People with diabetes, learn 3 self-management skills, live as long as healthy people

An excellent team is invincible, and one of the manifestations of excellence is a high-quality management system. The same is true for diabetes. It is very important to learn self-management. If the management is in place, the adverse effects of diabetes on the body can be minimized, and you can live a long and healthy life like normal people. This requires you to learn some management skills, among which mastering three basic skills is a must.

One ​​of the self-management skills : Know the two hurdles to overcome

Diabetes ultimately damages all tissues and organs in the whole body, and damages blood vessels to cause systemic cell and organ lesions, leading to various complications. Clinical practice shows that in untreated diabetic patients, various complications will occur about 5-8 years later, and then the disease will enter a stage of rapid progression. After 10-15 years, most of the complications will be rapidly aggravated and irreversible.

It can be seen that there are two hurdles in the process of diabetes that need to be passed, namely, the 5-year complication period and the 10-year progression period. occurrence of various complications. This requires early and targeted intervention measures, and controlling the five main indicators is the goal, which are:

  • Strive to control fasting blood sugar below 7.0mmol/L
  • Strive to keep blood sugar below 10.0mmol/L 2 hours after meals
  • Strive to control glycosylated hemoglobin at 7%
  • Strive to control blood pressure below 130/80mmHg
  • Strive to control low-density lipoprotein at 2.6mmol/L The following

Self-management skills two: know the 3 manifestations of poor blood sugar control

< div class="pgc-img">Diabetes Controlling blood pressure is the foundation, but it must be controlled smoothly to truly prevent and delay the occurrence of complications, blood sugar control There are often three manifestations of poor health, and the degree of damage to the body is also different.

The biggest damage is the fluctuation of blood sugar, that is, the difference between fasting blood sugar and postprandial blood sugar is too large, especially when the difference is more than 4.2mmol/L, it will further activate the body’s oxidation process, accelerate the damage to the vascular endothelium, and accelerate the occurrence of vascular atherosclerosis and plaque.

The second is hyperglycemia after a meal. You must know that the human body is in a postprandial state for two-thirds of the day, so after a meal Excessive blood sugar will not only damage tissues and organs in a state of high sugar for a long time, but also increase the range of blood sugar fluctuations.

The third is the increase of fasting blood sugar, Fasting blood sugar is a blood sugar state maintained by the body through its own blood sugar regulation mechanism, and it is also a blood sugar change throughout the day Although the postprandial blood sugar may be higher due to the high fasting blood sugar, but because the baseline blood sugar itself is high, the overall blood sugar will not fluctuate greatly.

Therefore, when people with diabetes control blood sugar, they must first avoid fluctuations in blood sugar, and second, control postprandial blood sugar well, only looking at the level of fasting blood sugar.

Self-management skills three: Know the relationship between glycosylated hemoglobin and daily blood sugar

Many people with diabetes value the control of glycosylated hemoglobin, which is It is an important index to evaluate the overall status of vascular control and assess the risk of complications, but it must be known that it is not simply the average value obtained by adding up the daily blood sugar, and it is necessary to learn to find problems in the control of daily blood sugar, such as :

When the glycosylated hemoglobin is less than 7.3%, its level is mainly affected by postprandial blood sugar, indicating that the fasting blood sugar is well controlled, as follows: fasting blood sugar is mostly lower than 7.0mmol/ Between L, the blood sugar usually does not exceed 10.0mmol/L 2 hours after a meal, and the blood sugar fluctuations throughout the day are small. In order to further reduce glycosylated hemoglobin, the key point is to strengthen the control of postprandial blood sugar, such as further reducing the intake of staple foods in three meals, exercising moderately 30-60 minutes after meals, etc.

When the glycated hemoglobin is greater than 7.When it is 3%, it indicates that the fasting blood sugar is often poorly controlled, often higher than 7.0mmol/L. This is because fasting blood sugar is the baseline of blood sugar throughout the day. The higher the baseline, the greater the rise in blood sugar after meals, which further increases the level of blood sugar after meals, resulting in an overall rise in blood sugar throughout the day. Adjusting the blood sugar control plan is a top priority.

In short, diabetes is with you throughout your life, and self-management requires continuous learning of some skills. Welcome to click on Tiantianting Health, so that we can learn and exchange more knowledge about diabetes prevention and treatment together in the future.