Medical Guide/first affiliated hospital of Guangzhou Medical College Department of Endocrinology Director Chen Xiaoyan
According to the latest national survey, national diabetes prevalence has reached 11%, in addition to abnormal glucose tolerance in people with 20%, that is, 1 every 5 Chinese diabetes “reserve force”. Early detection of diabetes “signs”, early intervention, early treatment is as a topic of common concern to doctors and the general public.
Changing glucose in diabetic patients, currently used in the diagnosis of diabetic fasting blood glucose, postprandial blood glucose and glucose tolerance test has its own shortcomings, a check may not be able to find out hidden in patients with diabetes mellitus. In this year’s United States diabetes annual meeting, the expert made new recommendations: glycosylated hemoglobin check as gold guide a new standard for diagnosis of diabetes mellitus. Attended the annual meeting of the first affiliated hospital of Guangzhou Medical College Department of Endocrinology Director Chen Xiaoyan introduction, continuous glucose monitoring is also found to be typical of another rise in blood sugar “magic weapon”.
Doctor stated:
Fasting blood glucose is not exceeded
May not be not diabetes
First wow gold affiliated hospital of Guangzhou Medical College Department of Endocrinology Director Chen Xiaoyan briefed the reporters on their mother’s experience:
My mother is 60 years old this year, half world of warcraft a year have been sleeping well lately, and always have a sense of foreign body in the throat, then the body is ill at ease. Her themselves and their families think that may be surrounding some of the symptoms of menopause.
However,buy gold as the endocrine practitioner, I consider more. My dad is diabetic patients fast wow gold and diabetes “couples,” said.buy cheap wow gold Fluctuation of blood sugar in patients with diabetes mellitus, undermine the body balance, mother of these symptoms may also occur. wow power So I’m trying to help her do have diabetes.
Mother received fasting free gold blood glucose, postprandial blood glucose and glucose tolerance test to check the time, display fasting blood glucose is 4.9mmol/l, postprandial blood glucose not exceeding 7mmol/l, glucose tolerance checks for 4.2mmol/l two hours. According to the 1999 WTO wow gold us published diagnostic criteria for diabetes, did not like her “more than more than three a few” symptoms people, these results can be ruled out diabetes.
However, I and mother to accept the three-day continuous glucose monitoring?? Small box shaped continuous glucose monitor warcraft back in the body, to which a catheter under the skin wow game of the machines, time intervals by detection of tissue fluid blood sugar level.
Draw the diagram shows, three days after breakfast, the blood glucose value cheap gold is within the normal range; however,wow account every day at lunch and after dinner, map has two distinct peaks, show her glucose level twice as high as 16mmol/L~18mmol/L in a day. Normal people regardless of how diet, blood glucose level is not exceeded. My mother is cheap wow gold such a situation, equivalent to two checks after lunch, blood glucose is greater than the 11.1 mmol/l, confirmed to comply with the provisions of the WTO standard, I is based on the diagnosis of her diabetes.
Inspections in the morning “blood glucose” high rate of missed
Why fasting blood glucose, postprandial blood glucose and glucose tolerance experimental results of three checks, and dynamic monitoring of blood glucose checked results will mutually contradictory? Chen Xiaoyan explained, not at any time are excessive blood glucose in patients with diabetes, fasting blood glucose, postprandial blood glucose level blood sugar is a point in time, also known as “blood glucose” and therefore may not check can “capture” to unusually high blood sugar, “by fasting or postprandial blood glucose diabetes misdiagnosis rate of 20% per cent. ”
In General, the excessive increase in postprandial blood glucose 5-10 years earlier than the excessive impaired fasting glucose, so common as a means of early detection of diabetic blood sugar after a meal. “However, the simple most people eat for breakfast, lunch and dinner is more abundant, and physical examination are generally scheduled in the morning, for people in a State of pre-diabetes or diabetes, blood glucose levels may not be exceeded in the body, so can easily become ‘ slip through. 24-hour continuous glucose monitor more accurately found increases in blood sugar after a meal. wow level”
Glucose tolerance test, it is checked after taking a wow guide quantitative glucose, interval determination of blood glucose, observation of changes of blood glucose concentration before and after, to infer insulin secretion. Chen Xiaoyan said that in the actual operation of the hospital, glucose tolerance results affected by weight of grapes of powdered sugar, water and use of speed impact patient checks must be regular diet best gold a few days ago, during the two-hour wait for not drinking or speaking aloud, female cycles, insomnia, colds, weather and other factors may affect the check. “Because the interference factor more, so several glucose tolerance check result is not necessarily the same may not be able to accurately reflect the real situation. ”
New information:
Glycosylated hemoglobin 6.5%=instant gold diabetes
Has diagnosed diabetes of “sugar” were buy wow gold definitely not on glycosylated hemoglobin in strange, this index reflects the past three months of blood glucose control is good or bad, but not independent before use to diagnose diabetes. In this year’s United States diabetes annual wow gold eu meeting, with medical experts to submit a new proposal: glycated hemoglobin as diagnostic criteria for diabetes mellitus, Japan scholar studies suggest that, if the glycated hemoglobin level above 6.5%, can be diagnosed with diabetes, between the 6.0%~6.cheapest wow gold 5% belongs to “high risk”.
Chen Xiaoyan introduction than fasting blood glucose, postprandial blood glucose and glucose tolerance test three checks, advantage of glycosylated hemoglobin reflects blood glucose levels over time, not a diet, sleep and other factors. At the same time, glycosylated hemoglobin checking also proactively identify advantages of diabetes. Chen Xiaoyan estimated based on personal experience, this check can do more than simply fasting blood glucose checks found diabetes mellitus 5 years earlier.
Tips:
Checking blood glucose best “dual combination”
Fasting blood glucose + glycated hemoglobin
Chen Xiaoyan, glycosylated hemoglobin checks and dynamic blood glucose checks, there have not been included in the diagnostic criteria for diabetes, “wowgold is actually from the medical research, has been written to the standard tends to be relatively old results. With these two diagnosis of diabetes, is a cutting-edge medical results. ”
However, both these check prices are higher than in the traditional way of diabetes check number. In the hospital as an example, check a fasting plasma glucose level will take about $ 13, a glycosylated hemoglobin check for about $ 80, while the three-day continuous glucose checks needed $ 1200, may not be acceptable to all. Chen Xiaoyan suggested that people with diabetic relatives living to eat at home, odds of diabetes is higher than ordinary people, if the economic ability to license and wish to find signs of diabetes, you can try fasting blood make gold glucose checks combined with glycated hemoglobin checks, higher accuracy, prices are moderate.