{diabetes}

Need to monitor daily or occasional basis? Do not need to monitor blood sugar steady after it?

To this end, we visited the hospital YANG Guo-ying, director of Chengdu Ryan diabetes. He believes that levels of blood glucose control is important in the normal range, too high will lead to complications, accelerate the disease process; too low will lead to hypoglycemia, resulting in patient safety. Therefore, control of blood glucose not only pay attention to "point" is more important is the basis of its long-term compliance, it is the "face" of observation and control.

"Points" indispensable: economic and practical

Fasting blood glucose and postprandial blood glucose directly reflect the essential foundation of human blood glucose and dietary intake of glucose, diabetes monitoring of the two essential "points." With diabetes are used to measure fasting blood glucose and postprandial glucose, but this method of measuring blood sugar can represent only the value of a point in time, can not fully reflect changes in blood sugar. Moreover, these two "points" value is also susceptible to adrenal cortex hormones, food type and time of the gastrointestinal tract digestion, absorption and other factors. Simply relying on these two "points" to monitor blood glucose can not completely avoid fluctuations. But we can not deny that, fasting and postprandial blood glucose monitoring is the most practical and most common method of economic.

Diabetic Hospital Director Yang Ryan reminds us that control the "point" blood sugar to remember 5678, that is, keep fasting 5.6 mmol per liter, postprandial control in 7.8 mmol per liter, which is a relatively ideal.

"Line" is very important: to help determine treatment options

Oxidative stress caused by unstable blood glucose response is the heart, brain, kidneys and large blood vessels, capillaries, nerves and other tissue or organ damage and lead to insulin resistance in the common soil. Therefore, control of blood glucose not only pay attention to "point", more attention should be paid blood glucose fluctuations in this "line" changes.

Blood glucose monitoring in the "line" refers to blood glucose fluctuations in a day, generally to measure blood glucose clinical spectrum to observe the dynamic changes of blood glucose. The "line" monitoring can help doctors determine the optimal treatment plans, and then play the role of effective control of blood sugar.

Normal blood sugar in diabetic patients "line" monitoring is not required to do every day. Director Yang proposed that the fluctuation and instability of blood glucose in patients, in conditions permitting, seven-segment should be doing weekly blood glucose (ie, before meals and 2 hours after meal, and at 3 hours before bedtime blood glucose) test . This change in blood glucose concentration for the day to provide a better assessment of low blood sugar at night dawn to judge the phenomena of great help, and can be used to guide the adjustment of diabetes treatment.

"Face" to the surface all: to prevent complications

To make a long-term blood sugar compliance, "spot" and "line" of the monitoring is not enough. Must observe the blood glucose changes over time to assess the therapeutic effect. Clinically, the "face" of the monitoring and evaluation of glycated hemoglobin can be determined on the basis of this indicator. Glycated hemoglobin can fully reflect the fasting blood glucose and postprandial blood glucose control the situation, but also indirectly reflect the real organ of oxidative stress on the damage to long-term glycemic control compliance, thereby enhancing insulin sensitivity, reduce insulin resistance, and further reduce or delayed complications. The diabetes treatment is to control the final analysis, the incidence of complications and improve quality of life. So glycosylated hemoglobin in diabetic patients is very important.

According to Director Yang introduced the general control of glycated hemoglobin of 6.5% is appropriate, the diabetic patients on a quarterly basis to the hospital for a glycated hemoglobin test, Dr. Fang Bian grasp the overall changes in blood sugar and adjust the treatment.

In addition, he also reminded the sugar glucose Friends pay more attention to the changes in this regard, according to a preliminary determination that these changes in their blood sugar control. He believes that "point" high "line" normal, good glycemic control usually note; "points" and "line" is another job description get out of control; "point" normal and "Line" is illustrated in a recent high pumping Note that control blood sugar before, but the last 2 to 3 months of control is not ideal.