CN103500285A - Glycemic control map - Google Patents
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- CN103500285A CN103500285A CN201310477620.XA CN201310477620A CN103500285A CN 103500285 A CN103500285 A CN 103500285A CN 201310477620 A CN201310477620 A CN 201310477620A CN 103500285 A CN103500285 A CN 103500285A
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Abstract
The invention provides a glycemic control method with a glycemic control map as a tool. The glycemic control map is a map (as is shown the picture) composed of two tables and an innovative two-dimensional coordinate system. Ideal glycemic control can be achieved with only four steps: first, a lot of data such as blood sugar, diets, exercise, nutritional supplements, hypoglycemic drugs or insulin at different time points are recorded on the map, and a curve is drawn according to coordinate data; second, the change trend of the curve on the map and relevant data are analyzed, and the main reason causing high and low change fluctuation of blood sugar is found; third, a lot of factors affecting changes of blood sugar are tested and adjusted, and the optimum data combination is obtained; fourth, persistence is strengthened, and good life habits are developed. The glycemic control map reflects the causality of changes of blood sugar quietly visually in the mode of a graphic interface, achieves systematic and digitalized monitoring, achieves ideal glycemic control at a low economical cost with a method easy to learn, understand and operate and plays a positive role in prevention and reduction of diabetic complications.
Description
Technical field
The present invention relates to a kind of practical technique of glycemic control.Specifically adopt figure collection of illustrative plates mode, the factors that affects blood sugar is carried out to quantitative analysis, carry out systematization and digital monitoring, the graphical interfaces operation, apply this technology can be on the papery collection of illustrative plates of printing or the electronics collection of illustrative plates of computer, smart mobile phone programming on realize the blood sugar dynamic management, reach the purpose of effective control blood sugar.
Background technology
Versions in 2010 " Type 2 Diabetes In China guideline of prevention and treatment " suggestion that diabetology branch of Chinese Medical Association writes, medical publishing society of Peking University publishes: to new diagnosis and Type 2 Diabetic patient, take the strategy of strictly controlling blood sugar to reduce the risk that diabetic complication occurs.
Glycemic control is the self-health control content that the diabetic will carry out all one's life, is also the priority of diabetes clinical treatment.Good glycemic control can effectively be prevented the generation with complication.The most frequently used glycemic control method of medical circle surely belongs to " five drive carriage " at present.Five drive carriage refers to that diabetes education, diet control, suitable exercise, medicine are controlled, blood sugar monitoring.The method has comprised the main contents of diabetes mellitus prevention and control more all sidedly, is obtaining generally application aspect control blood sugar and treating diabetes.
Following document has been discussed the effect of " five drive carriage " treatment diabetes from different perspectives:
1, " diabetes Communities ' Integrated control strategy---five drive the carriage detailed annotation >>Xu ridge tail feather China doctor of community (medical speciality) 2011-09-15 periodical
2, " affect the diabetic and control five analysis of causes and the nursing and interferings of driving carriage " the medical 2010-10-11 periodical in Kang Gaixin China and foreign countries
3, clinical experience, scheme and the progress of " " five drive carriage " of diabetic diet therapy " Yang Bo TCM treatment of diabetes and complication thereof---the 3rd diabetes (diabete) International Academic Conference collection of thesis 2002-11-01 international conference
4, national health medical science 2008-10-10 periodical in " five drive the effect observation that carriage is treated 84 routine diabetes Bs " Cao Kemin
5, the practical clinical medical magazine 2009-08-23 periodical of " " five drive carriage " application in patients with gestational diabetes for the treatment of diabetes " Li Hui
6, " five drive carriage one drives and can not lack " diabetes New World 2008-04-01 periodical
7, " from " five drive carriage " what is said or talked about diabetes B patient hypoglycemia preventative strategies can " Yan Bo; Du Jiafu; Permitted female China and foreign countries' medical research 2013-02-25 periodical
8, " impact of clinical practice " five drive carriage " on the old-aged diabetic " Korea Spro is magnificent clinical rational drug use magazine 2012-11-20 periodical
9, " it is healthy that " five drive carriage " protects the sugar friend " a surname covers Chinese health care 2009-08-01 periodical
10, " drive " five drive carriage ", get along amiably and peacefully with blood sugar " Yin Li China diabetes New World 2010-11-01 periodical
11, " " five drive carriage " formula integrated control diabetes are very urgent " Zhu two rosy clouds China doctor of community (medical speciality semimonthly) 2009-08-10 periodicals
Although " five drive carriage " glycemic control method is used extensively, it exists certain defect and deficiency aspect glycemic control, is in particular in three aspects:
One, " five drive carriage " is a conceptual glycemic control method, wherein diet control, appropriate exercise, blood sugar monitoring are all qualitative explanations, lack the quantitative test of scientific and precise, and this is to cause the low one of the main reasons of diabetes mellitus in China patient glycemic control compliance rate;
They are two years old, blood glucose value is the result that factors produces in the human body comprehensive effect, " five drive carriage " emphasizes the independent effect degree of each factor to blood sugar, fail to be optimized combination by between these factors, be difficult to realize collaborative playing a role, this is to cause the diabetic to use " five drive carriage " method to control blood sugar, still there will be the undesirable reason of glycemic control effect;
Its three, lack these important measures of nutrition recuperating, be another defect of the method.Because this defect is not slowly repaired, impact to the diabetic therapy effect.
Nutrition recuperating is prevented and treated diabetes and has been obtained medical circle and unanimously admit.In May, 2011, by diabetes branch of Chinese Medical Association, nutritionist Professional Committee of Chinese doctors'associations, write, People's Medical Officer Press publishes " diabetes mellitus in China medical nutrient treatment guide ", and this book is quoted the classics and introduced the remarkable effect of nutritious supplementary pharmaceutical to the treatment diabetes all-sidely with professional angle.Chinese Medicine science and technology publishing house publishes " nutrition diseases prevention canon---doctor Wu talks balanced nutritious ", author: the senior examination person of national community nutrition teacher, clinical medicine doctor Wu Weiqun in January, 2011.Doctor Wu, at this book the 18 chapter, has set forth the special topic of diabetes nutrition conditioning specially.
The factors such as glycemic control and diabetic's diet, motion, nutrition recuperating, drug administration or insulin injection are closely related, wherein the variation of any one factor will cause the fluctuation of blood glucose value, how each factor is carried out to systemic quantitative analysis, the unified coordination and adjustment, to reach lower expense cost, higher application popularization utilization rate, desirable glycemic control effect, it is the problem that the present invention mainly solves.
Summary of the invention
In order to solve in glycemic control, affect the problem of mutually coordinating, consider as a whole each factor cooperation between the quantitative test of change of blood sugar factors, each factor, reach the purpose of desirable control blood sugar effect, invented the glycemic control collection of illustrative plates.
The dynamic collection of illustrative plates that the glycemic control collection of illustrative plates is comprised of the two-dimensional coordinate system of two forms and an innovation, the diabetic records blood glucose value, the diet of own different time points and takes in heat, motion consumption of calorie, nutritious supplementary pharmaceutical, takes the data such as antidiabetic drug or insulin injection on collection of illustrative plates, the coordinate points that obtains changing in time, couple together these coordinate points to form the collection of illustrative plates that various curves form.It reflects the cause-effect relationship of change of blood sugar very intuitively with the graphical interfaces form, by analyzing the blood glucose curve on collection of illustrative plates, diet is taken in heat curve, the variation tendency of motion consumption of calorie curve, the nutritious supplementary pharmaceutical of contrast coordinate below charting, medicine or insulin data, sensible factor and the main cause of adjusting one by one that investigation will find to cause blood sugar just to fluctuate, adjust observation for sensible factor, blood glucose curve will change to the direction of glycemic control expectation, formulate according to this personalized best blood sugar control sugar scheme, blood sugar effectively is controlled to safe range, prevention and minimizing diabetic complication are played to positive role.
The above and below of glycemic control collection of illustrative plates is form, and centre is the two-dimensional coordinate system of an innovation.What the transverse axis of this two-dimensional coordinate system reflected is time scale; The longitudinal axis of coordinate system is that an axle is dual-purpose, reflection blood sugar and two kinds of indexs of heat, what longitudinal axis left-hand scale reflected is the blood sugar coordinate, what the right side scale reflected is the heat coordinate, can be understood as blood sugar-time 2-D coordinate system and heat-two of time 2-D coordinate systems coordinate system are merged by the time Coaxial Superimposed, form the two-dimensional coordinate system of an innovation.There is the blood glucose value form of actual detection the coordinate system top, the form formed by diet, motion, nutritional supplementation, antidiabetic drug or insulin column below transverse axis, and they have formed the glycemic control collection of illustrative plates jointly, refer to Fig. 1.Collection of illustrative plates can reflect that user's blood glucose value, diet take in calorie value, motion chargeable heat value simultaneously, and the kind of nutritious supplementary pharmaceutical and dosage, takes antidiabetic drug kind and dosage or insulin injection kind and five kinds of indexs of dosage; Diet is taken in heat curve, motion consumption of calorie curve, three kinds of curves of blood glucose curve, provides user's safe blood sugar zone, human body basic metabolism calorie value simultaneously.
Increased the nutritious supplementary pharmaceutical column in the glycemic control collection of illustrative plates, expressed and take the impact of nutritious supplementary pharmaceutical on glycemic control.
The cause-effect relationship that the glycemic control collection of illustrative plates changes blood glucose value displays intuitively with graphical interfaces, the blood glucose value of certain time point is the coefficient results of factors such as diet, motion, nutritional supplementation, medicine or insulin, and the factors data of this time point are the reasons that produces this blood glucose value.
One, glycemic control collection of illustrative plates intention uniqueness, clear thinking, comprehensively comprehensive, safe and efficient, novel in design, through patent retrieval and relevant speciality literature query, there is not yet the technology similar or identical with this method and method.
Two, the glycemic control collection of illustrative plates has breakthroughly in following several respects, possesses significant advance:
1, Consideration is comprehensive, makes a distinction between the important and the lesser one.The factors such as diet, motion, nutrition recuperating, medicine and insulin that affect change of blood sugar are made overall plans, the two-dimensional coordinate system of application innovation and form, be integrated on a collection of illustrative plates, the cause-effect relationship of change of blood sugar is very clear, embodiment is incremental formula guiding, allows user oneself go to pinpoint the problems and deals with problems, and can concentrate on crucial points and solve the problem of hyperglycaemia, can take into account again balanced in nutrition and change eating habit, glycemic control more system is more scientific.
2, quantitative analysis, digital monitoring.Caught the central factor that affects change of blood sugar---heat, this critical index is taken into account energy intake and consumption simultaneously, by the past qualitative analysis, rises to qualitative analysis and combines with quantitative test, has accomplished Digital Control.Diet and motion are Two Mainstays and the bases of controlling blood sugar, treatment diabetes.How much the kind of diet is no doubt a lot, and the quantity of absorption varies with each individual, but which kind of F&B no matter, take in, and finally all is quantified as and takes in heat and have how many kilocalories; The mode of motion is varied, and everyone hobby of moving is different, and still, the heat that finally all is quantified as consumption has how many kilocalories.Modern medicine study shows, take in heat and consumption of calorie the number, closely related with the variation of blood sugar.
Nutritious supplementary pharmaceutical, medicine, insulin etc. have number of times and the dosage of use, are also numerals, and the glycemic control collection of illustrative plates is all included quantitative test in.
The quantitative test of glycemic control collection of illustrative plates, disclosed the interaction, cause-effect relationship and the development trend that affect between the blood glucose value factors, significantly strengthened operability and the accuracy of glycemic control, more is conducive to formulate personalized optimum glycemic control protocols.
3, graphical interfaces, visual and understandable, easy to operate.The factors of glycemic control, by dispersed text description of past, is carried out to summarizes, improve and be designed to graphical interfaces, directly perceived, understandable, easy to operate.The same by the DOS system update windows system of regenerating like computation, glycemic control is more prone to, and easily by the user, is accepted, and more is conducive to universal and promotes;
4, nutritious supplementary pharmaceutical.Have additional nutrients replenishers as a glycemic control major measure, advocate under the nutritionist instructs and take nutritious supplementary pharmaceutical, when controlling blood sugar, nourish and the conditioning physical function, Baconic supports source, allows glycemic control to the benign cycle future development.Doctor Wu Weiqun says in its works " nutrition diseases prevention canon " preface: " balanced in nutrition extremely important, its importance is considerably beyond people's the imagination.Nutrient can prevent disease, and nutrient can cure diseases.Balanced nutrition is healthy basis, is also healthy pillar.”
5, high safety, interesting strong, easily form a habit.In implementation process of the present invention, dietary restriction kind not, so that nutrition is taken in is balanced; Zero Hunger, without any side effects, so can adhere to for a long time; When the glycemic control collection of illustrative plates is used, do not need to read dry a large amount of word, there is no technical term pained hard to understand, on the contrary, no matter be to draw the electronic edition curve spectrum, no matter calculate heat or analyze data in the papery version or with mobile phone, the process of glycemic control has been full of enjoyment, one family or kith and kin close friend can carry out together, no pain is without any side effects, and safe green is easily formed good eating habit and habits and customs.
Three, glycemic control collection of illustrative plates practicality is very strong, is applicable to prediabetes crowd, diabetic crowd, the doctor of the medical institutions clinical observation to the diabetic.It is very safe, without any side effects, easy to learn, understandable, easy to operate, and no matter teenager and the adult of which kind of, which kind of language do not need special training at age, only need to, according to operation instruction, can learn and grasp soon.
Information according to health ministry issue on May 20th, 2012: diabetes mellitus in China patient number reaches 9,240 ten thousand people, has 1.48 hundred million people's blood sugar higher, becomes the prediabetes crowd.China surmounts India, has become the country of whole world diabetic's number first.
The invention of glycemic control collection of illustrative plates, have inestimable value and effect for China 1.48 hundred million prediabetes crowds, uses this method, easily forms good habits and customs, by glycemic control in safe range, from then on away from diabetes; For 9,240 ten thousand diabetics, it is timely that the glycemic control collection of illustrative plates cans be compared to, the light patient of some early stage patients, young patient, the state of an illness is according to the method, can make optimized glycemic control protocols under doctor's guidance, be aided with nutrition recuperating, do not take antidiabetic drug, insulin injection not, just can be good by glycemic control; The patient who is in a bad way, apply the glycemic control collection of illustrative plates, also can reduce the dosage of antidiabetic drug or insulin, increases the effectiveness of medicine, and the reduction expense reduces spinoff, improves the glycemic control effect.
The glycemic control collection of illustrative plates is that the clinician of endocrine section office treats the optimal aid of diabetes, application the method, and doctor more system grasps diabetic's the actual state of an illness more comprehensively, suits the remedy to the case, and improves result for the treatment of.
The pathogenic process of diabetes complexity makes the mankind not yet find so far the method for radical cure, and this just means that needs of patients receives treatment all the life, but regrettably, even in developed country, 2/3 the patient of also having an appointment can not get effective management.In developing country, the diabetes control status more allows of no optimist, and according to the investigation of China's big and medium-sized cities outpatient service in 2003,2004,2006, shows that diabetic's glycosylated hemoglobin (HbA1c) (<6.5%) up to standard of 1/4 is only arranged.No matter be both at home and abroad, the present invention has boundless application prospect.
The accompanying drawing explanation
Below in conjunction with accompanying drawing, the present invention is further described.
Fig. 1 is schematic diagram of the present invention.
The top of figure is a line actual measurement blood sugar form, and the centre of figure is the two-dimensional coordinate system of an innovation, and the bottom of figure is a form be comprised of the field of diet, motion, nutritious supplementary pharmaceutical, antidiabetic drug or insulin, major issue record.Data and middle two-dimensional coordinate system in upper and lower form, all to using coordinate system transverse axis time coordinate as the unified benchmark that records, the longitudinal axis one axle of coordinate system is dual-purpose, be blood sugar coordinate axis and heat coordinate axis, can be understood as blood sugar-time coordinate system and heat-time coordinate system, take the time and as unified benchmark merges the Coordinate formed be.The purpose of doing like this is intuitively to express section at the same time, the digital corresponding relation between blood glucose value and heat.
In collection of illustrative plates New Two Dimensional coordinate system: 1. number curve is that diet is taken in heat curve; 2. number curve is the motion consumption of calorie; 3. number curve is actual detection blood glucose curve; 4. number straight line is human body basic metabolism heat; 5. number be non-fasting blood-glucose safety zone; 6. number be the fasting blood-glucose safety zone.
What is the blood sugar safety zone?
2010 editions " Type 2 Diabetes In China guideline of prevention and treatment " formulates the international basically identical diabetes control level of plasma glucose of Liao Yu.Good glycemic control refers to that fasting blood-glucose is 3.9---7.2 mM/ls, and 2 hours blood glucoses≤10.0 mM/l after the meal, glycosylated hemoglobin is less than or equal to 7%.
X3=10.0---the non-empty stomach glycemic control upper limit; The upper limit that X2=7.2---fasting blood-glucose is controlled; The lower limit that X1=3.9---fasting blood-glucose is controlled;
Belong to non-fasting blood-glucose safety zone (comprising the fasting blood-glucose safety zone) between X3 and X1;
Belong to the fasting blood-glucose safety zone between X2 and X1;
R---body metabolism basis heat, unit kilocalorie (Kcal);
Human body basic metabolism heat R computing formula:
Women: human body basic metabolism heat=18 * body weight (body weight unit: kilogram)
The male sex: human body basic metabolism heat=20 * body weight (body weight unit: kilogram)
In figure, can find out:
(1) blood glucose value is directly proportional to diet absorption heat, and 1. number curve descends, and 3. number curve descends; 1. number curve rises, and 3. number curve rises;
(2) blood glucose value and motion consumption of calorie are inversely proportional to, and 2. number curve rises, and 3. number curve descends; 2. number curve descends, and 3. number curve rises;
(3) nutritious supplementary pharmaceutical, take the lifting that antidiabetic drug or insulin injection synchronously reflect blood sugar.
Each curve of glycemic control collection of illustrative plates and index are understood
(1) actual measurement blood sugar: the blood glucose value of detection is according in the form that is labeled in the collection of illustrative plates top detection time and in coordinate system, if electronic edition collection of illustrative plates, after the data input, the position that blood glucose value can appear at corresponding detection time automatically to be put, different time points blood glucose value automatic connecting, form the change of blood sugar curve, as 3. number curve in Fig. 1, unit is: mM (mmol/L).
(2) diet is taken in heat: taking in heat is to affect one of topmost index of blood glucose value, the diet calculated take in calorie value according to corresponding time-labeling in the first row and coordinate system of bottom form, if electronic edition collection of illustrative plates, after the input calorie value, can automatically appear on form and corresponding coordinate points, by each coordinate points automatic connecting, form diet and take in the thermal change curve, as 1. number curve in Fig. 1, unit: kilocalorie (Kcal).
(3) motion consumption of calorie: consumption of calorie is one of another topmost index affected blood glucose value, the motion chargeable heat value calculated according to corresponding time-labeling in bottom form the second row and coordinate system, if electronic edition collection of illustrative plates, after the input calorie value, can automatically appear on form and corresponding coordinate points, by each coordinate points automatic connecting, form motion consumption of calorie change curve, as 2. number curve in Fig. 1, unit: kilocalorie (Kcal).
(4) nutritious supplementary pharmaceutical: it is the major measure of conditioning diabetes that fortification supplements, and human body is planted nutriment by more than 50 and formed.International and domestic a large amount of research data shows, supplements in right amount the nutritious supplementary pharmaceuticals such as calcium, magnesium, chromium, vitamin B complex, Vc, dimension E, lecithin, propolis, and prevention and the treatment of diabetic complication had to good effect.Nutritious supplementary pharmaceutical carries out under the nutritionist instructs, and generally takes number of times and dosage is fixed, and can often not become, and when starting to take, is marked, and experiences and effect is taken in observation.
(5) antidiabetic drug or insulin: the diabetic should take antidiabetic drug under doctor's guidance.Antidiabetic drug need to continue to take for a long time, if take antidiabetic drug, only need to fill at the time point that starts to take title and the dosage of antidiabetic drug, as: melbine 3.1 means to take melbine 3 times, each 1 every day.If do not take antidiabetic drug, can not fill out.
Insulin: the diabetic should adopt insulinization, insulin injection under doctor's guidance.Insulin requirement is adhered to calibrated shot for a long time, if insulin injection gets final product at time interocclusal record insulin title and the dosage of start injection.If injection, can not fill out.
(6) major issue record: this column is mainly the major issue that affects blood glucose value for recording in daily life, such as: the quality of spiritual mood, long-term steroid class medicine, major disease etc.Wherein spiritual mood is larger to blood sugar influence, good, optimistic positive, the heartily people of phychology, to glycemic control and prevent that complication is highly beneficial, otherwise produce harmful effect, conversely, the blood sugar height can affect people's the state of mind again, as Persistent hyperglycemia, can allow the people produce the states such as tired, drowsiness, dispirited, when glycemic control is desirable, the people is spirit just, and mood is good.The state of mind records hurdle in major issue and only need to fill in: fine, good, general, differ from four kinds of states and get final product.
Fig. 2 is glycemic control collection of illustrative plates 3.7 types
The papery collection of illustrative plates that glycemic control collection of illustrative plates 3.7 types are doctor and diabetic's design.Be generally used for the diabetic in clinical treatment stage, just find the patient that pathoglycemia raises, the patient who needs intensive Monitoring Blood Glucose, for for three days on end, every day respectively before the meal early, behind early 2 hours after the meal, ante prandium, lunch before 2 hours, dinner, after dinner 2 hours, sleep before equi-time point detect the collection of illustrative plates of blood sugar for 7 times.Purpose is accurately to monitor diabetic's 24 hours blood glucose value situations of change; Analyze data and the curvilinear trend of collection of illustrative plates, can find out very intuitively the impact on the friendly blood glucose value of sugar of diet, motion, medication or insulin injection, adjust any one factor wherein, all can change blood glucose value.Doctor or sugar friend can make scientific and reasonable glycemic control protocols according to this collection of illustrative plates.
Fig. 3 is glycemic control collection of illustrative plates 10.1 types
Glycemic control collection of illustrative plates 10.1 types are the blank papery collection of illustrative plates for prediabetes crowd and the daily blood sugar monitoring design of diabetic crowd, detect every day 1 time, can record the collection of illustrative plates of 10 Monitoring Data, if record more multi-group data, renew a collection of illustrative plates and get final product.
According to glycemic control collection of illustrative plates tool using difference, the glycemic control collection of illustrative plates of design has two kinds of papery version and electronic editions:
1, papery glycemic control collection of illustrative plates
Papery glycemic control collection of illustrative plates is the good blank collection of illustrative plates of printed design on paper, carries out manual operations.During use, in the collection of illustrative plates form, fill in data, the corresponding coordinate points of mark in two-dimensional coordinate system, along with the continuity of time, data and coordinate points progressively increase, and will couple together with a coordinate points and coordinate points, form the continually varying curve.
Papery glycemic control collection of illustrative plates is divided into glycemic control collection of illustrative plates 3.7 type (see figure 2)s, glycemic control collection of illustrative plates 10.1 type (see figure 3)s according to practical use.
2, electronic edition glycemic control collection of illustrative plates
The application prospect of maximum of the present invention is the collection of illustrative plates of electronic edition, the user is by the client software system downloads and after installing, as long as according to prompting, foolproof operation, kind and the quantity of input diet, the project of motion and time, system automation completes all working, can export the more and more universal society of glycemic control collection of illustrative plates, particularly mobile Internet of random time section, smart mobile phone will become most convenient glycemic control terminal device.The glycemic control collection of illustrative plates style of electronic edition and papery version basic identical, difference be from several days to tens days, some months can draw by continuous recording, more rich interesting, succinct convenient, directly perceived practical.
Electronic edition glycemic control collection of illustrative plates is that the mankind prevent and treat diabetes since the dawn of human civilization, by means of the mobile Internet infotech, the blood sugar monitoring that the section of research and invention emulates the advanced and technology and the method for control, by means of the glycemic control collection of illustrative plates, the diabetic can use the correlationship of mobile phone, panel computer, notebook computer, desktop computer dynamically recording diet, activity and blood glucose value, the change of blood sugar of conduct monitoring at all levels oneself whenever and wherever possible.
The collection of illustrative plates of electronic edition can form individual database.The individual database formed that accumulates over a long period is very valuable data, non-renewable, not reproducible, for formulating self-glycemic control protocols, provides the data foundation;
The glycemic control collection of illustrative plates utilizes mobile phone control sugar effect, visible whenever and wherever possible.Change the present situation that the sugar friend relies on doctor and medical institutions, for the friendly self-health control of sugar provides strong Data support, by analyzing data, adjust oneself eating habit and life style, the result produced after adjusting at once just can be visible, the value of its generation is difficult to the appraisal, and in this sense, it has innovated the medical model of analysis of preventive treatment on diabetes.
Embodiment
The glycemic control collection of illustrative plates is according to application operating and display format, papery glycemic control collection of illustrative plates, two kinds of expression waies of electronics glycemic control collection of illustrative plates are arranged, which kind of mode no matter, the user finishes watching the collection of illustrative plates operation instructions and just can independently implement, and the user comprises prediabetes crowd, diabetic, diabetes attending doctor.The user follows four simple steps just can complete whole glycemic control.These four steps are: record curve plotting, analyze and find, test and adjust, strengthen and adhere to, below each step is illustrated respectively:
The first step: record curve plotting
Only do four things when recording curve plotting:
(1) thing of eating every day in import is all recorded, be not only breakfast, lunch and dinner, but all things of entrance, even a banana, one bottle of cola, all will record, and the beverage of drinking also will record, and the beverages such as not sugary mineral water, plain boiled water can not remembered.Not only record name, also will record quantity, the time of eating; If take nutritious supplementary pharmaceutical, antidiabetic drug or insulin injection, record name, one day several times, how much dosage once, if do not take nutritious supplementary pharmaceutical, medicine or insulin injection, just needn't record.
(2) determine as required one day and detect the number of times of blood sugar, detect the basis of time actual needs of blood sugar and determine, can within one day, survey 7 times, also can within one day, survey once, can be fasting blood-glucose, also can be 2 hours blood glucoses after the meal, the blood sugar of detection wants accurate recording on collection of illustrative plates.If the papery glycemic control collection of illustrative plates used, according to the purpose difference that detects blood sugar, the collection of illustrative plates of the respective model that selection suits the requirements.
(3) calculate the total amount of heat that every day, diet produced, the total amount of heat that every day, motion consumed.Heat Calculation is very convenient, on internet with on mobile phone, the instrument of a lot of calculating heats is arranged now, as long as, according to prompting input food name and quantity, will obtain immediately thermal data.
(4) record three groups of above data and coordinates, just can connect same item coordinates point-rendering curve, data group number is more, and the curve of drafting is just longer, and curve is more long more can pinpoint the problems.
Life style and eating habit before keeping during this period, make any change to former diet is unnecessary, also do not need specially motion exercise, as long as recording of not leaking.
Recording yesterday and today, is for finer tomorrow.Record a period of time, various realistic problems, the fact come out in addition, all can be presented on one by one you in face of.
You can be told in record, you all give every day in oneself stomach filled a little what, you can find, you not only eat three meals, all very supports that regular meal eats, sometimes also can unconsciously rub belly, and, you also eaten snow cake, watermelon, candy, cold drink, melon seeds, can be happy some other you like the thing of eating very much for a long time.When eating these things, perhaps you enjoy very much, very satisfied, but you necessarily do not recognize, these all have heat, and a cup of Java also has the heat of 5 kilocalories, except mineral water and plain boiled water, nearly all beverage all contains sugar, and some sugar is also very high.
Your blood sugar is high, by these unconscious behaviors, causes.
At this moment, you can ask oneself, are they just really so nice? perhaps first is nice, afterwards second mouthful, the 3rd mouthful, even more be exactly the inertia behavior, custom namely.
Exactly because people are unconsciously repeating these behavioural habits of taking in high heat, higher fatty acid, high-carbonhydrate diet every day, just cause the interior insulin resistance of body, finally develop into diabetes.
Second step: analyze and find
In the stage of recording, the people more responsive, that the time is short only needs fortnight, insensitive people, and long about needs one, by two months, just can be understood oneself eating habit and life pattern.
Now, you have been about to begin the Discovery walk of oneself, what is found?
Eat in all food at you, interrogate and examine one by one, find out the food kind that calorie value is higher, they are the arch-criminals that cause your blood sugar high!
Unexpectedly, you can find that fried food, bread, cake, snow cake, peanut, melon seeds, chocolate, milk tea, ice cream, ice cream, potato chips heat are all very high, and you worked as snacks and have eaten in the past; The heat of steamed rice, steamed bun, steamed twisted roll, noodles is not low, and you almost must eat every day; The KFC that your favorite is patronized, McDonald, allowing you, hundred to eat the fried chicken of not minding, hamburger, milk shake, French fries heat all high frightful.
200 kilocalories, cream ice cream, if mixed kernel, heat is higher; 350 kilocalories, medium size egg cylinder, 160 kilocalories of one cup of pearl milk teas, 135 kilocalories of the Sprites that 350ml is a bottle, 280 kilocalories of choc-ices, 261 kilocalories of fried drumstick, 100 grams are fried 616 kilocalories of sunflower seeds.100 grams are fried 588 kilocalories, shelled peanut.
You have eaten carelessly one bag and have been in harmony melon seeds, and the heat of half a day has just been eaten, and you likely do not recognize fully.
For oneself every day of all food of eating, search respectively their units of heat value, be multiplied by the quantity that you eat, add up respectively again, you can find that how high the heat of taking in have, general glycemic control bad people all can surpass more than 2500 kilocalories, and the tall and big fat people again of some builds may be up to 4500---and 6000 kilocalories.
The discovery stage, topmost work learned to calculate heat exactly.Heat Calculation comprises two parts, and one is the heat of all foods of eating into every day, and another is the heat that every day, motion consumed.Heat Calculation is very simple, on internet, passes through computer or mobile phone now, can search heat Calculation device application program, download, you only need to point out according to operation interface, input diet kind and the quantity of your record, mode of motion and time, will automatically calculate and show result.
In the stage of recording, there is no need conscious motion exercise, just diligently record, better more in detail, best one day, once all do not forget.In the discovery stage, suitably motion exercise, in the time of motion exercise, also record mode and the time of motion, calculates total heat consumption.
Adhere to a period of time, you can find, the total amount of heat that take in every day and the blood glucose value of detection are directly proportional, and take in heat higher, and blood glucose value is also higher, and the heat of absorption reduces, and blood glucose value can reduce; Calculating heat is a very interesting thing, allows you learn a lot of food knowledge of not noticing in the past, and you can more and more can eat, and how to eat, and blood sugar can not raise, because you have known the heat of various foods, you can go to eat selectively.
You think about it, if how about the phitosite quantity of eating every day is reduced by half? you think about it again, if the food of which high heat is changed into to food low in calories, how about? the beverage of drinking changes mineral water into, again how about? are not these too difficult? all be not difficult a bit, as long as adhere to diligently all right!
Simultaneously, you can find, keep in the constant situation of diet kind and quantity, and amount of exercise is larger, and the time is longer, and the heat of consumption is more, and blood glucose value is lower, and the serum glucose in exercise value can not raise, and you can be endlessly pleasantly surprised for the discovery of oneself, and you can more and more like motion exercise.
Just every day will record, and some trouble, ask you to think about it, how insignificantly these troubles are compared with your ongoing great thing, are!
The 3rd step: test is adjusted
Why to test adjustment?
It is to allow blood glucose curve enter the blood sugar safety zone that the test regulation and control have two interim targets, first object; The second target is that blood glucose curve is controlled in the blood sugar safety zone.
The purpose that test is adjusted is to find a best of breed of containing diet, motion, nutrition recuperating, drug administration or insulin injection, allow own in the situation that the insulin of less dosage or injection smaller dose, steadily keep safe blood glucose value, to reach less economy expenditure, less spinoff, optimal glycemic control effect.
How to test adjustment? can change a wherein factor in the situation that other factors remains unchanged, observe the variation of blood sugar, find the corresponding parameter of the safest blood glucose value of this factor and scheme.Test adjustment is divided into three phases:
First stage: at first diet and two factors of motion are adjusted in test, and purpose is to allow blood glucose curve enter the blood sugar safety zone.Diet and motion are to affect the large factor of blood glucose value topmost two, and test adjustment should first be started with from this two large factor, and at first test adjustment is dietary structure.In the second step analysis, find in the description in stage, mentioned the thinking that diet is adjusted, be exactly the intake by reducing phitosite or the food that replaces high heat with food low in calories, replace Sugared beverages with not sugary mineral water or plain boiled water, reduce total absorption heat of taking in every day by every possible means, make the total amount of heat of absorption every day close to the basic metabolism heat of oneself, but hunger is not arranged.
Next is that mode of motion and run duration are adjusted in test, the user selects sports events according to oneself s own situation and hobby, and legs and feet are owed flexibly, should not run on foot, can select swimming, the people who is not good at swimming can run, plays basketball, soldier's pang ball or tennis, and should not be less than 1 hour every day time of motion, and exercise intensity is made by oneself according to the health status of self, in a word, adjust by test, a satisfied heat exhaustion value should be arranged, be unlikely to again to feel tired of well.
The key that this stage test is adjusted is the optimum combination of determining between diet absorption heat and motion consumption of calorie, namely determines and is applicable to diet program and the motion scheme that the user is best, allows both cooperations control blood sugar.
The user should be noted that: the hypoglycemia phenomenon obviously occurs, or blood glucose value is higher than 14---during 16mmol/L, and unsuitable motion exercise.
Taking nutritious supplementary pharmaceutical is preferably under nutritionist's guidance and carries out, general one or more nutritious supplementary pharmaceutical taking doses are more fixing, can not become everyday, therefore do not need record everyday, only need to be when starting to take record, do not forget and take just later every day.
First stage can reach the target of glycemic control, does not just temporarily enter the test adjustment of subordinate phase.The glycemic control that can realize ideal by diet and motion that is to say, as long as just there is no need to take antidiabetic drug or insulin injection.
" Type 2 Diabetes In China guideline of prevention and treatment " pointed out: when diet can not make glycemic control up to standard with motion, should be comprised in time the drug therapy of oral medicine.
Subordinate phase: test adjustment is taken antidiabetic drug
When adopt adjusting motion and two factors of diet, glycemic control is undesirable, the blood glucose curve fluctuation greatly, or while being difficult to enter the blood sugar safety zone, the test adjustment that starts to take hypoglycemic medicine.Antidiabetic drug is taken in adjustment, must under doctor's guidance, carry out, and generally, antidiabetic drug takes number of times and dosage is also relatively to fix, and a kind of specific dosage will be taken a period of time, according to the hypoglycemic effect produced, adjusts dosage again.If a kind of antidiabetic drug is difficult to be effective, can consider two or more antidiabetic drug use in conjunction.
Phase III: insulin injection is adjusted in test
Lost efficacy or had the contraindication city when taking antidiabetic drug, or while using two or more antidiabetic drugs all can not effectively control blood sugar, should carry out as early as possible as early as possible insulinize.Insulin injection must carry out under doctor's guidance, selects suitable kind, the number of times of injection in a day, the dosage of per injection.Insulin injection Once you begin, in time by the blood sugar recording of infusion protocol and detection and be labeled on the glycemic control collection of illustrative plates.
" Type 2 Diabetes In China guideline of prevention and treatment " pointed out: generally, after the multiple oral medicine therapeutic alliance of larger dose, when Glycohemoglobin HbA1c still is greater than 7.0%, just can consider to start insulinize.
In short, the purpose of taking antidiabetic drug or insulin injection test adjustment is with less dosage, obtains good glycemic control effect.
The 4th step: strengthening is adhered to
Through the effort of three links in front, believe the people who uses the glycemic control collection of illustrative plates, the own following glycemic control is filled with unbounded confidence, no longer helpless, no longer vast and hazy and puzzled.Ensuing the 4th step is exactly the achievement obtained the consolidation test adjusting stage, and practice and record, when adhering to more than three months, just form the habits and customs of oneself by persistence, just reached the purpose of invention glycemic control collection of illustrative plates.
If this four-stage you all do very wellly, you can see and allow the glycemic control collection of illustrative plates graph curve of your very excited beauty, red three curves of one basket two, rainbow after picture rain, under one road direction, although have setback midway, but overall trend is under a road direction, finally become three parallel lines, and be to approach horizontal line, blood glucose curve is controlled at fluctuation in the blood sugar safety zone fully, it is indicating demon---the diabetes of the maximum that endangers your health, by you, subdued fully, diabetic complication is away from you, and your health can be become better and better.
Claims (5)
1. the glycemic control collection of illustrative plates is exactly a kind of glycemic control method that the glycemic control collection of illustrative plates is instrument of take, the feature of glycemic control collection of illustrative plates is that two forms add a New Two Dimensional coordinate system, the transverse axis of two-dimensional coordinate system represents the time, and the longitudinal axis is that an axle is dual-purpose, expresses blood sugar coordinate and heat coordinate simultaneously; Implement in this method process, two-dimensional coordinate system forms three curves, and a curve is that diet is taken in curve, and another is the motion consumption curve, and also having one is the change of blood sugar curve.
2. the glycemic control collection of illustrative plates divides four steps to implement glycemic control: the first step, record curve plotting; Second step, analyze and find; The 3rd step, test is adjusted; The 4th step, strengthening is adhered to.
3. New Two Dimensional coordinate system transverse axis is time coordinate, the longitudinal axis one axle is dual-purpose, represent blood sugar coordinate and heat coordinate, Coordinate Setting blood sugar safety zone: non-empty stomach glycemic control upper limit 10.0mmol/L, fasting blood-glucose upper control limit 7.2mmol/L, fasting blood-glucose lower control limit 3.9mmol/L, coordinate system, according to user's build data, is set human body basic metabolism heat line.
4. the form on collection of illustrative plates top forms by two, and first is the time, the time synchronized of the time in form and middle bivariate table system; Second is the blood glucose value of actual measurement, and the bottom of collection of illustrative plates is a data recording form of synchronizeing with time coordinate, and data items is respectively that diet is taken in heat, motion consumption of calorie, nutritious supplementary pharmaceutical, antidiabetic drug or insulin, major issue record.
5. the glycemic control collection of illustrative plates comprises two kinds of expression-forms: papery collection of illustrative plates and electronic edition collection of illustrative plates, and which kind of form no matter, its core has 2 points: the one, glycemic control rises to quantitative test by the qualitative analysis in past, digital monitoring; The 2nd, visualized graph interface.
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112530542A (en) * | 2020-12-26 | 2021-03-19 | 黄荣 | Simple and portable dynamic blood sugar monitoring manual |
| CN112955964A (en) * | 2018-06-14 | 2021-06-11 | 阿斯利康(英国)有限公司 | Method for reducing blood glucose using metformin pharmaceutical composition |
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| CN116665904A (en) * | 2023-07-31 | 2023-08-29 | 营动智能技术(山东)有限公司 | Cloud computing-based chronic disease patient health data tracking analysis system |
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| Publication number | Priority date | Publication date | Assignee | Title |
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| CN112955964A (en) * | 2018-06-14 | 2021-06-11 | 阿斯利康(英国)有限公司 | Method for reducing blood glucose using metformin pharmaceutical composition |
| CN112955964B (en) * | 2018-06-14 | 2023-10-27 | 阿斯利康(英国)有限公司 | Method for lowering blood sugar with metformin pharmaceutical composition |
| CN112530542A (en) * | 2020-12-26 | 2021-03-19 | 黄荣 | Simple and portable dynamic blood sugar monitoring manual |
| CN116439698A (en) * | 2023-03-31 | 2023-07-18 | 中南大学 | Blood glucose monitoring and early warning method, system and equipment for intensive care unit |
| CN116439698B (en) * | 2023-03-31 | 2023-12-15 | 中南大学 | Blood glucose monitoring and early warning method, system and equipment for intensive care unit |
| CN116665904A (en) * | 2023-07-31 | 2023-08-29 | 营动智能技术(山东)有限公司 | Cloud computing-based chronic disease patient health data tracking analysis system |
| CN116665904B (en) * | 2023-07-31 | 2023-10-20 | 营动智能技术(山东)有限公司 | Cloud computing-based chronic disease patient health data tracking analysis system |
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Application publication date: 20140108 |