PMC7253704_01
Dynamic changes in blood glucose and insulin dosage. FPG, Fasting Blood Glucose; PBG, Postprandial Blood Glucose; RBG, Random Blood Glucose.
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The HbA1c level of the patient was 11.8% at admission, which almost doubled the target level, and his fasting blood glucose (FBG) level ranged from 19.4 to 11.4 mmol/L from March 4 to March 6 (Figures 1 and 2). Dynamic changes of blood glucose and insulin dosage used were shown in Figures 1 and 2.
Dynamic changes of different blood glucose observation indicators. The target blood glucose range is labeled with a different color strip. FBG, Fasting Blood Glucose; PBG, Postprandial Blood Glucose; RBG, Random Blood Glucose; L, Less stringent; R, Reasonable; S, Stringent.
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The HbA1c level of the patient was 11.8% at admission, which almost doubled the target level, and his fasting blood glucose (FBG) level ranged from 19.4 to 11.4 mmol/L from March 4 to March 6 (Figures 1 and 2). FBG level returned to target blood glucose range from March 9 to March 11 (Figure 2). Dynamic changes of blood glucose and insulin dosage used were shown in Figures 1 and 2. The level of PBG 2 h after lunch, which was presented as the highest blood glucose parameter of the patient on day 1 (28.2 mmol/L), was successfully reduced to the less stringent PBG target range (7.8-10 mmol/L) on the same day as the second therapeutic program adjustment (Figure 2).
Blood glucose adjustment strategy. FBG, Fasting Blood Glucose; PpBG, Preprandial Blood Glucose; PBG, Postprandial Blood Glucose; RBG, Random Blood Glucose; TDD, Total daily dose; HbA1c, glycosylated hemoglobin; BIn, Basal insulin; PIn, Prandial insulin. The green arrows indicate patient information and blood glucose adjustment in this case.
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This patient was hospitalized for cardiovascular disease, so the target of glycemic control of this patient should be less stringent (Figure 3).