What are my blood sugar control goals?

What is the blood sugar control target? Xiaonuo has a simple formula for you to remember: for patients under 60 years old, the blood sugar control target should be "2, 4, 6, 8." 2.4 means two 4s (4.4), which means that fasting blood sugar should be controlled at 4.4-6.0 mmol/L, and postprandial blood sugar should be controlled at 4.4-8.0 mmol/L.

 

For patients who are over 60 years old and have cardiovascular diseases, fasting blood sugar is required to be <7.0 mmol/L, and postprandial blood sugar is <10.0mmol/L. It is important to lower blood sugar steadily 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. mmol/L, postprandial blood sugar should be controlled at 4.4-7.8 mmol/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 ideal standards, it should not be considered a treatment failure. Any improvement in control indicators will be beneficial to patients and will reduce the risk of complications caused by related risk factors. Picture from the Internet 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 blood glucose testing or patient self-reported blood glucose. Whether the test results are accurate and the frequency of SMBG monitoring is sufficient.

 

Therefore, Xiaonuo recommends monitoring HbA1c every 3 months. While paying attention to blood sugar control, we should also pay attention to the control of diabetic friends such as dyslipidemia, hypertension, obesity or overweight, which will help reduce the risk of microvascular and cardiovascular complications. The ideal control target value for type 2 diabetes is shown in the table below: teaching in accordance with the individual's aptitude and tailoring the blood sugar control target for different groups of people. Therefore, the blood sugar control target must be individualized, and the blood sugar control target for children, pregnant women, the elderly and patients with severe comorbidities must be individualized. The goals should not be too strict, and strict control goals should not be set for patients with a history of severe or frequent hypoglycemia and patients with a survival period of less than 5 years.