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Pharmacist shares unusual symptom of diabetes that appears in your mouth
One unusual symptom of diabetes shows up in your mouth, according to a pharmacist.
Superintendent Pharmacist Hussain Abdeh says fruity-smelling breath can indicate high ketone levels, which requires urgent attention by a medical professional. The Centres for Disease Control and Prevention (CDC) pointed out that these acids, known as ketones, occur when the body is breaking down fat for fuel.
If the body doesn't have enough insulin to break down sugars in the blood, then the cells are starved of energy. To compensate, the liver breaks down fat for fuel – and the by-product is ketones.
Abdeh said this reaction could "occur if you have both type 1 or type 2 diabetes". "You may have a very dry mouth at the same time and also experience an extreme thirst," he added. "You might find that you need to urinate more often than normal; this can also be a sign of high blood sugar levels."
For those who suffer from low blood sugars, mood swings might be expected, reports the Express. "If you are feeling irritable, aggressive, or confused for no known reason, these may be signs of low blood sugar," said Abdeh.
"Some people may also experience coordination problems or find it hard to make decisions. Some people with low blood sugar may also feel mild euphoria, which may feel like you are a bit drunk."
The pharmacist further explained: "Alternatively if you have high blood sugar levels, you may feel nervous or fatigued. The changes in blood sugar levels can have an impact on your mood, which normally goes away when your levels return to normal."
Anybody experiencing unexplained mood swings, or fruity-smelling breath, should book an appointment with their doctor. The NHS says there are 2 main types of diabetes:
type 1 diabetes – a lifelong condition where the body's immune system attacks and destroys the cells that produce insulin
type 2 diabetes – where the body does not produce enough insulin, or the body's cells do not react to insulin properly
Type 2 diabetes is far more common than type 1. In the UK, over 90% of all adults with diabetes have type 2.
注释：
Superintendent: n
表示" 监督人；"，means " administrator;controller;inspector"，如：The school superintendent was worried about the lack of qualified teachers. 教育厅长对缺少合格的教师感到忧虑。
euphoria: n
表示" 幸福愉快感"，如：A feeling of excitement or euphoria. 兴奋或兴高采烈的感觉
insulin: n
表示" 胰岛素"，如：The pancreas began churning out insulin. 胰腺开始产生胰岛素。
中文简要说明：
现在糖尿病患者众多，平均每100人就有11人，比例不低，却因为患病初期没有明显的症状，发现时往往血糖已经失控。英国一位临床药剂师提醒5种糖尿病征兆，其一是患者口腔出现「水果怪味」，应立即就医。
根据英国纪事报（Chronicle Live）网站报导，英国在线医药服务机构「Medicine Direct」临床药剂师阿卜杜（Hussain Abdeh）表示，糖尿病患者因为体内胰岛素不足，无法有效分解葡萄糖，这时肝脏会分解脂肪作为替代能量来源，过程中会产生一种副产物，就是酮体（ketone）。
因此，当血液中酮体过多，导致嘴巴出现水果味的口臭时，就可以视为罹患糖尿病的指标之一。严重者甚至可能引发酮酸中毒、昏迷而死亡。
另外3种为人熟知的罹病征兆则是：吃多、尿多、喝多。阿卜杜指出，许多糖尿病患者会感到口干舌燥，这是因为肾脏排出大量水份，尿量也随之增加。另外病患因为胰岛素作用不良，导致葡萄糖无法有效转换成能量，因此容易觉得饿，需要大量进食。
最后一项糖尿病患者常见的症状则是易怒。阿卜杜指出，「当你毫无来由地感到烦躁、具攻击性或困惑，可能是因为血糖过低。」「如果你的血糖过高，则可能会感到紧张或疲惫。血糖的波动会对你的情绪造成影响。」
医师提醒民众，无论出现上述哪一种征兆，都应该尽速找医生诊断，并进行血糖控制，就能享有与一般人相同的正常生活。
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