Is the blood sugar high?

There are millions of people with diabetes in our country, and only about one-tenth of those who really control their blood sugar ideally. My neighbor, Shade, is worried about whether he has diabetes.

In the morning, my neighbor Shade asked me if my blood sugar level was 6.2 during the physical examination two days ago. Was it very high? I also lost some weight recently. Is it diabetes?

I told Shade that this indicator of blood sugar is higher than the normal value, but diabetes cannot be diagnosed by the value of blood sugar once. This value needs to be further diagnosed.

In general, this situation may be due to eating while checking blood sugar. Old Shade vowed to say that he knew the physical examination, so she took blood on an empty stomach.

Then it may be a bit high, but it does not appear often, to remind you to pay attention to it.

It is also possible that it has been high, this time it is the lowest level, then it may be diabetes, and regular treatment is needed.

Having said that, how much blood sugar is diabetes? Let me talk about it below.

How can I be sure that I have diabetes?

We should first know the blood sugar of normal people. Since the blood sugar value is related to whether to eat or not, it is generally said that blood sugar is divided into fasting blood sugar and 2 hours postprandial blood sugar.

Normal adult fasting blood is between 3.6-6.1mmol/L, and blood glucose is between 3.6-7.7mmol/L 2 hours after meal. Fasting blood sugar generally refers to the blood sugar before a meal in the early morning; the blood sugar 2 hours after a meal is calculated from the first bite of the meal.

So whether the blood sugar exceeds this range is diabetes, not necessarily, because there is an excessive range between blood sugar exceeding the normal range and diabetes. The following are the criteria for diagnosing diabetes.

1. Symptoms of diabetes are: fasting blood sugar ≥7.0mmol/L.

2. Diabetes symptoms can be diagnosed as diabetes at any time with blood sugar ≥ 11.1mmol/L.

3. If there are symptoms of diabetes but the blood sugar does not reach the above indicators, continue to check the glucose tolerance test.

How to do this experiment is very simple. After taking 75g of glucose on an empty stomach in adults, measure the blood glucose for 2 hours. If the blood glucose is ≥ 11.1mmol/L, it can be diagnosed as diabetes. Blood glucose <7.0mmol/L is normal. Blood glucose is between 7.0-11.1mmol/L, which is impaired glucose tolerance.

4. There are symptoms of diabetes, and the determination of glycosylated hemoglobin (Hb) Alc is ≥6.5% as the standard for diagnosing diabetes.

What are the typical symptoms of diabetes?

In fact, the symptoms of diabetes are very typical, but carelessness can easily be ignored. In typical cases, symptoms such as polyuria, polydipsia, polyphagia, weight loss, etc. may appear, that is, “three more and one less” symptoms.

If you don’t know you have diabetes, or you know you have diabetes, but poor blood sugar control will cause complications, various acute and chronic complications, such as diabetic ketoacidosis, hyperosmolar non-ketotic diabetic coma, diabetes Lactic acidosis, diabetic skin infection, diabetic foot.

How to rule out diabetes?

1. Diabetes can be ruled out if the postprandial blood glucose is less than 7.0 mmol/l and the fasting blood glucose is 6.1 mmol/l.

2. Lactose tolerance The 2-hour blood glucose between 7.8-11.1 mmol/l is impaired glucose tolerance; if the fasting blood glucose is 6.1-7.0 mmol/l, the fasting blood glucose is impaired, and diabetes is not diagnosed.

3. In the case of acute infection, trauma, surgery, or other stress, even if obvious hyperglycemia is detected, diabetes cannot be diagnosed immediately.

4. Asymptomatic patients cannot be diagnosed based on the blood glucose level once, and must exceed the diagnostic criteria another time.

Diabetes control in my country

my country is dominated by type 2 diabetes, accounting for more than 90%. Type 1 diabetes and other types of diabetes are rare. Men are higher than women. The prevalence of diabetes in economically developed areas is higher than that in moderately developed and underdeveloped areas.

Only 36.5% of people with diabetes know that they have diabetes, and only 32.2% of these people are treated, and only 49.2% of those treated are satisfied with their blood sugar control. That is to say, only 10 of those with diabetes About% of people are satisfied with their blood sugar control, and 90% of diabetic patients will have complications quickly