Is it good to control sugar for 10 years?

If you have been suffering from diabetes for more than 10 years, it is recommended that you evaluate whether your sugar control effect has achieved its goal from four aspects, which is of great significance to your future treatment.

First, check the blood sugar indicators comprehensively. Glycated hemoglobin should be below 7%, indicating that you have long-term sugar control standards. Fasting blood sugar < 6.1mmol/L, and < 10mmol/L two hours after a meal, indicating that your blood sugar control is stable. If the C-peptide test index is too low, then your insulin secretion function is damaged, and insulin is often needed to further regulate blood sugar.

If the C-peptide level is higher than normal, there will be different degrees of insulin resistance, and there may be hyperinsulinemia, which is easy to be combined with blood lipids, elevated blood pressure and obesity, and the risk of cardiovascular and cerebrovascular diseases increases. Contact your doctor to develop a comprehensive diet, life management plan and treatment plan to prevent and delay complications.

Second diabetic nephropathy is one of the serious complications of diabetes. If blood sugar is not well controlled, kidney function will begin to appear in 5-10 years, and it is recommended that you check kidney function and glomerular filtration rate. It can be tested by blood draw, and creatinine > 133pmol/L should be paid attention to. The glomerular filtration rate index can be calculated through the formula< 90ml/min, and there may be a decrease in kidney function.

Third, if the blood sugar is not well controlled, the sclerosis and narrowing of the surrounding arterioles will occur. The most sensitive manifestation is the exudation of small aneurysms in retinal arterioles, when vision decreases and visual fatigue is prone to occur. Fundus examination can detect abnormalities early, and ultrasound examination of lower extremity arteries can understand the hardening of lower extremity arterioles.

Fourth hand and foot numbness and tingling are the result of diabetic peripheral nerve injury superimposed on lower limb arteriosclerosis and stenosis, and insufficient blood supply. If you don't have these manifestations, it means that the sugar control effect is good. Peripheral nerve damage also manifests itself in visceral autonomic nerves, such as bloating, indigestion, constipation, and diarrhea. If this is the case for a long time, then it should be paid attention to.

The above four aspects are the most important and easiest criteria to grasp to evaluate whether your sugar control effect has achieved its goal, which can help you better manage your blood sugar and prevent complications. Thank you for watching, goodbye!