Tight Diabetes Control

Controlling blood sugar can prevent or delay the progression of many diabetic complications and can provide a healthy and active life for many years.

Managing diabetes means to get as close to normal (non-diabetic) blood sugar as possible. Typically, this means that the pre-meal level is between 70 and 130 mg / dl, less than 180 hours after the start of the meal, and the glycated hemoglobin (AlC) level is less than 7%. These goals need to be personalized according to various factors. Please set your goal with your doctor

You do not have to solve these problems yourself. Your diabetes treatment team (your doctor, dietician, diabetes educator and other health professional) should take time to teach you. Your team will help you guide your insulin intake and time. Ask them to participate in diabetes self-management education and support courses. The ADA certification program can be found at betes.org/findaprogram. Alternatively please call 1-800-DIABETES (800-342-2383).

A good diabetes treatment team is essential. Choose a doctor who is familiar with diabetes or who is willing to learn for you. Your doctor should be connected with other health professionals you need, such as dieticians and mental health workers. If you do not have a good choice in your area, please consider options.

No one knows why hyperglycemia causes complications in patients with diabetes. However, keeping the glucose level as low as possible may prevent or slow down some complications.

For diabetes management and complication trials (DCCT), researchers followed several years of 1,441 patients with one year of diabetes. The other half receive a centralized management program, whereas half of the people continue to receive standard diabetes care. Those who receive centralized control will have lower blood glucose levels than standard treatment, but the average value is still higher than usual.

Result is? This is the condition in the strict control group when compared with the standard treatment group.

Medicines used to treat diabetes are achieved by lowering blood glucose levels. Maintaining strict blood glucose control (also known as "strict blood glucose control") in diabetic patients - maintaining blood glucose levels within normal limits - they may cause complications such as kidney problems Can be reduced. However, it is controversial whether this is cost effective for future generations. There are various kinds of antidiabetic drugs. Some can be obtained by oral administration like metformin, others such as GLP-1 agonists can only be used by injection. Type 1 diabetes mellitus can be treated only with insulin, usually using a combination of conventional insulin and NPH insulin or a synthetic insulin analogue.

Management of diabetic children and adolescents may be difficult. Nevertheless, strict management is required to prevent microvascular and macrovascular complications 76, 81 For young people with type 2 diabetes, young people with type 2 diabetes need lifestyle and medication There. Patient youth. Insulin therapy is particularly useful when it is still unknown whether the patient is suffering from type 1 or type 2 (especially atypical type) diabetes. Metformin treatment is increasingly being used to treat type 2 diabetes in adolescence. When families and carers were involved in managing childhood diabetes and actively supervised care of children, HbA1c levels remarkably increased compared to children who caregivers are involved in diabetes management did.