Sugar friends holiday outing, keep in mind 2 "guanidine" recommendations

1, quietly work, and then surprise everyone

2.

Speaking of the past eleven holidays, I think many sugar friends who are at home are hard not to envy going out to surf, right?

In fact, you don't have to! You know, the sugar friends who are traveling on the road, there is also a pocket of sad things to let them break the defense!

For example, ordinary people travel: eating, drinking and having fun without stopping; Sugar friends travel: this can not eat, that can not drink, but also have to protect the feet, medicine can not stop

What is more troublesome is that they may also face some bad things about medication, such as going out to play and forgetting to bring hypoglycemic drugs, accidentally losing the medicine, having fun, working on boats and cars, eating three meals, forgetting to eat and leak to eat hypoglycemic drugs, inconvenient to buy drugs in wild scenic spots, and not enough medicine because of accidents that are stranded in other places

In short, it is not easy for sugar friends to go out for a

Wei Guohong, deputy chief physician of the Department of Endocrinology of the First Affiliated Hospital of Sun Yat-sen University, pointed out that for sugar friends with stable conditions, as long as they make adequate preparations before traveling and pay attention to protection during the trip, sugar friends can also come to a trip

Before traveling, sugar friends should prepare an "exclusive medical package", containing hypoglycemic drugs, insulin, blood glucose monitoring tools, emergency food, etc

1.

Sugar lovers who take hypoglycemic drugs should carry the drugs they are using, such as metformin

Metformin is the first-line drug of choice recommended by major diabetes prevention and treatment guidelines at home and abroad [1-3], and is currently one of the most widely used oral hypoglycemic drugs in the world[1].

It has good safety and tolerability, and its use alone does not increase the risk of hypoglycemia [4-6].

The China Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition) states: "If there are no contraindications and intolerances, metformin is the drug of choice and whole-course treatment for type 2 diabetes and should remain in the diabetes treatment plan (Class A recommended) [1]"

Traveling sugar lovers can buy metformin raw medicine ordinary tablets (large packaging)

It has 60 capsules in a box, with the best effective dose of metformin 2000mg/d[1] to calculate, a box can eat for half a month, not only cost-effective, but also for the traveling sugar friends, if the travel time is extended for a few days, or forced to stay in the field due to accidents, there is no need to worry about the lack of medicine available for a time, eliminating the inconvenience

In addition, it is recommended that it is best to prepare two copies of hypoglycemic drugs, one for the sugar friends to carry with you, and the other for the custody of accompanying family or friends, so as not to lose the drug or extend the travel time and lead to drug disconnection

2.

Diabetics who require insulin therapy should carry a double dose of insulin to avoid drug shortages
.

Note: Since insulin is destroyed at higher temperatures, store insulin in an ice pack and refrigerate it during the trip, such as at a hotel or refrigerator, put insulin in a refrigerator at 4 °C for safekeeping
.

Sugar lovers traveling by air should carry insulin with them and should not be placed in checked baggage, because the temperature change in the air cargo hold will cause insulin denaturation and invalid.

Self-driving travelers should not put insulin in the trunk of the car, but should be carried
around in the cab.

3.
Blood glucose monitoring tools

Blood glucose monitoring is an important part of the comprehensive treatment of diabetes, and to monitor blood sugar, it is naturally inseparable from monitoring tools, such as blood glucose meters, test strips, alcohol cotton pads, needles, etc
.

4.
Emergency food

Diabetes patients blood sugar is unstable, not only will occur high blood sugar, but also prone to hypoglycemia, the former of the harm to the human body is often "fine water and long flow", the latter is menacing, serious and even rapid fatal
.

Sugar lovers who travel outside are prone to hypoglycemia
due to the lack of guaranteed meal time and increased activity.

Therefore, sugar friends must pay attention to their own conditions when playing, if there is panic, cold sweat, face whitening, hand shaking, weakness, chest tightness and chest pain and other hypoglycemic signals, to quickly eat a little sugary emergency food, such as milk sugar, biscuits, sugary drinks, etc.
, to alleviate the symptoms
.

During the trip, sugar friends should carry the "sugar friend's exclusive medical bag" with them, and do the following 5 points:

1.
Timely monitor blood glucose

Timely blood glucose monitoring can not only guide the use of drugs in the travel of sugar friends, evaluate the efficacy of hypoglycemia, but more importantly, timely detect hypoglycemia in order to take emergency measures
.

2.
Have a good meal

Sugar lovers should try to keep the diet as consistent as possible with when they are at home to reduce blood sugar fluctuations
.
If you really can't do it, you should also try to eat regularly and avoid fasting activities to avoid hypoglycemia
.

In general, sugar lovers should abide by the following principles when it comes to eating during the trip:

(1) When choosing food, it is necessary to have less sugar and less oil, low GI and high fiber, thickness and thinness, and balanced
nutrition.

(2) When eating, you should cook first and then eat, chew slowly and swallow, eat less and eat more meals
.

3.
Take the medicine on time

In the process of diabetes management, drug therapy is the most important part of the disease management plan, and whether the patient takes the medication on time and in the right amount will directly affect the effectiveness of treatment [7].

However, sugar friends go out, it is inevitable that the boat and car are tired, the three meals are uncertain, compared to the usual hard, so it is more common to forget to take and miss the antidiabetic drugs, and the possibility of blood sugar fluctuations and changes in the condition is greater than usual
.

Therefore, it is recommended that sugar lovers can set a small alarm clock or memo to remind themselves to take their medicine
on time.

In addition, sugar friends choose to take metformin original research drug extended-release tablets, which can also reduce the chance
of forgetting to take and missing to take hypoglycemic drugs.

After oral entry into the gastrointestinal tract, extended-release tablets can continuously release quantitative drugs to maintain their efficacy, and only need to be taken once a day to achieve slow release and stable hypoglycemic effect [8
].

It is commendable that the drug slowly dissolves and releases in the gastrointestinal tract, effectively reducing blood sugar while reducing gastrointestinal adverse reactions [1].

In short, taking metformin proto-drug extended-release tablets not only simplifies the medication process, only once a day, it is not easy to forget to take and leak the taking, improves the patient's medication compliance [9], and can reduce gastrointestinal adverse reactions, which is very suitable for sugar lovers
who travel outside.

4.
Pay attention to foot care

Sugar Friends skin heals poorly and is susceptible to infection
.
If there is a wound on their feet, once infected or ulcerated, they may develop into diabetic feet, causing ulcers, gangrene, and even amputation
in severe cases.

Therefore, sugar friends should pay special attention to protect their feet during the journey, and it is recommended that sugar friends:

(1) Choose suitable shoes

●It is recommended that sugar lovers wear sports shoes with round toe (pointed toe shoes are easy to squeeze the toes and form blisters or corns), thick rubber soles (thin soles may be pierced by sharp hard objects and hurt the soles of the feet), preferably soft leather surfaces, cloth surfaces and other breathable materials;

●Sugar friends cannot wear sandals and slippers to go out, and it is easy to bruise and scratch
.

(2) After playing, wash your feet with warm water

● Before washing your feet, you should carefully check whether your feet are damaged, if there is obvious damage, it is best not to soak your feet
for the time being.
If there is no damage, test the water temperature by hand, and it is advisable to tolerate the skin on the back of the hand;

● After washing, gently dry with a soft dry towel, pay attention to suck the water in the toe slit;

● Autumn is dry, and you can also apply moisturizer to prevent cracking
.

5.
Pay attention to physical changes and ensure adequate sleep

Going out to play, the intensity of activity is different from the past, sugar friends should do their best, and ensure adequate sleep, so as not to be overworked, resistance to reduce blood sugar instability
.

During the journey, if the sugar lover has a feeling of fatigue, he should reduce the amount of activity and rest appropriately; If you have symptoms such as pallor, chest tightness and breathlessness, dizziness and headache, you should terminate your trip immediately and seek medical attention
if necessary.

Editor: Li Yu'e

Drawing: Chen Ting

Producer: China Family Doctor Magazine

Academic Guidance: Wei Guohong

Deputy Chief Physician, Department of Endocrinology, First Affiliated Hospital of Sun Yat-sen University

Deputy Leader of the Diabetic Foot Professional Group of the Endocrinologist Branch of the Guangdong Medical Doctor Association

He has been engaged in clinical work in endocrine metabolic diseases for more than 20 years

He undertakes theoretical courses, internships, internships and teaching for undergraduates, adult undergraduates and nursing, and has been awarded the title
of "Excellent Teacher" by the hospital for many times.

He has presided over 2 provincial and ministerial funds, participated in a number of national and provincial funds, and published many papers, including 5 SCI works by the first/corresponding (including juxtaposition) authors

References

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Expert consensus on the clinical application of metformin (2018 edition)[J].
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2019,027(003):161.

[2] American Diabetes Association.
Standards of medical care in diabetes 2018.
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[3] Garber AJ,Abrahamson MJ,Barzilay JI,et al.
Consensus statement by the American association of clinical endocrinologists and American college of endocrinology on the comprehensive type 2 diabetes management algorithm-2018 executive summary.
Endocr Prct,2018,24:91‐120.

[4] Wright AD,Cull CA,Macleod KM,et al.
Hypoglycemia in type 2 diabetic patients randomized to and maintained on mono‐therapy with diet,sulfonylurea，metformin，or insulin for 6 years from diagnosis:UKPDS73.
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[5] Rachmani R,Slavachevski I,Levi Z,et al.
Metformin in patients with type 2 diabetes mellitus:reconsideration of traditional contraindications.
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[6] Cryer DR,Nicholas SP,Henry DH,et al.
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[7] PERREAULT S，YU AY，COTE R，et al.
Adherence to anti-hypertensive agents after ischemic stroke and risk of cardiovascular outcomes[J].
Neurology，2012,79(20):2037-2043.

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Family Medicine.
2015,07:42

[9] Mu Yiming, Ji Linong, Ning Guang, et al.
Expert consensus on the clinical application of metformin (2016 edition)[J].
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