Tiếng Anh Y Khoa: Ca Lâm Sàng "Uncontrolled Type 2 Diabetes" - Đái Tháo đường Týp 2 Không Kiểm Soát [0a11a1]

Understanding Blood Sugar Range Spikes: Causes, Consequences, and Remedies

Blood sugar range spikes can be a serious concern for individuals living with diabetes or those who are at risk of developing this condition. A blood sugar spike occurs when the body's ability to regulate glucose levels is impaired, leading to abnormally high levels in does low blood sugar help you lose weight the bloodstream.

The Importance of Monitoring Blood Sugar Range Monitoring one's blood sugar range effectively requires a combination of technology and lifestyle adjustments. This includes using glucometers or continuous glucose monitors (CGMs) at home, as well as regular check-ups with healthcare providers to ensure accurate readings. Furthermore, keeping track of food intake, physical activity levels, and medication schedules can help identify patterns that may be contributing to blood sugar spikes.

Causes of Blood Sugar Range Fluctuations: Understanding the Link Between Diet and Blood Sugar Certain foods have been shown to exacerbate blood sugar range fluctuations in some individuals. These include high-glycemic index foods such as refined carbohydrates, added sugars, and processed meats. On the other hand, incorporating fiber-rich fruits and vegetables into one's diet has been found to help stabilize blood sugar levels.

Maintaining Insulin Sensitivity: The Key to Healthy Blood Sugar Range Insulin sensitivity plays a critical role in regulating blood sugar range fluctuations. Regular physical activity can improve insulin sensitivity by making cells more responsive to insulin, thus reducing the risk of developing type 2 diabetes. Additionally, maintaining healthy body weight and incorporating strength training exercises into one's routine can also enhance insulin function.

The Impact of Stress on Blood Sugar Range: Identifying Warning Signs Stress has been shown to have a significant impact on blood sugar range fluctuations in both individuals with diabetes and those who are at risk of developing this condition. Increased levels of stress hormones such as cortisol can raise glucose levels by low blood sugar and dry mouth disrupting the body's natural ability to regulate insulin sensitivity.

Balancing Blood Sugar Range through Nutrition: Understanding Glycemic Index The glycemic index (GI) is a measure used to rank foods according to their potential effect on blood sugar range fluctuations. Foods with low GI values are less likely to cause spikes in glucose levels, making them an excellent choice for individuals looking to regulate their blood sugar ranges.

Regaining Control: How Blood Sugar Range Impacts Mental Clarity and Mood The effects of high or low blood sugar range fluctuation can have a significant impact on both physical and mental well-being. Symptoms such as fatigue, irritability, confusion, rapid mood swings can occur when the body's ability to regulate glucose levels is impaired.

Blood Sugar Management through Lifestyle Adjustments: Avoiding Common Mistakes Several common mistakes may be contributing to blood sugar range fluctuations in individuals who are managing this condition or at risk of developing it. These include neglecting regular physical activity, consuming high-glycemic index foods regularly and eating too normal blood sugar for teens late into the night.

Stabilizing Blood Sugar Range through Exercise: Improving Insulin Sensitivity Regular exercise has been found to significantly improve insulin sensitivity in individuals with type 2 diabetes by enhancing glucose uptake into cells. This can be achieved through a combination of aerobic exercises such as brisk walking, jogging or swimming and strength training which includes resistance band workouts.

The Science Behind Blood Sugar Range Fluctuations: Understanding Insulin Resistance Insulin resistance occurs when the body becomes less responsive to insulin hormone produced in the pancreas that facilitates glucose uptake into cells. High levels of blood sugar over time can damage pancreatic beta-cell ability leading to impaired release of sufficient amounts thus exacerbating already fluctuating blood sugar range.

Blood Sugar Range, Heart Health and Cardiovascular Disease Research has found a strong link between abnormal fluctuations in blood sugar level particularly hyperglycemia (high) with increased risk for heart disease including but not limited to cardiac arrhythmias, stroke due primarily high glucose levels causing vascular inflammation.

Hello mọi người, mình là BS. Đoan Khanh, mình xin chia sẻ một số từ vựng tiếng anh Y khoa thông qua một ca lâm sàng về Đái tháo đường type II. Nếu có sai sót gì về phát âm hay từ vựng thì mọi người bỏ qua nhé. :D DIABETES VOCABULARIES glycemic control: kiểm soát đường huyết dietary adherence: tuân thủ chế độ ăn kiêng fasting glucose: đường huyết đói increased frequency of urination: tăng tần suất đi tiểu neuropathy: bệnh thần kinh dyslipidemia: rối loạn mỡ máu cost concerns: quan tâm về chi phí subcutaneously: dưới da Interactive diabetes case 16: A 61-year-old patient with uncontrolled type 2 diabetes on two oral agents AUTHOR:Lloyd Axelrod, MDSECTION EDITOR:David M Nathan, MDDEPUTY EDITOR:Katya Rubinow, MD Contributor Disclosures All topics are updated as new evidence becomes available and our peer review process is complete. Literature review current through: Mar 2024. This topic last updated: Jul 21, 2023. This case presents a 61-year-old restaurant manager with type 2 diabetes who has struggled to achieve glycemic control over the past nine years. Initially diagnosed with an A1C of 8.6 percent and random blood glucose of 193 mg/dL (10.7 mmol/L), he was started on glipizide 5 mg once daily, which was gradually increased to 10 mg twice daily. Despite this, his A1C ranged from 7.3 to 7.8 percent, largely dependent on dietary adherence. Three years ago, due to rising A1C levels (8.4 percent), metformin was added at 500 mg twice daily, later increased to 1000 mg twice daily. However, his A1C remained in the 7.2 to 7.7 percent range. One year ago, with an A1C of 7.8 percent, the clinician recommended additional medication, which the patient deferred, opting to improve his diet instead. Despite efforts, his A1C has now risen to 9.2 percent, with fasting glucose levels between 150 to 165 mg/dL (8.3 to 9.2 mmol/L). The patient presents with symptoms of increased frequency of urination, attributed to alcohol consumption, and mild neuropathy evidenced by reduced sensation in his lower extremities. His weight is 103kg with a BMI of 33.5 kg/m2, indicative of obesity. Laboratory findings show dyslipidemia with elevated LDL cholesterol (107 mg/dL) and hyperglycemia (A1C 9.2 percent). Given the patient's reluctance towards additional medications due to cost concerns, which additional medication do you add to the patient's current regimen? ●Pioglitazone 15 mg orally daily every morning. ●Exenatide 5 micrograms subcutaneously twice a day before breakfast and supper. ●Sitagliptin 100 mg orally daily every morning. ●Pramlintide 60 micrograms subcutaneously three times a day before meals. ●NPH insulin 20 units at bedtime (approximately 0.2 units per kilogram) as the initial dose. ANSWER: Insulin is recommended for type 2 diabetes patients not meeting glycemic goals despite lifestyle changes and maximum oral medications. It's especially preferred when cost is a concern and aims to reduce A1C levels to under 7.0%. Initial dosing typically involves once-daily injections of NPH or glargine insulin, adjusted based on blood glucose monitoring. There's no set maximum dose; it's adjusted until target A1C is reached without hypoglycemia. Risk of hypoglycemia is low initially but increases over time. Patients may experience modest weight gain, particularly if previously experiencing hyperglycemia symptoms. Discontinuing insulin secretagogues, like sulfonylureas, can simplify the regimen and reduce costs.