The reasons for high blood sugar in diabetic patients

Author:Hanwenwu

Treatment of diabetes the most basic requirement is to control blood sugar in normal (fasting blood glucose less than 5.6mmol / L, postprandial blood glucose less than 7.8mmol / L) or near-normal levels. High blood sugar lead to various complications of high blood sugar experience, the patients should look for the following reasons be overcome.

Uncontrolled eating
This is high blood sugar causes the most common. As a result of insufficient insulin secretion in diabetic patients and the role of poor blood sugar can not be promptly returned to normal, it will continue to increase in blood sugar. Therefore, eating too much sugar is bound to increase significantly. Dietary restraint principle is: an appropriate diet and adequate exercise to maintain the optimal level of body weight. Ideal body weight (kg) = height (cm) -105, which allow increase or decrease in ± 5% range. For example, patients who stands 167 centimeters for the 62 kilograms of ideal body weight. The majority of patients with type 2 diabetes accompanied by obesity, it should be controlled diet, adequate exercise, so that becoming more and more normal body weight, blood glucose will be better.

Inadequate dosage
Whether it is insulin or oral hypoglycemic agents, such as insufficient amount of drugs, of course, poor blood sugar control. The reasons for this may be: ① the misconception that as long as the services of the drug treatment of diabetes, it will cure our illness, and drug use purchase, or pay attention to dosage and efficacy. Reviewed the long run, such as when blood sugar are very high. ② daily medication, although as usual, but did not review the long-term blood sugar, may be in patients with environment, health, life and the disease is changing, so review the possibility of elevated blood glucose. ③ check only fasting blood glucose, postprandial blood glucose did not check, in fact, may have high postprandial blood sugar, but we do not know. Short periods should periodically check the blood sugar and adjust the dose according to blood glucose.

Inappropriate choice of hypoglycemic agents
Some patients with unilateral hearsay invalid or taking care of some drugs, there are a number of patients with ad buy drugs ineffective or even harmful. Some serve only short-acting drugs, beyond the control of hyperglycemia Next Morning; patients also taking drugs too, to the middle of the night by Next Morning hypoglycemia hyperglycemia anti-Yue (somo Giemsa effect). These cases should be confirmed by a doctor to find out the cause and properly handle it.

Oral hypoglycemic drug secondary failure
Have the effect of oral hypoglycemic agents, but the maximum dose was used, although there is no effect, This is known as secondary failure, therefore, caused by high blood sugar. Method is to suspend the treatment of oral hypoglycemic agents, insulin therapy to switch a few months and then try to restore insulin removed the use of oral hypoglycemic agents. As a result, there are two: ① to resume use of oral hypoglycemic agents after good glycemic control. ② After the restoration of oral hypoglycemic agents and increased blood glucose on islet cell function of the poor, inadequate secretion, it should continue treatment with insulin.

Insulin resistance
When insulin resistance hypoglycemic effect of insulin may decline or disappear, and hyperglycemia. Insulin resistance seen in many cases: ① diabetes obesity type, and this is a relatively common treatment is weight loss, and thiazolidinedione drugs (rosiglitazone, pioglitazone) to enhance the role of insulin and at the same time with Jiangtang medicine. ② insulin antibodies appear in blood or insulin receptor antibody. ③ "androgen excess, insulin resistance, acanthosis nigricans syndrome" is a kind of Polycystic Ovary special, rare type. Treatment is to reduce insulin resistance (increased insulin sensitivity).

Lack of insulin secretion
Any time in the incidence of child and adolescent patients had ketoacidosis, the blood in response to islet cell antibodies were significantly thinner size, the use of oral hypoglycemic agents are ineffective, in patients with type 1 diabetes are should pay attention to the problem of insufficient insulin secretion. Should be under the guidance of a doctor for treatment with insulin.

Glycemic factors
① have against the role of insulin, such as excessive growth hormone secretion (acromegaly) or excessive cortisol secretion (Treasury Chin's disease) situation. ② service glucocorticoid prednisone or other steroid drugs. ③ service hypokalemia caused by diuretics, insulin and thus the role of the poor. ④ infection, trauma, high stress or fatigue, such as to enable an increase in the secretion of glucocorticoid-induced hyperglycemia. Resting at home when there are patients with good blood sugar control, but stay up all night to take the long-distance truck hyperglycemia in the hospital and also can not be neglected. Excluded from the above-mentioned factors, the blood sugar is expected to turn for the better.
Patients should be based on the above to find the causes of high blood sugar after, and then under the guidance of the doctors to improve treatment.