In clinical practice, most diabetic patients have some understanding of diabetic retinopathy. However, since early-stage fundus lesions present no obvious symptoms, and patients feel their eyesight is fine, they often overlook regular eye examinations. They only seek medical attention when vision becomes blurred, fundus hemorrhage occurs, or exudation affects the macula.Clinical studies have shown that […]
Elevated Urinary Microalbumin Does Not Equal Early Diabetic Nephropathy
Elevated urinary microalbumin is the most important objective indicator for diagnosing early diabetic nephropathy. However, in clinical practice, the author has found that under certain conditions, elevated urinary microalbumin does not equate to early diabetic nephropathy.Significance of Urinary Microalbumin Testing for Diabetic NephropathyUrinary microalbumin is not only a key marker for diagnosing early diabetic nephropathy […]
Risks of the Ketogenic Diet (KD) in Certain Situations
Relative contraindications are inferred from partial research evidence and indirect mechanisms, suggesting that the ketogenic diet (KD) may pose risks in certain situations. These include acute pancreatitis, acute liver failure, advanced chronic kidney disease, use during propofol administration, and familial hypercholesterolemia. Unlike absolute contraindications, KD may still offer potential benefits for some individuals under these […]
The Ketogenic Diet Is Not for Everyone
The ketogenic diet (KD) has shown significant potential in the prevention and treatment of a variety of diseases. It is applicable not only to some neurological disorders but also exerts remarkable effects on multiple metabolic diseases, including obesity, overweight, type 2 diabetes mellitus (T2DM), and metabolic-associated fatty liver disease (MAFLD). It is also gaining recognition […]
5 Recommendations for HbA1c Monitoring in Diabetic Patients
The number of patients with diabetes is increasing year by year, but diabetes still cannot be completely cured. For patients, the most ideal therapeutic effect is to strictly control blood glucose to reach the target level (close to or equal to that of healthy people), minimize the harm caused by diabetes and its various complications, […]
How Should Patients with Diabetes and Comorbidities Exercise?
Diabetes rarely occurs alone. In addition to elevated blood glucose, patients with diabetes often present with comorbidities such as hypertension and dyslipidemia.If diabetes and its comorbidities are not controlled over the long term, a variety of other complications may develop, including diabetic peripheral neuropathy, diabetic nephropathy, diabetic peripheral vascular disease, diabetic foot ulcers, diabetic eye […]
Diabetes Prevention: Why Exercising in the Afternoon Is More Beneficial?
A study using two major databases—the UK Biobank and NHANES—consistently found that moderate‑to‑vigorous physical activity (MVPA) performed in the afternoon to evening was associated with a lower risk of type 2 diabetes and a more favorable glycemic metabolic profile. This association remained significant after controlling for total exercise volume.Unlike previous studies that mainly focused on […]
Preventing Diabetes: Timing Your Exercise Matters More Than You Think
Over the past few decades, sports medicine has focused almost entirely on the health impacts of exercise volume and intensity, while paying insufficient attention to the timing of exercise. However, a growing body of basic and epidemiological evidence shows that human metabolic regulation exhibits distinct circadian rhythms. The same stimulus applied at different times of […]
Does the “2+N Systematic Therapy” Make Remission of Type 2 Diabetes Possible?
In many people’s perception, once diagnosed with type 2 diabetes mellitus (T2DM), it means lifelong medication, strict glycemic control, and constant risk of complications. However, in recent years, the concept of “diabetes remission” has quietly changed clinical practice—not a cure, but long-term maintenance of blood glucose at non-diabetic levels through scientific intervention, without medication, and […]
How Elderly Diabetic Patients Should Take a Walk
Many people may say: Isn’t walking just moving around? Actually, it is not that simple. Walking has many “secrets”, especially for elderly people with chronic diseases and weak physical conditions—it requires great attention.For elderly people with chronic diseases and poor health, maintaining balance is the most important thing when walking. As people grow older, the […]