Is there a new standard for blood sugar? 3.9-6.1 it has become a history. Different age standards are different. You may wish to check yourself
Diabetes must be familiar to everyone. The standard for judging diabetes is also determined by the indicators of blood glucose. The figure from 3.9 to 6.1 must be familiar to most people with hyperglycemia. In the impression of many people, this is the standard fasting blood glucose range.
However, it is time to correct this concept. The authoritative guidance document for the prevention and treatment of type 2 diabetes in China, the guide for the prevention and treatment of type 2 diabetes in China (2020 Edition), puts forward that the old blood glucose standard of 3.9-6.1mmol/l is not applicable on the premise of the current living environment and residents' dietary conditions, and the new blood glucose standard will be raised according to the actual situation.
3.9-6.1mmol/l has become history. What is the new blood glucose standard? According to the guidelines synchronously updated by the Chinese Journal of diabetes, the average standard of fasting blood glucose will be increased to 4.4-7.0mmol/l from 2021. In other words, many hyperglycemic people who have "struggled" on the blood glucose standard line may not be able to be hyperglycemic patients since 2021. This is indeed a happy thing. But in addition to being happy, many friends will also doubt that the blood glucose standard is good. Why does it change?
The blood glucose standard is up-regulated, or for these two reasons
First, people's living standards are slowly improving. The improvement of living standards means that everyone's table is also becoming rich. The per capita intake of carbon, water and fat of the Chinese people has increased by about 20% compared with five years ago. The average blood glucose index has increased. Naturally, the standard line of hyperglycemia has to change, which is more in line with the rigorous approach of medicine.
In line with international medicine. In fact, in many developed countries such as Europe and the United States, in order to meet the health status of modern people, the blood glucose standard has been raised. At this time, China's increase is more conducive to the integration with international medicine, so as to better carry out medical academic exchanges and lay the foundation for breaking through the complex disease of diabetes in the future.
However, no matter what the reason for the increase in blood glucose standards is, we just need to follow the steps of medical researchers and reasonably regulate blood glucose. However, it should be noted that although 4.4-7.0mmol/l has become a new blood glucose standard, blood glucose is dynamic and varies from person to person. Different age groups still have their own standards.
Not everyone should meet 4.4-7.0mmol/l. Different age groups have different standards of 4.4-7.0mmol/l, which belongs to a relatively average blood glucose standard. For most young people, it is a very scientific choice to control blood glucose based on 4.4-7.0mmol/l. However, we can not expect the elderly who are in poor health to share the same standard with the young people who are vigorous, which obviously does not conform to medical common sense.
Therefore, the blood glucose standards of different ages may be provided for your reference:
Minors under 18 and adults between 18 and 60:
Children under the age of 18 have vigorous metabolism and young blood vessels. Of course, the blood glucose value should be strictly in accordance with the standard. The fasting blood glucose is between 4.4-7.0mmol/l. If this standard is exceeded for a long time, parents should consider issues related to daily diet and exercise.
However, for adults aged 18 to 60, although their blood vessels are still healthy and their body metabolism is at a normal level, they are under great pressure in daily life due to their "climbing and rolling" in society. They are tired and stay up late more often. Compared with young people, the blood glucose standard will be appropriately relaxed. Generally speaking, fasting blood glucose can be controlled at 4.4 to 7.5mmol/l. However, it should be noted that if there are common hyperglycemic symptoms such as dizziness, foam urine, edema and so on for a long time, please do not hold on. It is the best choice to go to the hospital for examination and treatment in time.
Older persons over 60:
Because with the growth of age, the metabolic capacity of the elderly decreases, so the blood glucose standard can not be classified as the same standard as that of the young. Generally speaking, for the elderly over 60 years old, the highest fasting blood glucose can be kept between 7.0 and 8.9, and the blood glucose can be dynamically balanced. When diabetes complications such as liver and kidney diseases are found, we must not relax our vigilance.
However, I would like to remind you that the above standards are aimed at the population for the prevention of hyperglycemia. If there is a history of diabetes and there are diabetes related complications, the control of blood glucose needs to be "strict". No matter what age, the blood glucose standard of 4.4-7.0mmol/l should be taken as the goal. It is the right way to take medicine every day and actively cooperate with the treatment.
Specifically, blood glucose is dynamic and changeable after all. It needs to be treated comprehensively according to individual conditions and causes. Sticking to fixed standards may affect judgment. Therefore, while monitoring your blood glucose according to your age, don't forget to judge whether you have hyperglycemia symptoms from the details of daily life.
How to judge whether you are hyperglycemic? In addition to the blood glucose standard, don't miss the two details in life. First, check whether you are often thirsty
Thirst is one of the typical symptoms of patients with hyperglycemia. Generally speaking, each person can drink between 2000 and 2500ml of water every day. Unless he takes strenuous exercise or physical exertion, it is difficult to have thirst.
However, if there is no such situation and the drinking water volume reaches the standard, you will still be thirsty and irritable. You should consider whether the "water loss" caused by the increase of blood osmotic pressure due to the increase of blood glucose. Please also pay attention.
Eat more, but lose weight instead of gain
The most common type of diabetes is type 2 diabetes. Most of this type of diabetes is caused by the decrease of the body's effect on insulin. The insulin efficiency decreases and the utilization rate of blood glucose is insufficient. Patients will eat too much but lose weight instead.
However, we need to remind you that, for example, some gastrointestinal digestive diseases, even early cancer, will have similar symptoms. Therefore, once found, it is better to go to the hospital in time to find out.
In a word, although the standard of blood glucose changes, our vigilance against hyperglycemia should not change. According to different age groups, we should check our own blood glucose standard and determine whether we need to take hypoglycemic measures in combination with the two details of life. Once early hyperglycemia symptoms are found, actively cooperate with doctors in medication and treatment, and be responsible for your own health.
 : who controls my blood sugar? The secret of hyperglycemia has been exposed, Chinese clinical pathology network, February 13, 2022
 Blood glucose standards vary with age Department of Geriatrics, Xuanwu Hospital, Capital Medical University Health times, 2020