老年人血糖应控制在多少合适 杜毓锋 山西医科大学第一医院 скачать в хорошем качестве

老年人血糖应控制在多少合适 杜毓锋 山西医科大学第一医院

老年人血糖应控制在多少合适 杜毓锋 山西医科大学第一医院 老年人的血糖控制标准跟年轻人是不一样的，一般来说不像年轻人要求那么严格，要根据老年人的预期寿命和自我管理的能力决定血糖控制的目标。一般来说当老年人的预期寿命大于10年而且也发生低血糖等并发症危险相对小的时候，要求血糖控制相对严格，糖化化血红蛋白一般要控制在6.5%以下，对于空腹血糖一般在６mmol/L左右，餐后血糖要控制在８mmol/L以下，也就说是正常的血糖控制标准。对于预期寿命相对较短，在５-10年的这类患者，对血糖要求就不是那么严格，一般空腹血糖控制在８mmol/L左右，餐后血糖在11mmol/L以下就可以。对于一些预期寿命大于10年但是血糖变化很大很容易发生低血糖发生危险的老年患者也要求餐后血糖控制小于11.1mmol/L为主，对于预期寿命很短的老年人，小于５年的老年人，血糖控制就不那么严格，一般不要有16.7mmol/L以上的高血糖，以控制糖尿为主。 How much blood sugar should be controlled in the elderly The blood sugar control standard of the elderly is different from that of the young, Generally speaking, it is not as strict as the requirements of young people, The goal of blood glucose control should be determined according to the life expectancy and self-management ability of the elderly. Generally speaking, when the life expectancy of the elderly is more than 10 years and the risk of complications such as hypoglycemia is relatively small, The blood sugar control is required to be relatively strict, Glycosylated hemoglobin should be controlled below 6.5%, For fasting blood glucose, it is generally about 6mmol / L, The postprandial blood sugar should be controlled below 8mmol / L, That is to say, it is a normal standard of blood glucose control. For relatively short life expectancy, In 5-10 years of this kind of patients, The blood sugar requirement is not so strict, Generally, fasting blood glucose is controlled at about 8mmol / L, The postprandial blood glucose is below 11mmol / L. For some elderly patients whose life expectancy is more than 10 years but their blood sugar changes greatly, they are prone to hypoglycemia, For the elderly with short life expectancy, Older people less than five years old, Blood sugar control is not so strict, Generally, there is no hyperglycemia above 16.7mmol/l, Mainly to control glycosuria.