Disease surveillance is an important method of diabetes treatment. It’s like a mirror to let diabetes patients to understand their own diseases. It makes therapy more precise, and strongly increases the efficacy.
Diabetes patients should at least perform several tests and inspections as followed:
Blood sugar monitoring
Including fasting blood glucose and postprandial blood glucose. Thereby the blood sugar level can be understood, and specific medication can be decided.
Urine Routine Examination
Not only the condition of urine sugar should be understood. It is more important to exam whether there is existence of urine ketone body and urine protein. That is good for clinical classification and excluding the possibility of ketoacidosis, meanwhile, whether there is a situation of urinary tract infection can be understood. Regularly monitoring of microalbuminuria is very critical to determine early diabetic nephropathy.
Liver and kidney functions monitoring
This examination cannot only understand conditions of liver and kidneys, but also provide evidence for medicine selection. Because some oral hypoglycemic agents should not be used when liver and kidney functions are impaired.
Blood lipid testing indicators
Blood lipid involves cholesterol and triglycerides. If the LDL (Bad cholesterol) of diabetes patients is high and HDL (Good cholesterol) is low, they are required to use lipid-lowering drugs appropriately.
Blood pressure and blood viscosity monitoring
High blood sugar, high blood pressure, dyslipidemia (abnormal blood lipids) and high blood viscosity are four invisible killers for diabetic patients. Therefore blood pressure, blood lipid level and blood viscosity should be understood in first visit, and appropriate treatment should be given.
Diabetic retinopathy is symptomless in the early stage, and there is no good method to control it in the late stage. Therefore, we should not check fundus until the vision is blurred. The fundus of diabetes patients must be regularly monitored. Even there is no any change yet, an initial data can be kept for comparison in the future.
Body height and weight monitoring
It is very helpful to understand basic information about diabetes patients, and it is beneficial to selection of medicine types. Meanwhile, it can leave a basic material for body weight monitoring, and can be used for comparison in the future.
Those tests mentioned above should be the combination of self-monitoring and regular hospital inspection. During the monitoring, a detailed record form will be the best. Thereby we can have a clear understanding of the change trajectory of every indicator, which is very helpful for diabetes treatment.
Monitoring of Five Items of Diabetes
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