At the age of 75, Lin Bo took the hypoglycemic drugs regularly, and his blood sugar still increased abnormally! Doctor: The bane is finally found

75-year-old Limbe took the hypoglycemic drugs regularly, and his blood sugar was abnormally high. 75-year-old sugar friend Linbo looked anxious and hurried to the endocrinology clinic of the hospital for treatment. Because he attached great importance to blood sugar control, he regularly went to the outpatient clinic to revisit and prescribe drugs, so he Dr. Li, the doctor in charge, is very familiar with his condition. On this day, he revealed a situation to Dr. Li. Although he still strictly regulates blood sugar in the past month, the blood sugar he monitors still does not meet the standard. Both the blood sugar before and after the meal is high. A week ago, I increased the amount of insulin before meals and before going to bed, and I occasionally panicked and shook hands in the middle of the night. From the blood glucose monitoring data recorded by Lin Bo, Dr. Li saw that Lin Bo’s blood glucose has increased significantly over the past month. The blood glucose before and after meals was much higher than the normal range, so Lin Bo was mobilized for hospitalization. Lin Bo was admitted to the hospital, but through blood glucose monitoring in the hospital, Lin Bo’s blood glucose was very normal, and the glycosylated hemoglobin was also within the normal range. So Dr. Li instructed Lin Bo’s family to take the blood glucose meter at the hospital for comparison. The problem was finally discovered. It turned out that there was a problem with Lin Bo’s blood glucose meter: the measured blood glucose value was too high, which did not reflect Lin Bo’s real blood glucose. Level. Fortunately, Lin Bo’s treatment was timely and he did not continue to increase the amount of insulin, otherwise the consequences would be unbearable. Doctor reminds: Blood glucose monitoring can not ignore the chronic metabolic disease characterized by high blood sugar, and the body is in a state of high blood sugar for a long time, it will cause great damage to many organs and tissues, such as heart, brain, kidney, eyes, blood vessels , Skin and nerves. In daily life, many diabetic patients have indeed achieved control of blood sugar through diet control, regular exercise and insisting on the use of hypoglycemic drugs in order to minimize and delay the appearance of complications, but they often overlook the link of blood glucose monitoring. Blood glucose monitoring, as one of the “five troikas” of diabetes treatment, is an important part of diabetes management. It can assess the severity of diabetes in patients, formulate reasonable blood sugar lowering programs, monitor blood sugar control and guide the adjustment of blood sugar lowering programs. Moreover, blood glucose monitoring is not only about how easy it is to measure blood glucose by yourself, but there are also many places to pay attention to. Any negligence in details may greatly reduce the therapeutic effect of diabetes. Lin Bo’s situation is a typical example. Principles of blood glucose monitoring in diabetic patients Blood glucose monitoring needs to master two points: monitoring time point and monitoring frequency. At the monitoring time point, blood glucose can be measured according to need, including before meals (fasting), 2 hours after meals, before bedtime, and at night (usually 2-3 am). The monitoring frequency, if you are using oral hypoglycemic drugs, you can monitor the fasting or 2h postprandial blood glucose 2-4 times a week, or continuously monitor for 3 days within one week before going to the hospital for follow-up, and monitor the blood glucose at 7 time points every day. Including before and after breakfast, before and after lunch, before and after dinner and before bed. If insulin is used to lower blood sugar, then the corresponding blood glucose needs to be monitored according to the type of insulin. Patients using basal insulin need to monitor fasting blood glucose and adjust the dose of insulin before bedtime based on fasting blood glucose; while using pre-mixed insulin, you need to monitor fasting and pre-dinner blood glucose, and adjust the amount of pre-breakfast insulin based on pre-dinner blood glucose; if When using short-acting insulin during meals, the blood glucose before and after meals should be monitored, and the dosage of insulin before the next meal should be adjusted according to the blood glucose after meals. The importance of blood glucose meters for diabetics. The above situation is believed to have been encountered by many diabetics, so if there is no accurate self-blood glucose monitoring, there is no way to effectively treat diabetes. As part of diabetes self-management, self-blood glucose monitoring can help diabetics better understand their disease status and provide a means to actively participate in diabetes management, adjust behaviors and drug interventions as needed, and consult doctors in a timely manner, thereby improving Patient’s treatment compliance. Self-blood glucose monitoring must use a blood glucose monitor. For diabetics, a blood glucose meter is like a navigator, which can keep diabetics aware of their blood sugar levels and guide diabetics to better control blood sugar. A good blood glucose meter must have the characteristics of rapid measurement, easy operation, and accuracy. 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