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Good blood sugar monitoring - let you be your own diabetes doctor Aunt Wang, 58 years old, has suffered from type 2 diabetes for 10 years, started insulin injections last year, twice a day, blood sugar control was very good during hospitalization, after returning home, she bought a blood glucose meter, and monitored fasting blood sugar and blood sugar after lunch for 2 hours every day, but she couldn't control her blood sugar well, either low blood sugar or high blood sugar, so she came to the outpatient clinic and asked me, "I monitor my blood sugar every day, and adjust my insulin dosage according to blood sugar, but I can't adjust it well, Blood sugar is high or low, why is that? "I looked at her blood sugar records in detail and asked her about her insulin adjustment process, and I understood that she was wrong. Wei Li, Department of Endocrinology and Metabolism, Shanghai Sixth People's Hospital, turned out that she saw high fasting blood sugar, so she added the amount of insulin injection before breakfast, and when she saw that her blood sugar was high after meals, she added the amount of insulin before dinner, but as a result, she often felt hungry or had a hypoglycemic reaction at night, and the next day after eating, she had high blood sugar in the sky.
If she had understood the meaning of monitoring blood sugar and how to monitor it, this would not have happened. A good blood glucose monitoring can help doctors and patients better control their blood sugar, and can also make themselves their own diabetes doctors. 1.
Check if your blood glucose meter is accurate – compare with biochemical tests to test your fasting blood sugar at the same time as your own blood glucose meter, the difference should not exceed 20%, if it exceeds 20%, the cause should be sought. Whether the test strip is expired, whether the test strip** is consistent with the blood glucose meter**, whether the operation method is correct, whether you have anemia, edema, dehydration, etc. 2.
Frequency and timing of testing—Monitor blood glucose once a week on an empty stomach for 2 hours after breakfast, depending on the condition (1) when glycemic control is good, stable, and environmental factors are constant. Patients with poor glycemic control or those who are critically ill should be monitored 4 7 times a day until the disease is stable and the blood glucose is controlled. (2) Monitor blood sugar before and after exercise to prevent hypoglycemia after exercise
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Total calorie control: Total calories should be determined based on the patient's nutritional status, weight, age, gender, and physical activity, and the principle is to keep the patient's weight slightly below or within the standard weight range.
Adequate dietary fiber and vitamins: High-fiber foods can slow down the breakdown and absorption of carbohydrates, which is conducive to balancing blood sugar. Because the reduction in food intake can lead to vitamin and trace element insufficiency**, it is advisable to eat more fresh vegetables.
Fruits contain more fructose, so it is best to avoid eating when blood sugar control is not good. It can also be supplemented by oral multivitamin and mineral tablets (pills).
Prevention and treatment of complications: Diabetes mellitus is characterized by disorders of fat metabolism, high blood lipids, and rapid development of atherosclerosis. The cholesterol content of food must be controlled, generally not more than 300 mg per day, which is equivalent to one egg per day.
Eat less or no animal fats and foods containing high cholesterol. Patients with diabetic polyuria are also prone to renal insufficiency, and urine protein should be checked frequently.
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Take your medication at regular intervals and in accordance with your doctor's instructions. Long-term drug instability, insulin may be given if necessary. Long-term use of Western medicine is relatively large, and it is easy to become dependent on insulin.
Diabetes is to have a long-term conditioning effect, you can take some Chinese herbal medicine, such as Weiluokang Wash Glucagon Herb to lower blood sugar, control blood sugar balance and stability, herbal is not ***, can be taken for a long time. In addition, it is controlled by non-pharmacological controls:
1. Exercise. Exercise that can improve insulin sensitivity can increase the hypoglycemic effect of insulin and relieve insulin resistance.
2. Control total calorie intake. It is the first principle of the diabetic diet**, and the calorie intake should be able to maintain or slightly lower than the ideal body weight. Obese people must reduce energy intake, and thin people can increase calories to gain weight.
3. Control your weight. Heavy weight can easily cause high blood sugar.
4. Quit smoking and limit alcohol. Smoking can cause insulin resistance.
5. Maintain a good mental state. Mood swings and stress have caused blood sugar to rise.
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Please tell me what medicine to take has no effect on the body.
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You can take Yamoli to lower fasting blood sugar, and you can take Beixin after lowering your blood sugar. Generally, it should be eaten together. Follow your doctor's advice.
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If the fasting blood glucose level is higher than the normal value of 8, you can skip taking medication** for the time being, and you should adjust it by changing your unhealthy lifestyle and unreasonable diet, controlling your diet, and strengthening regular exercise.
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1) The importance of staple foods. Usually, the staple food is mainly rice and noodles, but it is recommended that patients with high blood sugar eat whole grains, such as oats, oatmeal, cornmeal, etc., because these foods are rich in dietary fiber, which has the effect of lowering blood sugar, can effectively control blood sugar, and has more inorganic salts and vitaminsWhat is good to eat for high blood sugar?
People with high blood sugar may wish to eat these foods.
2) Protein is indispensable for maintaining human body functions, and the protein needed by patients with high blood sugar is recommended to be consumed from soybeans and soy products. Legumes contain more protein and cholesterol-free, which has a lipid-lowering effect.
3) Eat vegetables with less sugar, boil them in water and add some condiments to eat. Because vegetables contain more dietary fiber, more water, low heating energy, and satiety, they are an indispensable food for patients with high blood sugar
4) In addition to controlling the total calories, the diet of patients with hyperglycemia should also be diversified, but because of the restriction of sugar and salt, the taste of the dishes is relatively simple. A variety of sweeteners such as stevia and sweetened sugar are produced on the market for patients with hyperglycemia that do not produce calories and do not contain any nutrients. One of the sweeteners is protein sugar, such as Newt sugar and Yuanzhen sugar, which are composed of amino acids and do not have any ***, which is currently the ideal sweetener.
5) Patients with high blood sugar are advised to drink plenty of water. If your blood sugar is well controlled, you can reduce the intake of staple foods and eat a small amount of fruit between meals.
6) Patients with hyperglycemia are generally recommended to eat more high-fiber foods to promote the body's glucose metabolism. In addition, pumpkin, bitter gourd, onion, yellow eel, etc. have a significant improvement effect on hyperglycemia, and have the function of lowering blood sugar and regulating blood sugar concentration. Although these foods can help patients control blood sugar, they should be careful about the degree, and they should not think that they are good, so they eat more, and the result is counterproductive.
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Antihyperglycemic drugs such as hypoglycemic drugs, eat more sparse vegetables and less starchy foods. Can't eat sugar. If you want to eat sweets, you can use xylitol instead of table sugar.
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Figure out 1. Is it fasting blood sugar?
2. Other manifestations?
3. Age, gender, weight, height, glycosylated hemoglobin, blood lipids, blood pressure, liver and kidney function...
4. Family history.
Find out the condition and your own situation before choosing a drug.
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Condition Careful Late Analysis:
Diabetic patients should avoid sugar and sugary foods, reduce the intake of high-fat and high-cholesterol foods, eat high-fiber and starchy foods in moderation, and eat small and frequent meals.
Guidance: The use of appropriate insulin sensitizers or other hypoglycemic drugs can achieve the purpose of long-term effective and wide blood sugar control. However, oral medication is not enough, and insulin should be used appropriately. Eating more bitter gourd has a good auxiliary hypoglycemic effect.
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Problem analysis: Hello, diabetes is a metabolic disease characterized by hyperglycemia, due to insulin secretion defects or its biological impairing, long-term hyperglycemia in diabetes will lead to chronic damage and dysfunction of various groups of organs, affecting normal life.
Suggestions: It is recommended to live a regular life, eat less and eat more often, strictly control the intake of sugar-containing foods, eat more coarse grains, exercise appropriately, improve one's physical fitness, and give metformin sustained-release tablets, acarbose, insulin and other drugs for symptomatic support after blood and urine glucose tests**.
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Opinion Da Mo Suggestion:
Hello, diabetes must be based on diet control and exercise. Avoid sugary and sugary foods, reduce the intake of high-fat and high-cholesterol foods, eat high-fibre and starchy foods, and eat smaller, more frequent meals. The use of appropriate insulin supersedent drugs or other hypoglycemic drugs can achieve the purpose of long-term effective blood sugar control.
Eating more bitter gourd has a good auxiliary hypoglycemic effect. Wishing you good health.
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