Related examination and treatment of diabetes

Blood glucose normal range: (-) sugar; (±) a negligible amount, <5.5smmol / L; (+) trace, <27.8mmol / L ;(++) a small amount, 27.8 ~ 55mmol / L ;(+++) moderate, 55.0 ~ 111.1mmol / L ;(++++) same stuff,> 111.1mmol / L.

Check Description: excessive consumption of sugar, the end of pregnancy or breast-feeding period can have a moment of physiological glycosuria. Pathological cases, the persistent high urine sugar levels and diabetes.

Clinical Significance: ' the amount of urine volume, under certain conditions, can be used as an indicator of diabetes therapeutic effect, but in advanced diabetes complicated by diabetic nephropathy and renal atherosclerosis, due to reduction in renal blood flow, glomerular filtration over the rate of impaired renal tubular recovery of normal blood sugar may be increased, while the urine continued to show a negative.

' non-sugar reducing substances such as uric acid, vitamin C, streptomycin, salicylic acid, glucuronic acid, etc., was false positive. Rhubarb, berberine, baicalin, etc. may also be caused by false positive, but there is not soon fade color faster sedimentation.

Diabetes check what needs to be done

Check

1, blood sugar, urine sugar, Ketone, urine, BUN, serum creatinine, CO2-CP, determination of blood plasma lipid analysis.

2, OGTT, trace protein in urine, glycated hemoglobin, or serum fructosamine determination.

3, ECG, X ray, abdominal B-, EMG, fundus examination.

4, plasma insulin, C-peptide and glucagon and insulin release test.

How to treat

Treatment

Principles of treatment: diet therapy is the basic treatment for all types of diabetes, including total calories, carbohydrates, protein, fat, and the percentage of requirements, as well as the type of fat, recipe calculation and eating time. In addition, avoid mental stress and mental stimulation, prevention of infection. Can also be applied oral hypoglycemic agents, insulin therapy and islet or pancreas transplantation.

1, diet therapy.

2, self-monitoring training.

3, sulfonylureas (glipizide, glibenclamide, sugar fitness level).

4, biguanides (metformin, phenformin).

5, insulin therapy.

6, exercise therapy.

7, diabetes education.

Glibenclamide (islet hormones and affect blood sugar)

Other Name: Glyburide

Main components: glibenclamide.

Traits: tablets.

Indication: for light, medium, stable patients with diabetes mellitus.

Usage and dosage: Start a day 1 serving 2.5mg, then gradually increase, but a day does not exceed 15mg, 2 times, clothing. Daily maintenance dose of 2.5mg ~ 5mg.