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zarin taslima
Jul 14, 2022
In Medical Forum
According to the 2022 Type 2 Diabetes Clinical Care Guidelines, if diabetic patients are diagnosed with hyperglycemia, they should be treated with insulin first to stabilize blood sugar, and then decide the follow-up treatment. In addition, according to research, if the glycated hemoglobin exceeds the standard of 8.5~9% in diabetic patients, early use of insulin therapy can effectively reduce the risk of cardiovascular disease *2 . Weng Xuanfu further explained that in fact, early administration of insulin is a good way to treat diabetes, because insulin injection can effectively control blood sugar and allow the pancreas to rest well, but currently only 12% of Chinese people with diabetes use insulin *3 , which is much lower than that. European and American countries. "This situation makes my department company banner design of endocrinology and metabolism even more troubled, because we are responsible for receiving the most difficult-to-control patients who are referred from various places. However, although the disease is already very serious, we are persuading them to inject insulin and stay here for several months or even For several years, the illness was delayed because of this.” For this reason, Weng Xuanfu is committed to re-establishing the correct concept of insulin administration for diabetic patients through active health education. "We often see that patients take more and more oral drugs, but the blood sugar level is still not ideal. In addition, the drug itself has additional risks and side effects, so introducing insulin is a better choice." Weng Xuanfu said that insulin can be adjusted flexibly. Oral medicine is easy to adjust, and the medicine can only be taken in half or one unit, but diabetic patients need more delicate dose adjustment. Insulin, on the other hand, can vary from one unit to ten units, depending on the subtle differences in your body and dietary needs on a daily basis. "For example, the blood sugar of people diagnosed with new coronary pneumonia fluctuates greatly, and insulin can flexibly adjust the number of units injected in response to these situations." Flexible use of various forms of insulin to make healthy life more convenient In addition to the benefits of flexible dose adjustment, in clinical practice, the most appropriate medical treatment can be given to patients according to the duration of insulin action, the speed of drug effect initiation, etc., including fast-acting, short-acting, intermediate-acting, long-acting and mixed, etc. Short-acting starts fast, long-acting starts slowly but lasts. "Usually we keep the patient's oral dose at the same level first, and then take an additional injection of long-acting insulin to match it. The advantage of this is that one injection a day, the effect of which is maintained for a day, is used to control blood sugar before meals, which is very beneficial to the patient. The psychological impact is also smaller, so long-acting insulin is also called basal insulin.”
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