Do I need lifelong medication to get diabetes? The occurrence of diabetes is related to genetics, environment, living habits and other factors. Its pathophysiological mechanism is mainly due to insufficient insulin secretion or insulin resistance, resulting in increased blood glucose levels and metabolic disorders. Therefore, in order to control blood sugar levels and maintain good health, most diabetic patients need long-term medication, especially type 1 diabetes patients currently need lifelong insulin, because there is no good and thorough treatment.
However, long-term medication does not mean that lifelong medication is required. Especially some people with type 2 diabetes, more and more diabetic patients can better self-manage, through reasonable diet, exercise and regular living habits, so that blood sugar levels are well controlled, reduce the occurrence of complications, and gradually get rid of drug dependence, it should be noted that before stopping the drug, patients should have full communication and consultation with the doctor, understand the risks and benefits after stopping the drug, and carry out under the advice of the doctor. At the same time, after discontinuation of the drug, patients need to closely monitor changes in blood glucose levels, and pay attention to the implementation of non-pharmacological measures such as diet control and increased exercise.
These diabetics can be dispensed with
Therefore, in some cases, diabetics can gradually reduce the dose of the drug or stop it on the advice of a doctor.
So, under what circumstances can diabetics consider stopping the drug? In general, discontinuation can be considered in the following situations:
１。 Diabetic patients have mild disease, good blood sugar level control, no obvious complications and risk factors, can reduce drugs or gradually stop drugs under the guidance of doctors, but need to monitor blood sugar regularly, but also keep a reasonable diet and strengthen exercise, control weight and not be obese.
Nature presents a brilliant and colorful picture.
From maple red to chrysanthemum yellow, from rice field gold to frost white,
Every corner is full of life and beauty.
Let's explore the charm of autumn together!
２。 Diabetic patients have a good function of pancreatic islets and can control blood sugar levels through non-drug treatments such as diet and exercise.
Nature presents a brilliant and colorful picture.
From maple red to chrysanthemum yellow, from rice field gold to frost white,
Every corner is full of life and beauty.
Let's explore the charm of autumn together!
３。 People with diabetes have been undergoing intensive treatment for a period of time, blood sugar levels are well controlled, and the dose of the drug can be gradually reduced or discontinued under the advice of a doctor.
Some people with diabetes, after a period of hypoglycemic drugs, or insulin therapy, diabetes symptoms are relieved and blood sugar returns to normal. Under the guidance of a doctor, for a period of time, blood sugar can be controlled by diet and exercise alone, which is called the "honeymoon period".
People with type 1 or type 2 diabetes are likely to have a honeymoon phase. The earlier the treatment, the shorter the time for hyperglycemia to destroy the islets β cells, the more likely it is to have a honeymoon phase. The duration of the honeymoon varies from a few weeks to 5 years.
If diabetics find that simple diet and exercise can no longer control blood sugar, this indicates the end of the honeymoon period, and drug treatment should still be resumed.
Let's explore the charm of autumn together!
４。 Some people with secondary diabetes, some diabetes after removing secondary factors, can find a clear cause, called secondary diabetes. There are mainly a few situations:
Drugs affect blood glucose metabolism: such as glucocorticoids, diuretics, thyroxine, etc.;
Other endocrine diseases: such as hyperthyroidism, hypercortisolism, etc.;
Stress factors: such as acute diseases (acute cerebral infarction, myocardial infarction, etc.), major surgery, severe trauma, etc.;
Let's explore the charm of autumn together!
Certain rare tumors.
In this part of diabetics, after removing the cause, such as stopping drugs that affect blood glucose metabolism, curing or alleviating related diseases, some people's blood sugar can be completely normal, and there is no need for medication.
Most diabetics still have to take medication
The above situations that do not require medication are still relatively rare, and most sugar friends still need to use medicine. Generally speaking, when the medication standards are met, the doctor will recommend the diabetic to take the drug.
１。 For people with type 1 diabetes
This part of diabetic patients is due to insufficient insulin secretion, so patients must use insulin treatment.
２。 For people with type 2 diabetes
This part of diabetic patients, due to insulin insensitivity, islet function gradually decline and disease, if the simple lifestyle can not achieve the goal of blood sugar control, drug treatment (generally glycated hemoglobin>7. 0%).
Fasting blood glucose >11. 1 mmol/L or glycosylated hemoglobin >9. 0%, patients with a disease duration of less than 2 years are best treated with insulin intensification, which can improve insulin sensitivity as much as possible, improve islet function, and may also exchange for the honeymoon period mentioned earlier.
Therefore, if you find that you have diabetes, do not avoid medical treatment, and receive formal treatment as soon as possible, which can help you alleviate your condition.
３。 Sugar mom with gestational diabetes
For gestational diabetes, the general goal of glycaemic control is a fasting, preprandial or bedtime blood glucose of 3.3~5.3 mmol/L, and a blood glucose of ≤ 6.7 mmol/L 2 hours after meals; Glycated hemoglobin should be kept below 5.5% as much as possible.
If the above goals cannot be achieved after one month of diet and exercise intervention, insulin therapy needs to be started.
.
After stopping the drug, what should diabetics pay attention to/
1. Diet: After the drug is stopped, diabetic patients should pay attention to maintaining low salt, low fat and low sugar, it is recommended to focus on light food, you can eat some fresh vegetables and fruits rich in vitamins, such as cabbage, tomatoes, strawberries, etc. At the same time, avoid eating some foods with high sugar content, such as candies, pastries, etc., so as not to cause blood sugar to rise and cause discomfort;
2. Exercise: Diabetic patients must strengthen postprandial exercise after stopping the drug, and exercise 30 times after meals, such as walking, jogging, playing tai chi, etc., which can effectively control weight, enhance physical fitness, improve the body's sensitivity to insulin, and help control blood sugar;
4. Blood glucose monitoring: Due to the many causes of diabetes and the complex factors affecting blood sugar, diabetic patients also need to pay attention to monitoring blood sugar after stopping the drug, and if the blood sugar is still high, they should find a doctor for treatment.
5. Good living habits: After diabetic patients stop taking medication, they also need to pay attention to improving their lifestyle, ensuring adequate sleep, avoiding staying up late, and paying attention to quitting smoking and alcohol, which helps maintain blood sugar stability.
In short, whether diabetics need lifelong medication depends on individual circumstances and treatment response. Under the guidance of a doctor, patients can gradually reduce the dose of the drug or stop it to achieve better blood sugar control and improved quality of life. However, it should be noted that stopping the drug is not once and for all, after stopping the drug, diet and exercise treatment can not be stopped, but also pay attention to monitoring blood sugar, if rebound is found to intervene in time to prevent complications.