The standard of blood sugar will change with people's habits, diet and lifestyle in society. The previous blood sugar standard can no longer be used to restrain people. After all, the living standards and quality were different before and now. Maybe your blood sugar is not high, so don't take medicine in a hurry.
The new blood sugar standard here refers to the blood sugar standard on an empty stomach. In the past, people thought that the blood sugar standard was the best between 3.9~6. 1mmol/L, but with the adjustment of various factors, the new blood sugar standard was 4.4~7.0mmol/L, that is to say, within this range, we can think that our blood sugar is normal and we don't need to restrain ourselves with the previous blood sugar standard.
The reason why the blood sugar standard has changed can be considered from the aspects of contemporary people's living habits, diet, exercise, psychological state, age and so on. The diet structure of modern people is much better than before. With the development of popular science activities, popular science writers, teachers and academic scholars will spread a series of healthy ideas to the public. The birth of the Internet made these healthy ideas spread quickly and widely. Many people subconsciously change their eating habits after accepting it, so the change of blood sugar is generally between 4.4 and 7.0 mmol/L.
Because of the current aesthetic environment, the public will put forward requirements for their own sports and living habits, such as going to bed early and getting up early, not staying up late, not smoking and drinking, and insisting on exercising. These healthy ways make people look more energetic and have a better appearance, which can actually reduce the fluctuation of blood pressure, and will not silently raise the standard of blood sugar as in the previous low state.
Age is the biggest factor affecting blood sugar standards. Teenagers in their teens and twenties are still developing, and their metabolic rate and blood sugar control are better than those of middle-aged and elderly friends. Therefore, even if the blood sugar reaches 4.4mmol/L or 7.0mmol/L at this age, there is no need to worry about hyperglycemia.
The physical condition of middle-aged and old friends is different from that of young friends. Their organ function is weakened, insulin secretion is insufficient, and the metabolic process is relatively difficult. So even if the blood sugar standard is raised, it is easy to exceed this range. But it doesn't mean that the middle-aged and old friends' body is abnormal if they are out of range, and the physical functions of different age groups are different, so we can't use a set of standards to require people of all ages, as long as the blood sugar index of middle-aged and old friends is between 7.0 and 9.0, it is still normal.
There are three common methods to diagnose diabetes: fasting blood glucose, two-hour blood glucose after meals and glycosylated hemoglobin. So what's the difference between these three diagnostic methods? Which is more effective? Is what we need to know next.
ⅰ Fasting plasma glucose, fasting blood glucose values are relatively stable, showing small individual differences when measured.
Ⅱ. The blood glucose two hours after meal is different among individuals.
ⅲ glycosylated hemoglobin, this method is difficult to standardize and popularize, and there are few suitable decision points.
These three diagnostic methods all have a common feature, that is, when measuring hyperglycemia, they all have a bimodal distribution and the same performance. Through the experiments of scientists, they found that the better method for diagnosing diabetes is fasting blood glucose, because this method is simple, difficult and repeatable, and there are conditions for determination all over the world, so it is a diagnostic method worth popularizing.
To keep blood sugar within the standard range, drugs and daily maintenance can be taken. The drugs that we can use are drugs that stimulate islet to secrete insulin, such as sulfonylureas, which can contact insulin resistance after entering the human body and increase the therapeutic effect of human insulin. Metformin can be used, although it has no direct effect on insulin, but it can reduce the secretion of hepatic glycogen. Then you can use insulin drugs and inject insulin to improve the insulin content of the human body, which can help people metabolize sugar. Finally, glycosidase inhibitors can be used to help reduce the absorption of sugar by the stomach and reduce the postprandial blood sugar value. In addition, we can also do the following:
1. Keep the movement frequency. Exercise 4~5 times a week for not less than 30 minutes each time, which can basically achieve good exercise effect. Exercise should be arranged according to your actual situation. If some people are busy at work, they may only 1 ~ 2 times a week. We can flexibly adjust the exercise time, for example, increase it to one hour, during which we should know how to rest, not to be too tired and not to exercise excessively. That's basically it.
2. Develop healthy eating habits. When eating at ordinary times, we should pay attention to the collocation of meat and vegetables, and the daily nutrition should be in place, such as protein, vitamins, carbohydrates, minerals, oils and so on. A little of each nutrient can ensure a balanced diet.
3. Ensure rest and prohibit alcohol and tobacco. Smoking and drinking are closely related to a good lifestyle. Smoking and drinking alcohol can damage our heart and lungs, leading to the decline of the normal function of these two organs, and even lead to cancer in severe cases. Therefore, don't smoke and drink, sleep for a certain time every day, and have enough rest before you have the energy to do other things.
4. Keep yourself in a good mood. Some people are always unhappy. They have a lot on their minds. The world is changing all the time. We can never predict what will happen in the future. Instead of worrying about the future all day, it is better to be present, which can effectively alleviate the symptoms of anxiety and depression. Tell your friends about any difficulties. Even if it can't be solved, it's important to get moral support.
Conclusion: The new blood sugar standard has been published, so don't worry about the previous standard. If our blood sugar fluctuates little outside the normal range and our bodies don't feel anything abnormal, then there is no need to worry too much. It's really not safe to go to the hospital for examination. Keeping a certain exercise frequency, healthy eating habits, having a good rest and feeling comfortable in daily life are more important than anything else. I hope everyone has a good body and can enjoy every minute in the future.
References:
[1]. Diabetes: a new standard for loose control of blood sugar (138)[J]. Journal of Clinical Electrocardiology, 2019,28 (01): 73.
Zhang Jianlin Tong Zhifu. Diagnostic criteria of diabetes [J]. Disease monitoring, 1999(0 1):30-33.