Three kinds of persons must lower candies strictly Ill and exquisite and phased for a long time

Three kinds of persons must lower candies strictly Ill and exquisite and phased for a long time
One that is as to old young patient " The loose treatment " ,Young patient, person who has complication and patient who faces the operation, must lower candies strictly.
Tian Hui Professor introduce, young the intersection of patient and blood glucose control fine, appear complication only a question for a morning and evening. Long-term hyperglycemia, will damage blood vessel function and all internal organs blood supply and nutrition of whole body seriously, will also bring out questions such as hypertension,etc.. Unless studies have suggested, diabetes not for a long time let's get control effectively,through how long or several decades, over 50% of the patients will present retinal pathological change, 2% among them will totally lose one's sight; About 30% of the people will present the little proteinuria, 10% will worsen into uremia; It is 24 times and 10 times of the normal people's to suffer from the probability of coronary heart disease and brain apoplexy respectively. In addition, as to the patient who has already presented complication, it means delaying or avoiding worsening to accuse of candies strictly. So, the young patient should try hard to control blood glucose of the empty stomach below 6.1mmol/l, the blood glucose is lower than 8mmol/l in 2 hours after the meal, saccharified hemoglobin is no more than 6.5%.
Diabetes is metabolizing disease all over, impacts on patient undergoing an operation are in many aspects. First of all, hyperglycemia will reduce one's own immunity; Secondly, blood glucose is too high to influence the postoperative wound to heal directly; Finally, the operation will make the patient nervous, wound and anaesthesia make the organism in should defy ing state, may aggravate diabetic condition. So, if diabetic patient should accept the non-urgent surgery, must it is normal to bring blood glucose down to before the skill.
3 days before operation, patients should begin to measure blood glucose. Have lighter conditions, add until oral administration lower the intersection of candy and medicine can control people of condition or through diet, limit blood glucose under 7mmol/l, after the meal blood glucose of the empty stomach under 8.3mmol/l before the skill. The condition needs oral administration to lower candies to treat more again, or amalgamate the person who damages internal organs, should use fugitive insulin instead in 3 days before the skill, blood glucose of the empty stomach should be in 7.2- 8.9mmol/l before the skill.
Hui Tian conclude every happen suddenly and short time blood glucose that accidental event lead to the fact rise, surgery, infect, wound,etc. seriously, should drop blood glucose to normal as soon as possible for instance, in order to remove high candy toxicity rapidly; If is ill for a long time, it should be exquisite and phased to lower candies, can drop to within one month normally, in this way, can avoid lowering the side effect of edema,etc. that the candy causes rapidly. (Lee Xu's swallow)
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