How to effectively monitor blood sugar?

The primary goal of diabetes treatment is to comprehensively control blood sugar to achieve long-term goals, thereby reducing the occurrence of various complications, delaying the progression of the disease, improving the patient's quality of life, and maintaining the dignity of the patient's life. People with diabetes arrange blood sugar monitoring according to their own conditions. Finding abnormal blood sugar points is the key to controlling sugar. Self-monitoring of blood glucose (SMBG) plays a very important role in this process. Today I will talk to you about SMBG.

SMBG refers to blood glucose testing carried out by diabetic patients at home. It is used to understand the control level and fluctuation of blood sugar. It is an important measure to adjust blood sugar to meet the standard and an important means to reduce the risk of hypoglycemia. So how does SMBG proceed?

First, SMBG frequency and regimen depend on the condition, goals of treatment, and treatment regimen.

(1) People who are hospitalized due to very poor blood sugar control or critical illness should monitor blood sugar 4-7 times a day or as needed for treatment until blood sugar is controlled.

(2) Patients who use lifestyle intervention to control diabetes can purposely adjust their diet and exercise through blood glucose monitoring to understand the impact of diet control and exercise on blood sugar as needed.

(3) People who use oral hypoglycemic drugs can monitor fasting or postprandial blood sugar 2-4 times a week, or monitor blood sugar continuously for 3 days within 1 week before treatment, and monitor blood sugar at 7 o'clock every day (before and after breakfast, before and after lunch, before and after dinner, and before going to bed).

(4) People taking insulin therapy can perform corresponding blood sugar monitoring according to the insulin treatment plan:

① Patients using basal insulin should monitor fasting blood sugar and adjust the dose of insulin before bedtime based on fasting blood sugar;

② Patients using premixed insulin should monitor fasting and pre-dinner blood glucose, adjust the pre-dinner insulin dose based on fasting blood glucose, and adjust the pre-breakfast insulin dose based on pre-dinner blood glucose;

③Patients using mealtime insulin should monitor post-meal blood sugar or pre-meal blood sugar, and adjust the insulin dose before the previous meal based on post-meal blood sugar and pre-meal blood sugar.

Secondly, after completing blood glucose monitoring, you must record and analyze:

①Record blood glucose test results and medication status at any time;

②Record the various causes of hypoglycemia and elevated blood sugar;

③ Understand your own blood sugar control goals and adjust your treatment plan under the guidance of your doctor;

④When blood sugar is higher than the treatment target or unexplained hypoglycemia occurs or blood sugar is greater than 13.3mmol/L, you should consult a doctor in time;

⑤Every time you go to the doctor, don’t forget to bring a record book to record your blood sugar, diet and medication.