#发生了低血糖还要继续降糖治疗吗? #
Diabetes mellitus is a chronic metabolic disease characterized by hyperglycemia. In the management of diabetes, glucose-lowering therapy is a key measure to maintain blood glucose levels within the normal range. However, glucose-lowering therapy can sometimes cause blood sugar to become too low, known as hypoglycemia. Hypoglycemia is a serious risk for people with diabetes and can lead to cognitive dysfunction, coma, and even death. Therefore, when hypoglycemia occurs in diabetic patients, whether to continue hypoglycemic therapy and how to adjust the treatment regimen are issues that need to be carefully weighed and individualized.
1. Causes and harms of hypoglycemia
The occurrence of hypoglycemia is usually related to several factors:
- excessive insulin or oral use of hypoglycemic drugs;
- inadequate dietary intake;
- increased physical activity;
- Drinking;
- Interactions with other drugs.
The dangers of hypoglycemia include:
- Damage to the nervous system, leading to cognitive dysfunction, mood swings, etc.;
- increased risk of cardiovascular events;
- Severe hypoglycemia can lead to coma and even death;
- Long-term recurrent hypoglycemia can cause brain damage.
2. The principle and importance of hypoglycemic therapy
The purpose of hypoglycemic therapy is to prevent various complications due to persistent hyperglycemia, including cardiovascular disease, nephropathy, retinopathy, nerve damage, etc. The principle of hypoglycemic therapy mainly involves the following aspects:
- Improves insulin resistance;
- Stimulates islet β cells to release more insulin;
- Reduces glucose production in the liver;
- Slows down the absorption of glucose in the intestines.
The importance of hypoglycemic therapy is reflected in:
- control blood glucose levels to avoid acute and long-term complications;
- improve the quality of life of patients;
- Reduce mortality and disability in people with diabetes.
3. Treatment after hypoglycemia occurs
When hypoglycemia occurs in a diabetic patient, the following measures should be taken immediately:
- Immediate intake of fast-acting carbohydrates (e.g., glucose tablets, fruit juices);
- Retest the blood glucose level to make sure it has returned to a safe range;
- If the condition is severe, glucagon injections or hospital treatment will be required.
4. Analysis of whether to continue hypoglycemic therapy after hypoglycemia
Whether or not to continue glucose-lowering therapy after hypoglycemia in people with diabetes depends on a number of factors:
- Analysis of the cause of hypoglycemia: The first step is to identify the cause of hypoglycemia and take steps to avoid recurrence. This may require adjusting the dose of medication, changing your diet, or modifying your exercise program.
- Individualized treatment regimen adjustment: Every diabetic patient is different, so an individualized treatment regimen may need to be adjusted after hypoglycemia has occurred. Depending on the patient's situation, your doctor may increase or decrease the dose or change the type of medication.
- Monitor blood glucose levels closely: After adjusting the treatment regimen, patients need to monitor their blood glucose levels more frequently in order to stay informed about the effects of treatment and make necessary adjustments.
- Patient education: Patients should receive education on how to prevent and manage hypoglycemia, including recognizing the symptoms of hypoglycemia and knowing when and how to take action.
In conclusion, diabetic patients need to continue glucose-lowering therapy after hypoglycemia, but treatment regimens may need to be adjusted according to the patient's specific situation. It is important to identify the cause of hypoglycemia and address it, as well as prevent future hypoglycemia through education and self-management. The ultimate goal is to achieve good glycemic control to reduce the risk of complications while avoiding hypoglycemia.
According to the author: Ren Bin, Master of Medicine, National Licensed Pharmacist (Traditional Chinese Medicine, Western Medicine), more than 10 years of clinical medication guidance and health management experience in tertiary hospitals!
This article is the original work of Pharmacist Ren Bin, welcome to reprint, please indicate the source! Please click to follow to get more health science knowledge! Welcome to share!
If you want to know about diabetes medication knowledge and health conditioning, please follow Pharmacist Ren or leave me a message, I will reply carefully one by one!