What are the treatments for type 2 diabetes? |
1.Oral hypoglycemic agent
- biguanides (such as metformin) These drugs have the ability to reduce the liver's glucose output and help muscle cells, fat cells and liver absorb more glucose from the blood, thus lowering blood sugar levels.
- Sulfonylureas (such as glimepiride, glibenclamide, gliclazide, and gliclazone) The main role of these oral hypoglycemic agents is to stimulate islets to release more insulin.
- Thiazolidinediones (such as rosiglitazone and pioglitazone) These drugs can enhance insulin sensitivity and help muscle cells, fat cells and liver absorb more glucose in the blood. However, rosiglitazone may increase the risk of heart disease.
- Benzoic acid derivatives (such as repaglinide and nateglinide) The mechanism of action of these drugs is similar to that of sulfonylureas, mainly to stimulate the pancreas to produce more insulin to lower blood sugar.
- α-glucosidase inhibitors (such as acarbose and voglibose) These hypoglycemic agents can inhibit the absorption of sugar by the human digestive tract, the main role is to reduce postprandial blood glucose.
2. Insulin drugs
If you are still unable to control your blood sugar by changing your lifestyle and using oral hypoglycemic agents, or if taking other medicines will have an adverse effect, your doctor may recommend you to use insulin. At present, insulin cannot be taken orally, and can only be injected subcutaneously using a device such as a syringe or an insulin pen.
The onset time and duration of action of different insulin preparations are also different. The patient needs to choose the type of insulin appropriate to his current condition under the guidance of a doctor and establish an appropriate time for insulin injection.
In order to achieve the best blood sugar control effect, it is sometimes possible to pre-mix a variety of insulins for injection. Usually, the frequency of insulin injection is 1 to 4 times/day.
By losing weight and strengthening exercise, some people with type 2 diabetes find themselves no longer need medication. Because they can control their blood sugar through their own insulin secretion and dietary regulation when their body weight reaches the desired range.
It is unclear whether it is safe for pregnant women to take oral hypoglycemic drugs. Female patients with type 2 diabetes may need to stop taking oral hypoglycemic agents and inject insulin during pregnancy and lactation.
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