These sugar control tips are all wrong

People say that thinking determines the way out, and the same is true for managing diabetes. What if there is no correct management method? Today, the Diabetes Friends WeChat platform (tnbzy2013) launches an article on common misunderstandings about sugar control. I hope you will change it if you have it, and encourage you if you don’t. If you find it useful, please share it with those around you!

Misunderstanding 1: My blood sugar has always been very stable, but now I am too busy at work and I feel tired when I go home every day, so I don’t need to exercise anymore.

Correct approach: Nowadays, it is recommended that young children go out for two hours of exercise every day. Not to mention those of us with diabetes, we need to exercise if our blood sugar is good. Diabetes exercise is known as the most economical way to lower blood sugar, including aerobic exercise and resistance exercise; if combined, it is more conducive to stabilizing the condition.

Common diabetes exercise formulas are "one, three, five, seven, nine". Among them, "one" represents: exercise one hour after a meal; "three" represents: exercise for 30 minutes; "five" represents: exercise 5 times a week; "seven" represents: the pulse does not exceed 170-age during each exercise; " "Nine" represents: exercise must be long-term and persistent.

Note: When blood sugar fluctuations are large or complications are severe, you should consult a specialist before exercising. Do not exercise blindly, otherwise hypoglycemia may occur or the original condition may be aggravated.

Misunderstanding 2: I inject insulin in the same place every day. Is it too troublesome to change places?

Correct approach: Insulin has the effect of promoting tissue growth. If it is always injected at a certain point, induration may form over time, which will slow down the absorption of insulin, lead to increased insulin dosage, and unstable blood sugar control. The correct insulin injection site is as shown below:

Misunderstanding 3: My blood sugar has always been very stable. I take it every day when I want to take it, and I don’t take it when I don’t want to take it.

Correct approach: When the doctor prescribes insulin for you, it means that your body's pancreatic islet function is not as good as before, or your physical complications are more serious. If a diabetic friend stops injecting insulin at will, it will easily lead to large blood sugar fluctuations, or worsen complications, and then you Having to be "invited" to the hospital again is not worth the gain.

Myth 4: I have taken insulin and I can eat whenever I want. When I feel unhappy, I don’t eat for a whole day, and I have never had any problems.

Correct approach: Each type of insulin has a fixed onset and peak time. If you don’t eat on time according to the doctor’s instructions, hypoglycemia will occur. If you do it outdoors with no one nearby, the consequences will be disastrous!

Don't be afraid of ten thousand, just be afraid of the unexpected. Don't risk your life. It's better to be careful in life!

Misunderstanding 5: My blood sugar has been unstable recently. When I took insulin, I added some oral hypoglycemic drugs, such as glipizide, repaglinide, and metformin tablets. They are all hypoglycemic drugs. I added whatever I had at home without asking. Been a doctor.

Correct approach: Insulin is often used in conjunction with biguanides, α-glucosidase inhibitors, and thiazolidinediones. It is generally not used with sulfonylureas, glinides, glucagon-like peptide-1 and its analogs. Use it in combination with DPP-4 inhibitors, otherwise it will easily cause hypoglycemia. If you don’t understand these and mix drugs at will, it is likely to induce severe hypoglycemia with serious consequences.

Recommendation: When you need to adjust your medication, be sure to consult a specialist and do not make adjustments privately.

Misunderstanding 6: I inject one insulin quickly and finish it in a few days. It’s just a few days. There is no need to put the other insulin in the refrigerator or in a cool place. Isn’t this troublesome enough?

Correct approach: Don’t be afraid of trouble when doing things. Details determine success or failure. Storing insulin is a small detail in managing diabetes. You must do this well.

Insulin needs to be stored in the refrigerator (2-8℃). Insulin stored in the refrigerator needs to be taken out of the refrigerator 1 hour before injection and warmed up before use. Overcooled drugs are not easily absorbed after injection and can cause lipoatrophy. . Insulin can be stored at room temperature for 28 days, so if the insulin has been loaded into the pen, there is no need to put it in the refrigerator. Just put it in a dark and cool place indoors, away from heat and light.

Note: If you eat out or travel, the temperature may change, so you need to carry an ice pack with you to maintain a suitable temperature. Frozen insulin must not be thawed before use due to improper storage.

Misunderstanding 7: I don’t have the symptoms of polydipsia, polyphagia, polyuria, or fatigue that the doctor said. I have energy to work every day. I don’t need to check my blood sugar every day. It’s too troublesome. I can wait until I feel uncomfortable.

Correct approach: When seeing a doctor, you cannot follow your feelings, and necessary blood sugar monitoring cannot be omitted.

Those with unstable condition: blood glucose spectrum should be measured twice a week (including fasting, 2 hours after three meals, before going to bed and 3 a.m.) to facilitate understanding of the condition and guide drug adjustment;

Those whose condition is stable: Fasting and 2-hour postprandial blood glucose tests should be done at least once every 1 to 2 weeks.

Glycated hemoglobin: Check once every three months to reflect blood sugar control in the past 2 to 3 months.

Urinary microalbumin: measured every six months. It is an early sign of diabetic nephropathy.

Complete blood biochemistry (including liver function, kidney function, blood lipids, etc.): Check every 6 months. Blood pressure: Measure at least once a week.

Fundus examination: once every 3 to 6 months.

Electrocardiogram: once every 3 to 6 months.

In addition, you should check the skin of your feet for damage every night before going to bed.

Misunderstanding 8: If you have a mild cold or fever, you can just take some medicine and don’t need to go to the hospital?

Correct approach: If people with diabetes experience cold symptoms such as runny nose or stuffy nose in daily life, first measure their blood sugar. If the blood sugar fluctuation is not too large and the fever is not obvious, they can buy cold medicine from the nearest pharmacy and take it.

If you do not get better after taking cold medicine for more than three days, or if you develop high fever, nausea and vomiting, or if your blood sugar fluctuates greatly and you have dry mouth or fatigue, you should go to the hospital for specialist treatment in time.