Only check missed fasting glucose 80% of diabetes

Participating units, a look at a single physical examination on blood sugar is normal, a lot of people mind at ease, feel far away from his diabetes.

However, according to recently published "China heart survey results", fasting blood sugar to normal and is not insurance. Well-known endocrinologist, the PLA General Hospital Prof. Pan long Yu, just testing that fasting blood glucose, nearly 80% of missed pre-diabetes and diabetes.

Most have no symptoms in patients with type 2 diabetes

After years of health education, many people know the typical symptoms of diabetes is a little more than "three", i.e. eat more, drink more, more, weight loss.

But Professor Pan long Yu, these symptoms occur in type 1 diabetes, type 2 diabetes is a serious condition only. In fact, when the onset of type 2 diabetes is very obscure, there are no symptoms. In clinical, 50%-60% of patients with type 2 diabetes initiative is not due to bad, but found a doctor is detected during physical examination. Wait for the symptoms, complications, such as renal impairment, fundus diseases, heart disease, etc. Professor pan, in this phase, the treatment effect is limited, it is very painful for patients, poor quality of life, and treatment of costs is also large. According to statistics, complications of treatment costs accounted for the entire diabetes treatment costs of 80%, so early detection and early treatment of significance.

Professor pan, hypertension, Dyslipidemia, obesity, coronary heart disease patients have had gestational diabetes or macrosomia women and more than 40-year-old is a type 2 diabetes "high-risk groups" should be vigilant, active screening for diabetes.

Many normal fasting blood glucose in patients with diabetes mellitus

Professor pan, we often test for blood glucose, is fasting blood glucose, which is 8-12 hours without eating the blood sugar after blood, usually in the morning.

In the clinic, the diagnosis of diabetes mellitus has two objectives: first, the fasting blood glucose is greater than or equal to 7.0-Moore/l, the second is the glucose tolerance test (OGTT), is the oral 75 g anhydrous glucose, 2 hours after test blood glucose is greater than or equal to 11.1-Moore/liter. If the patient has symptoms, as long as any of the above indicators are 1 unusual will be able to diagnose; if you do not have symptoms, you need either of these indicators have 2 unusual to diagnosis.

The study found that depend only on fasting blood sugar diabetes, there are omissions.

Pan Professor explained that, for example, some people are fasting blood sugar only 6 cents mol/l, in the normal range, but a do glucose tolerance test, 2-hour blood glucose will exceed 11.1-mol/l. According to the latest survey of the "heart" report, the situation in coronary heart disease and diabetes patients in approximately 70%. Therefore, if a single check fasting blood glucose, can have a large number of diabetic patients has been missed.

Pre-diabetes to treatment

If the blood glucose level between normal and abnormal, called pre-diabetes, the fasting plasma glucose 5.6 — 7.0-Moore/liter, glucose tolerance test 2-hour blood glucose in 7.8 — 11.1-mol/l.

The former is "impaired fasting glucose" and the latter as "impaired glucose tolerance," and "impaired glucose tolerance" in pre-diabetes the majority of the population, reach 80%.

It's not hard to imagine, impaired glucose tolerance is diabetes "reserve force".

In addition, Professor stressed that this kind of crowd also lies the risk of cardiovascular disease, obesity and Dyslipidemia, hypertension, proteinuria ratio is higher than the average person, if you do an electrocardiogram, myocardial ischemia in the performance of the more common, therefore, impaired glucose tolerance is cardiovascular disease "reserve force". Therefore, there is the risk factors described above, do a glucose tolerance test screening for diabetes is very necessary.

Professor pan, in order to prevent or delay diabetes and cardiovascular disease, diabetes treatment, early must first change the way of life, such as diet, increase in exercise, maintain normal weight, etc.

If blood sugar is still not working properly, drug treatment should also be mentioned that agenda, oral acarbose lowers "impaired glucose tolerance" cause of postprandial hyperglycemia.

(Practice editing: plum and apricot)