Introduction: It is coming to National Day immediately. Many people choose to drive to travel. Today, the editor wants to wake up. Diabetes patients should prepare for driving.
Diabetic neuropathy and driving safety
Long -term hyperglycemia can cause nerve ischemia and hypoxia, and then gradually cause nerve damage. Diabetic neuropathy is one of the most common chronic complications of diabetes. About half of patients with diabetic patients with longer diseases and neuropathy. Neuropathy is divided into peripheral neuropathy and autonomic neuropathy, both of which increase the risk of car accidents.
The surrounding neuropathy causes abnormal sensation: sensory nerves allow the body to feel the temperature, pain, touch, and orientation of the inner and outer environment, so that the body can be able to adapt to the external environment and have self -protection. There can be an abnormal or decrease in sensation. Some patients are numb, or the feeling of socks will affect the normal operation of the driver, such as stepping on the brakes.
Autonomous neuropathy leads to asymptomatic hypoglycemia: diabetic patients must beware of hypoglycemia when driving. Under normal circumstances, symptoms of sympathetic nerve excitement will appear immediately after hypoglycemia, such as tachycardia and cold sweat, indicating that hypoglycemia attacks. In unparalleled stems, hypoglycemia coma, which is very dangerous for people who drive, and are not inferior to drunk driving. Even without neuropathy, when mild hypoglycemia occurs, patients can feel weak, hand trembling, dizziness, black, and cognitive and judgment, which will affect driving safety.
Early detection of diabetic neuropathy
In the early stage of diabetic neuropathy, patients were often difficult to detect because there were no obvious clinical symptoms; after that, various clinical symptoms would occur with the development of the disease. In addition to increasing the risk of car accidents in diabetic neuropathy, it is also the high risk factors of ulcer of diabetic foot ulcers. Early detection of diabetic neuropathy can reduce the corresponding hazards in a timely manner. Generally, patients with type 1 diabetes should be screened for diabetic neuropathy after 5 years of diagnosis; at the beginning of the diagnosis of type 2 diabetes, diabetic neuropathy should be performed at least once a year. The following simple examinations help early detection of diabetic neuropathy.
? Pain check: It mainly evaluates the function of the peripheral sensory nerve by determining different reactions caused by the pain caused by the foot to acupuncture.
? Temperature inspection: Pour the water cups into cold water and warm water, and then use a cup wall to contact the skin of the foot. If the patient has no feeling for the change of hot and cold, it means that the temperature feels is lost.
? Tentile examination: Use 1 special 10G nylon wire on the palm stimulation of the palms of both feet and Ⅰ, and ⅰ metatarsal bones. If the patient does not feel, it means that the touch is reduced.
Vibration consciousness examination: Place the 128Hz fork at the bone rulong on the back of the patient’s feet. If the patient’s vibration sensation caused by the sound fork is weakened or disappeared, it indicates that the nerve vibration consciousness is abnormal.
? Position consciousness examination: let the patient close your eyes, and then top or lower toes (or fingers). If the patient cannot distinguish the movement direction of the toe, it is prompted to be abnormal in the nerve position.
• Blood pressure test: let the patient lie on the bed first, rest for 15 minutes in a quiet environment. Fix the sleeve belt to the upper arm of the patient to measure blood pressure. After the measurement, do not unbutton the cuffs. Instructed the patient to stand up immediately, raise the right arm to keep the cuffs, blood pressure meters as the heart at the same level, and quickly measure blood pressure. If the systolic blood pressure decreases more than 20mmHg or decreased by more than 10mmHg during the position of the position, it can be judged as “orthodox hypotension”.
? Bi -foot Achilles tendon reflection test: Use a percussion hammer to hit the patient’s bilateral Achilles tendon. If the patient’s Achilles tendon reflection is weakened or disappeared, it indicates that there is a peripheral neuropathy.
Treatment of diabetic neuropathy
First of all, diabetic patients need to control blood sugar, which is the most important measure to prevent and treat neuropathy. Secondly, it is necessary to give nutritional drugs for the cause, such as base-based vitamin B12, nerve growth factor, A-sulfuric acid, and aldoscope restorease inhibitor. In addition, if there is ischemia and hypoxia in the causes of diabetic neuropathy, it is necessary to use dilated blood vessels to improve microcirculation drugs, such as prostaglandin E1, shellin sodium sodium, Sirozazo, hexone cocoa alkali, pancreas, and pancreas. Peptide original enzymes, calcium antagonists and traditional Chinese medicines such as promoting blood circulation and blood stasis.
Precautions for driving in diabetes
Patients with diabetes should be checked regularly in the hospital. If there are chronic complications that affect driving safety, you should try to avoid driving. Finally, warmly remind the diabetes patients who drive, the following precautions should be kept in mind.
(1) Strictly follow the doctor’s order regularly, because you may not be able to eat on time when you go out. You need to adjust the medication and meals in time. At the same time, you can flexibly add meals to avoid low blood sugar.
(2) Carry with “diabetic disease card”, blood glucose meters, daily drugs, and sugary foods (such as sugar -containing beverages, candy, desserts, etc.) in order to take it if necessary.
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(3) It is best to measure blood sugar before driving. Long -distance driving needs to detect blood sugar again on the way.If a signs of hypoglycemia occur during driving, the car should be stopped safely on the side of the road and immediately measures the blood sugar. If the blood sugar is low in time, the sugar -containing drink and food will be replenished.Ascend) You can continue to drive.It should be noted that with the extension of the disease, some symptoms (such as dizziness, sweating, palpitations) when diabetes patients are underwritten.Unclear stage.Therefore, it is necessary to measure blood sugar before driving. From a safety perspective, some asymptomatic hypoglycemia patients are not recommended to drive.Finally, I wish you all a happy National Day in advance!
