19 December 2011

Diabetes


Risk: No data |
Description
Sugars or carbohydrates come from food. When digested they break down into simple sugars.Glucose (other names: dextrose or grape sugar) is the main sugar used by the body for energy. Glucose is essential to all body tissues, especially the brain.

For this reason the body does to great lengths to maintain a constant level. Decrease level over 50 mg per deciliter can cause a decrease in consciousness, floor or even death. The hormone primarily responsible for the introduction of glucose into the cells after the meal is insulin, secreted by the pancreas.

People with diabetes have decreased insulin secretion capacity and efficiency of action.Consequently, they suffer from high levels of blood glucose, in the long run can cause severe complications, including renal impairment, visual impairment, damage to the legs, gastrointestinal tract and heart.

Therefore, blood glucose monitoring is essential for diabetics. Checking blood sugar blood test can be used in the laboratory, or testing produced rapid blood test finger prick.

Endocrinology and Diabetes Specialist
Populations at risk
Sugar test has very low risk as any standard blood test. Increased bleeding may appear in patients with blood clotting disorders (eg, patients taking blood thinning medications). It can stop bleeding by gentle pressure with cotton wool for a few minutes.
Related diseases
Type 2 diabetes (adult diabetes, insulin-independent diabetes), type 1 diabetes ( diabetes of youth, insulin-dependent diabetes), gestational diabetes, hypoglycemia.

When doing the test?

·              To diagnose diabetes of the adult, juvenile diabetes or gestational diabetes. 
·              Routine check to make early diagnosis of diabetes, in general tests to monitor glucose balance in patients with diabetes 
·              A person with symptoms such as cold sweats, weakness, palpitations, confusion or a decrease in consciousness, which can compromise a serious decrease in blood glucose (hypoglycaemia or "hypo")
What to do with suspicion to "Hippo"?
If the person who takes medication for diabetes or insulin injections and felt a cold sweat, palpitations, confusion, half-consciousness or general ill feeling, he must make a sugar test.

This is true even in a situation where a person or a suspect accidentally taking diabetes medication or insulin. If blood sugar is low (less than 70) or no sugar testing can be performed immediately and have a clear conscious person drink sweetened with sugar or chewing sugar cube. If a person's consciousness blurs have an urgent call for help (ambulance) and not give him power to eat or drink for fear of choking.

When hypoglycemic events passing bad feeling after taking sweet things, and if this is not a bad feeling against the other, the sugar can not hurt.
How to prepare for testing?
Fasting blood sugar test is done in the morning, at least 8 hours after the last meal. Morning of the test can be even desirable to drink water or tea without sugar (Do not drink beverages with sugar or milk).

Checking non-fasting blood sugar are sugar test two hours after the meal and oral glucose tolerance test, used primarily to diagnose gestational diabetes]. Domestic sugar test fasting is usually normal as well as sugar testing can be done before meals, followed by and before bed.
How to test
Sugar test finger (capillary blood sugar):

Light Hglokomtr and inserting Stick slot

Fingertip prick using wire or needle. Make sure the device is poke you with a one-time or through disinfection

The last time Sdkrtm, unless you know for sure that only you use it.

Have to squeeze your finger on both sides to allow a drop of blood to accumulate at

Have a touch with the open side on the stick (while still connected to the device) a drop of blood that the blood will flow from the external and internal.

Within a few seconds, the unit displays the glucose value

Uptake of blood with cotton wool

Checking regular sugar (sugar test and venous) blood test is performed as normal. After pumping blood test tube, send biochemical laboratory test tube. So you can not get a result in this test.
After the test 

No special emphasis




Decoding results


Sugar levels tend to rise in situations of acute illness, stress, injury, surgery, and therefore the test is less reliable in these situations.

Also, to confirm a diagnosis of diabetes or pre-diabetic condition you need two blood sugar tests on separate days.

Men and women who are pregnant
·              Blood glucose less than 70 mg / dL (3.9 front / liter) are considered too low sugar (hypoglycemia) 
·              Blood glucose after fasting for 8 hours at least; 
·              Between 70-100 mg / dL (3.9 to 5.6 across the street / liter): normal 
·              From 100 to 125 mg / dL (5.6 to 6.9 across the street / liter): Pre-condition - high sugar diabetes fasting,IFG 
·              Above 126 mg / dL (7 front / liter): Diabetes
Blood glucose two hours after oral glucose tolerance test (75 g):
·              Between 70-140 mg / dL (3.9 to 7.8 across the street / liter): normal 
·              Between 140-199 mg / dL (7.8 to 11.1 across the street / liter): a state of pre-diabetic low sugar tolerance, IGT 
·              Above 200 mg / dL (11.1 front / liter): Diabetes 
·              Blood sugar values ​​randomly (regardless of fasting or meal) above 200 mg / dL (11.1 front / liter) in addition to one of the symptoms of diabetes (such as visual impairment, kidney failure, etc.) diagnose diabetes. 
Pregnant women;
·              Normal fasting blood sugar values ​​are between 60-80 mg / dL (3.3 to 4.4 across the street / liter) 
·              Survey Test Results Gestational diabetes: a value above 130 mg / dL (7.2 front / liter) was considered requiring additional testing full oral glucose tolerance test. 
·              Deciphering the results of oral glucose tolerance Gestational diabetes.
This article was written by Dr. Shai Ophir


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