Case review:

Ms. Tang You Wang has been feeling tired and hungry from time to time in the past month. She has tested her blood sugar many times and her blood sugar is basically within the normal range. The dynamic blood glucose test was performed, and it was found that the blood sugar in the 3-4 hours after meals and at night was low, while the fasting blood sugar in the morning was high, and the blood sugar fluctuated greatly.

A normal person’s blood sugar also fluctuates from day to day, but the amplitude is not too large. The fasting blood sugar is in the normal range, and the blood sugar rises after a meal, and then returns to the normal level within 3 hours , which is not the case when the blood sugar of diabetics is not well controlled. Compared with high blood sugar, the problem encountered by many people with diabetes is not that the blood sugar is continuously high, but that the blood sugar fluctuates too much.

1. Reasons for diet

Diet is an important factor affecting blood sugar. It is easy to cause blood sugar fluctuations. For example, it is not advisable to eat too much lunch, or too little dinner, or to delay things and not eat on time.

2 Reasons for Exercise

Irregular exercise is not easy to keep blood sugar stable. For example, some clinical patients have good blood sugar in winter, but poor blood sugar control in the afternoon in summer because they do not take naps in winter but take naps in summer, and lack exercise after lunch.

3. Stress or special factors

Stress factors include colds, poor sleep, poor mood, infections, etc., which can cause increased blood sugar fluctuations. Women’s periods, pregnancy, and extreme weather can also affect blood sugar.

4. Therapeutic drugs

The choice of hypoglycemic drugs for different diabetic groups is also related to blood sugar fluctuations. For example, for patients who cannot guarantee regular meals and exercise irregularly every day, hypoglycemic drugs with low risk of hypoglycemia should be selected. Medication selection is based on your doctor’s order, provided you know your blood sugar and provide your doctor with as much detail as possible.