Sohu | doctors Yang Wenying: old sugar friends need not so hard on yourself – Sohu Sohu health paper Ganding bamboo "in elderly patients, not to engage in hypoglycemic!" Professor Yang Wenying director of China-Japan Friendship Hospital endocrine center told the Sohu health reporter, "" old Tangyou ‘general ill for many years, and are often associated with hypertension and coronary heart disease and other diseases, but also more prone to hypoglycemia in process control of blood glucose. Therefore, the ‘old sugar friends’ medication must be treated for people." Why do you want to "sugar" blood sugar management "specialization"? Yang Wenying pointed out that in the past, the lower the blood sugar control, the more favorable for the cardiovascular sugar friends, the late complications. But recent studies have shown that, if the blood sugar levels of older friends are at a low level, they will face a high risk of hypoglycemia, which can lead to increased mortality. Hypoglycemia is one of the most serious complications of diabetes mellitus, which is not only caused by the decrease of blood glucose or dizziness or syncope. "Old friends of sugar" the blood sugar is too low, it will cause serious complications of myocardial infarction, cerebral infarction and other life-threatening. Therefore, it is generally believed that elderly patients with diabetes can not be very strict control of blood sugar levels, like other people. Old sugar friends how to control sugar, Yang Wenying pointed out that the 65 – year – old to be grouped, different groups have different management objectives. The first group is: health, in addition to blood glucose, complications (not with diabetes, such as diabetic foot, diabetic retinopathy), concomitant disease nor (accompanying diseases such as heart disease, diabetes, kidney disease, etc.), this part of the sugar friends can put glycosylated hemoglobin to strengthen the non elderly people try to control the required level below 7%; the second group is: there have been large vascular diseases such as clear, have had a stroke, myocardial infarction, organ are faulty, but although the organ is faulty, function and no obvious decline in life expectancy over five years. These people will be a little more relaxed than the first group of people, and HbA1c can be 7.5%. A little higher glycosylated hemoglobin, hypoglycemia will be less, do not let them appear hypoglycemia. Finally, a group of "old friends of sugar" is not only wrong, organ functions are impaired, such as renal dysfunction, late heart function insufficiency, and if you can determine the life expectancy of not more than five years, it is not necessary to blood glucose control is very low. Our goal is to prevent long-term complications of blood glucose control, if the patient is not even five years of life, long-term prevention has no meaning. Moreover, when the strict control of blood sugar, it is bound to bring two problems: first, increased risk of hypoglycemia. Two, the life is very limited to eat, eat or not eat. Sometimes we can see some of the elderly to outpatient, have stumbled, before the children still in the doctor scolded old man, said the parents "is compliance is not good, is greedy, is what to eat" they mistakenly believe that strict glycemic management for the elderly so that they can live more than two years, in fact, is not up to the. So in this layer of the old sugar friends, we can make up to 8% hemoglobin A1c left.