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What are the misunderstandings of diabetes prevention?
What are the misunderstandings of diabetes prevention? In the treatment of diabetes, many patients have a wrong understanding of the treatment of diabetes, which leads to the failure to achieve the expected results and even adverse effects.
Here are 7 common misunderstandings in the treatment of diabetes.
1: Fasting blood sugar is very important, usually only check fasting blood sugar.
In clinical practice, many patients only pay attention to monitoring fasting blood glucose in the morning, but neglect to monitor blood glucose two hours after a meal. This approach is wrong.
Human blood sugar is constantly fluctuating throughout the day, and a simple blood sugar is not enough to reflect the human blood sugar level. Recent studies have confirmed that the significance of postprandial blood glucose is even greater than that of fasting blood glucose. Therefore, in order to have a more comprehensive understanding of blood glucose status and to adjust the treatment plan more reasonably, patients should monitor blood glucose over multiple time periods. Of course, patients do not need to monitor blood glucose for multiple periods of time every day, and can determine a reasonable monitoring method according to their own condition under the guidance of a doctor.
2: The faster the blood sugar drops, the better.
Some people think that the faster the blood sugar drops, the better the treatment effect. This is wrong. If the blood sugar drops too fast, the human body cannot adapt to the environment immediately. The patient will feel discomfort and even have hypoglycemia. Therefore, the best treatment should be to lower blood sugar smoothly.
3: The lower the blood sugar, the better, and it does not matter if hypoglycemia occurs.
Excessive lowering of blood sugar will increase the risk of hypoglycemia, and severe cases will be life-threatening. For diabetic patients, the harm of hyperglycemia is mainly to cause various serious chronic complications and affect the health of patients. However, the harm of hyperglycemia is usually long-term and gradual, and it will not threaten life temporarily. The harm of hypoglycemia is rapid and sometimes fatal. Severe hypoglycemia may cause stroke, induce angina, heart failure and myocardial infarction, and exacerbate the patient’s original retinopathy. Therefore, the lower the blood sugar, the better, but should reach a more ideal range, and try to avoid the occurrence of hypoglycemia.
4: Normal blood sugar control means that diabetes has been cured.
Diabetes is a chronic and lifelong disease. So far, diabetes can be controlled but not cured. After continuous routine treatment, many symptoms have disappeared completely and blood sugar has dropped to normal, but this does not mean that the diabetes has been cured, and medication should be maintained. At the same time, diet therapy and physical exercise should not be relaxed, and the medication should not be discontinued without authorization. Otherwise, it will cause high blood sugar to come back and worsen the condition.
5: After taking hypoglycemic drugs, there is no need to control the diet.
Diet control is one of the basic treatment methods for diabetes, which must be accompanied by treatment for diabetes patients for life. If you rely solely on hypoglycemic drugs without diet control, the hypoglycemic effect is definitely not ideal, and overdose of hypoglycemic drugs can cause adverse reactions such as hypoglycemia.
6: Hypoglycemic drugs can damage liver and kidney function, and can not be taken for a long time.
Oral hypoglycemic drugs have little effect on liver and kidney function, and they will not cause serious harm as long as they are taken strictly according to the doctor’s instructions. On the contrary, if long-term high blood sugar is not taken, the damage to liver and kidney function will be even greater. The liver and kidney function of diabetic patients should be reviewed regularly during the treatment of oral hypoglycemic drugs, and the biochemical indicators should be checked every six months.
7: Glycosylated hemoglobin (HbA1c) is normal, indicating ideal blood sugar control.
Glycosylated hemoglobin reflects the average blood sugar of the past 2 to 3 months. A high blood sugar and normal HbA1c indicates that blood glucose control is good at ordinary times; high blood sugar and HbA1c indicate that blood glucose control is not good for a period of time; a single blood sugar is normal but HbA1c is significantly increased, indicating that more attention has been paid to blood glucose control before this blood draw, but The blood sugar control has been unsatisfactory in recent 2 to 3 months. Therefore, simultaneous measurement of blood glucose and HbA1c can help distinguish stress hyperglycemia and chronic hyperglycemia.
(sourceinternet, reference only)