Blood sugar is not as low as possible

ZhangXianHuai The PLA general hospital first affiliated hospital

China's traditional Chinese medicine reported

        The 84-year-old grandmother hao is a anti-japanese veterans, diabetes in more than 30 years, because usually pay attention to diet and exercise, blood sugar control has been good. Recently as the weather warmed, and hao and started a grandma exercise. April 10 morning as usual she gets up early, to the toilet when suddenly wash gargle fall, loss of consciousness, called should not, family nasty shout 120. Doctors consider may be low blood sugar, blood sugar rush check only 1.8 mmol/L, to her at once vein push note 50% glucose correct hypoglycemia, and static drops of glucose, 5 minutes after the patients gradually awake, send the PLA general hospital first affiliated hospital treatment.

        According to the hospital endocrine division of doctor of vice director of JingDanQing introduced said, like grandma because of hypoglycemia hao such a lead to coma in clinic is not rare. It is one of the main complications in patients with diabetes. Diabetes patients generally more attention to high blood sugar, to hypoglycemia tend to know very little about, think to blood sugar control as low as possible. Some patients have more than 70 years old, is still required fasting blood sugar to 5 mmol/l the following, two hours after a meal once more than 8 blood sugar mmol/l, that the poor blood sugar control, and even their own increase dosage; And some patients have already reached the good blood glucose, still to add with insulin, resulting in low blood sugar, actually hypoglycemia sometimes more terrible than diabetes.

        "Blood sugar refers to the blood glucose concentration, it is to improve the metabolism of the energy of the important material, of which 90% is supply the brain needs to happen hypoglycemia. When, airframe lack of sugar to provide energy, many metabolic activities inhibition, especially serious hypoglycemia and failed to timely correcting, the brain due to a lack of sugar to provide energy can lead to permanent neurological damage and even death," JingDanQing said.

        "Diabetes is increased blood sugar as the characteristic, blood glucose control is at present the idea of lower high blood glucose, prevent low blood sugar, reduce blood sugar volatility." JingDanQing said, in recent years have evidence-based medical evidence, patients with diabetes especially old patients with diabetes, and at the same time with severe complications, low blood sugar control blood sugar is general patients increased mortality. Older prevalent in patients with atherosclerosis, hemal stricture wait for a symptom, vital organs such as heart and blood deficiency. When there is a low blood glucose, blood vessels in the past have narrow based on further contraction, could trigger a heart infarction and cerebral endanger life.

        JingDanQing reminds say, patients with diabetes to under the guidance of a doctor, according to oneself circumstance determine the glycemic control standard, especially at the age of patients with diabetes, the control standard can relax appropriately. As with severe heart cerebrovascular complications, fasting blood sugar control in 7 mmo/l or so, 2 hours after a meal blood glucose control in 10 mmol/l or so, glycated hemoglobin controlled at 7% is normal.

        JingDanQing said that, in order to prevent hypoglycemia, patients with diabetes in daily life to form the habit of regularly monitor blood glucose, such as the recent life is law, not drugs and treatment scheme adjustment, at least twice a week monitoring blood sugar above; If recent was adjusted, it should be measured increase the frequency of blood sugar. Happened at night are often very dangerous low blood sugar, and some may even low blood glucose and the loss of life in his sleep, so, we must pay special attention to bedtime and around 2 o 'clock midnight blood sugar. At the same time, many elderly patients have the habit of taking health products, and some health products though no marked but contains glucose-lowering drugs ingredients, after take will appear hypoglycemia. Therefore, take health care products not only to choose the normal manufacturer of products, but also to consult a doctor whether could use.

        JingDanQing special emphasis on said, low blood sugar for heart palpitations, weak early performance, sweating, pale, tremors, nausea and vomiting, serious can appear consciousness of mental disorders, the body is fuzzy, paralysis, incontinence, lethargy, coma and central nervous system performance. It is worth noting that, everyone's hypoglycemia not quite as performance, especially in the elderly patients to hypoglycemia perception is abate, some patients have very low blood sugar, but didn't have a low blood glucose reaction and directly into a coma, if not treated in time, will endanger life. Therefore, patients with diabetes appears when low blood sugar must be treated in time, patients should know some family members of seere hypoglycemia family processing method.