Diabetes patients use insulin under what circumstances
First is the type I diabetes to use insulin therapy, because of its type I diabetes incidence of islet secretion because it has no, almost no islet cells secrete insulin, don't, so must replacement therapy.
Type II diabetes patients, the use of oral glucose-lowering elixir failure cases, should use insulin, we speak oral glucose-lowering elixir failure commonly refers to insulin secretagogues, say they, yellow now have a list of urea. Before we think yellow, say they, and optimal hypoglycemic LTD, sugar comfortable beauty imidacloprid, use to six pieces of matter, you should use if insulin, which means we islet function is failure. We take this yellow they secretagogues MaBianZi is like a horse running slowly, we played six whips, explain this horse has no capacity, you should play insulin, and this is the old concept, now before our concept is 3 if not, you should play, because the insulin horses have tired of it, we should change horses, let it rest for us to protect it, the remnants of insulin is very important, it is a kind of.
The third is some serious complications of diabetes or other serious diseases, should use insulin therapy. Say we have diabetes nephrosis, or renal insufficiency, or more severe eye, or other local lesion is ill, it should use insulin therapy. There are other serious diseases, such as pneumonia, said the heart failure or heart, or some other gynecological diseases, this is a lifelong injections, cannot stop.
There are three kinds of people, to temporarily, a shot with an oral glucose is usually associated control is better, now encountered special emergency, say now suddenly got pneumonia, fracture, myocardial infarction, cardiovascular disease, this time we have a reflection of the body is the rise of sugar hormone secretion of special treatment, high blood glucose control, at this stage we need to use insulin therapy, until the last stage, sugar gradually reduced hormone gradually reduce the emergency, we will gradually gradually reduced insulin, finally healed completely, completely ok after the emergency, no, these liters increased, no sugar hormone is a normal condition, this time we can stop the insulin, the use of oral medication before treatment effect, and is same, it is the need for use.
Still another kind is a gestational diabetes during pregnancy, it is found that the diabetes during should use the insulin therapy, because in this period, if not treated, particularly high blood sugar, children of supply, the baby is particularly high insulin secretion of his, put this down, and the sugar to convert sugar and a big fat fat children, what your ruin, diabetes, hypertension came, not good for children, this time with an oral medication, and not because oral medication can be caused by the placenta, an unborn child fetal hypoglycemia, and stillbirth hypoglycaemia is very dangerous situation, so this stage should use the insulin therapy, insulin is not through the placenta, it only to reduce maternal glucose during pregnancy, so, should use the insulin therapy. Then, after pregnancy in lactation, also cannot use oral medication, because oral medication can let the baby milk, baby also draw, so that our hypoglycaemia in lactation also should use the insulin therapy, not through breast milk for insulin pump, so that make fetus in the special period of pregnancy and lactation shall use insulin therapy.
Another is we are anxious to surgery, you say whatever we ever have to take medicine, medicine or ignore use, such as pipe, I suddenly got cholecystitis now, broken, appendicitis, requires surgery, the operation is not, because we used oral medication regulating sugar need months to tune, then surgery can't wait to do? We will promptly to insulin injections, soon, and the sugar and operation, is safe, etc., we again after the healing of insulin. This is after three, these men are temporarily need insulin.