We are very familiar with the treatment of this disease in diabetes, in addition to the usual diet, patients also need to eat some hypoglycemic drugs, the incidence of diabetes continues to rise, there are a lot of people suffering from diabetes mellitus every year, to people's injury is very large, especially some common complications. If you suffer from diabetes must be timely treatment, then the antidiabetic drug market so much, how to choose? Look together?
How do diabetics choose hypoglycemic drugs?
First, choose the medicine according to the type of diabetes
If we suffer from diabetes disease, need to choose the appropriate drugs according to our type of diabetes, patients with type 1 diabetes have lifelong insulin; type 2 diabetes mellitus patients in the diet, exercise and oral anti diabetic drug effect is not good, with acute retinopathy, uremia and other stress (severe infection, acute myocardial infarction and stroke), large and medium-sized surgery and peri pregnancy must also use insulin treatment; in addition to the above patients with type 2 diabetes should consider the use of oral antidiabetic drugs.
Two 、 choose the medicine according to the patient's figure
Patients also need to choose drugs according to their shape, fat and thin people use drugs are not exactly the same, the ideal body weight (kg): height (CM) -105, if the actual weight exceeds 10% of ideal body weight, that body too fat, the preferred biguanide or glycosidase inhibitors, because the drugs are the side effects of gastrointestinal reaction and weight loss, for overweight or obese patients, the use of such drugs is more reasonable; if the actual weight of less than 10% of ideal body weight, that thin, should give priority to the use of insulin secretagogues (including sulfonylurea and benzoic acid derivatives), because the drugs have side effect of weight, is suitable for thin.
Three. Choose the medicine according to the type of hyperglycemia
There is what we have to choose drugs according to the type of high blood sugar, such as elevated blood glucose at different time, the drug also has the difference, if it is simply the postprandial blood glucose, and fasting and fasting blood sugar is not high, is the preferred glycosidase inhibitor; if the postprandial blood glucose and fasting blood glucose, accompanied by mild rise, should first consider the benzoic acid derivatives; if fasting, fasting blood glucose, regardless of whether there is high blood sugar after a meal, should be considered with sulfonylurea, biguanides or thiazolidine ketone two.
Four, according to whether there are other diseases selected drugs
If you are not only suffering from diabetes, there are other diseases, we also need to take into account when choosing drugs. If the disease patients have high blood lipids, hypertension, coronary heart disease, first consider the use of metformin and thiazolidinediones ketones and two glycosidase inhibitors; if patients have gastrointestinal diseases, it is best not to use inhibitors of biguanides and glycosidase; if the patient has chronic bronchitis, emphysema and other lung diseases of the poor, with biguanides; if the patients have liver disease, caution thiazolidines two ketones; if patients have more severe liver kidney lung and systemic diseases, it is best to use insulin.
Five, choose medicine according to age
The incidence of diabetes is no age limit, clear, so the selected drugs of different ages are different, in the elderly, because of hypoglycemia and poor tolerance, should not use long-term, strong hypoglycemic drugs, and should choose antidiabetic drugs taken conveniently, hypoglycemic effect is mild, such as novonorm. For children, type 1 diabetes is treated with insulin; type 2 diabetes is currently only metformin approved by FDA for children.
In addition, should give full consideration to the patient compliance, to travel frequently, irregular eating patients, choose a once-a-day pill (such as glimepiride) is more convenient and suitable, better compliance.
Beijing In China