Source: Life Times
Director of the Department of Gout, Tianjin Medical University Metabolic Disease Hospital Zhao Wei Wang Junwei
High fasting blood glucose is one of the conditions for the diagnosis of diabetes, and it is also inseparable from the diagnosis of diabetes "Key words". As a test item that can reflect one's own insulin secretion ability, it can be said that fasting blood glucose is the basis for sugar control.
Studies have shown that fasting blood glucose has a greater relative contribution to all-day hyperglycemia, and it increases with the increase of glycosylated hemoglobin. The level of fasting blood glucose determines whether the treatment can reach the standard (HbA1c
in patients with type 2 diabetes)However, almost all sugar lovers have encountered the problem of "increased fasting blood sugar". Why can't blood sugar come down after taking medicine?
Eat too much. A reasonable diet is the basis of diabetes treatment. Eat a lot of high-calorie foods for dinner. Late meal times, longer meal durations, and extra meals before going to bed may all lead to increased fasting blood sugar. Sugar friends' diet should not only control total calories and a reasonable combination, but also set a fixed point at a fixed time, that is, the dinner time should not be passed. Late, the duration should not be too long, if there is no special circumstances, try not to add meals.
Sleep less. Adequate sleep is conducive to the control of fasting blood sugar, insomnia, lack of sleep, dreams and light sleep can cause catecholamine hormones in the body Increased secretion of sedatives, such as adrenaline, norepinephrine, etc., leads to a decrease in the body's insulin sensitivity and an increase in blood glucose levels. If necessary, sugar friends can use sedatives and sleeping medicines under the guidance of a doctor. Sleep.
is wrong. Both the dawn phenomenon and the Su Mujie phenomenon are fasting hyperglycemia, but they are completely different in nature. The dawn phenomenon is when the patient is in the dawn time, the body glucocorticoid , growth hormone and other insulin antagonism The secretion of hormones gradually increases, which gradually increases blood sugar, leading to fasting hyperglycemia. The Su Mujie phenomenon is usually caused by excessive consumption of hypoglycemic drugs before dinner or before going to bed or excessive hunger at night caused by low blood sugar.The subsequent rise in blood glucose rebound, treatment is the opposite. To distinguish between these two phenomena, blood glucose at 6 time points (that is, blood glucose at fasting, 2 hours after meals, before going to bed and at 3 am) and glycosylated hemoglobin must be monitored at 6 time points.
The medicine is wrong. There are many types of oral hypoglycemic drugs and insulin on the market. In clinical practice, there are often unreasonable combinations of hypoglycemic drugs for sugar friends, irregular medication time, and problems with insulin injection methods and drug storage, which will inevitably affect fasting blood glucose levels. Therefore, sugar friends should take the medicine according to the doctor's advice. If in doubt, consult a clinician or pharmacist. Do not make any adjustments by yourself.
With the prolonged course of the disease, the patient's own pancreatic islet function gradually declines, and hypoglycemic therapy is not static. If sugar friends find that the current treatment plan can no longer effectively control sugar, they need to seek help from the doctor in time to adjust the treatment plan.
This article comes from [Life Times], and only represents the author's views. The national party media information public platform provides information publishing and dissemination services.
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