Testing blood sugar can understand the situation of disease control and clinical treatment effect on the one hand, and also can be used as the main basis for choosing drugs and adjusting dosage. With the extension of the course of the disease, the effects of many sulfonylurea hypoglycemic drugs (such as Xiaoke Pills, Youjiangtang, Demeikang, etc.) gradually decrease. In medicine, this is called "secondary failure of hypoglycemic drugs". Some patients do not pay attention to regular复查, they feel that they have been treated without interruption, which gives them a sense of security. However, if there is secondary drug failure, it is actually equivalent to no treatment. Some patients keep taking medicine but still develop complications, the reason lies here.
Some diabetic patients are accustomed to judging the control of blood sugar based on subjective symptoms. Many type 2 diabetic patients have not very obvious subjective symptoms, the difference in feeling between taking medicine and not taking medicine is not much, so they think that using medicine or not doesn't matter. In fact, estimating the condition solely based on symptoms is not accurate. In clinical practice, only a few type 2 diabetic patients with mild conditions can achieve good blood sugar control through diet and exercise alone. The majority of type 2 diabetic patients need drug treatment at the time of diagnosis.
Whether Western medicine or traditional Chinese medicine, neither has yet solved the problem of curing diabetes. Objectively speaking, traditional Chinese medicine has a certain role in the prevention and treatment of chronic complications of diabetes, but in terms of lowering blood sugar, the effect of traditional Chinese medicine is far less than Western medicine.
Misunderstanding Ten: Ignoring individualized medication
Currently, diabetes cannot be completely cured and requires long-term treatment. After taking medicine for treatment, the patient's blood sugar returns to normal and subjective symptoms disappear, but this does not mean that diabetes has been cured. It is necessary to continue taking medicine to maintain, while not relaxing dietary control and physical exercise. Do not stop taking medicine arbitrarily, otherwise, hyperglycemia will recur and the condition will worsen.
With the improvement of living standards in our country, the incidence of diabetes is also increasing year by year. However, during clinical diagnosis and treatment and health education for patients, it was found that many patients and even primary medical staff have some misunderstandings in the treatment of diabetes, which affects the correct treatment of diabetes.
The effectiveness of the drug takes a gradual process to manifest. As the duration of medication increases, the efficacy gradually becomes apparent. Many patients do not understand this point, after taking the medicine for a few days, they are not satisfied with the reduction of blood sugar and urine sugar, and then think that the medicine is ineffective and eager to change the medicine. In fact, some hypoglycemic drugs (such as insulin sensitizers) take half a month to a month to reach the maximum hypoglycemic effect. Therefore, don't easily think that a certain drug is ineffective. A more reasonable approach is: adjust the dosage gradually according to the blood glucose level. When the maximum effective dose of the drug is reached and the blood glucose still does not decrease or the control is not ideal, then change to other drugs or use in combination with other drugs.
Using insulin secretagogues for obese patients, using sulfonylurea oral hypoglycemic drugs for children patients, using biguanide drugs for thin patients or those with abnormal heart, lung, liver, kidney function, using oral hypoglycemic drugs for patients with acute complications such as ketoacidosis or severe chronic complications such as diabetic nephropathy, are not appropriate choices and should be avoided as much as possible.
Misunderstanding Three: Improper selection of drugs
Misunderstanding Four: Taking medicine based on feelings
Misunderstanding Five: Only taking medicine, not checking again
Misunderstanding Six: Traditional Chinese medicine cures diabetes
Many diabetic patients, in order to quickly bring down their blood sugar, often combine multiple drugs and take them in excessive doses. This not only increases the side effects of the drugs, but also easily over-corrects, causing hypoglycemia, and may even lead to hypoglycemic coma, which is very dangerous.
Misunderstanding One: Using medicine immediately upon discovering diabetes
Misunderstanding Eight: Stopping medicine arbitrarily
Oral hypoglycemic drugs include insulin secretagogues, biguanides, alpha-glucosidase inhibitors, insulin sensitizers, and others. Each class of drugs has different mechanisms of action, but drugs within the same class have similar mechanisms of action. Therefore, it is generally not recommended to combine drugs from the same class. However, examples of such incorrect drug combinations can still be seen in clinical settings, such as combining Xiaoke Pills (containing Youjiangtang) with Meipida, or combining Metformin with Phenformin. Combining drugs from the same class can sometimes lead to serious hypoglycemia.
Misunderstanding Nine: Frequently changing drugs
Misunderstanding Seven: Excessive lowering of blood sugar
Misunderstanding Two: Combining drugs from the same class
Diabetes medication emphasizes individualization and should be selected based on each person's specific circumstances (such as weight, liver and kidney function status, age, etc.). So-called "good drugs" are those suitable for the patient's own condition, not necessarily new or expensive drugs. Drugs that work well for other patients may not necessarily be suitable for another patient. For example, a diabetic patient who has been suffering for many years, using Youjiangtang, found his effect getting worse and worse, with long-term poor control of blood sugar, even leading to diabetic nephropathy and renal insufficiency. Later, he heard from others that Metformin was good, so he bought it and took it, which soon led to aggravation of kidney damage and resulted in "lactic acidosis coma".
Generally, newly diagnosed diabetic patients should first improve their diet control, maintain appropriate physical activity, live a regular life, maintain emotional stability, and lose weight if they are obese. They should observe for about 1-2 months. If after these measures, the blood sugar control is satisfactory, non-drug treatment can be maintained. Only when the blood sugar control is unsatisfactory after the above measures, should appropriate hypoglycemic drugs be added for treatment.
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