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Diabetes for five years is always high blood sugar after meals, if the blood sugar cannot be controlled through the basic methods, you can try to change to acarbose.
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It is recommended that you go to the hospital for a systematic examination, and according to the results of the examination, take the medication according to the doctor's instructions**. Measure your blood sugar regularly on a fasting basis and two hours after three meals. Don't eat foods that are high in sugar, eat more light and easily digestible foods, avoid overeating, eat small, frequent meals, and participate in outdoor exercise.
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For high postprandial blood sugar, insulin preparations can be used to control blood sugar, and various inhibitors are more effective for high blood sugar after meals. To ensure adequate nutrient content, you need to ensure that there is enough sugar in your diet. However, the amount of sugar should be strictly controlled, otherwise it will cause blood sugar to rise.
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In this case, it is best to add a glucosidase inhibitor such as acarbose. The increase in blood sugar after a meal may also be related to the structure of the diet. At the same time, it is necessary to pay attention to adjusting the dietary structure.
A good lifestyle, regular medications**, proper exercise, and regular blood glucose monitoring are very important for diabetic patients.
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Eat less sugary foods, less sweet foods, more whole grains, more low-fat foods, and pay attention to your eating habits.
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You must control your diet, eat three meals in a quantitative amount, exercise appropriately, and relax your mood.
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After five years of diabetes, the most effective way to get high blood sugar after a meal is to take acarbose with the first bite of food.
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Diabetic patients have a history of 5 years, taking metformin to control blood sugar, fasting blood sugar is more than 6 o'clock, and postprandial blood sugar is often above 10, it is obvious that fasting blood sugar manipulation is okay, and postprandial blood sugar is high. According to the comprehensive safeguard measures of China's type 2 diabetes prevention and control manual, fasting blood glucose should be controlled, non-fasting blood glucose should be controlled, and glycosylated hemoglobin should be controlled. Metformin, as the first choice of drugs for type 2 diabetes, has been highly recommended by endocrine disorders around the world and has been kept in the best program of type 2 diabetes.
Metformin generally starts at a dose of 500 mg twice a day, and is a highly recommended daily dose of 2550 mg for adults, and when it exceeds 2000 mg, it is best to take it in batches with three meals. If the dosage is not enough, it will inevitably harm the hypoglycemic effect, and postprandial blood sugar may be high. Protein in the food category raises blood sugar significantly, and more processed and refined protein is produced, because the absorption is fast, the blood sugar is raised faster and faster.
If the proportion of protein in the diet is too large, it is easy to cause blood sugar to rise after a meal. Therefore, the manual strongly recommends that 50%-65% of the total energy provided by protein in the diet is most appropriate.
Regular fitness exercise is beneficial to control blood sugar, reduce the risk of cardiovascular and cerebrovascular diseases, and reduce weight. The manual strongly recommends that adults with type 2 diabetes have at least 150 minutes of moderate compression-intensity aerobic exercise per week**, and proper aerobic exercise** after meals can help reduce postprandial blood sugar, so if the exercise intensity is not enough, it can also lead to high postprandial blood sugar. In terms of dietary habits, it is generally recommended that diabetic patients can consume protein, but they should also be careful not to consume too much protein, especially protein meals with high GI value such as polished rice and white noodles.
In addition to concentrated grains, it can be effectively combined with multigrain cereals, which can increase the intake of dietary fiber and B vitamins, and can also help control appetite and blood sugar control after meals in diabetic patients. For this situation, it is recommended that diabetics eat more vegetables, and at the same time, under the premise of controlling the weight of blood lipids, eat a moderate amount of meat, the dietary fiber in vegetables and fruits can improve satiety, and the intake of lipids is also conducive to the maintenance of satiety.
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If a person's fasting blood glucose is normal, the peak blood glucose at 1 hour after a meal should be less than that, and the blood glucose at 2 hours after a meal should be at . Diabetes is diagnosed if the fasting blood glucose or the blood glucose is 2 hours after a meal. Therefore, diabetics have a postprandial blood sugar of more than 11 to be considered high.
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It must be controlled by medication, and you should also pay attention to your daily diet, try to eat whole grains, and don't eat too greasy food.
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First of all, we can eat more coarse grains, because the sugar content of fine grains is relatively high, and eating more coarse grains can play a role in lowering blood sugar. Secondly, we should exercise more, because increasing the amount of exercise can also effectively lower blood sugar.
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It must be controlled by medication, and it is also necessary to pay attention to the daily diet, eat less foods that are too sweet, and eat less animal offal.
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. >>>More
Generally speaking, normal people's fasting blood sugar is below the limit, if you are much higher, such as 7 or above, and the postprandial blood sugar is above 9 or 10, it is very likely that you have diabetes. You can measure your blood sugar for two or three days in a row, and it's all so high, it's safe to say that you're already diabetic. Thanks and give points.
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Diabetes cannot be diagnosed.
The diagnostic criteria for diabetes are: two fasting blood glucose levels above millimol liters; Blood glucose greater than or equal to millimoles after more than two meal measurements; If fasting and postprandial blood glucose do not meet the above standards, and the fasting blood glucose is between millimole liters, the blood glucose should be measured two hours after taking 75 grams of glucose water on an empty stomach so that it is greater than or equal to millimol liters. If you meet any of the above 3 criteria, you can be diagnosed with diabetes. >>>More