Text/Yangcheng Evening News all-media reporter Lin Qingqing
Correspondent Song Liping
Photo/Visual China
Recently, I often have high blood sugar on my fasting stomach, so I add insulin on my own?
Tang Xianyu, director of the Department of Endocrinology of Ershadao Hospital of Guangdong Provincial Hospital of Traditional Chinese Medicine, reminded that there are many reasons for high fasting blood glucose, and endocrinologists should be sought in time. Especially during the New Year's Festival, many patients with chronic diseases try not to enter the hospital out of traditional customs. Experts appeal that at this time, if there is any doubt, the specialist should be asked in time, and must not add or subtract drugs without authorization.
High blood sugar on an empty stomach? Do not add or subtract drugs yourself
"Previously, there was a grandmother Xu who came to the outpatient clinic for help. Because of the recent rapid blood sugar spikes, so I added the amount of insulin at night. As a result, not only is the blood sugar higher, but people are also uncomfortable, and they always have symptoms of panic and sweating. Tang Xianyu told reporters that there are many reasons for fasting hyperglycemia, which should be determined by the doctor, dialectical treatment, and cannot be added or subtracted at will.
Tang Xianyu explained that like this Xu grandmother, the panic and shaking that appeared at night was an obvious symptom of low blood sugar, and her fasting hyperglycemia should be more reactive hyperglycemia after low blood sugar. Therefore, at this time, insulin should not be added in a hurry, but the blood glucose should be monitored at 3 a.m. It is also recommended to reduce insulin to avoid triggering hypoglycemia again.
High blood sugar on an empty stomach? Don't rush to do the drug
7 conditions may cause an increase in fasting blood sugar
Tang Xianyu said that fasting hyperglycemia may have a variety of causes, the following 7 conditions are the most common:
1. Dietary factors
Sugar friends who eat too much the night before, eat later, or eat for a long time may cause high fasting blood sugar the next morning.
2. Movement factors
Diabetes management emphasizes "keep your mouth shut and open your legs", and reduced exercise may also lead to an increase in fasting blood sugar. So if you exercise less than normal the night before, causing an increase in blood sugar, it may last until the next morning.
3. Sleep disorders
Lack of sleep or insomnia often shows sympathetic excitement, increased secretion of glycosteroids, inhibition of insulin secretion, and increased blood glucose on an empty stomach.
4. Stress state
In addition to sleep disorders, the body in certain stressful states, such as colds, surgery, infections, etc., will also stimulate the secretion of hormones in the body, resulting in increased secretion of glycotropin, which in turn leads to increased blood sugar.
5. Drug factors
Some sugar friends may have other underlying conditions that require a combination of medications. Tang Xianyu reminded that there are several types of drugs that may cause blood sugar to rise, which should be handed over to professionals for comprehensive consideration: such as certain hormone drugs, sympathomimetic drugs, theophylline drugs, antihypertensive drugs (such as β receptor blockers), anti-psychodepressants, antiviral drugs, immunosuppressive drugs, chemotherapy drugs, statin lipid adjusters, anti-tuberculosis drugs, etc.
6. Dawn phenomenon
The dawn phenomenon refers to the situation in diabetic patients who have high blood sugar or increased insulin requirements at dawn (about 4:00 to 8:00) when their blood sugar is well controlled at night and there is no hypoglycemia. Every day as the sun rises, between 4 and 8 a.m., the body enters a wake-up mode, allowing us to gradually enter a conscious state in preparation for the new day. As a result, the body fully mobilizes the secretion of various hormones (including growth hormone, cortisol, glucagon and catecholamines), which have an anti-insulin effect. Therefore, even if the patient does not add food at night, it will increase blood sugar.
7. Su Mujie phenomenon
SuMujie phenomenon refers to the phenomenon of low blood sugar at night and high blood sugar before breakfast in diabetic patients. It is mainly due to the excessive use of oral hypoglycemic drugs or insulin, resulting in a nocturnal hypoglycemic reaction, the body in order to protect itself, through the negative feedback regulation mechanism, so that the secretion of hormones with an elevating blood sugar effect increases, so that blood sugar is reactively elevated.
What is fasting hyperglycemia?
Fasting blood glucose refers to blood glucose after 8 to 12 hours of fasting (energy fasting), that is, blood sugar in the fasting state in the early morning. The general monitoring time is preferably 6 to 8 o'clock in the morning. In normal adults with non-pregnant hyperglycemia, the strict control target of blood glucose on fasting or before meals is 4.4 to 6.1 mmol/L (millimoles per liter), the general control target is 6.1 to 7.8 mmol/L, and the loose control target is 7.8 to 10.0 mmol/L. If it is higher than the control target, it is called fasting hyperglycemia. (For more news, please pay attention to Yangcheng Pie pai.ycwb.com)
Source | Yangcheng Evening News Yangcheng Pie
Editor-in-charge | Wang Moyi