获取视频信息失败
各位朋友：
大家好，现在是“每天健康三分钟”时间，我是安阳道简医院的医生赵方慧，今天由我来给大家讲讲血糖监测的正确管理？
近年来糖尿病的发病率持续升高，据统计我国2015年成年糖尿病发病率已达到11.6%，并有持续上升的趋势，严重影响国人的健康，同时给我们国家的医疗费用带来了沉重的负担。所以糖尿病的管理十分重要。糖尿病的管理包括：糖尿病的教育、自我监测、饮食治疗、运动治疗及药物治疗。其中血糖的自我监测是糖尿病管理中极其重要的环节。
一、为什么要进行血糖监测
很多患者自从确诊糖尿病后一直坚持服药，但几年下来心、脑、眼、肾、下肢、神经等并发症照常出现。原因是在治疗过程中很少或不愿做必要的检查和监测，认为那是多余的，是花冤枉钱。糖尿病是一种需要系统、长期、综合、个体化治疗的复杂的疾病，在治疗过程中，监测各个阶段的血糖是必不可少，它们各代表着不同的意义。在临床血糖监测中，还存在一个误区就是仅仅重视空腹血糖的监测。
二、如何进行血糖监测
1. 血糖稳定的患者每周自测一天共5-7次，血糖不稳定的患者每天自测5-7次。七次监测包括空腹、三餐后2小时、午晚餐前及睡前。五次监测包括空腹血糖、三餐后2小时及睡前。有时需要监测随机血糖。
2.监测时不能停用降糖药，因为监测的目的是检查药物对糖尿病的控制情况。
3.血糖监测不能随便找时间，监测的目的是查看用药、饮食、运动等因素对血糖的影响。
4.血糖自我监测需要用血糖仪测手指末梢的血。手指不同部位采血对血糖的结果是有影响的，那么应该扎手指的哪个部位呢。提倡扎五指手指肚的两侧，特别提倡扎中指、无名指及小指。
三、不同时间监测血糖正常值
正常空腹血糖<6.1mmol>
最后祝大家生活愉快，身体健康！想了解更多心血管科普小知识，请关注我们，咱们下期见。
【英文版】
Correct management of blood glucose monitoring
Dear friends, nice to meet you!Now it is time for “health talk for three minutes every day”,My name is Zhao Fanghui, a doctor of Anyang Daojian Hospital.Today, I will tell you about the correct management of blood glucose monitoring.
In recent years, the incidence rate of diabetes has been rising.According to statistics, the incidence rate of adult diabetes in China has reached 11.6% in 2015, and it still has a rising trend, which seriously affects the health of the Chinese people, and at the same time, it brings heavy burden to our country's medical expenses.So the management of diabetes is very important.The management of diabetes includes education, self-monitoring, diet therapy, exercise therapy and drug therapy. The self-monitoring of blood glucose is an extremely important link in diabetes management.
1、 Reasons for blood glucose monitoring
Many patients have been taking medicine since the diagnosis of diabetes, but complications in heart, brain, eye, kidney, lower limbs, nerve and other organs still appear. The reason is that in the course of treatment, patients has little or no willingness to do the necessary examination and monitoring, and they think examination or monitoring is unnecessary and is a waste of money.Diabetes is a complex disease which needs systematic, long-term, comprehensive and individualized treatment. In the process of treatment, it is necessary to monitor the blood glucose in various stages,which represent different meanings.In clinical blood glucose monitoring,there is a misunderstanding that only pay attention to the monitoring of fasting blood glucose is OK.
2、 How to monitor blood glucose
Patients with stable blood glucose should test one day every week, 5-7 times is OK, and those patients with unstable blood glucose should test 5-7 times everyday. Seven times of monitoring includes fasting, 2 hours after three meals, before lunch and before going to bed. Five times of monitoring includes fasting blood glucose, 2 hours after three meals and before going to bed.Sometimes it is necessary to monitor random blood glucose.
Hypoglycemic drugs should not be stopped during monitoring times, because the purpose of monitoring is to check the drug control of diabetes.
The purpose of blood glucose monitoring is to check the influence of medication, diet, exercise and other factors on blood glucose.
Self monitoring of blood glucose needs to use blood glucose meter to measure the blood of finger tip. Different parts of the finger blood sampling on blood glucose results are affected, so which part of the finger should be pricked? It is recommended to tie the two sides of the five finger belly, especially the middle finger, ring finger and little finger.
3、 Normal range of blood glucose monitored at different time is different
Normal fasting blood glucose is less than 6.1 mmol/L.random blood glucose or 2-hour postprandial blood glucose is less than 11.1 mmol / L.
Finally, I wish you all a happy life and good health!To learn more about cardiovascular disease, please pay attention to us. See you next time.
