With the changes in dietary structure and lifestyle, our metabolism has also undergone significant changes compared to before, and elevated blood glucose is one of the more significant changes, substantially increasing the incidence of glucose intolerance abnormalities and diabetes mellitus. After the diagnosis of diabetes, the first task is to control blood glucose, then, diabetic patients' blood glucose must be controlled within the normal range? Next, Medical Senlution will analyze it for you.
The purpose of controlling blood glucose in diabetic patients is twofold: one is to prevent acute complications caused by the rapid increase of blood glucose, such as diabetic pain and acidosis and hyperosmolar hyperglycemia; the other is to prevent chronic damage caused by prolonged hyperglycemia to various tissues and organs, such as diabetic nephropathy, cardiovascular disease, cerebrovascular disease, diabetic retinopathy, diabetic neuropathy, and diabetic foot, etc. The first is to control the blood glucose in diabetic patients, and the second is to prevent the long-term damage to various tissues and organs. For diabetic patients' blood glucose control, it did not require diabetic patients to control their blood glucose in the normal range, but in the appropriate range.
So, how much is appropriate to control our blood sugar?Under normal circumstances, the range of our fasting blood glucose is 3.9-6.1 mmol/L, and the range of our 2-hour postprandial blood glucose is 4.4-7.8 mmol/L.
So what happens when the blood glucose is a little high?Our main goal in controlling blood glucose is to reduce or delay the onset of related complications and improve quality of life in later life. However, it is important to note that many diabetic patients have already developed associated complications, such as kidney damage, coronary atherosclerosis, carotid atherosclerosis, lower limb atherosclerosis, and diabetic neuropathy, by the time diabetes is detected. Some patients were found early and intervened early to control their blood glucose in the appropriate range, which prevented the aggravation of the lesions or slowed down the progression of the disease; some patients were found late and even directly consulted with complications of diabetes mellitus, such as diabetic nephropathy, coronary heart disease and stroke. Therefore, if the blood glucose is higher than the required control range for a long time, the later will increase the incidence of the corresponding complications, or accelerate the progress of complications.
In summary, blood glucose is not to be controlled in the normal range, for different groups of people, control in the appropriate range is appropriate, in preventing or delaying complications at the same time, should prevent the occurrence of hypoglycemia. If blood glucose is chronically high, it will increase or accelerate the progression of complications.
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Do diabetics have to keep their blood glucose within the normal range? What happens if it's a little on the high side?
Normal people, or people without diabetes, eat, after the initial digestion of sugar into the bloodstream, insulin secretion to pass the message, sugar into the liver to complete the metabolism, in the bloodstream sent to the body's cells to provide energy, the liver and then the remaining sugar synthesized glycogen, stored for backup. All of this is done naturally with the cooperation of each organ, and blood sugar is always stable and up to standard, without any side effects on the body's organs.
Diabetic patients are not so lucky, the need for artificial additional methods of regulating blood glucose, commonly exercise, take medication, etc., some people exercise a lot, and adhere to the year-round, exercise after a blood glucose measurement, meet the standard, very happy, but may also be many years after the emergence of complications, it is very incomprehensible. This is because the diabetic patient after eating blood sugar rise, and then go to exercise to lower blood sugar, although down, but eating to no exercise is a time difference, this time high blood sugar, will jeopardize the blood vessels and organs, a long time certainly out of the question, although he himself thinks that the blood glucose is up to standard, the actual is unable to meet the standard. This is certainly much better than not caring, but there are still hidden dangers.
For diabetes, you can't cry out every day to lower your blood sugar, but rather address the contradiction of having a lot of sugar in your blood and no sugar in your cells.
We usually emphasize the diabetes to control blood sugar to reach the standard, is due to diabetes long-term high blood sugar state easily caused by the body of the important organs of the damage can occur a variety of chronic complications, a variety of chronic complications, such as coronary artery disease, stroke and other cardio-cerebral vascular disease, diabetic nephropathy, diabetic peripheral neuropathy, diabetic foot, etc., these chronic complications serious impact on the quality of life of the patients with diabetes, therefore, blood sugar control to reach the standard. The goal of glycemic control is to delay the onset of these chronic complications as long as possible.
The specific value of the so-called blood glucose target is also different from person to person, not exactly the same.
The level of glucose compliance is individualized and is based on a comprehensive assessment of age, how many years you have had diabetes, whether you have a combination of other organ diseases and the severity of diabetes-related complications, how long you can expect to live, and whether or not you have hypoglycemic reactions.
You must not know that November 14 is World Diabetes Day, which was established to tell people that diabetes has become a world problem, and according to statistics, as of 2018, the estimated prevalence of diabetes clearly and clinically diagnosed in the sample of adults aged 18 years and older in China is 11.6%, or about 113.9 million people, which means that there is one diabetic in ten people. This shocking data tells us that diabetes has become a major public **** health problem in our country.
Then many patients must ask: after suffering from diabetes, blood sugar must be reduced to the standard range? The danger of diabetes is mainly because of the "high blood sugar", so if the blood sugar is a little higher in the end what are the disadvantages? Then in the end how to control blood sugar is the best?One. Control your mouth:
1. Staple food should be quantitative, coarse and fine to match, whole grains, miscellaneous legumes accounted for 1/3.
2. Moderate amount of vegetables, fruits, types and colors to be diverse.
3. You can also eat some fish and poultry, eggs and livestock in moderation, but to limit the processed meat.
4. But also to ensure that dairy beans every day, snacks and meals reasonable choice.
5. Light diet, adequate water, quit smoking and drinking.
ii. Move your legs:
In the absence of contraindications to exercise, it is recommended that at least 150 minutes of moderate-intensity aerobic exercise per week, for example, you can exercise five days a week for 30 minutes each time, moderate intensity means a little bit of hard work when exercising, heartbeat and breathing accelerated but not rushed, such as: playing tai chi, cycling at slow speed, playing table tennis or badminton. One hour after the meal, do not exercise on an empty stomach, and can not participate in intense sports: such as speed running, jumping rope, skiing and so on.
III. Can not control the use of drugs:
If the blood sugar fluctuation is large, you can be under the guidance of the doctor, a reasonable choice of drugs, to reduce the harm of blood sugar on the human body. At present, the new hypoglycemic drugs are sodium-glucose **** transporter protein inhibitors such as dagliflozin, the effect is good, the condition of the patient can choose to use.
iv. Reduce your stress:
When nervous, the adrenal glands will secrete adrenaline, causing the body to be excited, resulting in a rise in blood glucose and increasing the burden on pancreatic islet cells. Therefore, you should learn to reduce stress, such as deep breathing is a simple and easy way to reduce stress. At the same time, the mood is relaxed is one of the secrets of blood glucose stability, sugar lovers if you can maintain a calm and cheerful state of mind, very helpful to control blood glucose. And lowering sugar in addition to relying on medication, but also need to diet control and strengthen the exercise. It is very simple to say the truth, but it is hard to insist on doing it. I hope that every diabetic, can persistently adhere to the treatment, slow down the progress of the disease, enjoy a happy life. Purely hand-typed, it is not easy, if you feel that the writing can also be rewarded a praise, point a concern, if you have any questions you can leave a message below ......
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The answer is no. The answer is no. Diabetic blood sugar does not have to be strictly controlled within the normal range, but should be based on individual circumstances to consider.
1, fasting glucose
2, postprandial glucose
Therefore, the standard of blood glucose is not fixed, according to the actual situation of the patient, appropriate relaxation.
What happens if the blood sugar is a little high?
For all diabetics, regardless of age, a little high blood glucose now and then is not a big problem. Blood glucose itself is variable, but if it is a little high for a long time, and exceeds the normal range for a long time, then it is certainly not conducive to the control of the disease, and over time, it can also cause complications to come early.
To determine whether a diabetic's blood glucose is well controlled, in addition to whether the blood glucose is in the normal range (including fasting blood glucose, postprandial blood glucose, and random blood glucose), but also to see whether the blood glucose has been stable.
So, diabetics should try to keep their blood glucose within a certain range so that they can delay the onset of complications and live a long and healthy life like normal people!
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Blood sugar is essential to maintain the function of our body tissues and organs, and can play a role in raising energy and participating in the metabolism. Normally, our blood sugar is within a fixed range, when it rises or falls, it can lead to diabetes, hypoglycemia and other occurrences, I hope you pay attention.
Our body's normal blood glucose range in: ① fasting blood glucose: should be 3.9mmol / L and 6.1mmol / L; ② two hours after the meal blood glucose: should be 7.8mmol / L. When our fasting blood glucose more than 7.0mmol / L and/or fasting blood glucose more than 11.1mmol / L, that is the need to consider diabetes.
For diabetic patients, long-term high blood glucose levels can cause damage to our tissues and organs, and in the long run, can even lead to complications in target organs such as the kidneys, eyes, blood vessels, and nerves. Therefore, once diagnosed, diabetes requires active and regular treatment, attention to a reasonable diet, appropriate exercise, weight control, and regular use of hypoglycemic drugs, as well as attention to monitoring changes in blood glucose levels and regular review.
We suggest that everyone should at least control fasting blood glucose within 7.0mmol/L, and two-hour postprandial blood glucose within 10.0mmol/L. For those who are older and have a shorter history of diabetes, we recommend that they take a look at their blood glucose levels and check for changes in their blood glucose levels. For younger, shorter disease duration, no complications, long life expectancy, and no hypoglycemic episodes in diabetic patients, the control goal will be more stringent. It may also be relaxed for diabetic patients who are older, have a long disease duration, many complications, short life expectancy, or frequent hypoglycemic episodes.
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Diabetic patients require blood glucose control in a certain range, that is to say, the standard of blood glucose control is different for different people, usually called the ideal range, loose range,
The development of the range of control of blood glucose is based on the principle of safety, but also requires that the patient in this blood glucose range to minimize the chances of complications.
While normoglycemia is the blood glucose standard for non-diabetic patients, that is, fasting blood glucose of 4.0-6.1 mmol/L, postprandial blood glucose is less than the standard of 7.8 mmol/L. For diabetic patients, this standard range is relatively narrow and difficult to achieve, and there is a risk of hypoglycemia.
So for diabetics, it is not required to keep blood glucose in the normal range.
The ideal range for diabetic control is 4.4-6.1 mmol/L fasting and less than 8.0 mmol/L postprandial.
This blood glucose standard is usually required for patients with a shorter course of disease, younger, and without complications, because as much as possible to lower the blood glucose to maintain it in the normal range, so that the patient's chances of complications are smaller. However, for reasons of appeal, according to the recommendations of the Chinese guidelines for the prevention and treatment of type 2 diabetes, the patient's blood glucose control range is usually set at the ideal range, that is, fasting 4.4-6.1 mmol/L, postprandial glucose is less than 8.0 mmol/L, which indicates that the patient's blood glucose control is very satisfactory.
The relatively loose control standard is fasting 4.4-7.0mmol/L, postprandial blood glucose is less than 10.0mmol/L.
This blood glucose standard is the majority of diabetic patients control standard, this blood glucose situation can ensure that the patient's glycated hemoglobin is below 7%.
The glucose in the blood is called blood glucose. Glucose, like oxygen, is an essential energy supply for us, and there is enough energy for our cells to work properly. When hypoglycemia or hyperglycemia is monitored, it means that there is some dereliction of duty on the part of the pancreatic islets, the commanding officer of blood sugar, and human intervention needs to be initiated. Whether we rely on the pancreatic chief or our own behavior, oral hypoglycemic medication or exogenous insulin, as long as our blood glucose stays in a stable state, we are in a healthy state of blood glucose and will not harm our nerves or blood vessels. In other words, we have succeeded in removing the "diabetes" hat by our efforts.
There are many factors that make our blood glucose go up and down, including diet and glucagon, which raise blood glucose, and exercise, self-insulin, and exogenous insulin, which lower blood glucose. The body's blood glucose homeostasis is like a balance, glucagon and hypoglycemia factors are like weights on both sides of the balance, when the weights on both sides are equal in weight, the balance is balanced, that is, our blood glucose is in a stable state, and the blood glucose stays healthy.
We live a colorful life, eating, drinking and playing are indispensable, self-insulin, exogenous insulin, hypoglycemic drugs to help us cope with a variety of meals, meals, eating is the weights of glucose, self-insulin, exogenous insulin, hypoglycemic drugs and play is the weights of glucose, the balance of the balance of the dynamic balance of the regulation of the time.
Blood glucose values, curves are just a balance of the balance of the results, each blood glucose results behind a tug-of-war, that is, sugar weights and sugar-lowering weights of the confrontation, when the abnormal blood glucose, first check the weights of our balance, which side is more, which side is less, to analyze the reasons for the victory or defeat of each confrontation. After we find the root cause, we can add or subtract weights, master the skills of blood sugar balance, rebalance the scales, and restore blood sugar to a healthy state again.
The weights on both sides of the scale are changing all the time, and the blood sugar is always in the dynamic balance of regulation, combined with different people's gastrointestinal tract absorption speed is different, different food digestion and absorption time is different, and different people's insulin onset of time, the duration of the role of different people, so there are a lot of changes in the postprandial blood glucose, the blood glucose of a certain point far from being able to represent the state of the postprandial blood glucose.
Blood glucose health status is a macro-whole, not a micro-point of view of blood glucose, so we need to adhere to the regular monitoring of blood glucose, the importance of blood glucose compliance rate, high blood glucose, low blood glucose, the average blood glucose, blood glucose fluctuations, from the five dimensions of the overall look at the blood glucose is good or bad.
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To answer this question, it is important to know what the biggest danger of high blood sugar is.
As we all know, the biggest danger of diabetes is to cause a variety of complications, and the pathological basis of all complications is atherosclerosis and plaque formation. This is due to high blood sugar damage to the endothelium of the blood vessels, a large amount of fat deposits caused by the inflammatory reaction, resulting in the formation of atherosclerosis of fat lipid denaturation, the accumulation of these substances in the blood vessel wall caused by the destruction of the vascular structure, impede blood flow or rupture of the blood vessels, and ultimately affected by the lack of adequate oxygen and nutrient supply to the tissues and organs.
From this, we can see that vascular lesions occur in the process, high blood sugar is the basis of lesions, fat deposition is the most harmful, and once the formation of atherosclerosis, vascular elasticity decline in blood pressure will rise, high blood pressure continues to impact on the blood vessels to further aggravate the endothelial damage, the vascular lesion process is accelerated, and so the vicious circle, diabetes, a variety of complications occurring in a great increase in the risk of diabetes.
Therefore, for people with diabetes in the control of blood glucose at the same time, the focus should also control lipids, especially low-density lipoprotein to control, because it is the fat into the endothelium of the transport vehicle, the low-density lipoprotein control, even if the blood glucose is a little higher to reduce the fat deposition, the chance of vascular pathology will also greatly reduce the control of blood pressure is also true.
In summary, if the blood glucose is a little higher, but can control the blood lipids, blood pressure, to avoid vascular lesions is very favorable. In practice, some people such as the elderly, weak people, etc. blood sugar can not be lowered too low, otherwise it may lead to more insufficient energy supply and affect the physiological function of the play, at this time the blood glucose is a little higher, as long as the lipids and blood pressure control is good, for example:
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