Diabetes treatment: I have been taking medicines and controlling my diet. How can I measure my blood sugar is still much higher?
"What's going on? It's only been a month, I've been taking medicines as prescribed by the doctor, I've been very careful with my diet, and I've started exercising. Why is the blood sugar test result so high?"
A sugar friend, Auntie Li, called me to ask me. It turned out that she got news from a neighbor a few days ago that at 8:00 on Saturday morning, the park next to the community will hold a lecture on diabetes science, and you can also test blood sugar for free.
Aunt Li was moved when she heard it, and just wanted to check whether her blood sugar was different from the results of her usual blood glucose meter monitoring. In the morning, I went on an empty stomach to prepare for the blood sugar test. I didn't expect that there were so many people in line, and it was her turn around 10 o'clock.
The results were even more incredible. Aunt Li was shocked. When she was discharged from the hospital, her fasting blood sugar was controlled at about 6.5mmol/L. The test at home was also below 7mmol/L, but the test in the park was 8.5mmol/L.
We have always emphasized the need to actively monitor blood sugar, because changes in blood sugar over a period of time are the compass for doctors to guide medication. But, first of all, we have to ensure that the blood glucose test results are authentic and unbiased.
01What problems may exist in the process of testing blood sugar?
Problem 1: Not taking regular medication
Some people with diabetes need to inject insulin or take hypoglycemic drugs before breakfast every day, but because the time to draw fasting blood is too late, the morning medicine for people with diabetes is delayed or stopped.
This will inevitably cause the blood sugar of diabetics to rise, and the results of the test will naturally differ from the usual monitoring.
Problem 2: The blood draw is too late
If the fasting blood is taken too late, even close to noon, it cannot be called "fasting blood sugar", but "pre-meal blood sugar", so the measured blood sugar result may be low, or because the blood sugar reverses after hypoglycemia. Jump up.
Question 3: Blood sugar measured under stress
Emotional changes (anger, sadness), colds, fever, etc. will lead to an increase in the secretion of catecholamines, epinephrine and other glucocorticoids. On the one hand, it will inhibit the secretion of insulin in the body, and on the other hand, it will accelerate the decomposition of liver glycogen, resulting in increased blood sugar.
02What details do we need to pay attention to when testing blood sugar to ensure accurate blood sugar?
Monitor fasting blood sugar (8-10 hours after the last meal), which must be done before 8 am. Normal meals and medication cannot be affected by blood drawing, otherwise it will lead to a blank period of drug action for a period of time, which will cause blood sugar to rise.
Business as usual. Don’t deliberately go on a diet and exercise too much for the next day’s test results. The blood sugar measured in this way may be lower, but it cannot represent the usual blood sugar level, which is not conducive to the doctor’s objective inquiry.
3, to maintain a happy mood. Negative emotions can not only affect the accuracy of blood sugar testing, but are also detrimental to the treatment of diabetes itself.
If you want to measure fasting blood sugar, you can go to the hospital to inject insulin. Because of uncertainty about the time to go to the hospital for blood draws, delayed meals and insulin injections, hypoglycemia is prone to occur.
You can go to the hospital to measure blood sugar two hours after meals. If you cannot determine the specific time to go to the hospital to draw fasting blood, and you are afraid of delaying normal meals and medication, you can go to the hospital to measure blood sugar two hours after meals after normal treatment at home.
The blood glucose results after stress state shall prevail.
Avoid using drugs that have an impact on glucose metabolism, resulting in an increase in blood sugar. Patients should have their blood glucose checked three days after stopping these drugs.
All in all, monitoring blood sugar is necessary, but in order to ensure the stability of blood sugar results and the accuracy of the doctor's guidance on the hypoglycemic plan, diabetics need to pay attention to the above 7 details.