Diabetes norms Accurate monitoring of blood sugar is very important

Accurate monitoring of blood sugar is an essential skill for diabetic patients and clinicians.

Blood sugar monitoring should be punctual 

In the hospital, we often meet diabetic patients who come to measure blood sugar at 10 o'clock or even later.

* Fasting: drink a small amount of water, but do not eat food

If the patient fasts for more than 14 hours, some changes in the body's physiological and metabolic activities will occur due to excessive hunger

Therefore, it is best to test fasting blood sugar between 8:00 and 10:00 in the morning, and don’t starve for too long; if it is to test blood sugar 2 hours after a meal, the 2 hours will start from eating the first meal, and 2 Blood was drawn after hours

Comprehensive blood sugar monitoring

Some diabetic patients do not pay attention to regular monitoring of blood sugar, and come to the hospital or outpatient clinic just to prescribe medicine; although many patients also measure blood sugar, they basically only monitor fasting blood sugar, thinking that controlling fasting blood sugar is enough, and it is necessary to control postprandial blood sugar and blood sugar.

The blood sugar level of a person is not static throughout the day.

• Fasting blood glucose generally indicates the secretory function of basal insulin;

• Two-hour postprandial blood glucose reflects the reserve function of islet beta cells, that is, the ability of postprandial food to stimulate islet beta cells to secrete insulin;

• Glycated hemoglobin can effectively reflect the glycemic control of diabetic patients in the past 1 to 2 months, regardless of factors such as blood draw time, whether the patient is fasting, whether the patient uses insulin or not

In order to better monitor blood glucose comprehensively, doctors and patients should pay certain attention to continuous blood glucose monitoring

 Blood sugar monitoring to prevent "cheating"

If many patients want to check their blood sugar the next day, they will be very careful about eating, strictly control it, and try to eat less or even no food; or they know that exercise can lower blood sugar, and they don’t usually exercise

If this is done, the measured fasting blood sugar results may be "ideal" but not representative of the true blood sugar level under normal conditions

Do not stop taking the drug before blood sugar monitoring

Whether it is testing fasting blood sugar or postprandial blood sugar, it should not be discontinued

Some diabetic patients will stop using hypoglycemic drugs or insulin before checking blood sugar, the purpose is to see how blood sugar is, which is wrong

In addition, it should be noted that after taking insulin at home and then coming to the hospital for blood test, it is often uncontrollable on the way to the hospital and waiting in the hospital for blood drawing.

"Normalization" of blood glucose monitoring 

Diabetic blood sugar monitoring is an important part of blood sugar control.

• For diabetic patients with severe disease and large blood sugar fluctuations, in order to fully grasp the disease, it is often necessary to choose two days a week to measure the "blood sugar profile" throughout the day, including fasting (or before three meals), after three meals, and before going to bed and blood sugar at 3 am;

• In addition, if there are changes in living habits (such as business trips, banquets, etc.
) or physical conditions (insomnia, cold, angina, pregnancy, etc.
), the frequency of self-testing should also be increased;

• If the condition is stable, choose one day a week to test fasting and postprandial blood glucose
.

In short, the monitoring of blood glucose in diabetes should be standardized and the results should be accurate.
Standardized and accurate blood glucose monitoring is of great significance for the management of diabetes
.

references:

【1】Chinese Journal of Endocrinology and Metabolism, 2017, 33(06): 460-464
.