People with diabetes often ask: My glycosylated hemoglobin is well controlled and my blood sugar self-monitoring is good, but sometimes the self-test results are significantly higher than usual, and my diet, exercise and medication are the same as usual. what on earth is it? what to do?
Answer: First of all, what everyone needs to understand is that people’s blood sugar changes at any time. The blood sugar value will be different from one second to the next, and slight changes in diet, exercise and overall health will also affect the blood sugar level. Affects your blood sugar levels, even if you think they are the same as usual.
diet
All types of carbohydrates in food can cause blood sugar to rise, but different types of carbohydrates have different effects on how quickly and how high blood sugar rises. In addition, the content of fat and dietary fiber in food will also affect the absorption rate of carbohydrates. The higher the content of both, the slower the absorption of carbohydrates. This may cause blood sugar to be lower than usual two hours after a meal. The blood sugar is higher than usual a few hours later.
drug
What you eat is only one factor that affects your blood sugar. Medication can also affect blood sugar levels. Some drugs can raise blood sugar, such as steroids and cold medicines that contain certain ingredients that can raise blood sugar. When treated with insulin, the insulin injection site will also affect the absorption rate of insulin, thereby changing the hypoglycemic effect of insulin.
stress
Stress (stress) can also raise blood sugar. Our body's response to stress is not only mental but also physical. When faced with stress, the liver will convert more of its stored glycogen into glucose and release it into the blood. In addition, illness (such as colds, vomiting) and infections can also increase blood sugar, and infections sometimes may cause no symptoms.
In addition to the above situations, there are times when not only diabetics but also doctors are unable to determine the exact cause of elevated blood sugar levels. Therefore, diabetic patients should not be too nervous, upset, disappointed or blame themselves just because they detect high blood sugar on one or two occasions. They should pay more attention to the overall control of blood sugar, that is, glycated hemoglobin. When you find that your blood sugar level is high at a certain time, you need to find the cause of the blood sugar increase and make adjustments. To this end, it is very helpful to keep detailed records and analyze the data regularly with your doctor. What you want to record is not only blood sugar values, but also the time of blood sugar testing, diet and exercise, medication time, and other special circumstances.
