There is no doubt that blood glucose reaching the standard is the most crucial item for the control of diabetes. High blood sugar can not only cause a series of acute complications of diabetes and endanger the diabetes patient's life, but also may accelerate the development of chronic complications (eye disease, kidney disease, diabetic foot,diabetic neuropathy and so on). Therefore, the control of blood glucose needs a stricter requirement in patients with type 1 diabetes and younger patients with type 2 diabetes.
Then, what is the cut-off value of blood glucose reaching the standard? At present, the standard is preset as: fasting blood glucose < 126 mg/dL (7 mol/L), two hours postprandial blood glucose < 180 mg/dL (10mol/L), and HbA1c (glycosylated hemoglobin) < 7%, which can be regarded as reaching the standard. Blood glucose reaching the standard can help to delay the progress of the diabetes patient's chronic complications, and will inhibit the occurrence of the acute complications of diabetes.
For younger patients with diabetes, it will be normal when the fasting blood glucose level can be controlled below 110 mg/dL (6.1 mol/L) and two hours postprandial blood glucose under 140 mg/dL (7.8 mol/L), there will be lower risk of complications. However, for adolescents and children with diabetes, if they cannot meet the strict requirements of fasting blood glucose level less than 110 mg/dL (6.1 mol/L) and two hours postprandial blood glucose below 140 mg/dL (7.8 mol/L), it is acceptable when the fasting blood glucose level is controlled below 126 mg/dL (7 mol/L), two hours postprandial blood glucose under 180 mg/dL (10mol/L), and HbA1c (glycosylated hemoglobin) lower than 7%. In this regard, there is no need to force the diabetes patients, but at least to reach the minimum standard, namely, the criteria of reaching the standard.
Target Blood Glucose Range
Keeping your blood sugar in Target Blood Glucose Range can reduce your risk of diabetic complications such as eye disease, diabetic nephropathy, diabetic heart disease, diabetic foot, diabetic neuropathy and so on.
Regular blood glucose monitoring
It is very important for diabetes patients to monitor blood sugar regularly. It's not enough to measure the fasting blood glucose, blood glucose monitoring after a meal is also critical. Many diabetes patients do not measure blood glucose since they find no obvious symptoms of their body, which is the behavior of putting themselves at risk.
Diabetes patients occasionally go to the hospital to measure blood glucose, which may be fluctuated to be high or low. This will be misleading to the doctor, and the doctor may adjust the medication according to one measurement of the blood glucose level. However and importantly, one time measurement of blood glucose does not completely reflect the diabetes patient's normal blood glucose status.
Therefore, it is recommended that the diabetes patients should prepare a blood glucose meter firstly to facilitate their regular monitoring of blood glucose at home; secondly, to keep a diary for the recording of the blood glucose levels, write down each numerical measurement of blood glucose will be helpful for the diabetes patients to visit the hospital, so as to adjust the medication by the doctor; finally, monitor the finger point blood glucose regularly, even if no obvious symptoms are felt. Glycosylated hemoglobin monitoring every three months will contribute to a timely understanding of blood glucose control at this stage.
Reasonable diet and proper exercise, the combination of the two will give diabetes patients a very good body, as well as hypoglycemic effect.
Choosing the appropriate medicine
At present, oral hypoglycemic drugs can be divided into two main types, which are mainly to reduce the fasting blood glucose and to reduce the postprandial blood glucose. It should be noted that postprandial blood glucose control is not ideal in many diabetes patients, in fact, relevant reason may be that the use of drugs are to reduce the fasting blood glucose. With respect to this, before taking medicine, diabetes patients need to check whether there is drug treatment for decreasing postprandial blood glucose, do an antidote against the disease.
There is also a very important point that not only attention to reach the standard, but also prevent hypoglycemia (low blood sugar). Some diabetes patients blindly pursue to blood sugar reach the standard, and ignore to take into account of their own factors, resulting in hypoglycemia (low blood sugar). The harm of hypoglycemia (low blood sugar) is very large, severe cases can result in brain dysfunction, conscious trance or even coma and death. Hypoglycemia (low blood sugar) in elderly diabetes patients is liable to cause complications such as arrhythmia, angina, myocardial infarction and cerebrovascular accidents.
Patients with diabetes should master the dose of oral hypoglycemic drugs or insulin injections properly, hypoglycemia (low blood sugar) is prone to happen especially in the evening, which must be careful.
In addition, the blood glucose control standards are not uniform, each diabetes patient has a different illness and physical condition, which can not be generalized. Blood glucose standards can be relaxed to some extent for some diabetes patients who are prone to hypoglycemia (low blood sugar); for pregnant women, high blood glucose levels during pregnancy will have great harm to them, the monitoring of blood glucose should be strengthened, and levels of blood glucose should be strictly controlled; for elderly patients with diabetes, as long as the blood glucose can be controlled to reach the standard, some hypoglycemic drugs with strong drug effect and long acting time should be avoid to use, so as not to cause hypoglycemia (low blood sugar).
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