During the epidemic in COVID-19, Pippi, a diabetic friend, filed a file. How to protect his health? Chen Qiongya, a metabologist, said that poor long-term control of blood sugar will increase the risk of infection and aggravate the disease. It is suggested that sugar lovers regularly monitor their blood sugar and adjust their medication and lifestyle. They can choose an internationally certified blood glucose machine, such as ISO15197: 2013. If the blood sugar is too low (70mg/dL), you should add sugar. If it is too high, you should drink more water and wash your hands.
What are the risks for diabetic friends in COVID-19?
Dr. Chen Qiongya said that diabetes can be regarded as a chronic inflammation of the body. Because of hyperglycemia and insulin resistance, the immune function is reduced, and it is more susceptible to infection than ordinary people, especially patients with poor long-term control.
In addition, long-term poor blood sugar control is also prone to chronic complications. Such elderly patients, or those suffering from chronic diseases, such as diabetes and cardiovascular diseases, are more likely to get worse when they are infected with COVID-19. Therefore, doctors emphasize that good blood sugar control is the key to reduce acute infection or chronic complications.
These are the target values for blood glucose monitoring.
Dr. Chen Qiongya pointed out that self-monitoring blood sugar can help patients to understand the blood sugar level, make patients and caregivers feel more involved in treatment, and adjust drugs and lifestyles according to values, which not only makes the treatment more personalized, but also effectively improves the blood sugar stability of sugar friends.
The Diabetes Association of the Republic of China suggests that the glycosylated hemoglobin is less than 7.0%, the target value of fasting blood glucose is 80- 130mg/dl, and the target value of postprandial blood glucose is below 160mg/dl.
How to choose a doctor for blood glucose machine? All these points have been mentioned.
How to choose a blood glucose meter? Dr. Chen Qiongya suggested that the selection of blood glucose meters should avoid excessive error value, and pay attention to labeling internationally certified blood glucose meters such as ISO15197: 2013 or US FDA, EU CE, ISO 900 1. In addition, in addition to the moderate size and easy to carry, in terms of convenient operation, we can pay attention to the characteristics of automatic recording, font size adjustment, less blood collection, automatic correction and no code adjustment. If we are afraid of pain, we can also consider the blood collection function of AST (other parts).
Dr. Chen Qiongya said that there are many brands of blood glucose meters in Taiwan Province Province, which require less blood volume (0.3- 1uL), short test time (4-5 seconds), more memory groups (more than 400 groups) and light weight. "If you are busy, you don't have to wait for blood sugar testing. Some blood glucose meters even have the function of secondary blood collection, so you don't need to prick the needle again to reduce the waste of test paper. 」
In addition, doctors remind peritoneal dialysis patients that some dialysate will interfere with blood sugar detection, and attention should be paid to choosing a blood sugar machine suitable for peritoneal dialysis.
List of independent health management of sugar friends during the epidemic in COVID-19
Chen Qiongya pointed out that the daily precautions of sugar friends are not much different from those of the general public, and everyone should pay attention to personal hygiene:
1 Protect yourself (wash your hands frequently, wear a mask, and don't get together).
2 Good living habits (balanced diet, exercise for 30 minutes at least 5 times a week).
3 blood glucose monitoring (pre-meal blood glucose 80-1.30 mg/dl; 2 hours postprandial blood glucose
4 Ensure physical and mental state (if you are stressed or anxious, seek the help of family and friends, or consult the medical team).
5 take medicine on time (take medicine or insulin according to the doctor's advice; After taking the medicine, the patients who receive the prescription can take the medicine in the community medical insurance special pharmacy or use the hospital medicine.
6 Follow-up (personal protection and regular follow-up. First-time onset and stable blood sugar can give priority to community outpatient service, and those who are isolated at home can contact county and city health bureaus and seek medical treatment through video).
Dr. Chen Qiongya reminded that diet is also an important part of diabetes care. The International Diabetes Federation suggests that you can choose low GI foods, reduce foods high in oil, sugar and starch, eat more green vegetables and choose lean protein, such as fish, chicken, eggs, milk and beans.
In addition, during the epidemic, exercise is still necessary. You can go outdoors in an open environment. If you are old and inconvenient to move, you can also exercise at home. For example, walking indoors for more than 30 minutes at a time can make you sweat a little.
Make good use of primary clinics to accompany sugar friends through the epidemic
Dr. Chen Qiongya said that the advantages of primary clinics are proximity, convenient medical treatment and less waiting time. At present, there is a diabetes picture network with doctors, nutritionists and health teachers to help patients take care of and follow up, properly control blood sugar, and don't panic during the epidemic.
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