I have had diabetes for five or six years, and my fasting blood sugar has been around 7 and 8. Is this under control?

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Mr. Zhang found that he had diabetes for five or six years, and he had never used antihypertensive drugs. He measured his fasting blood sugar from time to time, which was always between 7-8mmol/L. Compared with the previous blood sugar of 9-11mmol/L, he thought he had controlled it. , Plus the body is not uncomfortable, and I don't care too much. So, is Mr. Zhang's blood sugar really under control?

There are many people like Mr. Zhang, but there are several mistakes in his approach that need special attention, because if the fasting blood sugar is 7-8 mmoI/L for a long time, it indicates that the blood sugar is not well controlled, and it indicates that the blood sugar control measures have been taken for a long time. If the desired therapeutic effect is not obtained, it needs to be adjusted in time.

If such blood sugar persists for five or six years, complications should have occurred. For example, clinical statistics show that people without treatment or poor blood sugar control will have complications in about 3-5 years, especially diabetic peripheral neuropathy. You should go to the hospital for examination as soon as possible, such as urine microalbumin to see if there is kidney damage, fundus blood vessels to see if there is retinopathy, carotid plaque to see if there is atherosclerosis, you must know that even if the body does not feel or Discomfort, these lesions will also be present.

For another example, many diabetics often judge the quality of blood sugar control by the level of fasting blood sugar. In fact, fasting blood sugar represents the baseline level of blood sugar throughout the day, and the source of blood sugar is mainly three meals a day. If the blood sugar level is high, it will be more difficult to control the blood sugar after a meal. At this time, the blood sugar level 2 hours after the meal is often detected at a higher level. Medical research has confirmed that postprandial hyperglycemia will cause greater damage to blood vessels, and diabetic nephropathy, diabetic eye disease, and diabetic cardiovascular and cerebrovascular diseases are more likely to occur.

Therefore, everyone with diabetes should have a clear understanding of their blood sugar control goals and work hard to achieve them.

The general control goal is also the basic control goal: fasting blood sugar less than 7.0mmol/L and 2 hours postprandial blood sugar less than 10.0mmol/L

The ideal control goal is also a good control goal: fasting blood sugar less than 6.1mmol/L and 2 hours postprandial blood sugar less than 7.8mmol/L

For these two goals, different people should treat them according to their own conditions. It is necessary to know that preventing and delaying the occurrence of complications is the ultimate goal, and controlling blood sugar is only a measure to prevent and treat complications. Young and middle-aged people still have a long time in the future. It is appropriate to control blood sugar to the ideal target. It is acceptable for the elderly over 65 years old to control within the general target range, while the elderly over 80 years old can relax appropriately.

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