Core tips
Today is the "World Day for the Prevention of Diabetes." Recently, a unique term related to diabetes, "hidden sugar people," has attracted people's attention. What is "hidden sugar man"? How is it different from diabetics? Yesterday, the reporter interviewed a hospital endocrinologist.
"Invisible sugar people" is pre-diabetes
Fasting normal postprandial maximum
The 45-year-old Mr. Wu (a pseudonym) in the urban area did not think he would have diabetes. He said that last year's physical examination of fasting blood glucose was exactly 6.0 mmol/l. "I didn't see an arrow, I just ignored the past. Who knows after a year to find out about diabetes. The doctor said I was in the pre-diabetes period, which is often referred to as 'hidden sugar person'"
"The so-called 'recessive sugar man' is a more accurate expression of pre-diabetes," said Sun Feng, chief physician of the Department of Endocrinology at the First Hospital of Tianjin. The person who has a blood glucose level higher than normal, but who has not reached the diagnostic criteria for diabetes, is called pre-diabetes.
According to the latest standard, fasting blood glucose is 3.9-6.1 mmol/L for normal persons, less than 7.8 mmol/L for 2 hours after meals, and 6.1-7.0 mmol/L for fasting blood glucose (fasting blood glucose) or 2 hours after meals. For 7.8-11.1mmol/L (low glucose tolerance), it is prediabetes.
In patients with prediabetes, they often have normal blood sugar because of fasting blood glucose. After meals, blood sugar is not re-examined, but they are hidden in the crowd and become what people call "hidden sugar people."
Sun Feng said that many medical examinations in the unit year mostly include items for fasting blood glucose, but do not check postprandial blood glucose. “This is a limitation of operation. Organizations organize medical examinations. It is not possible to check one item after two more hours after checking a project.â€
Beware of "recessive sugar people" become "true sugar people"
Part of the movement to lose weight can be changed back to normal people
According to Gao Yanling, chief physician of the Department of Endocrinology at the First Hospital of Shanghai Municipality, the patients who were found to be in prediabetes by the hospital were mostly patients whose participating units had a fasting blood glucose level of more than 6.1 mmol/l. “If you find that the blood glucose level exceeds 11.1 mmol/L in 2 hours after meals, Is diabetes."
The reporter learned that, in the annual physical examination, many units will find patients with fasting blood glucose exceeding 6.1 mmol/l. "The physical examination center will advise the patient to review again, most people will do postprandial blood glucose examination." Sun Feng said, "The value is larger, we will recommend it to do glucose tolerance test to further determine the condition."
Found "hidden sugar people", most examiners will secretly glad that what is not diabetes. In the interview, a 38-year-old Mr. Chen from a certain urban area in the urban area said: “Blood glucose is slightly higher, but fortunately, it is not diabetes. Sugar cannot be eaten afterwards.†In response, experts say that patients with prediabetes undergo regular exercise. After dieting to lose weight, some people can return to the ranks of normal people, but belong to high-risk groups. "Afraid I'm afraid that a large number of people do not pay attention. With the increase of age, after the loss of islet function, it will gradually turn into diabetes, so in addition to the attention of all aspects of life, but also to monitor blood sugar."
Seven self-test standards teach you to control risk
Suggest changes in lifestyle, early diagnosis and early treatment
Experts suggest that instead of becoming a "recessive sugar man" living in fright, it is better to control the risk in the early stage of pre-diabetes.
Gao Yanling provided the following self-tested risk criteria:
1. Age is generally greater than 40 or 45 years old. With the rejuvenation of diabetes, many young people in their 20s or 30s who are fatter have to check their blood sugar regularly.
2. People with a history of impaired glucose regulation and abnormal glucose metabolism.
3. Being overweight or obese and/or central obesity is especially important for people with large stomachs.
4. sit for a long time.
5. There is a family history of type 2 diabetes in relatives.
6. There is a huge history of childbirth or a family history of gestational diabetes.
7. With high blood pressure, high cholesterol, atherosclerotic cardiovascular disease.
According to the above criteria, if the result of the fasting blood glucose test in the physical examination, even if the result is within the normal range, check the postprandial blood glucose again in two hours.
Experts remind: In the ordinary life, to change the way of life, through weight loss, exercise and a good rest to change, the most important thing is to accurately understand their blood glucose status, so that early diagnosis and early treatment.
Correspondent Chou Shangbin Reporter Zhang Qingping
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