What candy friendly Laozhang has had 20 years is diabetic history.
He discovers a strange phenomenon recently.
He injects in the evening everyday 16 units insulin, got up partly at 5 o'clock commonly in the morning.
End blood sugar is measured oneself after getting up, majority is in 5~6 Mmol/L.
But measure hollow blood sugar likewise to the hospital every time, often be 8~9 Mmol/L.
This lets him 100 think of do not get its to solve, ask me:
"Is the blood sugar appearance that is me bad?
Should not buy a new blood sugar instrument?
Should increase the amount of insulin? Should increase the amount of insulin??
Through a series of detect, I discover, his blood sugar appearance is done not have bad, blood sugar control is good also, do not need to increase the dosage of insulin.
1
Measure blood sugar to have an error, the fault that is blood sugar appearance?
Below a lot of circumstances, blood sugar appearance is very actually innocent.
Science and technology progresses ceaselessly, at present of appearance of great majority blood sugar monitor more accurate.
Clinical go up to still discover many " measure forbid " phenomenon, because the operation is undeserved,often be cause.
Be like ↓ ↓ ↓
Disinfection of tincture of iodine is used in the process that collect blood;
The alcohol after disinfection did not work to take blood;
Finger of the extruding when the capacity that collect blood is insufficient increases blood to measure;
Blood sugar appearance and test paper do not match, before determining code of not corrective test paper;
Test paper did not maintain presence shady and cool and dry place, after taking out test paper every time, did not build instantly on cap;
Fail appearance of fixed calibration blood sugar.
These all can affect the accuracy that measures blood sugar.
2
The outcome that appearance of two blood sugar measures is abhorrent, with which be accurate?
Which not valid!
Instrument of judgement blood sugar is accurate, should make the kill of the result of blood sugar appearance and vein exsanguinate comparative.
General requirement falls in hollow condition, exsanguinate while, plunge into finger to measure end blood sugar.
If result of blood sugar appearance and biochemical appearance measure the result error of blood sugar to be inside 15% limits, think accuracy of appearance of this blood sugar is reliable.
3
The blood sugar that why checks in the hospital can compare the result that checks in the home to want tall?
Because be,measure in different time place.
Blood sugar has wave motion all the time, this kind of fluctuation of the diabetic is more apparent.
In the home 5: The 30 results that check, with be in a hospital 8: The 30 results that check, different it is very normal.
(blood sugar of different time place can have wave motion)
Laozhang asks me: That is incorrect also, I did not have a thing all the time to the front of the hospital, get to hospital hunger longer, is blood sugar should lower? Why taller instead?
I laugh: This actually very common.
This is diabetic in typical matutinal phenomenon, but call " matutinal phenomenon " the likelihood is not quite accurate.
Generally speaking, hollow blood sugar was controlled at 3 o'clock from before dawn can lift gradually, to in the morning 8-9 o'clock can reach a peak, it is not just " matutinal " .
Because there is kind of very strong hormone that rises blood sugar inside human body,the account that produces this kind of phenomenon basically is, cry " adrenal candy is coriaceous hormone " .
The exudation of coriaceous hormone has adrenal sugar rule of clear section of day and night, pursue as follows:
Controlled this kind of hormone to secrete at 11 o'clock in the late evening least, in before dawn the left and right sides lifted gradually at 3 o'clock, and to in the morning 8-9 o'clock secrete reach a peak.
Function of partial candy friendly pancreas islet is poorer, do not have a law to secrete enough insulin to balance adrenal candy the action rising candy of coriaceous hormone, because the blood sugar of half was met at 8 o'clock this in the morning,compare in the morning at 5 o'clock of half should tall.
4
Detect process
I make candy friend old appearance of blood sugar of Home Zhangcong inner tube comes over, reached a hospital at 8 o'clock, measure end blood sugar at the same time, exsanguinate checks hollow blood sugar and saccharification haemoglobin.
Discover saccharification haemoglobin 6.7% , 7.8mmol/L of hollow and serous dextrose, the value of end blood sugar that blood sugar appearance measures is 8.1mmol/L.
This explains control of his average blood sugar is good, it is the tall blood sugar that pure matutinal phenomenon causes only, do not need to increase insulin dose.
The blood sugar gift that also substantiated him detects is accurate as a result, need not change.
Author: Lin Yiyang origin: Lin Bo tells candy
