How to monitor blood glucose in patients with diabetes?

Diabetes patients in addition to controlling the diet, timely application of hypoglycemic agents, the monitoring of blood glucose is also very important.

Blood glucose monitoring

Blood glucose monitoring time points include three meals before blood sugar, blood sugar after two meals three hours, before going to bed blood sugar, blood sugar at 3:00 night and any uncomfortable (including eating sweets, meals, hypoglycemia and other symptoms). However, the specific frequency of blood glucose monitoring according to the specific circumstances of each person varies, not all measured every day so much.

How to monitor blood glucose in patients with diabetes?

For first-time patients with diabetes, it is best to measure morning fasting blood glucose, blood sugar after 2 hours of three meals and pre-sleep blood sugar, four to five times a day. In order to understand the impact of fasting blood glucose levels and different foods on postprandial blood glucose. When the diet is particularly sweet or a sudden increase in food intake, but also to monitor blood sugar. In other uncomfortable, especially when cold syndrome suspected hypoglycemia must also monitor blood sugar.

Better control of blood glucose control can pick their own weekly rest day, such as measuring fasting blood glucose on Saturday, three hours after meals and blood glucose before going to bed, basically can understand their fluctuations in blood sugar.

Diabetic patients with poor blood glucose control can be monitored 4-7 times a day, if necessary, can increase the number of times until the blood glucose control satisfaction, the higher the morning blood glucose must be measured at 3 o'clock blood glucose to exclude nighttime hypoglycemia may .

For those who use insulin, the beginning can be monitored 5 to 8 times a day, blood glucose can reach the goal of treatment can reduce the number of 2-4 times a day.

For some special cases of diabetes, you can pick the key period of time measurement. Such as hypoglycemia are the best monitoring pre-meal blood glucose to exclude the possibility of hypoglycemia, fasting blood glucose control for patients with glycosylated hemoglobin but did not meet the standard 2-hour postprandial blood glucose.

Blood sugar in diabetic patients is required to meet the standard 24-hour blood glucose, including fasting, postprandial, when sleeping. Any time period of blood glucose than the standard, will have adverse effects on human blood vessels, such as lead to atherosclerosis and so on.

Glycosylated hemoglobin monitoring

Blood glucose test only reflects the blood sugar is an instantaneous value, does not truly reflect the overall glycemic control of patients with diabetes. The glycosylated hemoglobin can reflect the average blood glucose control in patients nearly three months, so diabetic patients can be measured once every 3 months, hemoglobin A1c.

For young patients without diabetic complications, the target HbA1c can be set to below 6.0% -6.5%.

For general diabetic patients, the target value of HbA1c can be set below 7%.

For older, with cardiovascular complications such as complications, glycosylated hemoglobin target value can be relaxed to 8% or less.
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