self-monitoring of blood glucose

Self-glycemia monitoring is a self-monitoring of blood glucose in diabetic patients, which reduces the risk of death by 51% and the risk of complications (such as heart disease, stroke, blindness and amputation) by 32%. Diabetes patients are more sensitive to their own blood glucose levels, when the blood glucose level exceeds the control target, it can reduce the risk of complications and adjust the treatment plan more reasonably. Basic Information Specialist classification: growth and development examination classification: blood examination Applicable gender: whether men and women apply fasting: fasting Analysis results: Below normal: Tips may have hypoglycemia. Normal value: Normal value: 60-240mg/dl Above normal: Tips for possible diabetes. negative: Positive: Tips: In the morning, blood sugar should be kept fast. Normal value The blood sugar level is raised from 60 mg/d to 240 mg/dL. Clinical significance Abnormal result Ordinary people have a fasting blood glucose concentration of 80 to 120 mg% in the morning. Fasting blood glucose levels above 130 mg% are called hyperglycemia. If the blood glucose concentration exceeds 160-180 mg%, a part of glucose is excreted in the urine, which is diabetes. A blood glucose concentration of less than 70 mg% is called hypoglycemia. Analysis of the blood sample with a blood glucose meter will display the blood glucose level on the display of the blood glucose meter. The abnormal blood glucose monitoring results were >240 mg/min (13.3 mmol/L) or abnormally low <60 mg/dl (3.3 mmol/L), and there was a problem of blood sugar. People who need to be examined: Diabetic patients. Low results may be diseases: hypoglycemia in the elderly, high results in the elimination of the disease may be: low blood sugar, type II diabetes precautions Forbidden before examination: In the morning, blood sugar should be kept fast. Requirements for inspection: The blood collection method should be correct, the blood collection method should be correct, the value should be read and accurately recorded. 1. For newly diagnosed patients who use insulin pumps or intensive therapy, it is emphasized that they need to be monitored 4 to 7 times a day. 2. Patients with poor glycemic control or poor glycemic control, fasting blood glucose greater than 16.7 mmol / liter, glycosylated hemoglobin greater than 10.0%, typical symptoms of diabetes "three more than one less", such patients should increase the number of monitoring, Blood sugar can be monitored 4 to 7 times a day. 3. Patients treated with simple diet control or oral hypoglycemic agents, when the blood glucose control is relatively stable, monitor 2 to 4 times a month; those who fail to achieve glycemic control should be monitored at least 4 times a week. 4. Patients with type 2 diabetes who are stable in insulin therapy are recommended to monitor for 1 to 2 days per week and 4 times a day. 5. Try a new diet, adjust the dose or number of insulin before and after exercise, when traveling, and when you have hypoglycemia, increase the number of monitoring when you are pregnant or planning to become pregnant. 6. Monitor at any time according to the condition, the advice of the medical staff and your own needs. Inspection process 1. Fasting blood sugar: It means that the blood sugar level is not eaten after 20:00 the night before, and the blood sugar level that is not eaten in the morning of the next day can reflect the basic secretion function of human insulin. 2. Pre-meal blood glucose: measured before Chinese food and dinner, mainly used for treatment of disease monitoring. 3. 2 hours postprandial blood glucose: starting from the first meal, after a full 2 ​​hours of blood sugar levels, reflecting the impact of meals on blood sugar, is conducive to the discovery of early diabetes. 4. Blood glucose before going to bed: It is beneficial for patients who need insulin injection before bed to determine the injection dose of insulin. 5. 1 to 3 o'clock in the morning blood sugar: the lowest point of human blood sugar, patients receiving insulin or sulfonylurea hypoglycemic agents, suspected of nighttime hypoglycemia need to be examined. 6. Random blood sugar: Check at any time of the day, check at any time when you suspect hypoglycemia or significant hyperglycemia. 7. Other time: If you try a new diet, before and after exercise, going out to dinner, mood swings, feeling unwell, etc., you need to measure blood sugar. Not suitable for the crowd 1. Patients who have taken contraceptives, thyroid hormones, steroid hormones, etc., may affect the results of the examination and prohibit patients who have recently taken the drug history. 2, special diseases: patients with hematopoietic function to reduce disease, such as leukemia, various anemia, myelodysplastic syndrome, etc., unless the examination is essential, try to draw less blood. Adverse reactions and risks 1, subcutaneous hemorrhage: due to pressing time less than 5 minutes or blood draw technology is not enough, etc. can cause subcutaneous bleeding. 2, discomfort: the puncture site may appear pain, swelling, tenderness, subcutaneous ecchymosis visible to the naked eye. 3, dizzy or fainting: in the blood draw, due to emotional overstress, fear, reflex caused by vagus nerve excitement, blood pressure decreased, etc. caused by insufficient blood supply to the brain caused by fainting or dizziness. 4. Risk of infection: If you use an unclean needle, you may be at risk of infection.

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