Mass diabetes blood sugar is normal, you do not need to take drugs or insulin?

  There are many misconceptions about the treatment of diabetes, such as the belief that as long as blood sugar is normal, there is no need to continue medication, which is not true. Here, let’s take a look at what are the typical misconceptions: First, blood sugar has been controlled normally can not take drugs, not injections.  So far, including all kinds of Chinese and Western medicines, health care products, food and other means of diabetes prevention and treatment, can not cure diabetes, but only control blood sugar, delay the occurrence of complications of diabetes. If diabetic patients who are already on medication arbitrarily stop using medication, their blood sugar will quickly rise again. Therefore, most patients in the middle and late stages must take medication or injections for a long time.  Second, any medicine is taken on an empty stomach.  Oral therapy accounts for the majority of diabetic patients in outpatient clinics, with different mechanisms of action, characteristics and usage. For example, the best time to take sulfonylureas such as Damacell and euglycemia is 30 minutes before meals, and biguanides such as metformin, Gevalt, and Diabetes lozenges are best taken after meals.  Third, refuse the necessary insulin therapy Insulin therapy is a good therapy, which can effectively control blood sugar, protect the function of the islets, prevent or delay the occurrence of complications, and has small side effects and low cost. In some patients, the destruction of pancreatic islet function has been more serious, insulin secretion has been seriously inadequate, without insulin injection can no longer control blood sugar, in addition, some patients have certain complications, not suitable for oral drug therapy, then the use of insulin therapy is inevitable.  Fourth, the urine sugar is normal and the blood sugar control is ideal.  There are many patients with normal urine sugar, but high blood sugar. This is due to the elevated renal sugar threshold, diabetic patients have diabetic nephropathy, renal tubular filtration rate decreases while reabsorption is enhanced, so filtration is reduced while reabsorption is increased so that the negative urine sugar presents a negative result, so the detection of urine sugar is not as accurate as blood sugar. Normal urine sugar is not equal to ideal blood sugar control, blood sugar should prevail.  Five, fasting blood sugar control is normal, diabetes is ideal control.  In fact, some people have normal fasting blood sugar control, but the postprandial blood sugar is still very high, and the blood sugar control is still not ideal. Some studies have shown that high blood sugar after meals has serious damage to cardiovascular and cerebrovascular, and can accelerate the atherosclerosis of blood vessels. Therefore, the standard of blood sugar control is that both fasting and postprandial must be normal.  Sixth, normal fasting blood sugar can exclude diabetes.  Some people who see their blood glucose normal in the occasional examination think that they will not have diabetes, but this is not necessarily the case. Some people have normal fasting blood sugar but high blood sugar 2 hours after meal, which is also diabetes. Therefore, for people who have abnormal blood sugar, if possible, should check the glucose tolerance test, especially fasting blood sugar greater than 5.6mmol/L and obese people should do the glucose tolerance test to detect the post-meal blood sugar situation.  Seven, control the diet, that is, do not eat sweets, eat less or do not eat staple foods.  Diabetic patients need a full range of nutrition every day, with reasonable. So staple foods should be eaten reasonably, and other foods should be controlled appropriately.  Eight, diabetics can not eat fruit.  Fruits are rich in vitamins and minerals, and fiber is beneficial to diabetics. Fruit has fructose in addition to glucose, fructose metabolism does not require pancreatic bird hormone, and fiber in fruit is also beneficial to lower blood sugar. Therefore, diabetic patients can eat fruit, but not indiscriminately, but in moderation, except in critical conditions. In addition, the best time to eat fruit in an empty stomach, do not eat fruit immediately after meals.