DM病患應該多久回診一次

控制不佳的一個月回診一次
控制良好的三個月回診一次

開始胰島素注射, 或改變胰島素劑量, 每天回診一次
改變口服治療藥物, 每周回診一次

正常成人血糖值與糖尿病患血糖控制目標

糖尿病臨床照護指引摘要
降血脂的首要目標是降低 LDL.
慢性腎病的血壓要控制低一點
空腹血糖 80-130
飯後兩小時血糖 80-160

正常人, 飯前(空腹)血糖 < 110, 睡前血糖< 120
DM患者, 依照美國糖尿病學會建議, 制訂血糖控制目標：飯前血 糖介於 80-120 毫克/毫升，睡前血糖 100-140 毫克/毫升
Target of blood glucose
飯前血糖(空腹血糖)
睡前血糖

低血糖 HYPOGLYCEMIA

美國糖尿病學會ADA

Classification of hypoglycemia
Level 1 <70
Level 2 < 54
Level 3 神智改變或活動變差 A severe event characterized by altered mental and/or physical status requiring assistance

血糖<70建議給予GLUCOSE葡萄糖 15-20g
血糖<54如果無法口服碳水化合物, 可考慮給予昇糖素, 昇糖素並不限制醫護人員才能使用. 家人或學校人員或病患的照顧者都可以給.

6.10 Glucagon should be prescribed for all individuals at increased risk of level 2 hypoglycemia, defined as blood glucose <54 mg/dL (3.0 mmol/L), so it is available should it be needed. Caregivers, school personnel, or family members of these individuals should know where it is and when and how to administer it. Glucagon administration is not limited to health care professionals. E



Glucagon 昇糖素
The use of glucagon is indicated for the treatment of hypoglycemia in people unable or unwilling to consume carbohydrates by mouth. Those in close contact with, or having custodial care of, people with hypoglycemia-prone diabetes (family members, roommates, school personnel, child care providers, correctional institution staff, or coworkers) should be instructed on the use of glucagon kits, including where the kit is and when and how to administer glucagon. An individual does not need to be a health care professional to safely administer glucagon. Care should be taken to ensure that glucagon kits are not expired.