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Diabetic patients who meet 4 conditions are expected to be relieved or discontinued, and 3 groups of people need lifelong medication

author:Department of Neurology Zhang is the chief physician

Diabetes has become a common chronic disease in our society, affecting millions of families. But did you know? With the right conditions, some people with diabetes may have a chance to remission or even stop using medications. Today, we're going to dive into these conditions and understand why certain populations must take medication for life. This is not only a message of hope, but also a practical guide to our fight against diabetes.

Diabetic patients who meet 4 conditions are expected to be relieved or discontinued, and 3 groups of people need lifelong medication

Four conditions that may help people with diabetes to remission or discontinue their medications

1. Strict blood sugar control

Patients with early-stage diabetes may achieve stable or even temporary remission with strict blood glucose monitoring and management. The key to blood sugar control is to monitor your blood sugar levels daily and adjust your diet and lifestyle according to your doctor's instructions. Keeping blood sugar levels within the normal range for a long time can greatly reduce the risk of complications, thereby reducing dependence on medications under the guidance of a doctor.

2. A radical change in lifestyle

Lifestyle changes include dietary modifications, regular physical activity, and healthy lifestyle habits. A diet plan high in fiber, low in fat, and low in sugar is especially important for people with diabetes. At the same time, regular physical activity such as walking, swimming or cycling can effectively improve the body's sensitivity to insulin and help control weight, thereby reducing the need for medication.

3. Weight management

For people with type 2 diabetes, weight loss can significantly improve their insulin sensitivity and blood sugar levels. Studies have shown that even 5%-10% weight loss can significantly improve blood sugar control, potentially reducing or stopping the use of diabetes medications. This requires the patient to develop a reasonable weight loss plan under the guidance of a doctor and dietitian.

4. Ongoing medical monitoring and self-management education

Managing diabetes is a long-term process that requires the combined efforts of the patient, family members, and the medical team. Through regular medical check-ups and participation in diabetes self-management education, patients can better understand the condition, learn how to effectively control diabetes, and gradually reduce or stop medication.

Through the detailed explanation and case analysis of the above four conditions, it can be seen that under certain conditions, it is indeed possible for diabetic patients to reduce or even stop drug treatment. Of course, this needs to be done under the close guidance of a doctor, and each patient's situation is unique. Through these practical methods and suggestions, we hope to help the majority of diabetic patients and improve their quality of life.

Diabetic patients who meet 4 conditions are expected to be relieved or discontinued, and 3 groups of people need lifelong medication

Category 3 patients with abnormal glucose metabolism require lifelong medication

Diabetes, or more accurately, abnormal glucose metabolism, is a long-term health challenge. For most patients, glycemic control can be achieved with lifestyle modifications and short-term medications. However, there are three categories of diabetic patients who must undergo lifelong medication due to specific health conditions and disease characteristics. Here's a closer look at each of these three groups of people and why they need to continue to use drugs.

1. Patients with persistent poor glycemic control

In this group of patients, blood sugar levels are difficult to control in a safe range for a long time. Even after following a strict diet plan and regular physical activity, their blood sugar levels may fluctuate frequently and fail to meet medically directed targets. Lifelong medication is necessary for them because:

Insufficient insulin secretion: The body of these patients cannot produce enough insulin to regulate blood sugar due to impaired function of β cells in the pancreas.

Insulin resistance: Even though the pancreas is able to produce insulin, body tissues do not respond well to it and cannot effectively use insulin to lower blood sugar.

Continuous monitoring and adjustment: These patients need to monitor their blood sugar regularly and adjust the dosage of their medications to prevent potentially serious health problems such as cardiovascular and cerebrovascular diseases, kidney disease, etc.

With lifelong medication, doctors can help these patients maintain stable blood sugar levels, which can reduce the risk of complications and improve quality of life.

Diabetic patients who meet 4 conditions are expected to be relieved or discontinued, and 3 groups of people need lifelong medication

2. Patients with severe complications

Patients with dybologic disorders often have a variety of complications, such as retinopathy, nephropathy, and neuropathy. In these cases, lifestyle modifications alone are not enough to control the condition. Lifelong medication becomes a critical part of managing their health because:

Prevent complications from worsening: Moderate and continuous drug therapy can control blood sugar fluctuations, thereby preventing or delaying the progression of complications.

Multi-faceted treatment: In addition to controlling blood sugar, certain medications can help improve blood circulation, reduce inflammation, and provide all-round protection to the body.

Maintain quality of life: By reducing complications, medications can help patients maintain a better quality of life and reduce the limitations caused by the disease.

3. Patients with specific types of abnormal glucose metabolism

This includes people with type 1 diabetes and some special types of type 2 diabetes, such as individuals with hereditary diabetes. These patients require lifelong medication for the following reasons:

People with type 1 diabetes: their islet cells are unable to produce insulin and therefore need exogenous insulin to stay alive.

Hereditary factors: Some inherited diabetes mellitus is caused by a specific genetic defect, and these cases often require specific medications to regulate blood sugar.

Drugs as essential treatment: For these diabetic patients, drugs are not only a blood sugar control, but also a necessary survival condition.