Elderly diabetic patients should pay attention to what medication

A good life, long life, the elderly the incidence of diabetes increased significantly. Because of the physical characteristics of the elderly, elderly diabetic patients medication has its particularity, elderly patients with diabetes medication, especially at night to take care of low blood sugar. First, the elderly metabolic rate is low and easy to use hypoglycemia, in particular, taking some long-term sulfonylurea such as glibenclamide, prone to low blood sugar at night. Therefore, for these drugs, even if the need should also be avoided on the 1st three drugs. Small dose can be a morning service, the dose in the morning when serving 2 / 3, served at noon 1 / 3, not the evening.
The elderly because of relatively slow response, a more "was not aware of low blood sugar", that is, when the blood sugar down to ordinary people are sympathetic response, such as palpitations, cold sweat, dizziness and other symptoms, elderly people may still feel. Blood sugar has dropped to a response to the cerebral cortex, the elderly patients to direct a coma as the spirit of neurological symptoms. This situation very dangerous and rescue is not easy to timely life-threatening. In addition, elderly diabetic patients with atherosclerosis and easy to cardiovascular disease. Once hypoglycemia can be induced by cerebrovascular accident and myocardial infarction, this is very dangerous.

As the above reasons, the blood glucose control standards, the elderly can be more relaxed young and middle-aged Moore 2 cents / liter around. If the original requirements of fasting plasma glucose of 4.4 to 6.1 cents Moore / l, two hours after meal blood sugar of 4.4 to 8 cents Moore / or relax, in order to facilitate memory, blood sugar can be requested in the elderly 8 and 10 Moore cents / liter below. Because of low blood sugar glucose slightly higher than the risk of much greater. Attention should be paid to elderly patients with diabetes drugs on liver and kidney side effects. Some of the elderly over the past have hepatitis, nephritis history, the medication should be preceded check liver and kidney function. In abnormal liver function, can not be used Shuanggua Lei and insulin-sensitizing agents, or easy to produce liver failure. Many hypoglycemic drug metabolism in the liver, the kidneys from. Therefore, in liver and kidney dysfunction drugs should be carefully election.

In elderly diabetic patients liver and kidney dysfunction or poor blood sugar control, there should be an early application of insulin therapy. But with more insulin to prevent low blood sugar, the dose can not be too large. In particular, is to prevent elderly people with bad eyesight or syringes scale unclear and wrong dose. In recent years many elderly patients use the insulin pen, in the amount of the swap, with the exception of a small window dose figures, can be heard at the same time, "pyridazinones pyridazinones" sound, the dose less error-prone.

In short, prevention and treatment of elderly diabetic patients have their characteristics, patients and their families should understand that in order to obtain good results.