Some sugar friends still cannot reach the blood sugar target after diet management, regular exercise, and regular use of a variety of oral drugs. Dr. Xu Huichun, director of the Boxin Clinic, said that this condition may be due to the decline of pancreatic function, and the islet cells are unable to secrete enough insulin. Our pancreas declines with age, and the function of pancreatic islet cells declines by about 4% to 5% per year after diabetes is diagnosed1.
The function of oral hypoglycemic drugs is mainly to stimulate insulin secretion, but when the function of pancreatic islet cells declines to a certain extent, no amount of oral drugs can stimulate the pancreas to secrete enough insulin. Dr. Xu Huichun said that when oral hypoglycemic drugs can no longer effectively control blood sugar, it is necessary to consider using injections to supplement insulin.
Early insulin supplementation helps preserve the function of pancreatic islet cells. Dr. Xu Huichun said that insulin** can rest pancreatic islet cells and can also make blood sugar control more stable.
If the patient is already taking 4 oral hypoglycemic drugs, early insulin administration is generally recommended. "Because insulin can not only allow the remaining pancreatic islet cells to rest and prevent continuous excessive loss, but also stabilize blood sugar as soon as possible to avoid damage to blood vessels, nerves and vital organs caused by high blood sugar."
Under the ** insulin, if the blood sugar can be controlled in a stable state for a long time, after the doctor's evaluation, there is also a chance to switch to oral hypoglycemic drugs, or reduce the dose or number of oral drugs. ”
Insulin supplementation can make the diet more flexible, help patients maintain their quality of life, and have less to worry about high blood sugar after meals. Dr. Xu Huichun said that in addition to caring about blood sugar before meals, sugar friends should also pay attention to blood sugar after meals, because high blood sugar after meals will cause more serious damage to organs.
When is insulin appropriate
Insulin is an indispensable hormone for the human body, and there are several times when you need to supplement it. Physician Xu Huichun said that the first is "rescue" insulin**, when the patient is diagnosed with diabetes for the first time, the glycosylated hemoglobin HBA1C is too high, perhaps as high as %, or even more than 11%, and at the same time there are symptoms of hyperglycemia, such as eating more, drinking more, urinating, weight loss, etc., it is necessary to actively use insulin** to quickly control blood sugar. This type of ** period is usually 1 to 3 months, and after the patient's blood sugar is stable, there is an opportunity to stop the injection and change to a simple oral hypoglycemic drug to continue**.
The second is "fortified" insulin**. Dr. Xu Huichun explained that when diabetic patients suffer from some acute diseases, such as hospitalization, surgery, trauma, etc., blood sugar may soar and become very unstable, and insulin is needed to quickly lower blood sugar. Because blood sugar is stable, it is helpful for recovery from acute illness. When the acute condition improves, there is also a chance that the intensive insulin** will be discontinued.
The third type is "substituted" insulin**. Physician Xu Huichun said that when diabetic patients take more and more oral drugs, but there is still no way to control blood sugar, it means that the patient's pancreatic function is obviously insufficient, and the use of oral drugs can no longer stimulate pancreatic islet cells to secrete more insulin, so they need to start long-term use of insulin. For people receiving substitute insulin**, doctors adjust and reduce the use of oral hypoglycemic drugs.
Dr. Xu Huichun said that the design of insulin injections has been improved to be quite friendly, similar to a ballpoint pen, and the needle is very thin, so that the injection will only go under the skin and will not harm the internal organs.
Many diabetic patients only find out after taking insulin that insulin** is so convenient and effective in controlling blood sugar, and reducing oral hypoglycemic drugs. Dr. Xu Huichun said, "I often hear patients say that if they knew this, they would have taken insulin earlier. In fact, as long as you cooperate well with your doctor, you can control your blood sugar to the best state. ”
Insulin supplementation is a very effective way to do it for diabetes, and insulin should be considered if you have any of the following conditions. Physician Xu Huichun said that he had taken more than 4 kinds of hypoglycemic drugs, but there was still no way to meet the targetWhen diabetes is first diagnosed, glycosylated hemoglobin HbA1C is quite high, perhaps % or higher, and there are obvious symptoms of hyperglycemia, such as eating more, drinking more, urinating more, and weight loss, so it is necessary to actively supplement insulin to stabilize blood sugar as soon as possible.
Intimate reminders
Diabetic patients may feel frustrated, but don't worry, as long as you work with your medical team, you can keep your blood sugar under control. Physician Xu Huichun said that insulin is an essential hormone for the body, and supplementing insulin is one of the best ways to diabetes, which can rest the pancreas and help preserve the function of pancreatic islet cells. With the guidance of the diabetes** team, adjust your diet and exercise, you can have a healthy lifestyle and a better quality of life!