Some friends only occasionally check the blood sugar of their fingers, or the physical examination finds that the blood sugar is too high. In general, Dr. Clove will tell everyone that it is best to go to the hospital to check the venous blood sugar.
If the venous blood sugar is still higher than the standard, i.e. Fasting blood sugar is higher than 7.0 mmol/L and blood sugar is higher than 11.1 mmol/L 2 hours after meal, then we will diagnose diabetes.
Next, in order to understand the progress of the disease to what and give more accurate and appropriate treatment, doctors usually need to do some examinations, the most common of which include the following:
Glucose-related conditions
1. Fasting blood glucose and postprandial blood glucose
Because each patient’s blood sugar elevation may be different, the drugs given for high fasting blood sugar and high postprandial blood sugar are also different.
2. Glycosylated hemoglobin
Because glycosylated hemoglobin is less affected by diet, exercise and mood on that day, it can reflect the blood sugar control in the last 3 months or so, so it is necessary to know about newly diagnosed diabetic patients.
General physical condition of the patient
1. Height and Weight
Some patients may find diabetes because they suddenly lost weight. Therefore, at the beginning of treatment, it is necessary to record a basic situation, set treatment targets and help patients recover to the target weight.
2. Blood pressure
Many elderly diabetics will be complicated with hypertension, and hypertension and hyperglycemia together, the damage to the body, the choice of drugs is different from only one disease.
3. Blood was drawn to test liver and kidney functions.
Before choosing drugs, doctors need to know the patient’s basic liver and kidney functions, so that they can choose appropriate drugs in a targeted manner.
Prevention of complications
1. Urine routine
In order to prevent ketoacidosis, diabetic nephropathy, urinary tract infection and other possible complications.
Not only look at the situation of urine sugar, but also need to know whether there is urine ketone body and urine protein, which are all tests to help judge the course of diabetes. In addition, diabetic patients are prone to urinary tract infection, and urine routine can also help understand the situation.
2. Blood lipid
In order to prevent possible complications such as myocardial infarction and cerebral infarction.
Because diabetics are prone to other metabolic problems at the same time, elevated blood lipid is a very common condition. If blood lipid is found to be much higher than normal, lipid-lowering drugs may be needed.
3. Fundus
In order to understand the situation of diabetic retinopathy.
Hyperglycemia can damage the blood vessels of fundus, but early diabetic retinopathy has no symptoms, so we can’t wait for the eyes to see clearly before checking. We should take the initiative to find an ophthalmologist to understand the retina when diagnosing diabetes.
Summary
Of course, not all patients need so many examinations as soon as they are diagnosed, or as long as they do these examinations, they are safe.
According to the patient’s age and other known physical problems, doctors will selectively do some targeted examinations and formulate reasonable treatment plans. As patients, we can properly understand why doctors should do these examinations, and cooperate with doctors to complete treatment and control blood sugar.