【Abstract】How do people with diabetes judge whether their blood sugar is well controlled? How did you do it? Refer to the most basic evaluation criteria to see if you meet the standards?

[Abstract] How to judge whether people with diabetes or have good blood sugar control? How did you do it? Refer to the most basic evaluation criteria to see if you meet the standards?

People's blood sugar is constantly changing throughout the day, but this change should not exceed a certain range and amplitude. The usually tested fasting blood sugar and 2-hour postprandial blood sugar only look at the level of blood sugar from a point, and at the same time The overall situation of blood sugar within 24 hours should also be understood from the surface. The new version of "China Diabetes Prevention and Treatment Guidelines" provides specific evaluation criteria for a combination of points and aspects, which mainly include:

• Item 1: The general control target of fasting blood sugar is less than 7.0mmol/ L; The general control target for blood sugar 2 hours after a meal is less than 10.0mmol/L
• Item 2: The difference between fasting (pre-meal) blood sugar and blood sugar 2 hours after a meal is less than 2.0mmol/L
• Item 3: The time to reach the blood sugar target throughout the day is greater than 70 %

The first item represents the blood sugar on the spot, and the second and third items reflect the blood sugar on the face. Only when all three items reach the control target can it be called true control. What is your situation? Among people who cannot really control the achievement of standards, they often encounter the following two situations. What is the problem? How to deal with it?

Question 1: Fasting blood sugar is always high, but blood sugar is normal 2 hours after a meal.

Fasting blood sugar can indirectly reflect the basic state of one's own pancreatic islet function , which is equivalent to the state of a car driving at a constant speed. It consumes the least fuel and is the most economical. islet The insulin cells need to secrete is relatively small; while the 2-hour postprandial blood sugar indirectly reflects the ability of the islet cells to respond to postprandial hyperglycemia stimulation, which is equivalent to the ability of a car to speed up. At this time, the islet cells need Rapidly increase insulin secretion.

It can be seen from this that when fasting blood sugar is always high but postprandial blood sugar is normal, it indicates that the stress ability of the pancreatic islet cells is acceptable, but they are just "lazy" in the resting state. The reasons can be found from the following aspects ：

The use of antidiabetic drugs is unreasonable. For example, too little dosage leads to high blood sugar levels at night, and fasting blood sugar rises in the morning, which is often called the dawn phenomenon; too much dosage leads to hypoglycemia at night, and the body Reflexively respond to hypoglycemia, using large amounts of blood sugar reserves to cause fasting blood sugar to rise.

Unreasonable diet and exercise , such as eating too much for dinner the night before, eating a snack before going to bed, or measuring blood sugar after exercising in the morning.

Unstable sleep, insomnia and dreaminess , the body cannot rest, sympathetic nerve is in an excited state, causing the body to increase the secretion of glucagon hormone, prompting the release of stored blood sugar.

Question 2: Fasting blood sugar is normal, but blood sugar is always high 2 hours after a meal.

From the above description, we can know that controlling blood sugar after a meal is more important for overall blood sugar control, because the increase in blood sugar after a meal is related to the decrease in the function of the own pancreatic islets. The degree is relatively large, so you should pay special attention to the details of life and the use of hypoglycemic drugs. You can look for problems from several aspects.

Adjust the use of anti-diabetic drugs , such as changing or adding anti-diabetic drugs used to control postprandial blood sugar.

Adjust the diet structure and eating habits , such as reducing the amount of staple food, eating a light diet with less salt, eating at regular intervals, eating slower and taking 20 minutes, eating vegetables first and then eating staple food, etc.

Increase the amount of exercise after meals . For example, do exercise about 1 hour after taking the first bite of meal. The slight sweating state should last for 20-30 minutes during exercise, or do muscle exercise for 10-15 minutes.

In short, diabetes should strive to control blood sugar stably throughout the day. On the basis of ensuring that there are few fluctuations in 24 hours, fasting and 2 hours after a meal blood sugar should be controlled within the target range. Only by finding the cause in time can targeted intervention measures be taken. .

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