Should diabetes people adjust medication when their blood sugar is on the high side during physical examination

Whether to adjust the medication should be judged according to the specific situation when the blood sugar of diabetes patients is found to be on the high side in physical examination. If blood sugar is slightly elevated and there are no other discomfort symptoms, there may be no need to adjust medication immediately; If blood sugar continues to be high or accompanied by symptoms such as dizziness and thirst, it is usually necessary to adjust the medication plan according to the doctor's advice. Elevated blood sugar levels may be related to factors such as poor dietary control, insufficient exercise, and inadequate medication dosage. Daily monitoring of fasting and postprandial blood glucose changes and recording of fluctuation patterns. Adjust the dietary structure to reduce the intake of high sugar and high-fat foods, increase the proportion of dietary fiber and high-quality protein. Regularly engage in aerobic exercise such as brisk walking, swimming, etc., for at least 150 minutes per week. Avoid staying up late and experiencing emotional fluctuations, and maintain a regular schedule. When there is a sustained increase in blood sugar beyond the target range, or accompanied by symptoms such as polydipsia, polyuria, blurred vision, and slow wound healing, it suggests the possibility of decreased drug sensitivity or the risk of complications. At this time, the glycosylated hemoglobin and islet function should be rechecked in a timely manner, and the type or dose of drugs should be adjusted after evaluation by the doctor. Some patients may need to use metformin sustained-release tablets, glimepiride tablets and other hypoglycemic drugs in combination, or add insulin injection to control blood sugar.

Patients with diabetes should regularly review blood glucose related indicators and establish blood glucose monitoring records. During the adjustment of medication, it is necessary to closely observe changes in blood sugar and physical reactions, and avoid adjusting the dosage on one's own. Timely supplement carbohydrates when experiencing symptoms of low blood sugar such as palpitations and hand tremors. Maintain communication with the attending physician, dynamically adjust treatment plans based on blood sugar control, and pay attention to foot and eye care to prevent chronic complications.