In people with diabetes, there is a sudden increase in blood sugar, and insulin does not seem to wor

Go to the hospital to adjust insulin medication under the guidance of a doctor, and if you use insulin, you don't need hypoglycemic drugs.

This situation needs to be analyzed on a case-by-case basis: First, is your insulin type and dosage prescribed by your doctor? If not, it is recommended that you go to the hospital and have your doctor help you adjust the amount of insulin.

Second, if it is prescribed for you by a doctor, it is recommended that you go to the hospital for an "insulin resistance index" test to see if you have symptoms of insulin resistance. Third, you don't know when your blood sugar is rising, if it is in the early morning, consider whether the insulin dose is too high at night.

Consult your doctor in time, it may be that you have been taking the same type of insulin for a long time, resulting in a certain amount of drug resistance

It is recommended that you go to the hospital for an insulin boost**. Also When did your blood sugar suddenly spike? Is it occasional or suddenly one day it rises to 15.

Is it always 15? Because diabetes has the phenomenon of dawn and the phenomenon of Su Mujie. It's complicated.

It depends on how long and how consistently your blood sugar rises is. I think since you switched to insulin**, you can stop taking the oral medication first. Get an insulin boost**.

Wait until your blood sugar is stable before switching to oral medications and insulin. For example, the ** plan of peace before meals and Ronga before bedtime. But it depends on the results of your examination.

After all, diabetes varies too much from person to person. I hope you get back under control of the Sugar Demon soon.

**Diabetes should not simply focus on lowering blood sugar, but should aim at long-term stable blood sugar control and prevent diabetes complications. Insulin sensitizer is a new trend in diabetes mellitus, and simple hypoglycemic treatment is only a symptom, not a root cause, and cannot achieve the ultimate goal of preventing cardiovascular disease. Therefore, the new guidelines put forward the application of insulin sensitizers, which reduce insulin resistance by increasing the body's utilization of insulin, which not only fundamentally reduces blood sugar, but also has an effective effect in reducing risk factors for cardiovascular disease, representing a new trend in today's diabetes syndrome.

There are many possibilities for blood sugar to rise, it may be related to diet, exercise, mood, or the patient's own insulin resistance, you can add oral insulin sensitizer, if it is high after meals, you can add glucopine to lower blood sugar after meals, and you say that the insulin you are using now is twice a day, I guess it may be Novo 30, or Novo 50, or Novo Rui 30, or Gan Shulin 30, or Humulin 70|30, one of the medicines, you can change the insulin ** program, with 3 + 1 insulin **, three times a day Novo Rui, and then once at night Glargine, but this is more expensive than others, depending on your economic conditions, the specific amount of injection has to consult your bed doctor.

Choose the right insulin manufacturer. The dosage should be correct. Check to see if the foods you eat each day are too high in sugar. Whether oral drugs and injectable drugs are compatible.

This question is asked by many diabetics and is explained as follows:

First: some diabetic patients are taking oral hypoglycemic drugs before taking insulin, if the oral hypoglycemic drugs are stopped suddenly and completely before taking insulin, and the insulin dosage has not had time to increase at this time, then, after the oral hypoglycemic drugs in the patient's body are metabolized and the effect of insulin has not been fully exerted, there will be a phenomenon of "increasing" blood sugar after taking insulin. To put it bluntly, it is too early to stop oral hypoglycemic drugs.

Second: In the process of taking insulin, some diabetic patients will have higher and higher blood sugar, and the insulin dose will be higher and higher, and then the patient will fall into a vicious circle. In fact, many diabetic patients will have "slight or imperceptible hypoglycemia" during insulin injection, although "slight or imperceptible", but this will cause "hypoglycemia rebound", which will lead to a significant increase in blood sugar.

Medical problems, you may not understand the simplicity of the words, and I can't type so many words if the complexity is complicated, so let's make do with it!

It's like when you're hungry and you can't eat enough, you ask, "Why do you feel hungry after eating?" Of course, there is a situation to be aware of, if the blood sugar is high in the morning, it is necessary to rule out whether the occurrence of nocturnal hypoglycemia is necessary.

Consult a specialist to find out the cause: Is the amount of insulin insufficient? Is there no control to your diet?

Is the injection method correct?

Check out the following aspects.

1 Blood sugar. It is the only criterion for diagnosing diabetes. Patients with obvious symptoms of "three more and one less" can be diagnosed with only one abnormal blood glucose value. Asymptomatic people need two abnormal blood glucose levels to diagnose diabetes. If suspected, a 75g glucose tolerance test should be done.

2 Urine sugar. Often positive. Blood glucose levels are positive when the renal glucose threshold (160 to 180 mg dL) is positive. When the renal glucose threshold is elevated, the diagnosis of diabetes may be negative, even when blood glucose is reached. Therefore, urine glucose measurement is not used as a diagnostic criterion.

3 Urine ketone bodies.

Positive urine ketones in ketosis or ketoacidosis.

4 Glycosylated hemoglobin (HbA1C).

It is a product of non-enzymatic reaction between glucose and hemoglobin, the reaction is irreversible, and the HbA1C level is stable, which can reflect the average blood glucose level in the 2 months before blood collection. It is the most valuable indicator for judging the status of blood glucose control.

5 Glycosylated serum proteins.

It is the product of a non-enzymatic binding of blood glucose to serum albumin, reflecting the average blood glucose level for 1 to 3 weeks prior to blood collection.

6 Serum insulin and C-peptide levels.

Reflects the reserve function of pancreatic islet cells. Serum insulin is normal or elevated in early stage 2 diabetes or obese diabetes, and as the disease progresses, the islet function gradually decreases, and the ability to secrete insulin decreases.

7 Blood lipids. Dyslipidemia is common in patients with diabetes, especially in the presence of poor glycemic control. Manifests as elevated triglycerides, total cholesterol, and LDL cholesterol levels. HDL cholesterol levels are lowered.

8 Immunization indicators.

Pancreatic islet cell antibody (ICA), insulin autoantibody (IAA) and glutamate decarboxylase (GAD) antibody are three important indicators of humoral immunity abnormalities in type 1 diabetes, among which GAD antibody has a high positive rate, a long duration, and great diagnostic value for type 1 diabetes. There is also a certain positive rate in first-degree relatives of type 1 diabetes, which has the significance of **type 1 diabetes.

9 Urine albumin excretion, radioimmunotherapy or enzyme-linked method.

Urine albumin excretion can be detected sensitively, and urine albumin is mildly elevated in early diabetic nephropathy.

How to diagnose diabetes: The diagnosis of diabetes is generally not difficult, and the diagnosis can be confirmed by fasting blood glucose greater than or equal to millimole liters, or blood glucose greater than or equal to millimolar liters two hours after meals. Classification is done after the diagnosis of diabetes:

1 Type 1 diabetes.

The age of onset is young, most of them are < 30 years old, the onset is sudden, the symptoms of polydipsia, polyuria, polyphagia and weight loss are obvious, the blood sugar level is high, many patients have ketoacidosis as the first symptom, the serum insulin and C peptide levels are low, and ICA, IAA or GAD antibodies can be positive. Oral drugs alone are ineffective and require insulin**.

2 Type 2 diabetes.

It is common in middle-aged and elderly people, and the incidence of obesity is high, and it can often be accompanied by hypertension, dyslipidemia, arteriosclerosis and other diseases. Patients with insidious onset, no symptoms in the early stage, or only mild fatigue, thirst, and no obvious increase in blood glucose should be confirmed by glucose tolerance test. Serum insulin levels are normal or elevated in the early stages and low in the late stages. Hope to adopt.

If you take insulin, your blood sugar will rise, which may be a problem with your diet.

The reason for high blood sugar is mainly because of this irregular diet or overeating.

It could be that you didn't keep your mouth shut and ate too much sweet stuff.

It may be caused by the body's own ** problems, or it may be caused by insulin intolerance and other reasons.

Did you eat something with sugar? Or is the time too short? Or is the dosage insufficient?

That is, the diet is not controlled, and it is necessary to eat less spicy and greasy food.

If you don't pay attention to your diet, you eat too much sweet and greasy things.

Categories: Medical Diseases.

Problem description: Take metformin, thirst quenching pills before using insulin, blood sugar in the range of 11-12 (after meals), the doctor advises, due to moderate and mild damage to the kidneys, the doctor recommends the use of insulin tease, stop using thirst quenching pills, 2-3 tablets of metformin per day. Insulin injection 1800 After insulin injection, the blood sugar was checked for the first time 12, and the retest was re-tested a week later, but the height of the lesion was increased to 20, and the blood sugar was above 20 for 3 times within two weeks.

and weight gain. There is also the early injection site is the stomach, and the later registration position is the buttocks.

I hope that all the experts will point out the mountain, and thank you for the high score reward

Analysis: Considering that it is caused by insulin resistance in the body, it is recommended to change the insulin variety, which can be changed to genetically modified human insulin, and the injection site is not correct, the correct injection site of insulin is the deltoid muscle of the upper arm, rectus abdominis muscle, quadriceps, and it is not suitable for buttock injection. In the case you mentioned, it is recommended to go to the hospital for a period of time, and a professional doctor will provide you with the correct insulin program and usage, and then go home to take your own medicine, because different people have different insulin sensitivities, and the dosage is very different, such as drinking, some are very large, and some are poured with a glass.

It's the May Day holiday again, and there is a small lesson to share with you about blood sugar control.

During the May Day holiday the year before last, I traveled to the south, and the beautiful scenery, delicious food, and reasonable itinerary made my body and mind completely relaxed. However, blood sugar has a temper tantrumThe overall blood sugar level is 1-2 points higher than usual, even if you increase the dose of insulin, increase the amount of exercise, and strictly control your diet, your blood sugar is still high.

I tried all sorts of ways to fight my blood sugar until I got a new bottle of insulin, and my blood sugar dropped immediately.

It dawned on me that it was because the insulin had been improperly stored during the trip and had failed.

After this lesson, I have summarized some tips for carrying insulin when going out and share them with you:

1.When entering an environment above 25, be sure to keep insulin warm

Method 1: Wrap two bottles of frozen mineral water in a bag, put them on the bottom of the bag, put the insulin wrapped in a towel on top, and keep it for 5-6 hours without problems.

Method 2: Freeze the ice pack in advance, and then prepare a small thermal insulation bag, the thermal insulation effect can reach 10 hours.

2.When entering an environment below 0, be sure to protect against freezing

Insulin is squeamish, does not tolerate heat or cold, and can fail below 0. If you enter an environment below 0, be sure to wrap a few more layers to keep the insulin warm and prevent the insulin from being frozen.

environment, also pay attention to storage

Although the temperature environment of 2-25 is suitable for the storage of insulin, it is also important not to put insulin in a place with high temperature, such as in the car, next to the computer, etc., which is higher than the room temperature and may also affect the efficacy of the drug.

Have you learned?