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Ms. Zhang, 55 years old, found that her fasting blood sugar level was 6.9mmol/L when she measured her blood sugar at home yesterday, which exceeded the blood sugar standard, which made her nervous and did not know whether to take medicine.
"Doctor, I tested my blood sugar at home on an empty stomach, and the value is high, will it become high blood sugar if I don't take medicine!" Ms. Zhang came to the hospital and asked the doctor.
The doctor waved his hand and said, "Don't scare yourself, your blood sugar doesn't exceed this number, and you don't need to take medicine." ”
In further explanation, Ms. Zhang learned that the fluctuation of blood glucose values is a normal phenomenon, and if the standard blood glucose value threshold is exceeded, it is also necessary to determine whether she needs to take medicine according to the fluctuation of the value.
If your blood sugar exceeds this value, you need to take medication, so don't scare yourself
According to the international standard of normal blood glucose, it is 3.9-6.1 mmol/L on an empty stomach and no more than 7.8 mmol/L two hours after a meal. As for whether you need to take medicine, it does not directly depend on the maximum value of the blood sugar standard, even if the fasting exceeds the maximum threshold of 6.1mmol/L, you may not need to take medicine.
In daily life, it is generally determined that when the fasting blood glucose is higher than the blood sugar standard for 2 times, there is no need to take medicine immediately, and the first intervention is to control the diet and increase exercise. According to the standard weight, labor intensity, etc., the daily calorie requirement is calculated, and distributed to three meals, which are supplied by carbohydrates, fats, and proteins. Increasing exercise can effectively promote the metabolism and breakdown of calories in the body, which helps to control blood sugar.
If the fasting blood glucose does not return to normal after dietary and exercise intervention, and is still greater than 7.0 mmol/L, or the 2-hour postprandial blood glucose or random blood glucose is greater than 11.1 mmol/L, it is necessary to consult a doctor for drug therapy.
If the blood sugar level is slightly high, medication may be more harmful. Most hypoglycemic drugs on the market mainly stimulate insulin secretion, improve insulin sensitivity, and then increase glucose uptake and utilization, so as to inhibit glucose output, and then reduce blood glucose concentration.
If the fasting blood sugar does not exceed 7.0mmol/L, the abuse of hypoglycemic drugs may cause excessive insulin secretion, resulting in low blood sugar concentration, hypoglycemia, blurred vision, palpitation, cold sweat, tremors in the limbs, and even damage to the central nervous system, increasing the risk of faint brain diseases.
Usually the blood sugar level is low, and there is no need to take medicine immediately, replenish sugar in time, eat some chocolate, sugar balls, and cakes, which can be relieved;
Adjusting the diet in daily life, appropriately increasing sugar intake, and supplementing nutrients can avoid hypoglycemia.
However, if the hypoglycemia is more severe, and the fasting blood glucose is still lower than 2.8 mmol/L after reasonable dietary adjustment, it is necessary to communicate with the doctor and take the corresponding medication according to the doctor's instructions.
There are many ways to regulate blood sugar, and paying attention to these points may also be effective
In 2023, Indonesia conducted an analysis study on blood sugar management for diabetic patients, and by collecting samples from 102 patients with type 2 diabetes, it was found that the treatment of lowering blood sugar is mainly in five aspects, namely: diet, exercise, education, monitoring and medication, among which diet is crucial.
In fact, how to correctly adjust blood sugar and diet really need special attention.
I don't know if you have found that mainland diabetic patients have a performance, prone to postprandial hyperglycemia, scholars have found through research: this is likely because the proportion of rice and noodles in the diet is as high as 82.15%, this kind of high-carbon compounds, easy to be absorbed by the body, quickly increase blood sugar, and the highest increase.
So, how do we break the game in response to this?
1. Choose the right foods
In your daily diet, choose to eat more vegetables and meats with low glycemic index, such as fish, shrimp, cabbage, carrots, green peppers, etc.; You can also appropriately supplement high-quality protein to achieve a healthy combination of meat, eggs and milk, and use corn and other foods instead of staple foods such as rice and noodles, but the amount should also be controlled.
In addition, regarding sweet potatoes, the doctor emphasizes here that sugar friends can eat them, but the sugar content and glycemic index of sweet potatoes are not low, so we must control the amount of food, and the doctor recommends that it is best to eat no more than 200 grams per day.
2. Use proper cooking methods
When cooking, we should also pay attention to cooking methods, use more simple methods, such as steaming, boiling, stewing, cold dressing, etc., and less repeated frying or frying, so as to ensure that the nutrients of the food are less lost, the taste is light, and the content of salt and oil is moderate, so as to effectively supplement the nutrients needed by the body and better control blood sugar.
3. Control the speed at which you eat
If the diet is devoured, it will not only increase the burden on the digestive tract, but also increase the amount of food and increase the burden on the pancreas.
4. Exercise after meals is essential
If you want to control your postprandial blood sugar, proper exercise is indispensable, you can take a walk, tai chi, health exercises and other soothing exercises half an hour after a meal, which is conducive to improving the body's metabolism, accelerating the decomposition of sugar, and then achieving the purpose of controlling blood sugar.
However, the doctor reminds everyone: pay attention to the rest after the meal will exercise is one of them, you also need to pay attention to the intensity of exercise and the duration of exercise, do not exercise vigorously after meals, about half an hour is better, you should not force yourself too much, the effect may not be as good as the amount of exercise suitable for yourself.
Extension: Music may activate insulin secretion to lower blood sugar
Diseases caused by high blood sugar have increased in recent years, and insulin secretion to control blood sugar is an indispensable link, and many drugs, diet, and exercise, are related to stimulating insulin secretion.
But did you know that music may also stimulate insulin secretion, which is beneficial for blood sugar control?
In March this year, academics from ETH Zurich published a new study in The Lancet, which stimulates insulin cells to receive sound waves by playing music, and after being stimulated by sound, the cells will open channels to allow positively charged calcium ions to flow into the cells, thereby causing a reversal of the charge of the cell membrane, accelerating the fusion of vesicles in intracellular insulin and the cell membrane, and then releasing insulin faster.
In further study, the researchers found that 60 decibels of sound and 50 hertz were the most conducive to the cells opening ion channels and maximizing the release of insulin.
In addition, soothing music such as classical music and guitar music are less effective at stimulating insulin secretion than rock music.
In order to confirm the effect of music on the release of insulin from organisms, they implanted insulin-related cells into mice, and then observed insulin secretion by playing music, and found that music was almost ineffective against insulin secretion when mice were moving freely, and only when a suitable sound was implanted above the skin would trigger insulin secretion.
In addition, the secretion of insulin under the stimulation of music also follows biological laws, all reactions are almost within 15 minutes, and after the release of insulin, it takes an interval of 4 hours before it is re-affected by the music, so that sufficient insulin is released every time the music is played.
However, it should be noted that the study subjects are mice, which are biologically different from humans; In addition, research data are limited, so it cannot be fully confirmed that music can lower blood sugar, and further research is needed.
In short, we must follow the principle of slow planning, adhere to healthy eating habits, appropriate exercise intervention, and avoid drug abuse.
Of course, you don't need to measure high blood sugar to take medicine quickly, it may be counterproductive, you can first improve your lifestyle under the advice of the doctor, if it doesn't work, and then listen to the doctor's instructions to take the medicine, everyone should remember it!
Bibliography:
1. Luo Yue, Mei Qing. Effect of poor lifestyle and medication habits on the effect of blood glucose control in type 2 diabetes mellitus[J].Chinese and Foreign Medical Research,2019,17(15):164-166.)
2. Are you monitoring your blood sugar the right way? Diabetic patients should adopt a hypoglycemic regimen that can take into account postprandial blood glucose in blood glucose management.2023-12-18
3. The Lancet: Using music to trigger gene switches, activate insulin secretion, and rapidly lower blood sugar.2024-03-06.
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