"Sugar Friends" should attach importance to regular inspections during the winter to wear loose cotton shoes

"Sugar Friends" should attach importance to regular inspections during the winter to wear loose cotton shoes

In winter, blood sugar levels are more likely to rise due to several factors. As temperatures drop, the body's sympathetic nervous system becomes more active, leading to increased secretion of catecholamines, which can cause fluctuations in blood glucose. Additionally, reduced physical activity and increased appetite during colder months can also contribute to higher blood sugar levels. Experts recommend that people with diabetes pay extra attention to regular health check-ups and self-monitoring during this season. Strengthening self-care routines, such as maintaining a balanced diet and engaging in moderate exercise, can help improve overall health and disease resistance. Winter brings various challenges for diabetic patients, including changes in mood, climate, and eating habits. When emotions fluctuate, it can stimulate the sympathetic nervous system, prompting the liver to release stored glycogen into the bloodstream, thereby increasing blood sugar. Reduced sweating and increased digestive fluid production during cold weather may also lead to elevated glucose levels. If left uncontrolled, these changes can worsen the condition, reduce treatment effectiveness, and even lead to severe complications like diabetic ketoacidosis or hyperosmolar coma. To manage this, doctors advise that patients with mild symptoms should undergo comprehensive medical exams early in the winter, including checks on blood pressure, cholesterol, and glucose levels. For those experiencing symptoms, frequent monitoring of fasting and post-meal blood sugar, along with glycated hemoglobin and glucose variability, is essential. Any sudden changes should not be ignored—prompt medical attention is crucial. Diabetes complications, such as neuropathy and cardiovascular issues, are serious and often life-threatening. Statistics show that 20% to 40% of diabetics suffer from autonomic neuropathy, particularly affecting the heart, and their risk of heart attack is significantly higher than others. Nerve damage can also prevent patients from feeling pain, making early detection difficult and dangerous. Diabetic foot ulcers and amputations are far more common, and the risk of stroke and hypertension is equally high. Regular check-ups are vital for tracking disease progression and guiding treatment. Patients with poor glucose control should monitor their blood sugar at least four times daily, check blood pressure and weight monthly, and have urine tests every 15 to 30 days. Glycated hemoglobin should be tested every 2-3 months, while microalbuminuria and eye exams should be done every six months to a year. Liver and kidney function, along with lipid profiles, should be checked every six months or as recommended by a doctor. Exercise plays a key role in managing blood sugar. While following a diet plan created by a nutritionist, diabetic patients should also engage in regular, controlled physical activity. Morning workouts should avoid exposure to cold air, and it's best to exercise after the temperature rises. Before any workout, patients must check their blood sugar levels to avoid exercising when glucose is too high (over 16 mmol/L) or too low (under 3.6 mmol/L), which could cause metabolic imbalances. During exercise, signs like shortness of breath, dizziness, or pale skin should be monitored. Afterward, a light sweat and slight muscle soreness are normal, and the heart rate should return to pre-exercise levels within 5-10 minutes. Feeling relaxed and energized the next day indicates a successful session. Consistency is key—exercise should become a daily habit. Some hospitals offer personalized exercise and diet plans, and diabetics are encouraged to seek professional guidance. Cold weather can increase the risk of high blood pressure, coronary spasms, and even heart attacks. Winter also brings increased appetite and less outdoor activity, both of which can elevate blood sugar. Staying warm and dressing appropriately is essential. Special care should be taken with feet, as diabetics often experience poor circulation and nerve damage. This makes them more susceptible to infections, ulcers, and even gangrene. Wearing comfortable, breathable shoes, keeping feet clean and dry, and soaking them in warm water nightly can help improve circulation. Avoiding injuries and scratching the feet is also important. Blood glucose testing remains critical in winter. Those with mild conditions should test every two weeks, while those with more severe cases may need daily checks. Regular communication with healthcare providers is essential for effective management.

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