*For medical professionals for reference
Writing | Key
Introduction
In the management and clinical practice of diabetic patients, blood glucose testing is an important means to understand the level and fluctuation of patients with blood glucose control, evaluation and treatment effects, guiding diet and medication.Under normal circumstances, 2h blood glucose after meal should be higher than the blood glucose, because the blood sugar after meals reflects the bodys ability to handle carbohydrates after food intake.However, in some cases, fasting blood glucose may be higher than 2h blood sugar after meals.This article will sort out common causes and processing strategies for 2H blood sugar after meals.
2H blood glucose after a meal of empty blood glucose
Empty blood glucose refers to overnightAfter 8 to 10 hours, the blood sugar value measured before breakfast the next day was tested before breakfast.Emptor blood glucose can reflect whether the medication of the first night can control blood sugar until the early morning of the next day, which helps to judge the long -term efficacy of the drug.Emptor blood glucose can also indirectly reflect the basic insulin secretion of diabetic patients in the state of sugar -free load stimulation, evaluate the function of islet β cells, which helps to determine the condition.According to international standards, the normal value of the empty blood glucose is 3.9 ~ 6.1mmol/L.
2H blood glucose after meals refers to the starting time from eating the first meal, the blood sugar value measured after 2 hours, 5 minutes in advance or postponed, for 5 minutes, 5 minutes, 5 minutes.It does not affect the evaluation of blood sugar after meals.Healthy crowds meals 2H blood glucose value & lt; 7.8mmol/L.
It is worth noting that as the age increases, the bodys ability to regulate blood sugar decreases, After the 60 -year -old/L, increased blood sugar by 0.44 to 1.11mmol/L after meals.
What will cause empty blood sugar> 2h blood sugar after meals?What are the processing strategies?
1. Insulin resistance: For individuals with insulin resistance, the bodys sensitivity to insulin is poor, although insulin levels are not significantDecreased, but insulin in lack of insulin.Especially for patients with type 2 diabetes, insulin resistance may be more serious, and insulin absolute secretion is too much. At the same time, the peak delay of insulin secretion causes low blood sugar after meals.
Treatment strategy: Clinically, patients with insulin resistance are given priority to reducing weight, controlling diet, appropriate exercise and other methodsImprove insulin resistance and drug treatment if necessary.
2. Insulin secretion peak delay: Some patients may have a peak of insulin secretion before the next meal, causing abnormally elevated empty blood glucose.
Treatment strategy: You can take the drug orally. It is recommended to use dual -dual -胍 胍 2H blood sugar after meals, what precautions need to be grasped?
1
Individualized treatment
The situation of each patient is different, and the treatment method should be dependent on the specific situation of the individual.Therefore, when formulating a treatment plan, it is necessary to fully consider factors such as the age, gender, course, and complications of patients to achieve individualized treatment.
2
Regular retransmit
It is recommended that patients regularly review and monitor blood sugar levels in order to understand the changes in the condition and adjust the treatment plan in a timely manner.At the same time, patients also need to learn self -monitoring blood sugar in order to discover and deal with abnormalities such as hypoglycemia in time.
3
Patient Education
It is very important for patients with diabetes.Through education, patients can better understand the dangers, treatment methods and precautions of diabetes, so as to improve self -management ability and better control blood sugar levels.4
Note drug interaction
When using hypoglycemic drugs, you need to pay attention to the interaction between the drugs.For example, certain drugs may enhance or weaken the hypoglycemic effect of insulin, which leads to blood sugar fluctuations.Therefore, when using a new drug or adjusting the medication plan, you need to consult your doctor or pharmacists suggestions.
5
Be wary of low blood sugar risk
Hypoglycemia is one of the common complications of patients with diabetes.When dealing with the lower blood glucose after meals, the risk of hypoglycemia needs to be alert to hypoglycemia.Once the symptoms of hypoglycemia (such as panic, hands shake, sweat, etc.) should be taken, measures should be taken immediately, such as eating sugar -containing foods or intravenous injection of glucose.Summary
In summary, the blood glucose higher blood glucose in the air may cause a variety of factors that are commonly affected and produced.As a result, patients with diabetes do not have to worry too much. The most important thing is to follow the suggestions of specialist physicians, eat reasonably, exercise reasonably, regularly monitor blood sugar, and standardize the use of hypoglycemic drugs.If this happens for a long time, the cause should be found in time, and under the guidance of the doctor, adjust the treatment plan.
References:
[1]. Why is the blood sugar lower than empty blood sugar after meals?[J]. Cardiovascular disease prevention knowledge (popular science version), 2016 (6): 19-21.
[2]. Zhou Ling, Sun Yu, Xie Qianru, etc.The effects of separation glue pipe and sodium fluoride anticoagulation tube on the stability of blood glucose detection [J]. Journal of Qiqihar Medical College, 2018,39 (5): 524-526.
Editor in charge 丨 Kobayashi
*" The medical community "strives to publish the content of the content and reliability, but does not promise the accuracy of the content;This is used as a basis for decision -making.
