Some of the work of common diabetic patients, when doctors advised him to use insulin therapy, on Dajing pale: "I am a non-insulin-dependent, with a turned into a dependent." Such a view is not justified.
Ⅰ type 2 diabetes is the absolute lack of insulin secretion, a diagnosis, needed life-long insulin replacement therapy, strict control of blood sugar, can delay or even avoid complications.
Ⅱ the incidence of type 2 diabetes and islet cell dysfunction and insulin resistance. As called non-insulin-dependent diabetes, some patients on a wrong concept that can not use insulin. Today the World Health Organization has put forward new proposals, the abolition of insulin-dependent and non-insulin-dependent diabetes mellitus these two medical terms.
What type Ⅱ patients needed insulin? »
Through strict diet control, exercise therapy and adequate oral hypoglycemic agents, still can not control blood glucose, fasting plasma glucose greater than 11.1 mmoL / L, the indications are using insulin. But the more lean and obese patients should be treated differently. Thin patients more sensitive to insulin, the need to restore weight, should actively use insulin. And the obese patients to use insulin more conservative, stressed that measures to lose weight, the preferred sugar-Shuanggua Lei and Baidoa. When the full effect of oral hypoglycemic agents are still poor, the implementation of joint therapy, plus insulin. Ideal blood sugar control, insulin can reductions, many patients can once again remove the insulin medication by mouth.
Following the situation to be short-term insulin, such as severe infection, surgery, trauma, pregnancy, ketoacidosis, hyperosmolar coma, lactic acidosis and with adrenal cortex hormones, must use insulin therapy.
Insulin, islet function should be checked, and under the guidance of doctors, the choice of insulin formulations used in a reasonable amount of adjustment.
4/26/08
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