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血糖指标 文档血糖指标 文档 1简介 人体血液中红细胞内的血红蛋白与血糖结合的产物是糖化血红蛋白,血糖和血红蛋白的结合生成糖化血红蛋白是不可逆反应,幵与血糖浓度成正比,且保持120天左右,所以可以观测到120天之前的血糖浓度。糖化血红蛋白的英文代号为HbA1c。糖化血红蛋白测试通常可以反映患者近8~12周的血糖控制情况。 3与血糖区别 血糖是从食物中的碳水化合物分解而来的血液中的单糖,通常仅指葡萄糖。血糖测试结果反映的是即刻的血糖水平。糖化血红蛋白测试通常可以反映患者近8,12周的血糖控制情况。糖化血红蛋白是糖尿病诊断新标准...

血糖指标 文档
血糖指标 文档 1简介 人体血液中红细胞内的血红蛋白与血糖结合的产物是糖化血红蛋白,血糖和血红蛋白的结合生成糖化血红蛋白是不可逆反应,幵与血糖浓度成正比,且保持120天左右,所以可以观测到120天之前的血糖浓度。糖化血红蛋白的英文代号为HbA1c。糖化血红蛋白测试通常可以反映患者近8~12周的血糖控制情况。 3与血糖区别 血糖是从食物中的碳水化合物分解而来的血液中的单糖,通常仅指葡萄糖。血糖测试结果反映的是即刻的血糖水平。糖化血红蛋白测试通常可以反映患者近8,12周的血糖控制情况。糖化血红蛋白是糖尿病诊断新 标准 excel标准偏差excel标准偏差函数exl标准差函数国标检验抽样标准表免费下载红头文件格式标准下载 和治疗监测的―金标准‖ 随着人们对糖尿病知识的逐步了解,多数人已意识到空腹和餐后2小时血糖监测的重要性,并常常把二者的测定值作为控制血糖的标准。其实不然,空腹和餐后2小时血糖是诊断糖尿病的标准,而衡量糖尿病控制水平的标准是糖化血红蛋白。空腹血糖和餐后血糖是反映某一具体时间的血糖水平,容易受到进食和糖代谢等相关因素的影响。糖化血红蛋白可以稳定可靠地反映出 检测 工程第三方检测合同工程防雷检测合同植筋拉拔检测方案传感器技术课后答案检测机构通用要求培训 前120天内的平均血糖水平,且受抽血时间,是否空腹,是否使用胰岛素等因素干扰不大。因此,国际糖尿病联盟推出了新版的亚太糖尿病防治指南,明确规定糖化血红蛋白是国际公认的糖尿病监控―金标准‖。如果空腹血糖或餐后血糖控制不好,糖化血红蛋白就不可能达标。 6监测意义 糖化血红蛋白的特点决定了它在糖尿病监测中有很大的意义:,1,与血糖值相平行。血糖越高,糖化血红蛋白就越高,所以能反映血糖控制水平。,2,生成缓慢。由于血application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 糖是不断波动的,每次抽血只能反映当时的血糖水平,而糖化血红蛋白则是逐渐生成的,短暂的血糖升高不会引起糖化血红蛋白的升高;反过来,短暂的血糖降低也不会造成糖化血红蛋白的下降。由于吃饭不影响其测定,故可以在餐后进行测定。,3,一旦生成就不易分解。糖化血红蛋白相当稳定,不易分解,所以它虽然不能反映短期内的血糖波动,却能很好地反映较长时间的血糖控制程度,糖化血红蛋白能反映采血前2个月之内的平均血糖水平。,4,较少受血红蛋白水平的影响。糖化血红蛋白是指其在总血红蛋白中的比例,所以不受血红蛋白水平的影响。 7控制标准 糖化血红蛋白能够反映过去2,3个月血糖控制的平均水平,它不受偶尔一次血糖升高或降低的影响,因此对糖化血红蛋白进行测定,可以比较全面地了解过去一段时间的血糖控制水平。世界权威机构对于糖化血红蛋白有着明确的控制指标,ADA(美国糖尿病学会)建议糖化血红蛋白控制在小于7%,IDF(国际糖尿病联盟)建议糖化血红蛋白控制标准为小于6.5%,目前我国将糖尿病患者糖化血红蛋白的控制标准定为6.5%以下。 application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 糖化血红蛋白与血糖的控制情况 4%,6%:血糖控制正常。 6%,7%:血糖控制比较理想。 7%,8%:血糖控制一般。 8%,9%:控制不理想,需加强血糖控制,多注意饮食结构及运动,并在医生指导下调整治疗 方案 气瓶 现场处置方案 .pdf气瓶 现场处置方案 .doc见习基地管理方案.doc关于群访事件的化解方案建筑工地扬尘治理专项方案下载 。 >9%:血糖控制很差,是慢性并发症发生发展的危险因素,可能引发糖尿病性肾病、动脉硬化、白内障等并发症,并有可能出现酮症酸中毒等急性合并症。 美国糖尿病协会(ADA),欧洲糖尿病协会(EASD)以及国际糖尿病联合会(IDF)现已达成共识,未来糖化血红蛋白的单位将采用国际临床化学联合会(International Federation of Clinical Chemistry, IFCC)标准。单位的转换可使用以下 公式 小学单位换算公式大全免费下载公式下载行测公式大全下载excel公式下载逻辑回归公式下载 : IFCC-HbA1c (毫摩尔/摩尔) = [DCCT-HbA1c (%) - 2.15] × 10.929 DCCT- HbA1c IFCC-HbA1c (毫摩尔/摩尔) (%) 4.0 20 5.0 31 6.0 42 6.5 48 application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 7.0 53 7.5 59 8.0 64 9.0 75 10.0 86 8结果解释 实验室的检测结果可能因分析手段、样品保存时间和个体差异而不同。两个平均血糖相同的人,糖化血红蛋白可能会有多至3%的差异。结果也可能因多种因素而不可靠,如:手术后失血,输血,贫血,高红细胞更新率,慢性肾功能衰竭,肝脏疾病,高剂量维生素C摄入,红细胞生成素治疗等等。大致来说,健康人糖化血红蛋白的参考范围大约是4%–5.9%。糖化血红蛋白水平与估计的平均血糖水平的对应关系可由以下的近似公式得出: 估计的平均血糖(毫克/分升) = 28.7 × 糖化血红蛋白 ? 46.7 估计的平均血糖(毫摩尔/升) = 1.59 × 糖化血红蛋白 ? 2.59 (表格中的数据置信区间为95%): 糖化血红蛋白 估计的平均血糖 (毫摩尔/升) (毫克/分升) (%) 5 5.4 (4.2–6.7) 97 (76–120) 6 7.0 (5.5–8.5) 126 (100–152) application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 7 8.6 (6.8–10.3) 154 (123–185) 8 10.2 (8.1–12.1) 183 (147–217) 9 11.8 (9.4–13.9) 212 (170–249) 10 13.4 (10.7–15.7) 240 (193–282) 11 14.9 (12.0–17.5) 269 (217–314) 12 16.5 (13.3–19.3) 298 (240–347) 尽管高糖化血红蛋白水平代表着血糖控制不佳,但即便是―好的‖糖化血红蛋白水平仍可能为段时间内的低血糖导致。因此,常规的血糖监测仍然是最佳的血糖控制分析 方法 快递客服问题件处理详细方法山木方法pdf计算方法pdf华与华方法下载八字理论方法下载 。 由于糖尿病患者糖化血红蛋白的水平与平均血糖的控制相关,国际糖尿病病联合会(IDF)建议大多数糖尿病患者将糖化血红蛋白控制在6.5%以下,而美国糖尿病协会(ADA)的推荐标准则是7.0%以下。最近一些研究结果认为7%以下的控制目标过于严格,可能导致比较严重的低血糖发生。因此医疗人员在制定糖化血红蛋白控制目标时,必须考虑患者个人的健康状况、低血糖风险、特殊健康风险等具体情况。例如,对于青少年和儿童1型糖尿病患者,糖化血红蛋白的控制目标和成人有所不同,因为这部分人群血糖多变不易控制,而且在发育中的大脑比成年人的大脑更容易受到低血糖的损害,所以血糖控制不宜过分严格,美国糖尿病协会(ADA)给出的建议可参考下表: 不同年龄段青少年儿童控制目 标 application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 糖化血红蛋白(HbA1c)控制目年龄 标 <6岁 7.5%-8.5% 6,12岁 <8.0% 13,19岁 <7.5% 9注意事项 发现治疗中存在的问题。如果糖尿病患者经常监测血糖都显示控制较好,而糖化血红蛋白偏高,则需考虑是否平时监测血糖不够全面(如只测空腹血糖而忽略了餐后血糖),或者可能血糖仪测出的数值不够准确(如机器老化,试纸受潮、过期等)。 如果某位糖尿病患者血糖波动较大,经常发生低血糖,继而又发生高血糖,由于糖化血红蛋白是反应血糖的平均值,所以其糖化血红蛋白完全有可能维持在正常范围。在这种情况下,它的数值就不能反映真正的血糖变化了。同时,糖化血红蛋白还受红细胞的影响,在合并影响红细胞质和量的疾病(如肾脏疾病、溶血性贫血等)时,所测得的糖化血红蛋白也不能反映真正的血糖水平。 指导治疗方案的调整。在临床治疗中,如能同时测定血糖与糖化血红蛋白,可以更好地全面判断病情,及时调整治疗方案。当空腹血糖超过患者糖化血红蛋白对应的预测值时,则显application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 示近期血糖控制不好,可能与采血时紧张、劳累、晚餐进食过多、治疗不当、急性并发症等有关,需要调整治疗方案。比如某糖尿病患者定期监测糖化血红蛋白均在6%,7%,而最近一次为8.2%,这表明以往的治疗方案已不能较好地控制血糖,需要重新调整方案。相反,如果空腹血糖低于糖化血红蛋白对应的预测值,甚至达到正常标准,则显示近期血糖控制良好,治疗对症。 因此,普及糖尿病知识,更新治疗理念,监测并保持糖化血红蛋白达标,更早、更合理地使用胰岛素等药物治疗,对于控制糖尿病并发症的发生发展尤为重要。目前临床提倡对2型糖尿病患者采取积极治疗方法:尽早药物治疗、尽早联合治疗。糖尿病患者血糖控制未达到目标或治疗方案调整后,应每3个月检查一次糖化血红蛋白;血糖控制达到目标后也应每年至少检查2次糖化血红蛋白。 10临床意义 临床上,只有30%左右的糖尿病患者能做到定期监测糖化血红蛋白。良好的血糖控制是预防并发症的关键,而血糖监测在很大程度上取决于患者本人的认知和行动。由于大部分患者选择可靠性不高的日常监测手段,目前超过60%的2型糖尿病患者的糖化血红蛋白控制不理想。糖化血红application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 蛋白长期控制不稳定的影响是多方面的,它会改变红细胞对氧的亲和力,加速心脑血管并发症的形成;如果眼睛内的晶体被糖化,则会引发白内障。此外,它可引起肾小球基底膜增厚,诱发糖尿病肾病,并引起血脂和血粘度增高。糖化血红蛋白升高,是心肌梗死、脑卒中死亡的一个高危因素。在男性患者中,糖化血红蛋白每增加1%,死亡率的相对危险性增加24%,女性患者增加28%。一旦糖化血红蛋白超过7%,发生心脑血管疾病的危险性就增加50%以上。 糖尿病患者的糖化血红蛋白控制水平没有阈值,随着糖化血红蛋白水平的降低,越接近正常值,糖尿病的并发症降低越明显,DCCT、UKPDS等国际大规模临床试验得出结论,证实糖尿病患者经强化治疗后糖化血红蛋白水平可以显著降低,各种并发症风险也明显减少。英国前瞻性研究证实糖化血红蛋白每下降1%,糖尿病相关的死亡率降低21%;心肌梗死发生率下降14%;脑卒中发生率下降12%;微血管病变发生率下降37%;白内障摘除术下降19%;周围血管疾病导致的截肢或死亡率下降43%;心力衰竭发生率下降16%。因此,糖化血红蛋白对糖尿病患者来说是一项非常重要的监测指标,它的高低直接决定将来各种严重影响糖尿病患者生活质量的慢性并发症的application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 发生和发展。糖尿病患者定期监测糖化血红蛋白具有非常重要的意义,有助于帮助患者改善血糖控制水平,促进患者的血糖达标,从而减少并发症的发病率,从根本上改善糖尿病患者的生活质量。 糖化血红蛋白增高对人体的影响是多方面的,它可改变红细胞对氧的亲和力,使组织与细胞缺氧,加速心脑血管并发症的形成;可引起肾小球增厚,诱发糖尿病肾病(DN);还可引起血脂和血粘滞度增高,是心血管病发生的重要因素。因此,监测糖化血红蛋白不论对糖尿病患者疾病控制情况,并发症的预测情况,还是糖尿病病人的筛选等方面都有重要的意义。美国1型糖尿病控制及并发症试验(DCCT)和英国2型糖尿病控制与并发症(UKPDS)均把糖化血红蛋白作为糖尿病的一个重要评价指南,且都充分肯定了强化治疗在阻止血管并发症发生、发展的重要作用。 1 是糖尿病患者血糖总体控制情况的指标 2 有助于糖尿病慢性并发症的认识 3 指导对血糖的调整 4 对判断糖尿病的不同阶段有一定的意义 application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 5 区别应激性血糖增高和妊娠糖尿病(GDM)中的检测意义 综上,糖化血红蛋白的检测对糖尿病患者的整体情况有很重要的意义。临床医务工作者不能仅局限在对血糖的认识上来管理血糖,应综合糖化血红蛋白才能更好的控制血糖,预防并发症的发生。美国糖尿病协会(ADA)建议血糖控制满意且稳定的糖尿病患者至少1年测2次糖化血红蛋白;若血糖控制不满意且需调整方案者,应一年测4次。另外计划怀孕的糖尿病妇女,初期每月测一次糖化血红蛋白,血糖控制满意后,应每6,8周测1次,直到受孕。同时还应该注意各种贫血,出血性疾病,或用心得安、吗飞、双氢克脲塞等药物可使糖化血红蛋白下降,而用大量阿司匹林、维生素c肾功不全,甲亢者可使其增高。应综合考虑,做到全面衡量患者的整体情况。但糖化血红蛋白不能作为诊断糖尿病的依据,也不能取代糖耐量试验,可作为糖尿病的普查和健康检查的项目。 此外还要注意 ?对昏迷病人的鉴别:在脑血管急症时,由于应激反应可使血糖增高,但糖化血红蛋白检测正常。若糖化血红蛋白增高预示患者处于高血糖状态。?糖化血红蛋白很高的患者要警惕酮症酸中毒的发生。?对妊娠糖尿病仅测定血糖是不够的,一定要监测糖化血红蛋白,并使其保持在8%以application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 下。如此可避免巨大胎儿、死胎和畸形胎儿的发生。?指导治疗:如已测定了某病人的糖化血红蛋白,可推算出平均血糖的水平,再用推算值与同一标本的空腹血糖值对比,可预测出近期血糖控制的好坏。糖化血红蛋白小于7.3%时,餐后血糖对糖化血红蛋白的水平影响较大;当在7.3%—8.4%时,空腹和餐后血糖对糖化血红蛋白的功效差不多;当大于8.5%时空腹血糖所扮演的角色更重要。因此,糖化血红蛋白水平很高者需要更好的控制空腹血糖水平。所以,糖化血红蛋白在7%—8%者要更多干预餐后血糖,减少低血糖反应;大于8%者要兼顾空腹和餐后血糖,小于8%侧重改善餐后血糖。如若空腹血糖高于7.1mmol/L许多,糖化血红蛋白大于8%,表示近期血糖控制不好,需调整治疗方案。反之,若空腹血糖低于7.1mmol/L,甚至正常,糖化血红蛋白小于8%,则表示近期血糖控制良好,本着―效不更方‖的原则,治疗方案不变。因此,同时测定血糖与糖化血红蛋白可以更好地全面判断病情,指导治疗。 糖化血红蛋白正常值是多少? 核心提示:许多研究发现,糖尿病患者如果能将糖化血红蛋白水平降低至8.1%以下,糖尿病并发症的发生将会大application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check 大地降低。如果超出这个值,那么并发症的机率会非常大。而非糖尿病者的糖化血红蛋白水平为4-5.5%.。 虽然糖化血红蛋白尚存在着标准化和个体变异方面的问题,但是它仍然是评价糖尿病患者血糖控制的“金标准”,给临床医师和患者调整治疗药物剂量或改变治疗方案提供了简单而实用的手段。 关于糖化血红蛋白正常值是多少,糖尿病专家介绍,许多研究发现,糖尿病患者如果能将糖化血红蛋白水平降低至8.1%以下,糖尿病并发症的发生将会大大地降低。如果超出这个值,那么并发症的机率会非常大。而非糖尿病者的糖化血红蛋白水平为4-5.5%.。 当然,任何疾病都要因人而异,糖化血红蛋白指数也一样,总的来说就是“老人老办法、新人新规定”,中青年可以要求的严格一些,若能将糖化血红蛋白控制在6.5%或更低,收益会更大。对老年人则可以适当放宽一点(7.0%~7.5%),如果老年人能达到这个标准,就算正常了。 而我国最新糖尿病指南建议:糖化血红蛋白控制目标是6.5%,是目前国际上最严格的控制标准。 application; infection and antibacterial drug of clinical application; transfusion refers to levy; nutrition support of adapted card and clinical application; common life support technology (as cycle breathing support, and nutrition support,) and emergency technology of application; common guardianship instrument using. Look: shock, cardiac respiratory arrest and acute organ failure, systemic inflammatory response syndrome and severe infection and multiple organ dysfunction syndrome (MODS), severe disturbance of body fluid environment such as critical theory and progress of the illness. 2. basic requirements (1) species and cases of study requirements: severe pneumonia in disease-disease myocardial infarction ... 3. high requirements (1) learning disease species: disease species disease species image radiation: rheumatic heart congenital heart intestinal Crohn's (Crohn) disease intestinal tuberculosis bile duct cancer chronic pancreatic inflammatory urinary system stone urinary system tumor adrenal disease thyroid disease cranial within infection nervous system tumor nuclear medical: Digest road bleeding explicit like brain blood flow perfusion explicit like testicular blood pool explicit like salivary glands explicit like (2) clinical knowledge, and skills requirements: understand various image check
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