Measuring blood sugar like this saves money and is effective!
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In the outpatient clinic, I need to check the patient's blood sugar level, which usually looks like this:
1. Not tested.
2. I measured it, only fasting, not postprandial blood sugar.
3. There are several sporadic blood sugar values without comparison.
4. The test is very comprehensive. Monitor it every day before breakfast and after breakfast.
As a doctor, what I want to say is:
Blood sugar must be measured, not just on an empty stomach, but also after meals. It is best to monitor in pairs.
There is no need to measure blood sugar every day. The injection must be accurate only if it is accurate, and the money must be spent wisely.
Get it right, how to measure blood sugar correctly
The frequency and time points of blood glucose self-monitoring need to be individually determined based on the blood sugar and medication conditions of patients with diabetes:
1 mealtime paired blood glucose monitoring solution
The meal-time matching program recommends testing three days a week, and pairing and monitoring blood sugar levels before and after breakfast, lunch, and dinner to help patients understand the impact of diet, exercise, and related treatment measures on blood sugar levels.
time
fasting
after breakfast
before lunch
After lunch
before dinner
after dinner
before going to bed
on Monday
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Tuesday
Wednesday
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Thursday
Friday
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Saturday
Sunday
Suitable people: Patients with relatively stable blood sugar control and lifestyle intervention to control diabetes.
2 Patient monitoring protocols for multiple insulin injection treatments
· It is recommended that patients with diabetes monitor blood sugar 5-7 times a day at the beginning of treatment, covering fasting, before and after meals, and before going to bed.
· If symptoms of hypoglycemia occur, blood glucose should be measured promptly.
· If there is unexplained fasting hyperglycemia, blood glucose should be monitored 2-3 times at night.
· After blood sugar reaches the target, monitor 2-4 times a day, mainly covering fasting, after breakfast, and before going to bed blood sugar.
time
fasting
after breakfast
before lunch
After lunch
before dinner
after dinner
before going to bed
did not make it
3 days a week
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1 day before follow-up visit
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√
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Already achieved
3 times a week
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1 day before follow-up visit
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3 Patient monitoring protocol for twice-daily premixed insulin therapy
· Patients using premixed insulin should monitor fasting blood glucose and pre-dinner blood glucose 3 days a week until blood glucose reaches the target;
·Re-examination every 2 weeks. It is recommended to measure blood glucose spectrum at 5 time points one day before the re-examination;
· After blood sugar reaches the target, monitor blood sugar three times a week, that is, fasting, before dinner and after dinner, and follow up once a month.
time
fasting
after breakfast
before lunch
After lunch
before dinner
after dinner
before going to bed
did not make it
3 days a week
√
√
1 day before follow-up visit
√
√
√
√
√
Already achieved
3 times a week
√
√
√
1 day before follow-up visit
√
√
√
√
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4. Glucose monitoring plan for patients using basal insulin
· Monitor fasting blood sugar 3 days a week until blood sugar reaches the standard, and follow up every 2 weeks. It is recommended to measure blood sugar spectrum at 5 time points on the day before the follow-up visit;
· After the blood glucose reaches the standard, monitor blood sugar three times a week, that is: fasting, after breakfast and after dinner, and follow up once a month. It is recommended to measure blood sugar spectrum at 5 time points one day before the follow-up visit.
time
fasting
after breakfast
before lunch
After lunch
before dinner
after dinner
before going to bed
did not make it
3 days a week
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