Diabetes complications are different for men and women

yourhealth 2020-8-3 11:48:30 disease view View comments

The troubles of sugar friends mainly come from the threat of various complications caused by diabetes. Recently, experts at the European Diabetes Annual Meeting pointed out that men and women have different risks for various complications.


A French cohort study conducted long-term follow-up of 1470 patients with type 2 diabetes. It was found that sugar kidneys progressed faster in men and were easier to enter the end-stage stage requiring dialysis or kidney transplantation. According to analysis, the role of male and female hormones in the progression of glucose kidney disease is different: female estradiol can inhibit the development of glucose kidney by reducing the expression of transforming growth factor-β, while the effect of male testosterone is opposite. However, once they enter the end stage of kidney disease, whether they receive kidney transplantation or dialysis treatment, women will bear a higher risk of death.

In terms of myocardial infarction or angina pectoris, men are more likely to occur than women. The specific mechanism of the difference between male and female diabetic macrovascular disease is not very clear. According to Yuan Geheng, chief physician of the Endocrinology Department of Peking University First Hospital, it is roughly related to the following aspects: 1. Men have more bad habits such as smoking and drinking; 2. Men usually feel greater pressure in social work; 3. Men's dyslipidemia is more common than women.

A meta-data from a study involving 770,000 people published between 1966 and 2013 showed that after women had diabetes, the risk of stroke increased by 128%, and the risk of stroke in men also increased, but it was lower than that of women, at 83%.

Due to factors such as insulin deficiency, insulin resistance, and medication, sugar friends are prone to suffer from osteoporosis. Since estrogen is good for protecting bone hardness, and the level of estrogen in women after menopause decreases rapidly, this increases the risk of disease for girlfriends.

In terms of psychology, many studies have shown that compared with men, female sugar friends have a higher risk of depression. Although the causal relationship is still inconclusive, a review has analyzed that this may be related to the economic burden of treatment, adverse drug reactions, fear of diseases and other factors, and these phenomena are usually more common in women.

Due to the differences in the combined diseases of male and female sugar friends, people of different genders should be examined and adjusted more specifically. A study from the University of Adelaide in Australia suggests that in addition to common factors such as age over 40, low income, obesity, and family history of diabetes, female diabetes is also related to high blood pressure, high waist-to-hip ratio and psychological problems, while men are Related to smoking and low cholesterol levels. Therefore, Yuan Geheng introduced that girlfriends need to pay attention to the improvement of lifestyle and the evaluation of their mental state. In addition, polycystic ovary syndrome and menopause are unique risk factors for diabetes, so they should also pay attention to estrogen levels. Men mainly need to quit smoking and limit alcohol. Men with low testosterone levels should also actively improve their sex hormone levels. Although men and women have different priorities in some aspects, they should pay attention to comprehensive maintenance on weekdays. For example, three meals should be punctual and nutritionally balanced, and three to five times a week for 30 minutes to 1 hour of exercise. Only by improving the lifestyle can we control blood sugar and effectively control complications.

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