Ginseng Qi hypoglycemic granules are commonly used in clinical hypoglycemic Chinese patent medicine, the main ingredients are ginsenoside, astragalus, schisandra, yam, rehmannia root, raspberry, wheat winter, poria cocos, smallpox pollen, Ze Yuan, wolfberry and other 11 flavors of traditional Chinese medicine, with the effect of nourishing qi and nourishing yin, nourishing the spleen and kidney. Modern pharmacological studies have found that ginseng qi hypoglycemic granules contain a variety of active ingredients such as saponins, flavonoids, lignin, etc., which have the functions of anti-oxidative stress, removal of oxidative metabolites, repair and improvement of damaged pancreatic islet cell function, promote insulin secretion, protect kidney function, regulate blood lipids, and nourish peripheral nerves.
For prediabetic patients, the combined use of ginseng qi hypoglycemic granules on the basis of lifestyle improvement can effectively improve symptoms and reverse abnormal blood sugar. For patients with type 2 diabetes, the combination of ginseng qi hypoglycemic granules on the basis of conventional ** can further improve fasting blood glucose and postprandial blood glucose, and increase the blood glucose compliance rate. For patients with diabetic macrovascular complications, Shenqi hypoglycemic granules combined with statins can further reduce the levels of total cholesterol, low-density lipoprotein cholesterol and triglycerides, increase the level of high-density lipoprotein cholesterol, protect cardiovascular and cerebrovascular diseases, and delay the development of the disease. For patients with diabetic nephropathy, the combination of ginseng qi hypoglycemic granules on the basis of conventional ** can further improve blood sugar control and protect kidney function. For patients with diabetic peripheral neuropathy, methylcobalamin combined with ginseng qi hypoglycemic granules can effectively improve symptoms such as numbness and pain, and for diabetic retinopathy patients, maizhiling combined with ginsengqi hypoglycemic granules can improve visual acuity and improve fundus lesions.
Thirst quenching pill is a compound preparation of Chinese and Western medicine commonly used in clinical practice, the main ingredients are astragalus, rehmannia root, yam, pueraria, smallpox pollen, corn whisker, schisandra 7 flavors of traditional Chinese medicine, and at the same time, glibenclamide, which has the effect of nourishing the kidneys and nourishing yin, invigorating qi and rejuvenating Jin. Glibenclamide belongs to sulfonylurea insulin secret-promoting agents, is the strongest class of oral hypoglycemic drugs, which mainly directly stimulates pancreatic islet cells to secrete insulin, increase the level of insulin in the blood, inhibit liver glycogen decomposition and gluconeogenesis, reduce liver glucose output, improve insulin resistance and reduce blood sugar, long-term use can significantly reduce the risk of diabetic microvascular and macrovascular complications, suitable for patients with mild and moderate type 2 diabetes who are not satisfied with the efficacy of dietary control alone and the islet function still exists.
Thirst quenching pills can reduce fasting blood glucose, postprandial blood sugar and glycosylated hemoglobin, the effect is comparable to glibenclamide, but the risk of hypoglycemia is lower than glibenclamide, suitable for mild and moderate type 2 diabetes, patients have a certain function of islet cells secreting insulin, and there are no serious complications.
The effect is not significant or the symptoms are more severe, ginseng qi hypoglycemic granules 1 time 3g (1 bag), 3 times a day, mild symptoms, 1 3 bags (1g), 1 3 times a day, 1 month for 1 course of treatment, according to the condition to decide to use the course of treatment, if the symptoms do not improve or aggravate after taking the medicine for 4 weeks, should be seen in time. The starting dose of thirst quenching pills is 5 capsules each time, 3 times a day, with a maximum dose of 30 capsules per day, half an hour before meals. Adjust the dosage according to fasting blood glucose, when fasting blood glucose 44~7.0mmol l, maintenance starting dose, fasting blood glucose "70mmol l, thirst quenching pills increased by 5 capsules per day, fasting blood sugar < 44mmol l, thirst quenching pills reduced to 5 capsules per day, the minimum maintenance dose is 5 capsules per day, taken half an hour before breakfast. Elderly people over 65 years old should use thirst quenching pills with caution, if used, the starting dose is 5 capsules per day, and closely monitor blood sugar, if there are symptoms such as vomiting and diarrhea, the drug should be stopped in time.
Ginseng Qi hypoglycemic granules can be used in combination with metformin, glimepiride, acarbose, liraglutide, DDP-4 inhibitors, insulin and other commonly used hypoglycemic western drugs, which can effectively improve clinical symptoms, improve quality of life, and do not increase the risk of hypoglycemia, and the efficacy is better than the use of hypoglycemic western drugs alone. Thirst-quenching pills can be used in combination with common hypoglycemic drugs such as metformin, acarbose, pioglitazone, DDP-4 inhibitors, etc., which can further improve blood sugar levels and reduce insulin resistance, and the efficacy is better than that of hypoglycemic drugs alone.
Post-marketing adverse reaction monitoring data showed that adverse reactions such as vomiting, dizziness, excitement, difficulty sleeping, and fatigue could be seen in Shenqi hypoglycemic granules, all of which were mild and could be relieved by themselves after stopping the drug, and there were no serious adverse reactions. Post-marketing adverse reaction monitoring data show that drug rash, nausea, vomiting, diarrhea and other digestive tract reactions can be seen in thirst pills, all of which are mild and can be relieved by themselves after stopping the drug, and serious adverse reactions are mainly manifested as hypoglycemic reactions, which are more common in the elderly.
Ginseng Qi Hypoglycemic Granules nourish Qi and nourish Yin, nourish the spleen and kidney, ** Type 2 diabetes should be used for syndrome differentiation, and it is not suitable for use with real heat syndrome, and it is forbidden for those who are allergic to the ingredients contained in Ginseng Qi Hypoglycemic Granules. Type 1 diabetes mellitus, type 2 diabetes mellitus with ketoacidosis, severe infection, burns, trauma and major surgery and other stressful situations, pregnant women, lactating women, sulfa drug allergy, liver and kidney insufficiency, leukopenia should be contraindicated thirst pills.