What should I do if my blood sugar is too high during a physical examination

High blood sugar during physical examination can be improved by adjusting diet, increasing exercise, monitoring blood sugar, controlling weight, and following medical advice. Elevated blood sugar levels may be related to genetics, unhealthy lifestyle habits, insulin resistance, pancreatic diseases, endocrine disorders, and other factors.

1. Adjust diet

Reduce the intake of refined sugar and high glycemic index foods, such as white rice, pastries, etc., and choose low glycemic index staple foods such as whole grains and legumes. Increase vegetable intake to over 500 grams per day, with priority given to green leafy vegetables and cruciferous vegetables. Eat low sugar fruits such as strawberries and blueberries in moderation, and avoid high sugar fruits such as durian and lychee. Adopt low oil cooking methods such as steaming and cold mixing, and limit daily intake of edible oil to no more than 25 grams.

2. Increase Exercise

Engage in at least 150 minutes of moderate intensity aerobic exercise per week, such as brisk walking, swimming, cycling, etc. During exercise, the heart rate is maintained at around 60% of the maximum heart rate, lasting for more than 30 minutes each time. Resistance training is conducted twice a week, with a focus on exercising the major muscle groups. Avoid prolonged sitting and get up and move for 5 minutes every hour. Monitor blood sugar before and after exercise to prevent hypoglycemia.

3. Monitor blood glucose

Regularly use a blood glucose meter to monitor fasting and 2-hour postprandial blood glucose, and record blood glucose fluctuations. The frequency of blood glucose monitoring should be adjusted according to the doctor's advice, usually twice a day in the initial stage. Pay attention to whether the blood glucose meter is calibrated and whether the test strip is within its validity period. Record the corresponding relationship between diet, exercise, and blood sugar to help identify factors that contribute to sugar elevation.

4. Weight Control

Control body mass index below 24 through diet and exercise, with waist circumference not exceeding 90 centimeters for males and 85 centimeters for females. The recommended weight loss rate is 0.5-1 kilogram per week to avoid rapid weight loss. Regularly measure body fat percentage, with a focus on reducing visceral fat. Ensuring 7 hours of sleep helps regulate the balance of leptin and ghrelin.

5. Follow medical advice for medication

If lifestyle intervention is ineffective, medication treatment should be considered. Common hypoglycemic drugs include metformin tablets, acarbose tablets, glimepiride tablets, etc. Doctors will choose monotherapy or combination therapy based on blood sugar levels, pancreatic function, and other factors. Regularly check liver and kidney function during medication to observe for any adverse reactions such as gastrointestinal discomfort. Do not adjust the dosage or discontinue medication on your own. Establishing a regular sleep schedule and ensuring adequate sleep can help stabilize blood sugar levels. Quit smoking, limit alcohol consumption, and avoid passive smoking. Learn about diabetes and participate in health education courses. Regularly review glycated hemoglobin and screen for complications. Maintain an optimistic attitude and seek psychological support when necessary. Seek medical attention promptly when symptoms such as excessive drinking, frequent urination, and significant weight loss occur.