Friday, May 14, 2010

Factors beyond the control of blood sugar

We often encountered in clinical patients, although increasing the dose and type, but the blood sugar remained high. In addition to the common drug factors (such as secondary sulfonylurea failure, etc.), dietary factors (such as diet control is not strict or unreasonable structure, etc.), exercise factors (such as lack of exercise), it also can find some serious interference with glucose incentive for drug onset. We call these incentives, "difficult to control blood sugar factors." Once you find difficult to control blood sugar factors, given the right Differential Treatment, often rapid decline in blood glucose, hypoglycemic drug dosage and types are also reduced.

Difficult to control blood sugar the main incentives for the following:

Insomnia: Because of high blood sugar, thirst drinking more, urinating more often at night; or a history of long, older people with diabetes are often associated with renal tubular dysfunction; or prostatic hypertrophy in older men urination at night; some patients to drink before going to bed hi Coffee, tea and other beverages, leading to mental excitement; old itching skin lesions caused by disease or diabetes, a number of factors can cause itching, etc. insomnia diabetes. In addition, the heavy psychological burden, anxiety, upset Jieke lead to insomnia. In short, many factors leading to insomnia, to look carefully. These patients are often more severe insomnia, high blood sugar more.

Constipation: from the gastrointestinal motility of diabetic weakened, fiber intake is too small, to take effect on gastric motility drugs, exercise too little and so can cause constipation. Some patients with two or three days a will, a serious three to five days or a week or more it; also some non-elderly no less than enema. Constipation not only obstacle to the body metabolism, reduce toxic discharges, and often result in serious thought to the burden of the patient, making increasingly heavy constipation, blood sugar is also increasing.

Mood swings: Diabetes people were from the social, family, friends and so the impact can easily cause mood swings. Some fear for their own illness outcome, and some too large for worry about medical costs, some do not and for the families, relatives and friends of the cold and sad, anxious. Had encountered a patient, usually a good blood glucose control with insulin, and his wife quarreled that day, blood glucose will rise, even if the double dose of insulin, it is still "pressure" not down.

Infection: immune function in people with diabetes is low, chances of infection increase, they often become infected blood sugar incentives. The most common are respiratory infections, followed by urinary tract infections, and even his back carbuncle boil, gum abscess, acute tonsillitis, etc. can also cause blood sugar fluctuations. One patient had treatment, the skin throughout the body of small pus boil after another, the two-hour postprandial blood glucose had been 200-250 mg / dl between the fluctuations, using traditional medicines to eliminate pus boil, the blood sugar to normal quickly, and hypoglycemic drug also will decrement.

In addition, women irregular menstruation (dysmenorrhea in particular, can cause increased blood sugar), gynecological disease, diabetes, peripheral neuropathy caused by limb pain, diabetic frozen shoulder, too much alcohol (especially wine), snack too much, overwork are all incentives for high blood sugar. Find difficult to control blood sugar factors, therefore, do not overlook the details. One elderly woman with diabetes, blood sugar control is not satisfactory, a private prosecution with more yellow. We give bet by hot and humid heat and dampness, they unexpectedly found that blood sugar also will drop down. Since then we further trace the history of their blood sugar twice a year during periods of volatility are larger with more yellow. Yellow with the disappearance of blood sugar drop, is our windfall.

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