Find the right way to lower your blood sugar

The elderly struggle with blood sugar. How can they effectively control blood sugar? What is the most scientific way to control blood sugar? I believe that many elderly people have fallen into the whirlpool of hypoglycemia and cannot extricate themselves. Many patients do not know the goals of diabetes treatment. Diabetes is not terrible. What is terrible is the complications it causes. Only by strictly controlling blood sugar and keeping it stable can the occurrence of diabetes complications be reduced. Therefore, scientific and reasonable treatment of diabetes should be comprehensive treatment, which includes measures such as lowering blood sugar, lowering blood pressure, lowering lipids, losing weight, and changing bad living habits. Diabetes treatment includes five carriages, which are comprehensive treatment measures such as diet control, reasonable exercise, blood sugar monitoring, diabetes self-management education, and the use of hypoglycemic drugs.

 

If controlling diabetes is likened to shooting, then the target for diabetes treatment is the target. If the target location is not clear, how can one hit the target? Therefore, in the journey to control diabetes, we must first clarify the goals of diabetes treatment. If diabetes is compared to the enemy and doctors are soldiers who defend the country, then blood sugar monitoring is the report card of target practice. Because each enemy is so different, the doctor has to look at the target practice report card to know whether the gun was accurate, missed or missed the target. How to use the medicine and how to adjust the treatment plan must be formulated by the doctor based on blood sugar monitoring.

 

Patients should not only monitor blood sugar in a standardized manner, but also let the doctor take a look at the valuable data gained through your hard work, and ask the doctor, "How should my fasting and postprandial blood sugar be controlled?" and "How to control blood sugar that exceeds the standard?" Is it worth it?" Regarding this question, there is a simple formula: for patients under 60 years old, the blood sugar control goal should be "2, 4, 6, 8." 2.4 means two 4s (4.4), which means that fasting blood sugar should be controlled at 4.4~6.0mol/L, and postprandial blood sugar should be controlled at 4.4~8.0mol/L. For patients who are over 60 years old and have cardiovascular diseases, fasting blood sugar is required to be <7.0mol/L and postprandial blood sugar is <10.0mol/L. It is important to lower blood sugar smoothly and not too sharply.

 

For young patients, such as those under 40 or 50 years old, the blood sugar control goals can be more stringent. They are "4, 4, 5, 6, 7, 8", which means that fasting blood sugar should be controlled between 4.4 and 5.6. mol/L, postprandial blood sugar should be controlled at 4.4~7.8mol/L, which is a very perfect state. Don't despair if your blood sugar isn't where it should be. Even if diabetes treatment fails to meet the ideal standard, it should not be regarded as a treatment failure. Any improvement in control indicators will be beneficial to the patient and will reduce the risk of complications caused by related risk factors, such as a reduction in glycosylated hemoglobin (HbA1c) levels and diabetes. Patients are closely related to the reduction of microvascular complications and neuropathy. HbA1c is the main indicator of blood sugar control. In the absence of hypoglycemia, the HbA1c level should be as close to the normal level as possible (reflecting normal fasting and postprandial blood sugar concentrations).

 

Blood glucose control should be comprehensively judged based on the results of self-monitoring of blood glucose (SMBG) and HbA1c level. HbA1c level can not only evaluate the patient's blood glucose control level within 2 to 3 months, but can also be used to judge the results of blood glucose testing or patients' self-reported blood glucose testing. Whether the accuracy and frequency of SMBG monitoring are arranged enough. Therefore, we recommend monitoring HbA1c every 3 months. While paying attention to blood sugar control, we should also pay attention to the control of common complications of diabetes, such as dyslipidemia, hypertension, obesity or overweight, etc. This will help reduce the risk of microvascular and cardiovascular complications. There must be a method to lower blood sugar. Elderly people must not be too strict with numbers and must adjust their diet scientifically and rationally.