Is a fasting blood sugar level of 13 serious? Pharmacist Li will take you to learn more about it

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The normal fasting blood sugar value of healthy people should be between 3.9 and 6.1, and if the fasting blood sugar reaches a level of 13, it has exceeded the standard by more than 2 times. Can it be said that it is not serious?

First of all, if the fasting blood sugar reaches a level of 13, it is generally a problem of diabetes. When the blood sugar level reaches such a high level, the postprandial blood sugar should be higher, and this value has exceeded the renal sugar threshold, and urine sugar has begun to appear. Although this blood sugar indicator is already very high from various test indicators, if it is said that it is not necessarily a clear feeling for diabetics, but for such a blood sugar value, because of the abnormal utilization of blood sugar metabolism , more prone to hunger, eat more, drink more, because high blood sugar leads to osmotic diuresis, so the general urine volume will also increase, but in other aspects, there may not be obvious symptoms, but whether there is or not Other symptoms, for such a blood sugar level, need to be actively paid attention to and controlled as soon as possible.

If it is a newly discovered diabetic patient, the blood sugar will reach this level as soon as the blood sugar is found. At this time, it is far from enough to emphasize on strengthening blood sugar control by diet and exercise. If it is confirmed that the fasting blood sugar reaches the level of 13.0, for Such new-onset diabetes patients have reached the standard of using insulin to control blood sugar.

Many friends worry that once insulin is used, it will become dependent and cannot be stopped. In fact, this is a misunderstanding of insulin application. To strengthen blood sugar control through exogenous insulin supplementation, there are usually two applications: the first is to quickly strengthen blood sugar control and reduce blood sugar as soon as possible in the case of serious blood sugar rise. It is a short-term medication; the other is to use insulin for a long time to strengthen blood sugar control in the case of sufficient oral intake of 2 or more hypoglycemic drugs, but still unable to effectively control blood sugar. We are talking about new-onset diabetes, the fasting blood sugar exceeds 13.0, and the glycated hemoglobin level is usually not lower than 9.0%. In this case, it is better to use insulin to control the excessive blood sugar as soon as possible.

After the blood sugar has dropped, should I continue to use insulin? It is necessary to combine the actual situation. If blood sugar is under control, through reasonable diet, strengthening and persistent exercise, and through reasonable oral hypoglycemic drugs, blood sugar can be controlled to a reasonable range. Of course, insulin is not necessarily required. It is necessary to insist on using it, but if the life intervention has been strictly implemented, and the blood sugar cannot be effectively controlled by the combined use of oral hypoglycemic drugs, if the blood sugar cannot be controlled to the target range, it may be necessary to continue to use insulin to strengthen blood sugar control.

It should be pointed out that different situations have different blood sugar control goals. Therefore, in terms of blood sugar control goals, you should formulate your own blood sugar control goals according to your actual situation. For example, for new-onset diabetes patients, if they are under the age of 65 and have no diabetic complications and other serious concomitant diseases, it is generally recommended to control the level of glycated hemoglobin to at least 6.5%. Yes, it is even better if it can be strictly controlled below 6.0%. Only by establishing your own blood sugar control goals can you formulate a reasonable blood sugar control plan in combination with the goals.

In real life, such control goals are difficult for many diabetic friends to achieve. Either they are too lazy to control their diet and exercise in their lives, or they cannot strictly follow the doctor's instructions and cannot reasonably adhere to the medication. For diabetes, if the blood sugar level can be reasonably controlled as soon as possible, and the blood sugar can be controlled stably to meet the standard, the body can be better protected from the harm of high blood sugar, and the risk of diabetes complications can be better reduced. Therefore, whether you find that the fasting blood sugar level is high or low when the blood sugar rises, it is very necessary to control the blood sugar as soon as possible and strictly control the blood sugar.

If you are a friend who already has diabetes, this blood sugar level is also worthy of active attention. If it is a friend who already knows that he has diabetes, and allows his blood sugar to develop to this value, then it is very possible that such and other complications have begun to occur gradually. At this time, whether it is serious or not, not only depends on The level of fasting blood sugar depends on the occurrence and development of related complications to comprehensively evaluate. For such a situation, the target of blood sugar control generally requires the level of glycated hemoglobin to be controlled below 7.0%, which is less than that of diabetes without complications. For patients, this level of compliance has been relaxed, but it is difficult to control to this level if you do not actively pay attention, exercise strict self-discipline in life, and adopt a reasonable drug regimen to strengthen blood sugar control.

For friends with existing diabetes problems, when the fasting blood sugar rises to 13, it is necessary to actively strengthen the control of blood sugar, whether it is to strengthen life intervention, or to further strengthen the medication plan, to lower the blood sugar level as soon as possible, and control it to At the same time, attention should be paid to the control and improvement of complications. Only by actively controlling blood sugar levels and minimizing the comprehensive impact of other related chronic diseases or bad living habits on physical health can the course and complications of diabetes be better controlled. disease development process.

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