Blood sugar monitoring is usually done by means of home pocket blood glucose meters, finger measurements, and hospital venous blood. The monitoring point in common, fasting and postprandial 2 hours under special circumstances (such as insulin) also need to add test before meals and before taking the medicine, in order to understand the trends and characteristics of blood glucose, adjust the dosage, to avoid the occurrence of hypoglycemia. In order to understand the overall situation in a period of time of blood glucose control, patients need every 3 months to do a HbA1c test; continuous glucose monitoring system in clinical application (CGMS), can collect 288 dynamic blood glucose values recorded in 24 hours, the change of blood disease of the people all day long wave observation hyperglycemia, hypoglycemia, and other changes can be found in commonly used detection methods in certain time periods can detect the situation, so that doctors can fully and reliably understand the patients all day long blood glucose information, more accurate treatment plan.
According to the blood sugar value, the individual program is the most appropriate
A way of life, cultural background, social status, economic conditions, the degree of obesity, treatment and risk of complications of differences in diabetic patients, physicians for treatment should also be reference value of blood glucose, as far as possible in the analysis of the characteristics of each patient, to develop a more appropriate and individualized diet, exercise, medication plan, achieve the effectiveness and safety of.
Diet individualized: such as patients with kidney disease, to adhere to a low protein diet, high blood pressure patients should limit the amount of salt, while obese patients should limit alcohol consumption.
Exercise Individualization: the exercise of the patient is too light to reach the therapeutic effect, and excessive exercise may cause danger. For example, intense running can cause myocardial infarction, heart failure and so on in diabetic patients with coronary heart disease. Therefore, diabetic patients should undergo a corresponding examination before they start the exercise, and ask the doctor to help choose which activities are compatible with their blood sugar or complications. Even the simplest exercises, such as walking 30 minutes and 3-4 times a week, are placed before meals, after meals, in the morning or in the evening, depending on individual circumstances.
Personalised medicine: Patients with type 1 diabetes take insulin treatment; patients with type 2 diabetes mellitus is the use of oral hypoglycemic agents in a single, or two or more than two kinds of oral hypoglycemic drugs, and treatment with insulin and oral hypoglycemic drugs, all must comply with doctor's prescription. Medical doctor of choice, is according to the patient's blood glucose, drug supply and drug side effects, allergic reaction, patient age and health status (such as kidney and liver) to decide, the implementation of individualized drug treatment only reflects the "most suitable for me, is the most safe" principle.
Diabetes patients should be good at monitoring blood sugar, to achieve stability of blood sugar is the key, can effectively prevent complications.