Nearly half of the treatment of diabetic patients with no blood glucose does not meet the standard!It's not right for these 5 o'clock, blood sugar is difficult to control!

Experts in this article: Ji Linong, Director of the Department of Endocrinology, People's Hospital of Peking University

As the largest country of diabetes, there are about 140 million adult diabetes patients in China. Among them, only half of the patients who received treatment met the standard of blood glucose.

Injecting insulin is currently a very effective way to control sugar control, but many diabetic patients, especially elderly patients, during the process of insulin injection, due to insufficient understanding of insulin and insulin pen, often occur in many problems, affecting the hypoglycemic effect of insulin sugar , Resulting in fluctuations in blood sugar.

These 5 o'clock is wrong

Blood glucose difficult to control

The following 5 points of injection insulin If you do n’t do it right, blood sugar is difficult to control.

1. Injection on time, you can't miss it

Illegal injection is one of the important reasons for this problem. A multi -national survey shows that 1/3 diabetes patients have missed insulin injection at least one day in the past month, and an average of 3.3 days per month has not been performed in an insulin injection.

The most common reason is forgotten injections. Some patients do not injected on time. For example, if you go out to eat, you are embarrassed to fight. He did not find a suitable place to play insulin, so he did not fight on time. The elderly forgot to inject insulin is more common.

If you ca n’t remember whether you have hit a shot, Professor Ji Linong ’s suggestion is to do n’t make up. In case of wrong, make up again, the risk of hypoglycemia is very high.

The omissions injection gives the hidden dangers to the standards of insulin therapy, resulting in poor blood glucose control in patients, increasing the risk of complications, and challenges to long -term management of diabetes. In addition, doctors cannot confirm whether the patient's poor blood glucose control is because of the problem of treatment plan or the problem of omission injection, which is difficult to formulate precise treatment decisions.

2. Dynamically adjust the dose

Professor Ji Linong pointed out that insulin therapy requires dynamic dose adjustment, which is the most critical. No matter how good the insulin is used, if the dynamic dose is not adjusted, the dose is insufficient, the blood sugar is high, and the dose is too large, the hypoglycemia will occur. Therefore, for patients with insulin, the treatment plan for each diabetic patient needs to be adjusted dynamically, and according to the individual's blood glucose level, increase or reduce the dose of injection, or replace the treatment plan.

3. Rotating site injection

After the patient is injected with insulin, some subcutaneous harden and subcutaneous hyperplasia will occur. If the patient does not rotate the site injection, an insulin is injected at each part of the place where it is relatively convenient, and the insulin may not be absorbed.

Insulin can be injected in the subcutaneous tissue of large arms, front and sides of the thigh, hip, and abdomen (except 5 cm around the navel). The rotation injection site is important for preventing fat hyperplasia or fat atrophy.

It is recommended to rotate in a area, such as symmetrical injection in the abdomen, not each injection wheel to different regions.

4. Pay close attention to blood sugar

Blood glucose needs to pay attention to daily, so that the dose of insulin can be adjusted in time according to changes in blood sugar. For patients with stable blood glucose, the dose should also be adjusted according to the situation of blood sugar changes in the past three days.

If the patient is hospitalized, doctors can closely monitor blood glucose, and some hospitals even test 7 blood sugar: before three meals, after three meals, add another before going to bed, and even test again in the middle of the night.

After a detailed understanding of blood sugar, you can better adjust the dose of insulin. During the hospitalization, the dose of insulin can be adjusted every day. The injection time is also accurately implemented according to the doctor's doctor's order.

5. Recording insulin medication

The time and dosage of insulin daily should be recorded in detail, but outside the hospital, manual recording of insulin medication is not only tedious and time -consuming, it is difficult for patients to adhere to it for a long time, and it is not convenient for doctors to view.

With some new technologies in modern times, for example, we actively report the injecting dose of insulin to the doctor, and the blood glucose monitoring will also upload it to the doctor, so as to form a closed -loop, benign interaction. Although this technology is not so seamless and smooth now, at least it can support medical services outside the hospital.

Control blood sugar

Regulating medication on time is the key

Professor Ji Linong said: "Diabetes is a complex chronic disease. As a doctor, we often remind patients to control blood sugar effectively and safely only by time, regulating insulin and dynamic adjustment of insulin dosage, and reducing the occurrence of complications. In practice, omitted injections often occur. We hope that patients can master the necessary self -management skills, and at the same time, they can use some digital management tools to improve compliance and accuracy of treatment in key links such as insulin injection, blood glucose monitoring and dose adjustment. Earth benefits from treatment and improve the prognosis of the disease. "

The development of digital technology is continuously combined with the existing diabetes diagnosis and treatment plan, helping doctors and patients through digitalization, and can easily and calmly fight the "lasting war" with diabetes. As another milestone of Novo Nord's digital innovation, Nuohe Bi®6, which is recently launched, can "digitize" insulin injection behavior through precise memory and intelligent connection to reduce the "memory confusion" of patients.

Professor Ji Linong pointed out that such an intelligent insulin pen will become an important part of the digital management ecosystem of diabetes.On the one hand, Nuohe Bi®6 can automatically help patients to record insulin injection time and dosage, and empower the management of self -illness.On the other hand, patients can show these data to doctors so that doctors can understand the compliance of patients to treatment, and to target patients to improve compliance and disease management skills.More importantly, the accurate record of insulin injection doses and injection time can make physicians adjust the insulin dose more accurately and control blood sugar better.Source: Health Times

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