Friday, June 17, 2011

Six Blood Test Method For Monitoring Diabetes

Blood tests
(A), glucose
1 overnight fasting morning, fasting glucose blood test 6-8 points. Early and light fasting blood glucose in diabetic patients are often slightly elevated or normal, the diagnosis of diabetes less than 2-hour postprandial glucose sensitivity. Thus, the 1999 WHO has diagnosed diabetes, fasting blood glucose values ​​fell from 140mg/dL 126mg/dL, that poor functional reserve in patients with insulin.
(2) fasting blood glucose measured before lunch and dinner. Primarily for the treatment of disease surveillance.
3 2-hour postprandial blood glucose from the start time to eat, 2 hours after the blood collection time. If the purpose of inspection to determine whether the impaired glucose tolerance, the load should be given the standard meal, eating 100 grams bread or rice; such as diabetes treatment aims to observe, understand the level of diabetes control, check on medication and treatment should be eating normally, do not change the original Treatments.
4. 15:00 blood sugar normal blood sugar for 3AM. Type 1 diabetes is, 3AM blood sugar should be <70mg/dL, if less than this value, indicating that night may be too low blood sugar.
5 random blood glucose checked at any time of day, the suspected low blood sugar or high blood sugar when evident at inspection.
6 self-monitoring of blood glucose. Measured several times a day, commonly used measurement point are: morning fasting, 2 hours after breakfast, lunch and dinner before, during and after dinner 2 hours, 10 pm, 3AM. Sometimes at night we increase the frequency of monitoring. Monitoring of blood glucose several times for intensive treatment for those who, insulin therapy and unstable condition who provide data for the adjustment of insulin dosage. Stable patients, a simple diet or oral hypoglycemic agents, at least once a week monitoring of blood glucose (fasting and at least 2-hour postprandial blood glucose) in a stable condition after extended intervals.
(B), bread meal test
100 grams of flour (containing 75-78 grams of carbohydrate, protein, 7-10 grams of fat, 1-2 grams) of bread production, equal to 75 grams of glucose. Eating bread from the mouth from the first time, 1 and 2 hours after the time blood glucose test for diabetes diagnosis. Those who are not accustomed to eating bread to eat rice, rice flour equal weight, but also for 100 grams.
(C), 75 g glucose tolerance test
Required standardized test that is at least three days before eating 150 grams of carbohydrates per day. 10-16 hours of overnight fasting before the test, 6-8 points for the morning test. 75 grams of pure glucose powder dissolved in 300ml warm water about 5 minutes to finish, from the mouth to eat dessert first time, fasting glucose kimono 1 and 2 hours after the time of blood, which blood glucose 2 hours after the error point in time requires less than 3 minutes . Blood samples prior to add sodium fluoride and potassium oxalate to prevent blood sugar during placement decreased. Glucose using glucose oxidase or glucose kinase method.
(D), 100 g glucose tolerance test
Some patients with early type 2 diabetes, reactive hypoglycemia may occur, occurred 3-5 hours after the meal, then can be used for 100 g glucose tolerance test, fasting blood point is, 1,2,3,4,5 hours. The diagnosis of gestational diabetes also for 100 g oral glucose tolerance test. 0,1,2,3-hour blood sampling point. If the 0 glucose> 95mg/dL, lh> 180mg/dL, 2h> 155mg/dL, 3h> 140mg/dL, which has two points more than can be diagnosed as gestational diabetes.
(E), glycated hemoglobin (HbAlc)
Blood may reflect the first 2 months of average blood sugar level, blood sugar control is reflected in the most effective and reliable quality indicators. Generally believed that <6.2% for the control of a good ,6.2-8 .0% in general,> 8% for the control of non-performing. Measured every 3-4 months once, type 1 diabetes can reduce detection time interval, but not less than 2 months.
(F), insulin release test
Oral administration of 100 grams of glucose, at 0,30,60,120 and 180 minutes measured blood insulin, normal fasting insulin levels for the 5-20mu / L, served to increase 5-20 times after glucose, peak in 30-60 minutes. Patients with early type 2 diabetes, normal or above normal fasting insulin, insulin increment after oral glucose with normal close, the main exception of the peak delay. With the extension of course, the majority of patients with type 2 diabetes, insulin reserve is poor.

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