Core Tip: first, type I diabetes use insulin therapy, because the incidence of type I diabetes, it is because it has no insulin secretion, almost no islet cells, not their own insulin secretion, so must replacement therapy.
First, type I diabetes use insulin therapy, because the incidence of type I diabetes, it is because it has no insulin secretion, almost no islet cells, not their own insulin secretion, so must replacement therapy.
Type II diabetes, with oral hypoglycemic agents in case of failure, you should use insulin, and we are talking about failure of oral hypoglycemic agents generally refers to the insulin secretion-promoting agent, for example, yellow urea drugs, now there is a urea drugs listed species. Before we think that Mr urea drugs, for example, glibenclamide, gliclazide, glipizide, Gliquidon use to 6 no matter if used, should play insulin, and islet function that we are too depleted. We call this yellow urea secretion promoting agents like drugs is a horse whip, horse running slow, we played six whip also do not run up, indicating the horse has no ability, and should play insulin, which is before the old concept, our concept is now three if not, they should fight insulin, because the time horses have been tired enough to choke, and this time we should change horses, let it rest, for us to protect this remnant of insulin is very, very important, which is a.
The third is that some have more serious complications of diabetes or other serious illness, insulin therapy should be used. Let's say we have kidney disease of diabetes, or renal insufficiency, or a more severe eye disease, or other parts of the lesions that are more powerful, and this should be treated with insulin. Or have other serious diseases, for example, say pneumonia, and heart rate or heart failure, or that there are some other endocrine diseases, these three people to life-long injections, and can not stop.
There are three kinds of people, to being an injection, a blood sugar that is usually controlled with oral hypoglycemic agents is better, and now face a special state of emergency, for example, now suddenly of pneumonia, and fractures, and myocardial infarction, and have cardiovascular disease, and this time there is a reflection of our body, glucagon secretion is particularly high, the original treatment of poor blood sugar control, and at this stage we need to use insulin to treat, wait until this stage has passed, gradually glucagon reduced state of emergency gradually reduced, and our gradual reduction of insulin gradually and finally completely healed, completely healed after the state of emergency did not, and these are no longer elevated glucagon, is a normal state, the When we stopped the insulin, then the use of oral hypoglycemic agents before the treatment effect is the same as the original, which is temporarily used.
Another is gestational diabetes, diabetes is discovered during pregnancy, this period should be treated with insulin, because in this period, if not treated, particularly high blood sugar, the supply of sugar on children is particularly high, the fetus secrete their own insulin , this sugar down, but the sugar into fat, big fat give birth to a child, after no end of trouble, what is diabetes, high blood pressure have come, the children did not benefit, so can not at this time of oral hypoglycemic agents, because oral hypoglycemic agents to the fetus through the placenta caused by low blood sugar, low blood sugar and a stillborn fetus, this is a very dangerous situation, so this stage should be treated with insulin, insulin can not pass through the placenta, and it is only to reduce the mother's blood sugar Therefore, during pregnancy, should be treated with insulin. Then later in pregnancy, breast-feeding, oral hypoglycemic agents can not, because of oral hypoglycemic agents can learn to let the baby through breast milk, so babies with low blood sugar, so that we are breast-feeding should also be treated with insulin, because insulin does not absorb through the milk to the fetus, so that in this particular period of pregnancy and breast-feeding should be treated with insulin.
Another is that we rush to surgery, you usually have for example no matter what we do not take medicine, or medicine pipe does not work, now like I suddenly had cholecystitis, appendicitis, fractures, and need surgery, this time surgery is not such because we use oral hypoglycemic drugs to regulate blood sugar take months to be fine, then the surgery can not wait how to do it? , We will timely to the injections, to fight insulin, blood sugar quickly into fine, then surgery, surgery is relatively safe, such as healing after surgery, insulin, we then stopped. This is after the three, who are temporarily playing insulin.
First, type I diabetes use insulin therapy, because the incidence of type I diabetes, it is because it has no insulin secretion, almost no islet cells, not their own insulin secretion, so must replacement therapy.
Type II diabetes, with oral hypoglycemic agents in case of failure, you should use insulin, and we are talking about failure of oral hypoglycemic agents generally refers to the insulin secretion-promoting agent, for example, yellow urea drugs, now there is a urea drugs listed species. Before we think that Mr urea drugs, for example, glibenclamide, gliclazide, glipizide, Gliquidon use to 6 no matter if used, should play insulin, and islet function that we are too depleted. We call this yellow urea secretion promoting agents like drugs is a horse whip, horse running slow, we played six whip also do not run up, indicating the horse has no ability, and should play insulin, which is before the old concept, our concept is now three if not, they should fight insulin, because the time horses have been tired enough to choke, and this time we should change horses, let it rest, for us to protect this remnant of insulin is very, very important, which is a.
The third is that some have more serious complications of diabetes or other serious illness, insulin therapy should be used. Let's say we have kidney disease of diabetes, or renal insufficiency, or a more severe eye disease, or other parts of the lesions that are more powerful, and this should be treated with insulin. Or have other serious diseases, for example, say pneumonia, and heart rate or heart failure, or that there are some other endocrine diseases, these three people to life-long injections, and can not stop.
There are three kinds of people, to being an injection, a blood sugar that is usually controlled with oral hypoglycemic agents is better, and now face a special state of emergency, for example, now suddenly of pneumonia, and fractures, and myocardial infarction, and have cardiovascular disease, and this time there is a reflection of our body, glucagon secretion is particularly high, the original treatment of poor blood sugar control, and at this stage we need to use insulin to treat, wait until this stage has passed, gradually glucagon reduced state of emergency gradually reduced, and our gradual reduction of insulin gradually and finally completely healed, completely healed after the state of emergency did not, and these are no longer elevated glucagon, is a normal state, the When we stopped the insulin, then the use of oral hypoglycemic agents before the treatment effect is the same as the original, which is temporarily used.
Another is gestational diabetes, diabetes is discovered during pregnancy, this period should be treated with insulin, because in this period, if not treated, particularly high blood sugar, the supply of sugar on children is particularly high, the fetus secrete their own insulin , this sugar down, but the sugar into fat, big fat give birth to a child, after no end of trouble, what is diabetes, high blood pressure have come, the children did not benefit, so can not at this time of oral hypoglycemic agents, because oral hypoglycemic agents to the fetus through the placenta caused by low blood sugar, low blood sugar and a stillborn fetus, this is a very dangerous situation, so this stage should be treated with insulin, insulin can not pass through the placenta, and it is only to reduce the mother's blood sugar Therefore, during pregnancy, should be treated with insulin. Then later in pregnancy, breast-feeding, oral hypoglycemic agents can not, because of oral hypoglycemic agents can learn to let the baby through breast milk, so babies with low blood sugar, so that we are breast-feeding should also be treated with insulin, because insulin does not absorb through the milk to the fetus, so that in this particular period of pregnancy and breast-feeding should be treated with insulin.
Another is that we rush to surgery, you usually have for example no matter what we do not take medicine, or medicine pipe does not work, now like I suddenly had cholecystitis, appendicitis, fractures, and need surgery, this time surgery is not such because we use oral hypoglycemic drugs to regulate blood sugar take months to be fine, then the surgery can not wait how to do it? , We will timely to the injections, to fight insulin, blood sugar quickly into fine, then surgery, surgery is relatively safe, such as healing after surgery, insulin, we then stopped. This is after the three, who are temporarily playing insulin.
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