Continuous glucose monitoring systems, also known as continuous glucose monitoring systems, are a method of monitoring blood glucose that has emerged in recent years. It is usually a blood glucose of the interstitial fluid that is monitored, and it is automatically recorded every 3 minutes, and 480 blood glucose values can be recorded per day. Through continuous glucose monitoring, the overall blood glucose control trend of patients can be understood, and the blood glucose status can be effectively supplemented with fingertip blood glucose, venous blood glucose and glycosylated hemoglobin.
There may be many sugar lovers who don't know how to read the ambulatory blood glucose report. Dynamic blood sugar focuses on blood sugar trends, rather than specific blood sugar values at a certain point.
1. Sugar friend one.
Sugar friend information: Male, 76 years old, type 2 diabetes. Present**plan: metformin 05. Oral administration three times a day, before three meals.
From the ambulatory blood sugar worn by this sugar buddy, we give him the following advice:
He ate breakfast at about 8:10, and he could see that his blood sugar began to rise at about 8:30, and his blood sugar reached its highest at about 9:20, that is, 70 minutes after a meal, and then his blood sugar began to drop, and his blood sugar was around 8 at about 10:10, indicating that his blood sugar was up to standard 2 hours after a meal, but it was high 1 hour after a meal, and his diet should be adjusted.
I ate an orange at around 10:30, and my blood sugar did not go up, and there was even a downward trend, indicating that it was appropriate to add a meal at this time.
The whole grains I ate at lunch also only slowly rose in blood sugar, which is very good. This is also the reason why I often recommend sugar friends to eat staple foods with thick and thin combinations, because eating coarse grains is very gentle when blood sugar rises.
At around 3 p.m., blood sugar went up again, and some sugar friends had this phenomenon. Because around 3 p.m. is the second peak of the day in the secretion of glycemic hormones, blood sugar has a tendency to rise spontaneously. Therefore, for this sugar friend, I do not recommend that he add meals during this time period and exercise appropriately.
Second, sugar friend two.
Sugar friend information: Female, 75 years old, type 2 diabetes. At present, the ** regimen is: insulin glargine 8u subcutaneous injection before bedtime;Dapagliflozin tablets 10mg, before breakfast;Acarbose tablets 100mg before meals.
This sugar friend has a significant change in blood sugar after eating, and the recommendations are as follows:
Breakfast is basically good, just keep it up.
After 10:30, I had a meal, and after eating a few longans, my blood sugar rose more obviously than breakfast, but it was not long. As I said, the sugar content of longan is relatively high, about 1 of that of apples5 times, so sugar friends should pay attention to choosing fruits when adding meals.
Blood sugar also rose above 10 after lunch, but this blood sugar level is still acceptable for a 75-year-old.
3. About continuous glucose monitoring.
Ambulatory Glucose Monitoring Glucose continuous monitoring, CGM is a technique that monitors glucose concentrations in subcutaneous interstitial fluid through glucose sensors. To be precise, continuous glucose monitoring should be called continuous glucose monitoring, which is a trend in blood glucose monitoring in the future.
Doctor's summary: Continuous glucose monitoring can completely record the details of the patient's blood glucose changes throughout the day, including blood glucose values at any time, the highest and lowest blood glucose values throughout the day, and the daily blood glucose change curve.