2.How to use effectively (record, feedback) Zhang Chuan, Department of Endocrinology, Second Hospital of Jilin University
Let’s test your blood glucose control (benchmark and evaluation of blood glucose control)
The target value of blood glucose control varies from patient to patient. What is shown here is a general benchmark. Make an effort to aim for this.
The value of blood glucose self-measurement should be recorded at each measurement. When you arrive at the hospital, you should convey them to your attending physician, and compare and synthesize the values measured at home with those measured at the hospital in order to decide on future treatment guidelines, improve treatment methods, and set future goals.
Evaluation
Excellent
good
Positive
Very bad
Slightly bad
Not good
Blood glucose level during fasting
Within 80-110
110-130
130-160 or less
Above 160
Blood glucose value 2 hours after meal
80-140 or less
140-180
180-220 or less
220 or above
HBA1c (%)
Within 5.8
5.8-6.5 or less-
6.5-7.0 or less
7.0-8.0 or less
8.0 or more
As one of the prescriptions, it is generally measured in 2-4 week increments, and the results are studied and revised. In addition, the emergency response methods when the blood sugar control situation is not good are mainly the following: adjustment of insulin amount, diet amount, general tolerance range and specific countermeasures, and re-consulting the decision with the attending doctor.
In fact, when hypoglycemia and poor blood glucose control occur unexpectedly, the cause must be explored. It is important how the subsequent means of blood sugar control works. Such measures are repeatedly failed and repeatedly carried out within 2 or 3 months, and gradually you can grasp the trend of your blood sugar changes and the adjustment method of blood sugar control.
3 What to measure with – the progress and characteristics of measuring instruments
Recently, the development of blood glucose meters that can be used at home is remarkable, and many light and convenient machines with simple operation have appeared, and in terms of types, there are mainly the following.
One is to measure the amount of glucose in the blood by collecting the amount of glucose in the glucose acidification enzyme with the test paper and measuring the result by the electrode method (electrode method), and the other is to measure the change in the color of the test paper (test paper method).
Either method is characterized by small amount of blood collection, short measurement time, no need to wipe blood, simple operation, easy to use, and high measurement accuracy.
This technological innovation has made it possible to self-measure blood glucose. Even children and elderly people can easily measure themselves.
E Q & A
1 What is the difference between urine glucose measurement and blood glucose measurement?
Blood glucose is measured directly from the blood. Urine glucose measurement, on the other hand, is based on the change in color of the test strip dipped in urine to determine if the blood glucose is high. This is an indirect method of measuring blood glucose levels. The advantage of urine glucose measurement is that it does not involve the pain of blood collection. On the other hand, it is not detected when the blood glucose value does not reach 160-180mg/dl during urine glucose measurement, so. When the blood glucose value does not reach this value, all of them show negative test results, and this becomes a problematic point.
What can overcome this is the digital urine glucose meter. Because it can show the amount of urine sugar from 0 to 2000mg/dl, it plays a role in determining the effect of diet, exercise, and therapeutic drugs. Here we are advocating the control of light diabetes of the realm type.
2 Is blood sugar self-measurement effective for health care?
Patients who take insulin therapy can have their daily use of test strips paid for by insurance. In addition, the recommended measuring device and puncture needle necessary for measurement, and the puncture apparatus are also covered by insurance.
Patients who do not practice insulin therapy are paid by insurance once a year depending on their condition. Please consult with your attending physician as to whether this measurement is effective for treatment.
In addition, the amount that insurance does not pay that should be covered by yourself will be deducted from the medical fee when you file.
5 proposals with outstanding F effect
1. It is best to collect blood in the abdomen and upper arm when collecting blood.
When collecting blood we usually take blood at the fingertip area. If you want to reduce pain, it is better to take blood on the abdomen and the outside of the upper wrist.
2. Make a habit of recording everything.
Not only should we record the blood glucose value, but whenever we encounter record the blood glucose value, whatever we encounter should be recorded. These records can become a valuable library of blood glucose control.
3. Start first to prevent hypoglycemia.
In the whole activity of blood sugar control, it is necessary to prevent the appearance of hypoglycemia. It is a beautiful way of blood sugar management to detect and treat early by self-measurement before the phenomenon of hypoglycemia appears.
4. Measurement before and after meals should be performed as a group
In order to reduce HbAic, how to suppress the high blood sugar after meal becomes a key point. The measurement before and after meal as a group is the bottleneck of blood glucose management
5. The measuring instrument must be kept clean.
The instrument is precise. The contamination of blood and small dust are able to be the cause of instrument failure. It must be cleaned after use. Use a clean bag and box when carrying.