of the feet to the top of the head, every organ and tissue of the whole body will be spared, such as diabetic foot, cerebral insufficiency, cerebral infarction, diabetic nephropathy, diabetic cardiomyopathy, diabetic peripheral neuropathy caused by elevated glucose, and other serious conditions can lead to sudden death.

Diabetic peripheral neuropathy caused by lower limb motor neuron damage and muscle atrophy, coupled with the diabetic patient itself is thin, and lead to diabetic patients lower limb wasting more obvious. How to improve the lower limb wasting of diabetic patients?

1、Controlling blood glucose at target levels is the top priority for improving symptoms, and common measures include

① Long-term regular adherence to the appropriate for their own postprandial aerobic exercise (such as walking, playing tai chi, jogging, hiking, etc.).

② Long-term adherence to dietary treatment, including control of total calories, staple food more choice of coarse rice, corn, pasta, soybeans and other legumes, sweet potatoes, yams and other tubers, oats, bran, sorghum, buckwheat, sesame, etc., and eat more fresh leafy greens and melons and fruits with low sugar content. Limit the high high animal fat and cholesterol diet.

③Patients who cannot control their blood glucose through diet and physical exercise need to choose oral medication or insulin to control their blood glucose according to the patient's own situation.

④ Regular self-testing of blood glucose and follow-up examinations of fundus, kidney, cardiovascular and cerebral vessels, blood glucose, glycosylated hemoglobin, liver and kidney functions in the hospital to know whether the diabetes condition is well controlled and whether there are any chronic complications of kidney, cardiovascular and cerebral vessels and peripheral nerves of the limbs.

⑤ Choose well-ventilated clothing and strengthen the care of the thinned skin of the lower limbs to avoid breakthroughs and infections.

Conclusion:Diabetes focuses on prevention, because diabetes is harmful to the human body is systemic, promote rational nutrition, avoid overweight and obesity, strengthen exercise, change the bad lifestyle.

How can diabetic lower extremity wasting be improved?

According to the latest statistics, the prevalence of diabetes in our country has reached 10%, in other words there is one diabetic in every 10 people on average. Although we are not strangers to diabetes, but not many people really understand diabetes, many people are half-knowledge. The reality is that there are still many people who feel that they don't need to take medication after their blood sugar is normal, and they take medication when their blood sugar is high, but they don't realize that this can be more harmful to the human body. The harm of diabetes to the human body is not only in the elevated blood sugar itself, but it causes a series of cardiovascular diseases.

Many people may find it strange that the blood sugar in my body is so high, why am I still getting thinner and thinner? In fact, this is mainly because diabetic patients have insufficient insulin secretion or insulin receptors are insensitive to insulin and insulin can not play a role in insulin, insulin can not promote sugar into the cells, naturally, can not be utilized, the body can only consume their own fat and protein. Today I'll share how to improve diabetic lower limb wasting.

1. Control your blood sugar.

For diabetics, the higher the blood sugar, the lower the utilization of sugars in the body, and the person increases the consumption of fats and proteins. Therefore, in order to improve diabetic lower limb wasting, you should control the blood sugar, so that these sugars into the cells. Therefore, you should pay attention to take glucose-lowering drugs on time, do not increase or decrease or stop using drugs. At the same time, pay attention to not stay up late, light diet, regular monitoring of blood sugar, maintain a reasonable weight.

2. Consistent exercise.

In high school we have learned Lamarck's theory of use in, use out, it means that the more people use certain functions, the better, not use will appear to degenerate. The same is true for the lower limbs of human beings, and the reduction of exercise for a long time will itself cause muscle reduction, and persistent exercise can improve this situation. Diabetic patients can choose the right kind of exercise according to their condition, such as walking, brisk walking, jogging and so on. Before exercise, you should always have candy in your pocket to prevent hypoglycemic reaction. In addition, exercise needs to be persisted for a long time, and should not be done in three days.

Purely hand-typed, it is not easy, if you feel that the writing can also be rewarded a praise, point a concern, if you have any questions can be left below ......

Diabetes is the number one metabolic disease in China, and the prevalence of type 2 diabetes in adults is now as high as 10.9%. Long-term elevation of blood glucose, there may be increased urination, drinking more water, eating more and weight loss, that is, what we call "three more and one less". So, how to improve lower limb wasting in diabetic patients? Next, Medical Senlution will analyze it for you.

Sitting still and moving less has become the main way of working for the young and middle-aged group. Due to the reduction of sports, obese people gradually increase, while the abdominal circumference also gradually increased, male abdominal circumference of 90cm or female abdominal circumference of 85cm, for abdominal obesity. Both obesity, or abdominal obesity is a high-risk group of diabetes mellitus, prone to insulin resistance, that is, the liver, muscles and other peripheral tissues of insulin sensitivity decreased, resulting in reduced utilization of glucose. After the occurrence of impaired glucose utilization, the body is in a state of relative starvation, in order to meet the energy needs, began to break down muscle, fat and other tissues for energy, resulting in weight loss. Therefore, lower limb wasting in diabetic patients is related to increased muscle breakdown; secondly, it is also related to decreased exercise. Muscle is a special kind of tissue, with in and out, often exercise the crowd, lower limb muscles will be compensatory hypertrophy; exercise less or do not exercise the crowd, the muscles will appear physiological atrophy.

In terms of improvement of lower limb wasting, one is to give reasonable hypoglycemic program to control blood glucose to reach the standard, and the other is to insist on exercise to improve lower limb wasting. In terms of blood glucose control, if the blood glucose increase is not large, lifestyle intervention is preferred; if the intervention is ineffective, oral medication should be initiated to lower blood glucose; after three months of oral hypoglycemic treatment, if the glycated hemoglobin is still unable to be controlled at less than 7.0%, insulin should be initiated to control the blood glucose; if the blood glucose increase is large, for example, the fasting glucose ≥ 11.1 mmol/L or glycated hemoglobin ≥ 9.0%, insulin should be initiated to lower blood glucose as early as possible, aiming not only at improving body weight, but also at improving the weight of the body. start insulin hypoglycemia as early as possible, aiming not only to improve body weight, but more importantly to reduce high glucose toxicity and islet cell damage. After reasonable treatment, lower limb wasting of diabetic patients will gradually improve. If wasting progressively worsens in the course of treatment, insulin should also be initiated as early as possible to control blood glucose in patients with lifestyle interventions or oral medications to lower blood glucose after ruling out tumors, hyperthyroidism, anxiety and other factors.

In summary, lower limb wasting in diabetic patients is associated with impaired glucose utilization, increased muscle catabolism, and decreased exercise. Through rational hypoglycemic therapy, controlling glycated hemoglobin below 7.0% and increasing exercise, lower limb wasting will be improved.

Thank you all for reading!

Please correct me if I'm wrong! Feel free to ask and share in the comments section!

Note: The content of the text is intended to be used as health science only, and is not intended as medical advice or opinion, and does not qualify as medical guidance.

Diabetic patients in the clinical manifestations of many things are different, some people even think that they do not have any symptoms will not get diabetes, in fact, diabetes in addition to the influence of some external environmental factors, there are also part of the genetic factors caused by, so it is not that you do not have the symptoms, you will not get diabetes.

By the same token, we often emphasize that diabetic patients have three more and one less, of which "one less" is weight loss, wasting, for example, such as the lower limbs involved in wasting is one of the manifestations of the impact of diabetes on our body.

What is diabetes?

It is a very common chronic disease, do not simply think that it is simply elevated blood sugar. In fact, diabetes is a metabolic syndrome characterized by increased blood glucose, which is why some of the diabetic patients we usually meet, in addition to the discovery of diabetes, some have accompanying high blood pressure, while some are hyperlipidemic, and of course, obesity and so on.

And the most important pathological change in diabetic patients is a defect in insulin secretion that lowers blood glucose, or the action is not effective and the hypoglycemic effect is reduced.

The effects of diabetes on our body are a systemic one!

Our doctors often tell diabetic patients that it's not scary to have it, but it's scary to have this kind of long-term chronic high blood glucose, which will lead to a series of chronic complications, because the main cause of death and disability of our diabetic patients is the macrovascular lesions and microvascular lesions caused by it, which leads to one of the reasons for the wasting of the lower limbs is the autonomic neuropathy, so that the innervation of the muscles of the nerve dysfunction and so on, this kind of peripheral neuropathy, diabetic foot, is the main cause of gangrene, amputation and disability of patients. This kind of peripheral neuropathy, diabetic foot, is the main cause of gangrene, amputation and disability.

Of course, diabetes can cause the following complications in addition to the patient's diabetic foot:

1. The chances of causing cerebrovascular lesions leading to cerebral hemorrhage, cerebral thrombosis, etc. are 2-4 times higher than our normal counterparts;
   
2. Effects on the retina of the eye, causing blindness and blindness;
   
3. Impact on the heart, diabetics are at high risk for the development of coronary heart disease, angina pectoris;
   
4. Lead to diabetic nephropathy, the previous uremia may also have chronic nephritis caused by other diseases, now we have a few years of uremia patients to see, more than 90% of them are originated from diabetic patients.

Therefore, to improve the lower limb wasting and other complications in diabetic patients, the most important things to do are as follows:

First, blood sugar control, which is key; any chronic unstable blood sugar is the culprit for complications such as diabetic foot.

Secondly, lower limb wasting prevention of diabetic foot is a top priority! The appearance of diabetic foot is certainly related to our diabetes prevention, in other words, every diabetic patient has the same chance of getting diabetic foot, regardless of poverty and lowly. The reason why many patients get diabetic feet is that their normal life causes the appearance of foot trauma. For example, some patients wash their feet, cut their toenails, scrub their feet too hard, and so on.

Like usually once accidentally appear wound trauma, do not be nervous, must find a professional endocrinologist, of course, there are some hospitals also specifically for diabetic patients set up a trauma clinic, you can spend their number, as early as possible to intervene is the key. Like for example, there are blisters can not be broken by yourself, it is necessary to have a professional doctor to it for ooze absorption, the skin also have to paste back. At the same time also pay attention to can not change their own medicine, this skin breakage is not simply broken, is caused by multiple factors. Is it necessary to choose a gel dressing, according to the depth, or to choose another, and some are to strengthen the special protection, after changing the medicine can not be stressed again. Even the way of wearing shoes and socks and washing the feet should be professionally trained!

Third, healthy diet control. A small number of meals, control the total diet, the food can not eat less, and big fish and meat is to eat relatively little, but not that can not eat meat, because for diabetic patients protein, carbohydrates, vitamins, trace elements, fiber, and water, etc., are particularly important need to supplement, therefore, dietary diversity, to ensure that a variety of nutrition when the key.

Typical symptoms of diabetes are "three more (drinking, eating and urinating) + weight loss", and wasting is a very common manifestation of diabetes. Next, Dr. Wu will talk to you about this issue.

What are the criteria for wasting?

Wasting refers to the loss of body weight due to disease or certain factors, and is called wasting when it is less than 10% of the standard body weight. For men, standard weight (kg) = height (cm) - 105; for women, standard weight (kg) = height (cm) - 100; for example, for a man with a height of 175cm, his standard weight is 175-105 = 70kg, and if his weight is lower than 70 x 10% = 63kg, he is considered to be emaciated.

What are the causes of diabetic wasting?

1. Decreased insulin secretion or insulin resistance:The main function of insulin is to promote the body's utilization of blood glucose, so as to achieve the effect of lowering blood glucose. In diabetes, due to the decrease in insulin secretion by the pancreas on one hand and insulin resistance on the other hand, the body's insulin is relatively reduced, the body's ability to utilize blood glucose decreases, and the body will consume proteins as well as fats in order to obtain more energy, which will lead to wasting in the long run. The higher the blood sugar, the less insulin there is, and the greater the likelihood of wasting.

2. Too much dietary control:Diet control is one of the most important ways of diabetes treatment, diabetes diet control is correct, but do not overdo it, too much diet control can also lead to malnutrition.

3. Diabetes combined with other diseases:Diabetes will lead to a decline in the body's resistance, easy to combine with other diseases, such as tumors, hyperthyroidism, tuberculosis and other diseases, which are consumptive diseases, the body's digestive capacity is very large, so the patient often appears to be thin and other symptoms.

4. Side effects of hypoglycemic drugs:Glucose-lowering drugs such as metformin and liraglutide have a weight-reducing effect and are great for obese diabetic patients, but may further lead to weight loss in patients whose physique is inherently thin, leading to wasting.

5. Gastrointestinal disorders:Diabetic peripheral neuropathy involving the vegetative nerves of the gastrointestinal tract will lead to gastrointestinal dysfunction, affecting the patient's appetite, affecting the absorption of nutrients, thus leading to wasting.

Overall, there are many causes of diabetic wasting; factors in the diabetes itself, factors in the diet, the effects of medications used to treat it, and comorbidities with other diseases can lead to wasting.

How to improve wasting?

1. Control of diabetes:Diabetes itself causes wasting, and a comprehensive treatment program to control blood sugar helps to protect the remaining pancreatic function, facilitates better utilization of blood sugar, prevents the body from digesting proteins and fats, and thus prevents the onset of wasting.

2. Examine for tumors, tuberculosis, hyperthyroidism, and other wasting diseases.

3. Adjustment of therapeutic drugs:Insulin, insulin secretagogues and other hypoglycemic drugs have a fattening effect, for wasting serious people should use hypoglycemic drugs with a fattening effect.

4. Balanced diet:Diabetes also requires a nutritious diet, and patients can adjust their recipes to increase their nutritional intake under the guidance of a dietitian.

To summarize:

There are many causes of diabetic wasting, factors of diabetes itself, dietary factors, the influence of therapeutic drugs and comorbidities of other diseases can lead to the occurrence of wasting, through the adjustment of hypoglycemic drugs, strengthen the nutrition, strengthen the control of blood glucose, and the investigation and treatment of comorbidities can be effective in improving the symptoms of wasting.

I am a general practitioner who uses easy-to-understand words to spread health knowledge to everyone, follow me, you have a family doctor. If you find it useful, you can forward it to your friends who need it!

There are many diabetic patients, especially the longer duration of the disease, blood glucose control is not very good diabetic patients, will find their lower limbs more and more present wasting state, such a state, in fact, is to remind you, if you do not actively strengthen the control of blood glucose, a variety of diabetic complications may be further development, therefore, if diabetic patients appear lower limb wasting, should be positive! Therefore, if the diabetic patient has the situation of lower limb wasting, he should pay attention to it, and pay more attention to the regulation and control of blood sugar.

Why diabetics experience lower extremity wasting

Diabetic patients with lower extremity wasting, that is, the wasting of the legs, and many new diabetic patients with the body's overall wasting is still a certain difference. New-onset diabetic patients, prone to the typical symptoms of three more and one less, the main reason for weight loss, is that the body for the metabolic use of blood glucose problems, can not effectively utilize the blood glucose for the body function, in order to ensure the body's energy supply, the body of fat and protein and other substances will be further decomposition of the body to provide energy, so that in this case, the body will be more obvious symptoms of thinning.

And diabetic wasting of the lower limbs, in addition to the blood sugar metabolism problems talked about earlier, the body's lack of function caused by fat consumption, often also with many years of diabetes, resulting in peripheral vascular lesions of the lower extremities and peripheral neuropathy and other issues related to high blood sugar, the greatest harm, the most direct harm, is the harm to the blood vessels, not only lead to cardiovascular and other large blood vessels, accelerated development of atherosclerosis, but also the microvascular will also have a great impact on the body. The body's microvascular will also have a great impact, high blood sugar if long-term uncontrolled, resulting in lower extremity microvascular sclerosis lesions will greatly increase the chances of lower extremity microvascular lesions, will lead to poor blood circulation, blood circulation obstruction and poor, nutritional delivery will naturally be affected, the lower extremity musculature for a long time do not get enough nutrients and energy supply, the emergence of atrophy, emaciation, and not surprisingly, the symptoms. This is not surprising.

What risks should diabetics be alerted to when they develop lower extremity wasting?

Diabetics who develop lower extremity wasting are even more alert.

The first thing is to pay attention to the blood sugar control situation, to check properly, in the end the blood sugar control to how much, life has not paid attention to diet control, strengthen the exercise, the use of medication is to strictly comply with the doctor's instructions for the use of medication, or to eat eat stop, did not care about it, in the end, how the blood sugar control? How much fasting blood glucose can you measure at home? Regularly go to the hospital to check the glycated hemoglobin, in the end what level? If your blood glucose remains high and does not reach the required level, under the influence of long-term high blood glucose, all kinds of health hazards caused by diabetes will gradually occur, affecting the overall health of our body, and even affecting our life expectancy.

Secondly, diabetic patients with lower limb wasting, be alert to the risk of diabetic foot, we talked about earlier, the reason why the problem of lower limb wasting, and poor glucose metabolism leading to fat consumption, but also with the lower limb microvascular lesions have a close relationship, diabetic patients with lower limb microvascular lesions of the complications of the performance of one of them is the diabetic foot problem, the diabetic foot may appear foot cold, numbness, pain, severe cases may even appear repeated ulceration, infection, and even lead to gangrene, tissue necrosis, and even need amputation, etc.. Numbness, pain, and in severe cases, even repeated ulceration, infection, and even lead to gangrene, tissue necrosis, and even need for amputation. If the problem of thinning of the lower limbs has already begun to appear and no attention is paid to controlling it, when the problem of diabetic foot appears, then it will be much more difficult to control the problem of thinning of the lower limbs.

In addition to the risk of the diabetic foot, other microvascular complications should be focused on. Since the microvasculature of the lower extremities is affected, has there been a decline in renal function? What about the peripheral nervous system? Are there any retinal lesions? All of these aspects, it is recommended to regularly and actively check, found that the problem should also be timely intervention and control.

Can lower limb wasting improve in diabetics? How can it be improved?

It may not be easy for a diabetic to fully recover from the problem of lower limb wasting, but if it is not yet a particularly serious condition, it is still entirely possible to improve it through reasonable means of conditioning.

Diabetics who begin to experience wasting of the lower extremities should still emphasize the issue of blood sugar control first and foremost. As long as the physical conditions allow, you should try to strictly control the blood glucose level to meet the standard. In addition to some diabetic patients with long duration of diabetes, shorter life expectancy and high risk of hypoglycemia can moderately relax the standard of blood glucose control, in general, it is recommended to control the glycated hemoglobin level to below 7.0%, the earlier and smoother the control of this level, the health hazards of diabetes on the body will be less, and the health problems brought about by diabetes will be easier to be improved. The earlier and smoother you get below this level, the less health risks diabetes poses to your body and the easier it is to improve the health problems caused by diabetes. What are the fasting and postprandial blood glucose levels that correspond to this level? Generally speaking, if you can keep your fasting blood glucose level below 7 and your postprandial blood glucose level below 10, your glycated hemoglobin level will be within the target range. Blood glucose control, should be strengthened on the basis of strengthening the life regulation, through the reasonable use of drugs to strengthen, nowadays glucose-lowering drugs are many kinds of species, varieties are also more complete, it can be said that the vast majority of diabetic patients, can be through the reasonable use of medication program to control blood glucose to reach the standard, the key is to see if you can adhere to the life of the good intervention and use of medication.

In addition to strengthening blood glucose control, there are two other points worth emphasizing regarding lower limb wasting in diabetics:

1. As long as there is no contraindication to exercise, if you want to improve the problem of lower limb wasting, you should continue to insist on strengthening exercise. Exercise can improve the insulin resistance of muscle cells, improve muscle glucose metabolism, but also help to promote blood circulation, enhance muscle strength, is to improve the diabetic lower limb wasting an important way of life intervention, but also help to strengthen the control of blood glucose.
2. Reasonable dietary nutrition, diabetes to control the diet, but not to control the diet on excessive dieting, resulting in a lack of nutrients, in a reasonable control of energy intake on the basis of attention to the nutritional balance of the diet, for the body to supplement adequate protein, vitamins, various trace elements and other nutrients, not only helps to slow down the aging of the antioxidant, for slowing down the muscle atrophy of the lower limbs is also a very important aspect.