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Many people with diabetes to control blood sugar can choose insulin injections, but in actual operation, because use is not standard, many people treatment effect to sell at a discount greatly. Insulin use well, through the adjustment of the dosage of insulin freely, patients with diabetes can be like normal person life; But with bad blood glucose, insulin not only can't control, and even cause hypoglycemia complication. So, how to use insulin will be the most ideal? What people need insulin therapy? The ideal insulin therapy is what kind of?The ideal insulin therapy should be close to physiologic insulin secretion mode, including basic insulin and when two parts of the meal insulin added. The ideal base the actions of insulin should be to cover 24 hours a day, without obvious peak, avoid fasting and low blood sugar before meal. When the meal insulin injections in after dinner after 30 minutes, which has been peak output and promote glycogen through the use of glucose to reduce postprandial hyperglycemia. In addition, the ideal dinner in blood sugar down insulin to normal levels of its role will be to squeeze, avoid the next level before meals appear hypoglycemia. What patients with diabetes need insulin?1. In patients with type 1 diabetes incidence diagnosis is needed insulin therapy, and need insulin replacement therapy for life. 2. Patients with type 2 diabetes in the way of life and oral medications on the basis of combination therapy, if blood sugar has not reached control target, then starts to oral medications and insulin of combination therapy. General after maximum dose oral medications after treatment glycated hemoglobin (HbA1c) is still more than 7.0%, you should start insulin treatment. Oral medications can be preserved. Use of basic insulin therapy, also need not stop secrete insulin secretagogues agent (such as Gregorian XX, XX column nai). 3. For new diagnosis, and in type 1 diabetes, identify difficult thin diabetic patients, the insulin should be as a line therapy drugs. 4. In the duration of diabetes (including new diagnosis in patients with type 2 diabetes), appear have no obvious cause weight loss, should use insulin treatment as soon as possible. 2011-10-03
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