In diabetes mellitus, glucose cannot get into the tissue due to lack of insulin or loss of sensitivity to it. Instead of being used for energy, glucose remains in the blood.
Elevated glucose levels cause damage to the vascular wall, and at this time the organs suffer from nutritional deficiencies.
Therefore, a feeling of weakness, periodic dizziness and fatigue accompany patients with diabetes almost constantly.
Causes of severe weakness in diabetes
Weakness in diabetes mellitus is one of the diagnostic signs and appears in the early stages of the disease. Insufficient energy consumption due to the inability to process glucose leads to general weakness, increased fatigue with adequate nutrition and low physical exertion.
The second reason that diabetics feel fatigued is the fluctuations in blood sugar levels. Low blood sugar can be for such reasons:
- Large dose of drugs to reduce sugar.
- Drug change.
- Long-term exercise.
- Skipping meals.
- Drinking alcohol, especially on an empty stomach.
- Hard diets, fasting while taking pills to reduce sugar.
- Gastroparesis (inhibition of gastric emptying).
Hypoglycemia in diabetes mellitus, in addition to weakness, is manifested by pallor of the skin, sweating, tremors and hunger. Patients can not concentrate, they can overcome strong anxiety, aggression.
With an increase in hypoglycemia, if glucose or sugar is not accepted, behavioral disturbances develop, consciousness becomes confused, patients become inadequate and disoriented in space.
To overcome the attack of hypoglycemia, it is enough to take sweet tea, glucose tablets from 2 to 4 pieces, or just to eat. Treatment of hypoglycemic coma necessarily requires emergency medical care.
With uncompensated diabetes, a violation of the prescribed medication, refusal of treatment, alcohol abuse develops diabetic ketoacidosis. With a lack of insulin begins the breakdown of fat in fat depots. Excessive glucose in the blood takes a lot of liquid with it. There is dehydration.
At the same time, adrenal hormones in response to a decrease in circulating blood volume cause excretion of potassium and retain sodium in the body.
Patients in a state of ketoacidosis experience thirst, dry mouth, increased urination. These symptoms include pain in the abdomen, vomiting, the smell of acetone from the mouth.
In order to overcome weakness, the patient needs to prick insulin as soon as possible.
Causes of persistent weakness in diabetes
One of the causes of weakness in diabetes mellitus is angiopathy, a complication caused by an increase in glucose in the circulating blood. When damage to the blood vessels in the organs develops a lack of blood circulation, and this, combined with insufficient energy consumption from glucose leads to disruption of the functioning of the systems.
The most sensitive to starvation are the heart and brain. Therefore, with the development of angiopathy, dizziness, headaches, heart palpitations occur. Patients may experience shortness of breath during any physical exertion, fatigue. When cessation of blood flow in the part of the brain tissue, the first signs of a stroke appear:
- Sudden weakness in the half of the body and the inability to move one arm, one leg.
- The arm and leg are numb, the feeling of heavy weight builds up in them.
- Speech becomes slurred.
- There may be a vomiting attack.
One of the causes of muscle weakness and pain in the lower limbs may be the onset of diabetic polyneuropathy. This complication of diabetes is associated with impaired blood supply and conduction in the nerve fibers of the lower extremities.
At the same time, all types of sensitivity are reduced, tingling and numbness of the feet may be disturbed, signs of diabetic foot form over time - non-healing ulcers and deformity of the feet. For the prevention of the development of polyneuropathy, it is recommended that all patients with diabetes of 4 years of age have a regular examination by a neurologist.
The manifestation of diabetic neuropathy in men is sexual weakness. An erection is reduced due to impaired blood supply and innervation of the genital organs, the level of testosterone decreases and the sexual desire decreases. Erectile dysfunction may be the first symptom of vascular lesions, an increased risk of heart disease.
Fatigue and weakness can be one of the symptoms of diabetic nephropathy. In this condition, the renal glomeruli die and the blood cannot be completely purified from metabolic products. The kidneys are also involved in blood formation, therefore anemia is associated with the symptoms of renal failure.
These factors cause increasing weakness, nausea, edema, and headache with nephropathy. Diagnostic signs are the appearance of protein in the urine, an increased level of creatinine in the blood.
Treatment of weakness in diabetes
Manifestations of weakness in diabetes can indicate a poor degree of compensation. Therefore, the use of any drugs other than glucose-lowering can not reduce it. What is absolutely not recommended to do is to try to improve the performance of tonic medicines or caffeine-containing drinks.
Constant dieting with the refusal of sugar and all products without exception, by which it is included, by limiting flour products and fatty foods, sweet fruits, will help reduce chronic fatigue in diabetes. At the same time, the diet should contain a sufficient amount of protein from low-fat products: turkey meat for type 2 diabetes, cottage cheese, fish, and seafood.
Must be fresh vegetables and unsweetened fruits. It is necessary to include in the diet fermented milk drinks, broth hips, carrot juice, apples, pomegranate, black currant.
In order to increase activity and improve the quality of life, you need to achieve the following indicators:
- The glycated hemoglobin: 6.2 - 7.5%.
- Glucose in mmol / l: fasting 5.1 - 6.45; after eating two hours 7.55 - 8.95; before bedtime until 7.
- Lipidogram: cholesterol 4.8; LDL is less than 3 mmol / l; HDL is greater than 1.2 in mmol / l.
- Blood pressure is not higher than 135/85 mm Hg. Art.
In order to timely identify the complications of diabetes, to maintain the recommended indicators of carbohydrate metabolism, regular monitoring of the state of health is necessary. To do this, it is necessary to take daily measurement of fasting glucose and two hours after eating, monitor blood pressure in the morning and evening.
Once every three months, determine the index of glycated hemoglobin and consult an endocrinologist about the treatment correction. At least twice a year to check the performance of fat metabolism, to be examined by a surgeon. Once in 4 months you need to visit an ophthalmologist and a neurologist. The video in this article will tell about the variety of problems with diabetes.