Because some newly diagnosed diabetic patients have little or incomplete knowledge of the disease, they are prone to "going to extremes" in taking medications, which affects blood sugar control.
Case 1: Take more medicine. Ever since Aunt Kang was diagnosed with diabetes, she has paid special attention to the disease. The doctor prescribed hypoglycemic drugs for her to take two tablets at a time, twice a day. Aunt Kang felt that her blood sugar could be lowered by taking anti-diabetic drugs. If she increased the dosage of the medicine, her blood sugar would be better controlled, so she increased the dosage of the medicine without authorization and took three tablets each time. As a result, she died of severe hypoglycemia after a period of time. Hospitalized for treatment.
The dosage of each patient's medication is formulated by the doctor based on the patient's actual condition. Therefore, patients must follow the doctor's instructions when taking medication and do not adjust the medication without authorization. If blood sugar drops too fast, it will increase the risk of hypoglycemia and even be life-threatening. In addition, if the human body's internal environment cannot adapt to the sudden drop in blood sugar, hypoglycemia will cause insulin-antagonizing hormones such as epinephrine, growth hormone, and pancreatic hyperplasia. The secretion of glucagon, etc. increases, which leads to rebound hyperglycemia, causing blood sugar to fluctuate high and low, which is even more detrimental to health.
Insulin secretagogues among hypoglycemic drugs include sulfonylureas and meglitinides. If the dosage is increased without authorization, blood sugar may drop too quickly and cause health problems. There are also some drugs that need to be gradually increased to reduce side effects, such as metformin, acarbose, etc. Serious side effects may occur if taken in large amounts. There are also some anti-diabetic drugs that take time to take effect. Patients should not blindly increase the dosage just because they initially feel that the anti-diabetic effect is not obvious, such as metformin, pioglitazone, etc. Therefore, everyone should avoid the wrong behavior of Aunt Kang in the case.
Case 2: Not taking medicine. Mr. Xu's physical examination showed high blood sugar a year ago, and the doctor recommended that he receive regular treatment. But he felt that there was nothing wrong with his body, he was just a little fat, so he never took medicine. But recently, he always feels tired, unable to do things as he wishes, and sometimes gets flustered. When I went to the hospital, my blood sugar was measured and it turned out to be as high as 18.6 mmol/L!
Diabetes is not terrible, but its complications are terrible. Complications are caused by long-term high blood sugar, causing damage to multiple organs throughout the body, such as eye disease, kidney disease, etc. Therefore, once you are diagnosed with diabetes, you must immediately receive standardized treatment, including diet control, reasonable exercise, and drug treatment. If you control your blood sugar well, you can delay the occurrence of complications and improve your quality of life.
Case 3: Taking medicine indiscriminately. Ms. Zhu was recently diagnosed with type 2 diabetes, and her mother has also been a diabetic patient for many years. She felt that since both she and her mother were diabetic, she took the anti-diabetic drugs that her mother usually took. But after taking the medicine for a while, my blood sugar went up and down and never came down.
In the case, Ms. Zhu’s mother may have taken more types of medicines and larger doses because she has been ill for a long time. However, Ms. Zhu is a “new” patient and her condition is relatively mild, so it is definitely inappropriate for her to take her mother’s medicines. Blood sugar drops too quickly causing blood sugar fluctuations.
In fact, each patient's condition is different, and the choice of drugs is also different. For example, patients with insulin resistance should choose drugs that improve insulin resistance. For example, patients with insulin secretion disorders should choose drugs that promote insulin secretion.
Diabetes medication emphasizes individualization, and a drug that is suitable for others may not be suitable for oneself. Patients must let the doctor "tailor-make" the type and quantity of drugs according to their own condition, liver and kidney function, and age. Otherwise, not only will the blood sugar-lowering effect not be achieved, , may also endanger health.
