Infertility after marriage, check 8 diseases!The miracle after the post -90s woman lost 52 pounds

Source: Guangzhou Daily

There are n reason to lose weight,

The excuse for weight loss is N+1.

But if obesity brings

Not just the appearance is not good -looking,

When you follow a long skewers,

Losing weight is even more powerful.

Miss Li, 28, was diagnosed with 8 diseases such as "diabetes, polycystic ovary syndrome, hyperlipidemia, hyperuricemia" more than a year ago, and these diseases were mostly related to her "fat".

With less than 1.6 meters, she has a weight of 94 kilograms, and she has a typical obesity.Not only that, obesity also caused her menstrual disorders and abnormal ovulation. She was infertile three years after marriage, which made her very distressed by her who wanted her baby.

Lotten 7 months, an endocrine metabolic management team composed of endocrine experts, specialists, educational caregivers, diabetic nutritionists, etc. to formulate a detailed lifestyle intervention and treatment plan for her, successfully control sugar control, reduce fat, reduceWe weighed 52 pounds and naturally conceived naturally in September 2019.

Experts remind that obesity can cause infertility. If you try to lose weight many times, it may also suffer from metabolic syndrome.Obesity+infertility women, if they intend to prepare for pregnancy, are recommended to regulate diagnosis and treatment first, scientific weight loss.

01

Part

After the 90s, the girl was infertile several years after marriage, and checked eight diseases.

"Doctor, you’re joking, how can I have diabetes in my 20s, and what are so many diseases!" Girl Li, 28, more than a year ago, infertility due to menstrual disorders and infertility after marriage.The Department of Endocrinology, the Third Hospital of Guangzhou Medical University, was found to have 2 diabetes, polycystic ovary syndrome, mixed hyperlipidemia, hyperuricemia, non -alcoholic fatty liver, obesity, metabolic syndrome, 8 diseases such as sub -clinical thyroid dysfunction!

At that time, she was 159 cm tall, but weighed 94 kilograms. The BMI was 37.1kg/m2, and the hemoglobin (HBA1C) was 9.1%, far exceeding the normal value (4.3%~ 5.9%).Essence

Zhang Ying, chief physician of the Department of Endocrinology of the Third Hospital of Guangyi, admits that obesity is one of the reasons for infertility.The BMI index (weight ÷ the number of height meters) is greater than 28 as obesity. Due to excessive energy intake and fat accumulation, the compensation of insulin levels increases, insulin resistance occurs, and then causes endocrine metabolic disorders throughout the body.

"Insulin resistance is an important cause of ovulation disorders. High insulinmia acts on the level of hypothalamus and pituitary, and indirectly promotes ovarian androgen secretion. At the same timeArogen prevents superior follicles from developing, accelerating follicle locks, causing ovulation without ovulation. In addition, insulin resistance can cause follicle development disorders. "

Zhang Ying said: "Insulin resistance not only participates in chronic ovulation -free mechanism, but also an important pathological mechanism that leads to metabolic disorders of sugar and lipids.Liver, metabolic syndrome, etc. "

The occurrence of obese women infertility is three times that of normal women, and female infertility patients are often accompanied by polycystic ovary syndrome. The disease is the main cause of female infertility.The success rate of auxiliary reproductive technology can cause patients’ long -term metabolic disorders.

Studies have shown that moderate weight loss can effectively improve insulin resistance, reduce the levels of high androgen and high insulin, restore regular menstruation, significantly improve ovulation and even pregnancy.

02

Part

Seven months lost 52 pounds of natural conception

For health, we must lose weight, but I have tried to eat weight loss pills, diet, and slimming bag massage. Ms. Li who failed to lose weight has been failed. After unlimited hunger and reboundIt is "naturally easy to be fat."

In order to control the patient’s high blood sugar in the short term, Miss Li was hospitalized for a week of systematic examination and short -term insulin reinforcement therapy, correction of thyroid dysfunction treatment, fat regulation and other comprehensive treatment, and received education on diabetes and metabolic syndrome.

After being discharged, the endocrine metabolic management team composed of endocrine experts, specialists, educational caregivers, diabetic nutritionists, and diabetic nutrition management teams formulated a detailed sugar -controlled lipid -reduction lifestyle intervention treatment plan for them, and subsequent treatment and follow -up treatment and follow -up treatmentFollow -up.

"We carried out comprehensive management of out -of -hospital sequences for the purpose of controlling sugar control and improving metabolic balance. Once a week, online follow -up of diabetes combined with regular offline clinics to help her scientifically control sugar control." Director Zhang Ying introducedroad.

Online courses include not only knowledge such as diabetes and metabolic syndrome, scientifically formulating sugar control recipes, etc., but also very detailed science education, such as how to take different drugs, how to monitor blood sugar, etc.

In addition, the team of experts will follow up in time every day, correct her daily behavior and diet misunderstanding, dynamically follow up blood sugar and weight, and adjust the drug treatment plan in time.

For 4 months, Miss Li lost 18 kg.

Four months later, Miss Li successfully lost 18 kg, and blood sugar, blood lipids, and uric acid levels returned to normal. She had type 2 diabetes, metabolic syndrome, fatty liver, etc. she suffered from reversal.Diabetic therapy drugs are reduced from the original three to one daily, until they are completely discontinued.

Under continuous management, her weight dropped to 68 kilograms seven months later. In September 2019, she successfully conceived and naturally conceived, and her blood sugar was normal during pregnancy.

03

Part

High weight, you may not be able to suffer from metabolic syndrome

Obesity is a chronic metabolic disease caused by multiple factors caused by long -term energy intake, which causes excessive accumulation and abnormal distribution in the body.Today, obesity problems are becoming more and more serious, and the World Health Organization has identified "obesity" as one of the top ten chronic diseases.

Compared with normal weight, overweight and obese people suffer from various metabolic diseases such as cardiovascular and cerebrovascular diseases, diabetes, sleep respiratory suspension syndrome, polycystic ovary syndrome-infertility, bone joint disease, tumor and other diseases double increasedEssence

With the popularization of medical knowledge, people are becoming more and more aware of the importance of weight management for health.Many overweight and obese people lose weight through various ways such as dieting, exercise, etc., but they can always be high in weight. Zhang Ying reminded that the weight can not lose. It may be that it has a metabolic syndrome.

Metabolic syndrome is a group of metabolic disorders that are gathered in a variety of metabolic diseases such as obesity, hyperglycemia, abnormal blood lipids, and hypertension, which seriously affects the health disorders of the body.The incidence of metabolic syndrome in my country is as high as 14%to 16%, that is, one of 6 to 7 people has a person with metabolic syndrome.Cardiovascular diseases and stroke incidence in patients with metabolic syndrome, as well as 2 to 3 times that of non -metabolic syndrome personnel of the two.

Zhang Ying reminded that overweight and obesity people such as sugar fat metabolic disorders, polycystic ovary syndrome, metabolic syndrome, etc., should receive standardized endocrine metabolic therapy, actively change lifestyle, and strive to relieve the disease and even obtain clinical reversal.

Medical Guidance/Zhang Ying, chief physician of the Department of Endocrinology, the Third Hospital of Guangzhou Medical University

Guangzhou Daily Full Media Text/Picture Reporter: Weng Shuxian correspondent Wang Hui and Bai Tian

Video editing: Guangzhou Daily All Media Reporter: Ye Hanqian

Guangzhou Daily Full Media Editor: Shi Yu

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