If to you make insulin injections, every day and on some times. And it is written in many books about diabetes. But a leah substantially it? A leah always patients fulfil "idealised" references? And a leah it is necessary to follow such references? We will try reasonably porassuzhdat, allowing and judgement of the majority of patients on a case in point.
Maiden with what should clashing the patient at frequent checkouts of level of Saccharum in a blood, is with constant microtraumas of a skin. What will be setpins after numerous nyxes an ordinary spear or a needle? At daily determination of Saccharum three times a day only for one month on your setpins there will be 90 holes.
And if the patient — the child? Add daily psychologic injuries from injections of insulin and constant assayings. Such trial will be withstood not by each adult. The nyxis is let small, but shakeup for all organism, stress. And any stress only degrades diabetes flow. Recall that you have read in the head about influencing of stress on health. Certainly, inektory, entering in a dial-up to gljukometru, minimise skin injuries.
However gljukometry roads and many patient appear it is too expensive. nedeshevy as well test strias. How there was well an instrument which one was recommended by the doctor if the patient does not have money, these references are senseless. The patient will spare all the same strias on an event of impairment of state of health and will be failed from the assaying if feels well. Therefore we also will lead speech about that minimum of assayings without which one the control over diabetes becomes impossible.
Diabetes of the maiden type, unconditionally, demands the strictest and regular control. Therefore, as though you well felt yourselves, research Saccharum level in a blood not less often than an once in a week. Select one day and make three measurings: in the morning — hours in 6, before the main eat period (for example, before a dinner) and before going to bed.
If indexes appear within admissible oscillations, adhere to this circuit and further, under condition of lack of changes in your conduct of life, a delivery and state of health. For a fuller appreciation about a clinical course is not more rare than an once in a month research Saccharum level in a blood the whole day long: in 6 mornings, before a lunch, a dinner and a supper, in 2-2,5 hours after them and before going to bed, about 22 hours. (At suspicion on night hypoglycemias without fail validate level of Saccharum and at night.)
Such diagramme of probes will allow you to gain submission about an effectiveness of each dose of insulin within days and to validate correctness of the circuit of treatment, a diet and exercise stresses. Good effects of assayings will prove the selected treatment.
The patients, suffering affliction diabetes of the second type and gaining insulin, need precisely the same control over sugar content level, as well as patients with diabetes of the maiden type.
The same patient by whom the combined circuit of treatment (insulin + tablets is directed), and also that who accepts only saharosnizhajushchie drugs, it is possible to validate a blood once in two weeks: in the morning — hours in 6, before and after (in 2 hours) any main eat period.
In either case there should be painfull symptoms of diabetes, that is diabetes should be compensated: blanket good state of health, stable weight, lack of the thirst, the peaked sense of hunger, a dermal itch. If you on such satisfactory clinical hum suddenly have Saccharum high level, do not panic and do not make hasty outputs.
Recheck effects next day: standard digits will bear to the measurement error admitted the day before, and high — that not always it is necessary to trust in state of health. Thereby you are once again convinced of necessity of the regular control of diabetes.
But what to make in the event that effects of assayings have appeared really increased? First of all spot Saccharum level in a blood on a standard draught: in 6 o’clock in the morning, before the main eat periods and later 2-2,5 hours after them. Having gained good results, analyze a diet and a diet. Think, a leah exercise stresses are sufficient. A leah is not present at you today problems with a liver, buds or other organs. And only then make outputs.
Let’s admit, in the morning you make injections of insulin of the prolonged and short activity, and accept 2 tablets of Maninilum in the evening. Assayings demonstrate that Saccharum level in a blood at you is always enhanced at night and in the morning. It means that tablets which one you accept in the second half of day, do not check a sugar content in a blood. Hence, there has set in the moment when it is necessary to be failed from tablets generally and completely to transfer to insulin. However concerning the further treatment your doctor should accept final award.
The alternative version is possible: you are sick of diabetes of the second type and check Saccharum level in a blood only saharo-reducing tablets. The made assayings demonstrate a high sugar content in spite of the fact that you keep to a diet, regularly be engaged in physical culture, lead a customary conduct of life for itself. It means that you need to enlarge a dose saharosnizhajushchih tablets. Add at first half-tablets in the morning. If it it will appear a little, add still half-tablets in the evening. Well and if you before treatment correction already gained maximum permissible dose saharosnizhajushchih tablets, be converted to the doctor. Apparently, to treatment it is time to add insulin.
Now we will talk how often should validate Saccharum level in a blood sick of diabetes which one treatment consists only in diet observance. Such patients are recommended to check a sugar content in a blood not less often than an once in a month: in the morning on an empty stomach and in two hours after any main eat period. At obtaining of the bad effects of assayings first of all try to recall, a leah really you strictly adhered to a diet and a diet, a leah exercise stresses were sufficient recently? If yes, has set in it is time to accept saharosnizhajushchie tablets. Do not sidetrack visit to the doctor.
In summary we will give sugar content indexes in a blood to which one the person, sick of a sugar diabetes should be aimed. At ideally countervailed diabetes Saccharum level in a blood to meal should be no more than 6,0 and not less 4,0 mmol/l, in 2 hours after meal — not above 8,0 mmol/l, that is to match to indexes of level of Saccharum at the healthy person.
Saccharum in urine should not be at all. To ideal a clod-G pensatsii it is necessary to be aimed by all. However it is necessary to perceive that each patient can have characteristic limits of admissible oscillations of Saccharum in a blood within days and spot them your attending physician can only, allowing for all your singularities: gravity of diabetes, retention of chronic diseases, your age, an occupation and many other things.
Quite admissible today are considered and following measure of compensating of diabetes: a sugar content in a blood on a hungry maw — not above 7,0 mmol/l, in 2 hours after meal — no more than 10,0 mmol/l. A sugar content in urine — no more than 15 grammes for days.