「藥劑師,我媽咪有糖尿病,但既然覆診時都會抽血,點解仲要每日係屋企『篤手指』驗血糖呀?」
“Hello Pharmacist, my mum is a diabetic. Blood taking is done every time during her follow-up visit. Why does she still need to prick her fingers at home to test blood glucose?”
由於糖尿病嘅病情會不時變化,所以醫生會定期為患者覆診,以作評估。患者每隔幾個月覆診時,醫生會安排進行抽血,檢測血糖指數。但由於單一次嘅血糖指數,好多時都唔能夠全面反映每日實際嘅血糖變化。所以自我監測血糖,俗稱「篤手指」,就能夠更清楚讓醫生以及病人自己了解血糖趨勢,以便調校用藥嘅劑量同服藥嘅時間。
As the progression of diabetes changes from time to time, doctor will arrange regular follow-up visit for evaluation. Blood testing will usually be done during the visit to measure the blood glucose. However, a single-time blood taking can hardly reflect the actual change in glucose level throughout the day. Therefore, self-blood glucose monitoring can allow doctor and patient to better understand the trend of blood glucose and hence adjust the dosage and timing of the anti-diabetic medications.
近年嘅家用血糖機發展迅速,除咗準確度越來越高外,血糖機嘅使用方法亦愈趨快捷簡易。家用血糖機已經相當普及,如果想知更多有關血糖機嘅使用方法同埋注意事項,可以到社區藥房諮詢藥劑師。患者每次喺屋企量度完血糖後,應該做好記錄,並且喺覆診時帶俾醫生參考,有助醫生為患者優化治療方案。
In recent years, home blood glucose meters have developed rapidly. In addition to enhancement on accuracy, the use of blood glucose meters is becoming much easier. If you want to know more about blood glucose meters, feel free to consult a pharmacist. Patient should keep a diary of blood glucose test and bring it to the doctor during follow-up visit every time. It allows doctor to optimize the treatment based on the trend of blood glucose level.
理想嘅空腹血糖水平介乎 4 – 6 mmol/L,而理想嘅餐後血糖水平建議少於 10 mmol/L。上述嘅目標都只係最理想嘅建議,醫生會就著患者嘅個別情況,訂下個人化嘅目標,並樂於與患者相討達標嘅方案。
The ideal fasting blood glucose level ranges from 4 – 6 mmol/L while less than 10 mmol/L for ideal post-prandial blood glucose level. The above goals are only the most ideal suggestions. Doctor will personalize a goal based on patient’s individual factors and establish the treatment plan with patient.