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Diabetic patients need to go to the endocrinology department for regular check-ups, mainly to understand their blood sugar status, systemic complications, etc. Diabetic patients in ophthalmology are also recommended to come to the ophthalmology department for regular follow-ups. If the patient comes to the ophthalmology clinic for the first time, dilates the pupils to see the fundus, and does not see diabetic retinopathy, it is recommended to come to the ophthalmology department for re-examination once a year under the premise of good blood sugar control.
If hemorrhage, exudation, and diabetic retinopathy are found in the fundus, regular follow-up tests are recommended, as diabetic retinopathy progressively worsens with poor glycemic control and prolonged diabetes duration. If it is only the earliest lesion, i.e., the background period, with only partial bleeding spots, and good glycemic control, it can be recommended to repeat every six months, but if blood glucose control is not good, it is recommended to repeat every three months.
<> if there are not only small bleeding spots but also exudate from the fundus, the patient's follow-up time can be shortened. Diabetic retinopathy progressively worsens over the course of the disease, but the duration of the reexamination can be longer or shorter depending on the severity of the fundus. Diabetic patients must have regular eye check-ups, even if the fundus is relatively stable, and regular check-ups are also required.
Because blood sugar fluctuates from time to time, diabetic retinopathy is more likely to occur as the disease progresses.
The management and management of diabetes is permanent, in order to prevent the occurrence of complications, reduce the disability rate and mortality rate, it is very necessary to control blood sugar, blood lipids and blood pressure for a long time, and the diabetes mellitus, individual differences are large, because the ability of diabetic patients to regulate glucose metabolism, small changes in the internal and external environment, will lead to fluctuations in blood sugar, in order to understand the impact of different ** on diabetic patients, it is necessary to make records and regular physical examinations.
It provides a reliable basis for adjusting diet, exercise** and medications**, and keeps a record of the course of the disease, which is also conducive to the teaching of diabetes knowledge and the development of self-care. In order to do a good job in recording the patient's condition, we should first do a good job of self-monitoring, then understand the significance of the monitoring indicators, and gradually learn to analyze the monitoring results, so as to master the use of hypoglycemic drugs, which is of great benefit to the prevention of congenital hypoglycemia.
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Diabetic patients need to have regular follow-up visits even if their blood sugar is stable, because regular follow-up visits can not only allow patients to have regular diabetes education, but also have a comprehensive understanding of blood sugar, blood lipids, blood pressure and other aspects, and at the same time allow doctors to adjust the plan according to these conditions. Regular check-ups for diabetics can also better control their body's metabolic disorders and effectively prevent some other complications.
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The most terrible thing about diabetes is not itself, although diabetes can not be **, but a good ** and living diet can greatly prolong life, the purpose of regular check-ups is to timely detect the possible complications of diabetes, which is the biggest threat to the human body.
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Regular check-ups for diabetic patients are to monitor the patient's blood sugar status and whether there are any other complications. Because diabetes can cause complications of multiple organs such as the heart, brain, kidneys, eyes, and nerves.
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Because regular check-ups can see if blood sugar is elevated, the goal is that diabetics will have other complications. So regular check-ups are best.
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Introduction: Diabetes mellitus is a chronic disease, and the harm of diabetes mainly comes from various complications caused by diabetes. If diagnosed early, early ** can effectively prevent complications.
It will also reduce the expenditure of financial resources and improve the quality of life of patients. So the topic I want to share today is, why do diabetic patients have regular check-ups and what is the purpose?
1. How to prevent diabetes?
It is important to strictly control the diet, as most people with diabetes are overeating or eating too sweet. Therefore, in the daily diet, we should focus on a light diet, eat more whole grains and fresh green leafy vegetables and fruits, ensure nutrition at the same time, and avoid excessive sugar intake. In daily life, we must develop a regular schedule, go to bed early and get up early, develop a good biological clock, ensure sleep, and stay up less late, so that it will not affect endocrine.
It will also increase appetite to a certain extent, and moderate exercise can not only enhance physical fitness, but also improve resistance and immunity, make the body stronger and prevent the occurrence of diseases. It is necessary to have a good attitude, even if you are sick, you are positive**, and an optimistic attitude can prevent the occurrence of many diseases.
2. Why should diabetic patients have regular check-ups? What is the purpose?
The reason why diabetic patients need regular check-ups is to be able to understand the control of various body indicators in a timely manner through regular and comprehensive check-ups, so as to have a more comprehensive understanding of the condition. And through regular examinations, some complications can be detected early, and they can be developed earlier, which will not affect the health of the body. It is also possible to eat and exercise more scientifically through the effects of food intake and exercise on blood sugar after exercise.
Be able to understand the efficacy of the drug and use it more scientifically in the future. The symptoms of hypoglycemia or hyperglycemia can be detected in time to ensure that the process is safe and guaranteed. All in all, regular check-ups for diabetic patients can fully understand the condition, and they can better deal with the symptoms** and regain their health.
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Diabetes is not easy to do this, regular check-ups are to check whether your blood sugar level is normal, whether your blood sugar level is elevated, through this test, and then determine the development of the disease, which is good for the disease.
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Because it is necessary to see if the blood sugar is elevated, the purpose is to ensure the safety of diabetic patients, and at the same time, drugs can be used to intervene.
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Because diabetes is particularly unstable and very easy**, it is important to have regular check-ups. In order to be able to make patients healthier, regular check-ups are required.
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Because regular check-ups can understand blood sugar and avoid some complications, the purpose is to be able to target the condition**.
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Have to. Errors in blood glucose monitoring are important for blood glucose control. Inaccurate test results often mislead clinical medication, resulting in high blood sugar or hypoglycemia.
To sum up, blood sugar is regulated and affected by a variety of factors, when Chunzhou sugar friends have obvious blood sugar fluctuations, we must pay attention to it, and pay attention to timely analysis of the cause, symptomatic treatment.
If diabetes is an enemy and doctors are soldiers who defend their families and countries, then blood glucose monitoring is a report card for shooting and practicing targets. Because every enemy is very different, the doctor has to look at the target training report card to know whether the gun is accurate, missed, or missed. How to use the drug and how to adjust the ** plan, the doctor has to formulate it according to the blood glucose monitoring situation.
For patients who are able, Jiantong Sen proposes to equip a blood glucose meter at home.
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Diabetics need to monitor their blood sugar regularly.
Monitoring blood sugar itself is also a very important part of the five major parts of diabetes. Because only when the patient monitors his blood sugar regularly, the doctor will adjust the glucose lowering measures of the diabetic patient according to the changes in blood sugar.
For patients with diabetes mellitus, there is no glycemic control target. The frequency of daily blood glucose monitoring should be increased, and blood glucose should be measured 4 times a day, including fasting blood glucose and blood glucose 2 hours after three meals. For people who wear an insulin pump, blood glucose is measured 7 times a day.
These include blood glucose before meals, blood glucose two hours after meals, and blood glucose before bedtime.
For diabetic patients, blood sugar has been controlled and blood sugar reduction measures have been stabilized. In this subset of patients, the frequency of blood glucose monitoring can be slowed down to one day a week or one to two days a month.
1. Blood test: Diabetic patients need to have regular blood test. Generally speaking, it can be checked once a week, diabetes is an endocrine and metabolic disease, it is not possible, you need to control your diet for a long time, take oral hypoglycemic drugs or use insulin for **, and learn to monitor blood sugar changes by yourself.
You can buy a blood glucose meter to monitor your blood sugar by yourself, and if the blood sugar control is unstable, you need to take blood on an empty stomach to test your blood sugar and adjust the dose of hypoglycemic drugs in time.
2. C-peptide examination: Diabetic patients also need to go for C-peptide examination. Under the action of enzymes, insulin is cleaved into a molecule of proinsulin and the same molecule of linked peptides, referred to as C-peptides.
C-peptide does not have the physiological effect of insulin, while pancreatic B cells secrete insulin and C-peptide have an isomolecular relationship. In other words, secreting several insulin molecules must secrete several C-peptide molecules at the same time. Therefore, by measuring the amount of C-peptide in the patient's blood, the function of pancreatic islet cells can be reflected.
3. Liver and kidney function tests: Diabetic nephropathy is a common chronic complication of diabetes. Urine microalbumin quantification and renal function tests can help early detection of diabetic nephropathy.
Many patients with type 2 diabetes often have obesity, dyslipidemia, fatty liver, and abnormal liver function, so liver function and lipid tests should also be done.
4. Urine examination: observe whether there is urine protein, casts, etc., which can reflect the involvement of the kidneys; leukocytosis in the urine, indicating a urinary tract infection; Erythrocytosis in the urine may be due to complications such as glomerulosclerosis, arteriolar sclerosis, pyelonephritis, etc. Quantitative measurement of urine microalbumin and 24-hour urine protein is helpful for early diagnosis of diabetic nephropathy.
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Diabetic patients need to check their blood sugar regularly, and regular monitoring of blood sugar can understand the situation and development of the disease. When monitoring blood glucose, patients should check their fasting and postprandial blood glucose at least once a week and adjust their blood glucose** regimen based on the test results. Patients should keep their blood sugar in an equal state to minimize the occurrence of complications.
Suggestions: Diabetic patients should eat a low-sugar, low-fat, low-cholesterol diet, and eat more nutritious and easily digestible foods. Exercise properly to ensure a good mood and pay attention to rest.
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Because in this way, we can grasp the high and low of our blood sugar at any time, so that we can carry out targeted ** or the improvement of our life and diet, and also protect our own lives, in fact, it is not troublesome to carry out blood sugar testing, it is a matter of a few minutes, I hope that diabetics will not ignore this small detail because of laziness, which is a safety guarantee for our lives.
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Diabetic patients need to go to the hospital for regular follow-ups, in addition to assessing blood sugar control, timely adjustment of hypoglycemic drugs, regular diabetes education, and can also have a comprehensive understanding of blood glucose, blood lipids, blood pressure and other aspects. So that the program can be adjusted according to the results of these examinations. It repairs metabolic disorders in the body, reduces damage to other tissues, and thus prevents the emergence of other complications.
It should be noted that for patients with unstable glycemic control, it is necessary to increase the frequency of follow-up examinations to prevent poor glycemic control from further affecting the patient's body. At this time, the patient should maintain a good mood and avoid anxiety and nervousness.
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Diabetics must have their blood sugar checked regularly. In daily life, many sugar friends think that as long as they cooperate with a doctor to take hypoglycemic drugs, they will always doubt that "there is no need to measure blood sugar every day". This kind of thinking is known to be detrimental to people with diabetes in managing their disease.
Many people know that blood pressure levels are variable and need to be measured multiple times a day. In fact, the same is true for blood sugar levels. Although it changes frequently, it can be measured by the rules summarized in the past.
Especially for people with unstable conditions, it is necessary to measure blood sugar daily to avoid a rise in blood sugar and increase the likelihood of diabetes complications. By measuring blood sugar, diabetics can get a clear picture of their condition, which is good for preventing complications, comorbidities of hyperlipidemia and hypertension, and stabilizing weight. The daily diet should pay attention to high-sugar foods, such as foods rich in sucrose and fructose, which can easily affect the secretion of insulin and increase blood sugar.
Proper exercise can also promote blood circulation, enhance the body's glucose metabolism, and be beneficial to the body's condition.
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Patients with urine disease need to measure blood sugar frequently, and it is best to regularly monitor blood glucose on an empty stomach and two hours after three meals.
For diabetic patients, the decision to adjust medication and insulin injections is based on the patient's current glycemic control. If diabetic patients have satisfactory glycemic control and do not have any other significant symptoms, they can monitor their blood glucose once a week throughout the day, including fasting, two hours after three meals, and at bedtime, to understand recent changes in blood glucose, which can help to adjust the patient's recent diet and medication** regimen in a timely manner. If you have recently had poor glycemic control, you need to monitor your blood sugar daily, report blood sugar fluctuations to your doctor, and then adjust your medication regimen.
If the patient has poor glycemic control for a long time, he or she should be hospitalized** so that the specialist can provide dietary and exercise guidance and adjust hypoglycemic drugs based on the patient's blood glucose changes during this period.
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Diabetic patients need to check their blood sugar regularly, and when their blood sugar control is up to standard, they generally recheck their fasting blood sugar and postprandial blood sugar once a week to see if their blood sugar is up to standard. If blood glucose control is not up to standard, it is necessary to continuously measure blood glucose for 2-3 days, blood glucose before meals, blood glucose after three meals, and if necessary, blood glucose before bedtime. Then see an endocrinologist to adjust the glucose-lowering regimen or make lifestyle changes to achieve glycemic control.
Diabetic patients need to monitor glycosylated hemoglobin in addition to blood glucose, and in general, if blood glucose control is relatively stable, glycosylated hemoglobin should be checked every 3-6 months. If blood sugar control is not stable, glycosylated hemoglobin is usually tested once every 2-3 months to see how well the blood sugar is controlled.
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