diff --git a/platform-dal/src/main/java/com/lyms/platform/pojo/BloodSugar.java b/platform-dal/src/main/java/com/lyms/platform/pojo/BloodSugar.java
index 2decf4b..9ec5ba2 100644
--- a/platform-dal/src/main/java/com/lyms/platform/pojo/BloodSugar.java
+++ b/platform-dal/src/main/java/com/lyms/platform/pojo/BloodSugar.java
@@ -28,6 +28,8 @@ public class BloodSugar extends BaseModel {
 
     private String hospitalId;
 
+    private Date modified;
+
     /**
      * 血糖
      */
@@ -35,6 +37,14 @@ public class BloodSugar extends BaseModel {
 
     private Integer bloodSugarType;
 
+    public Date getModified() {
+        return modified;
+    }
+
+    public void setModified(Date modified) {
+        this.modified = modified;
+    }
+
     public String getCreatYmdDate() {
         return creatYmdDate;
     }
diff --git a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BloodSugarServiceImpl.java b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BloodSugarServiceImpl.java
index 8f3bda0..eed85a0 100644
--- a/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BloodSugarServiceImpl.java
+++ b/platform-operate-api/src/main/java/com/lyms/platform/operate/web/service/impl/BloodSugarServiceImpl.java
@@ -15,7 +15,6 @@ import com.lyms.platform.operate.web.facade.AutoMatchFacade;
 import com.lyms.platform.operate.web.service.IBloodSugarService;
 import com.lyms.platform.operate.web.utils.CollectionUtils;
 import com.lyms.platform.operate.web.utils.MongoUtil;
-import com.lyms.platform.pojo.BloodPressure;
 import com.lyms.platform.pojo.BloodSugar;
 import com.lyms.platform.pojo.Patients;
 import org.springframework.beans.factory.annotation.Autowired;
@@ -47,10 +46,18 @@ public class BloodSugarServiceImpl extends BaseServiceImpl implements IBloodSuga
 
 
     public BaseResponse add(Integer userId, BloodSugar bloodSugar) {
+        BloodSugar one = mongoTemplate.findOne(Query.query(Criteria.where("parentId").is(bloodSugar.getParentId()).and("created").gt(DateUtil.getYMDTime()).and("bloodSugarType").is(bloodSugar.getBloodSugarType())), BloodSugar.class);
+        if(one != null) {
+            one.setModified(new Date());
+            one.setBloodSugar(bloodSugar.getBloodSugar());
+            bloodSugarService.update(one);
+            return RespBuilder.buildSuccess(one.getId());
+        }
         bloodSugar.setHospitalId(autoMatchFacade.getHospitalId(userId));
         bloodSugar.setCreated(new Date());
         bloodSugar.setCreateUser(userId);
         bloodSugar.setYn(YnEnums.YES.getId());
+        bloodSugar.setModified(new Date());
         bloodSugar.setCreatYmdDate(DateUtil.getyyyy_MM_dd(new Date()));
         bloodSugarService.add(bloodSugar);
         return RespBuilder.buildSuccess(bloodSugar.getId());
@@ -78,6 +85,7 @@ public class BloodSugarServiceImpl extends BaseServiceImpl implements IBloodSuga
                 temp.put("dueDate", DateUtil.getyyyy_MM_dd(p.getDueDate()));
                 temp.put("bloodSugar", bloodSugar.getBloodSugar() + "mmol/L");
                 temp.put("bloodSugarType", BloodSugarEnums.getName(bloodSugar.getBloodSugarType()));
+                temp.put("bloodSugarId", bloodSugar.getBloodSugarType());
                 temp.put("status", getBloodSugarStatus(bloodSugar.getBloodSugarType(), bloodSugar.getBloodSugar()));
                 temp.put("vcCardNo", p.getVcCardNo());
                 temp.put("pcerteTypeId", p.getPcerteTypeId());