Release date: 2014-12-09
Self-glycemic monitoring is a blood glucose test conducted by diabetic patients at home. It is used to understand the control level and fluctuation of blood sugar. It is an important measure to adjust blood sugar and an important means to reduce the risk of hypoglycemia. However, if the measurement is not possible, the adjustment of the treatment plan may be misleading. In order to ensure the accuracy of self-test blood glucose data, diabetics should carefully do the following points and correctly master the method of self-testing blood glucose.
The first step is to wash your hands with warm water or a mild soap and repeatedly prepare the fingers for blood collection until the blood is abundant. Disinfect the fingertips with 75% alcohol and allow to dry.
The second step is to open the blood glucose meter switch and use a siphon type blood glucose meter to take a test strip into the machine. With a blood glucose meter, take a test strip and put it on the hand (the finger can't touch the test strip test area).
The third step, after taking out the test strip, cover the cover tube tightly, use the blood collection pen to close the abdomen, press the spring switch, and acupuncture the abdomen. The ring finger refers to the best blood taken from both sides of the abdomen. Because of its rich blood vessels and less distribution of nerve endings, it is not only painless but also full of bleeding.
The fourth step, if it is a siphon type blood glucose meter, wait for the result after the blood is sucked into the dedicated area of ​​the test paper; if it is a blood glucose meter, drop a full drop of blood or wipe it into the test strip test area, and insert the test strip into the machine. Wait for the result. Do not add blood, otherwise the test results will be inaccurate.
[Items]
Any mistakes in the testing process, such as alcohol not dry, repeated extrusion, additional blood drops will affect the accuracy of blood glucose testing. In addition to mastering the correct method of measurement, note the following:
In order to ensure that the blood glucose meter works normally and accurately, it should be regularly corrected at the store or factory designated by the manufacturer, or the blood glucose meter can be verified by the standard glucose solution provided by the manufacturer.
The blood glucose meter that needs to be coded should be checked before the test, and the code displayed on the blood glucose meter should be consistent with the code on the test strip box.
Before use, you should pay attention to the date when the test paper has a shelf life, and pay attention to whether there is any color change on the test paper.
In the preservation of reagents, care should be taken to avoid light, and the meter should be calibrated before each new batch of test strips.
If your blood glucose meter can be cleaned, it is best to clean it regularly to remove accumulated blood, dust or cotton ball fluff.
[Monitoring]
So how is the frequency of monitoring blood sugar? The self-glycemic monitoring program depends on the condition, treatment goals and treatment options:
Patients with very poor glycemic control or critically ill hospitalization: Monitor 4-7 times of blood glucose per day or monitor for treatment needs until blood sugar is controlled.
People who don't use drugs only for diet exercise can adjust their diet and exercise by monitoring blood sugar monitoring to understand the effects of diet control and exercise on blood sugar. It is recommended to measure 5-7 points of blood glucose per week (before breakfast, 2 hours after breakfast, lunch before lunch) After 2 hours, before dinner, 2 hours after dinner and before going to bed).
Oral hypoglycemic agents: 2-4 times a week on fasting or 2 hours postprandial blood glucose or 3 days in a week before the visit, 7 days of blood glucose monitoring (before breakfast, 2 hours after breakfast, lunch before lunch) After 2 hours, before dinner, 2 hours after dinner and before going to bed).
Insulin therapist: According to whether the blood glucose has reached the treatment standard and the insulin treatment plan chooses different programs, it can be monitored daily or at least three days per week. For basal insulin: the main monitoring of fasting blood glucose, doctors can adjust the dose of bedtime insulin according to fasting blood glucose; for premixed insulin: mainly monitoring fasting and pre-dinner blood glucose, doctors can adjust the pre-dinner insulin dose according to fasting blood glucose, according to pre-dinner blood glucose adjustment Pre-fasting insulin dose; for mealtime insulin: mainly monitoring 2 hours postprandial blood glucose or pre-prandial blood glucose, the doctor can adjust the insulin dose before the last meal according to the postprandial blood glucose and the next pre-prandial blood glucose.
Source: News Morning News
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