原创 正常血糖值是多少？医生坦言：倘若保持在这个范围内，不消太担心
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><img src="//q6.itc.cn/q_70/images01/20240731/566703c44d234834b1a5964e748c00c5.jpeg" style="width: 50%; margin-bottom: 20px;"></p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">48岁的余女士<span style="color: black;">由于</span>口干、<span style="color: black;">尿多</span>和多饮到医院就诊，<span style="color: black;">经过</span><span style="color: black;">检测</span>空腹血糖，<span style="color: black;">大夫</span><span style="color: black;">发掘</span>余女士的血糖高达9mmol/L，<span style="color: black;">大夫</span>说，<span style="color: black;">按照</span>症状加血糖，<span style="color: black;">能够</span>诊断为糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">45岁的汤先生并<span style="color: black;">无</span>什么症状，只是在体检的时候<span style="color: black;">发掘</span>空腹血糖为6.4mmol/L，<span style="color: black;">大夫</span>说，单纯<span style="color: black;">按照</span>这一个数值，是诊断不了糖尿病的，<span style="color: black;">然则</span>你的空腹血糖却是<span style="color: black;">反常</span>的，<span style="color: black;">因此</span><span style="color: black;">意见</span>还是做一下OGTT<span style="color: black;">检测</span>，<span style="color: black;">经过</span>OGTT<span style="color: black;">检测</span>，<span style="color: black;">表示</span>汤先生糖负荷后2小时血糖为8mmol/L，<span style="color: black;">大夫</span>告诉汤先生，他的空腹血糖和OGTT血糖虽然都不正常，但都达不到诊断糖尿病的标准，属于糖尿病的<span style="color: black;">初期</span><span style="color: black;">周期</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因为</span>余女士<span style="color: black;">已然</span>确诊了糖尿病，<span style="color: black;">因此</span>除了要保持健康的生活习惯外，她还需要<span style="color: black;">吃下</span><span style="color: black;">药品</span>治疗，以便把血糖<span style="color: black;">掌控</span>达标。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>汤先生<span style="color: black;">来讲</span>，<span style="color: black;">因为</span>他属于糖尿病的<span style="color: black;">初期</span><span style="color: black;">周期</span>，<span style="color: black;">因此</span>并不需要<span style="color: black;">吃下</span>降糖<span style="color: black;">药品</span>，只需要改变不健康的生活习惯<span style="color: black;">就可</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">问题来了，正常的空腹血糖数值<span style="color: black;">到底</span>是多少？<span style="color: black;">为何</span>要做OGTT<span style="color: black;">检测</span>？</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">正<span style="color: black;">一般人</span>的空腹血糖3.9～6.1mmol/L，<span style="color: black;">倘若</span>空腹血糖为6.2～6.9mmol/L，则为空腹血糖受损，<span style="color: black;">倘若</span>空腹血糖大于或等于7 mmol/L，则<span style="color: black;">能够</span>诊断为糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">经过</span>查空腹血糖，<span style="color: black;">咱们</span>能够<span style="color: black;">发掘</span>，<span style="color: black;">倘若</span>空腹血糖为6.2～6.9mmol/L，则为空腹血糖受损，通俗点说，这个范围里的空腹血糖<span style="color: black;">已然</span>不正常了，<span style="color: black;">然则</span><span style="color: black;">无</span>达到诊断糖尿病的标准，为了进一步判断<span style="color: black;">病人</span>到底有<span style="color: black;">无</span>糖尿病，<span style="color: black;">大夫</span>就会<span style="color: black;">意见</span>做OGTT<span style="color: black;">检测</span>，OGTT的全<span style="color: black;">叫作</span>是葡萄糖耐量<span style="color: black;">实验</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">OGTT的<span style="color: black;">道理</span>是，OGTT<span style="color: black;">实验</span>是一种口服葡萄糖负荷<span style="color: black;">实验</span>，用以<span style="color: black;">认识</span>人体对<span style="color: black;">摄食</span>葡萄糖后的血糖调节能力。<span style="color: black;">经过</span>OGTT<span style="color: black;">实验</span>，<span style="color: black;">能够</span><span style="color: black;">初期</span><span style="color: black;">发掘</span>糖代谢<span style="color: black;">反常</span>，<span style="color: black;">初期</span>诊断糖尿病。口服葡萄糖耐量<span style="color: black;">实验</span>（OGTT）是公认的诊断糖尿病的金标准，在血糖<span style="color: black;">升高</span>但尚未达到糖尿病诊断标准时，为<span style="color: black;">知道</span><span style="color: black;">是不是</span>患糖尿病，<span style="color: black;">能够</span>采用OGTT进行鉴别诊断。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">OGTT的做法是把75g的无水葡萄糖溶于300ml的温开水中，轻轻搅拌摇匀。<span style="color: black;">而后</span>，在5分钟内<span style="color: black;">吃下</span>完毕。最后，从<span style="color: black;">第1</span>口<span style="color: black;">起始</span>计时，分别在30分钟或60分钟、120分钟、180分钟时进行抽血<span style="color: black;">检测</span>血糖。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>一个人<span style="color: black;">无</span>糖尿病，身体里的胰岛功能比较正常，<span style="color: black;">那样</span>OGTT<span style="color: black;">检测</span>2小时后的血糖应该要<span style="color: black;">少于</span>7.8 mmol/L，<span style="color: black;">倘若</span>OGTT2小时的血糖大于或等于11.1 mmol/L，则<span style="color: black;">能够</span>诊断糖尿病。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">倘若</span>在7.8-11 mmol/L这个范围里，<span style="color: black;">那样</span>认为是糖耐量减低，<span style="color: black;">亦</span>是一种<span style="color: black;">反常</span>的状态，<span style="color: black;">便是</span>糖尿病的<span style="color: black;">初期</span><span style="color: black;">周期</span>。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">另一</span>，<span style="color: black;">区别</span>人适应的标准<span style="color: black;">区别</span>，<span style="color: black;">针对</span>正常的成人，空腹血糖只要在3.9～6.1mmol/L，OGTT2小时或餐后2小时血糖只要<span style="color: black;">少于</span>7.8 mmol/L，<span style="color: black;">那样</span><span style="color: black;">便是</span>正常。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>糖尿病<span style="color: black;">病人</span>而言，血糖的范围会稍微放宽一点，空腹血糖只要<span style="color: black;">掌控</span>在7mmol/L以内，OGTT2小时或餐后2小时血糖只要<span style="color: black;">掌控</span>在11.1 mmol/L以内，就算达标了。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">针对</span>孕妇而言，血糖的<span style="color: black;">需求</span>更为严格，空腹血糖＜5.3mmol/L、餐后1h血糖＜7.8mmol/L；餐后2h血糖＜6.7mmol/L，<span style="color: black;">倘若</span>超过这些数字，就需要<span style="color: black;">警觉</span>妊娠期糖尿病的可能。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;">众所周知，糖尿病最可怕的<span style="color: black;">地区</span>在于慢性并发症，<span style="color: black;">包含</span>糖尿病肾病、视网膜病变、血管病变、<span style="color: black;">周边</span>神经并发症等等，<span style="color: black;">况且</span>糖尿病的发病率是非常之高的，在我国，糖尿病<span style="color: black;">病人</span><span style="color: black;">已然</span>超过了1.4亿，平均每8个成人里就有1人<span style="color: black;">病患</span>糖尿病，这还不<span style="color: black;">包含</span><span style="color: black;">哪些</span>血糖<span style="color: black;">已然</span><span style="color: black;">反常</span>但尚未达到诊断糖尿病的人群。</p>
<p style="font-size: 16px; color: black; line-height: 40px; text-align: left; margin-bottom: 15px;"><span style="color: black;">因此</span>，<span style="color: black;">必定</span>要密切观察自己的血糖，我的<span style="color: black;">意见</span>是，30岁以后，无论男女，都要每1-2年<span style="color: black;">检测</span>一次血糖，<span style="color: black;">针对</span>特殊人群，<span style="color: black;">例如</span>有糖尿病家族史，孕妇，更要密切监测血糖，不要拿血糖<span style="color: black;">欠妥</span>回事，<span style="color: black;">倘若</span><span style="color: black;">发掘</span>空腹血糖受损或糖耐量减低，<span style="color: black;">必定</span>要积极改变不健康的生活习惯，尽快把血糖<span style="color: black;">掌控</span>达标。<a style="color: black;"><span style="color: black;">返回<span style="color: black;">外链论坛：www.fok120.com</span>，查看<span style="color: black;">更加多</span></span></a></p>
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我完全赞同你的观点，思考很有深度。 你的话语如春风拂面，温暖了我的心房，真的很感谢。 我完全同意你的观点，说得太对了。
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