Prevention and treatment of type 2 diabetic nephropathy2017-09-15 16:46
More than 90% of patients with diabetes is non-insulin-dependent diabetes, type 2 diabetes insulin producing ability is not completely lost, some patients even produces too much insulin, but the poor effect of insulin, so the patient is a relative lack of insulin secretion, can through some oral drugs to stimulate insulin. But later, some patients still need insulin treatment.
Type 2 diabetes mellitus is caused by the fact that insulin is not effective (with less binding to the receptor), so it is necessary to examine not only fasting glucose, but also 2 hours of postprandial blood glucose, especially in the examination of islet function. Such as fasting glucose ≥ 7 mmol / L, 2 hour postprandial blood glucose ≥ 11.1 mmol / L, can the diagnosis of diabetes mellitus.
Reduce blood sugar by oral antidiabetic drugs, antidiabetic drugs biguanides, sulfonylureas, thiazolidinediones (rosiglitazone and pioglitazone as two ketones), benzoic acid derivatives (e.g. repaglinide and Bernard Glenn Nai) alpha glucosidase inhibitors (e.g. acarbose and voglibose).
Insulin injection drugs: if by changing the way of life and the use of oral hypoglycemic drugs is still not very good control of blood glucose, or the use of other drugs will bring bad influence to you, it is best to use insulin treatment. At present, insulin can not be taken orally and can only be injected by hypodermic injection, such as syringes or insulin pens.
Diet should pay attention to eat less, eat more, do not eat sweet food, do not eat spicy food, prohibited smoking, drinking and other bad habits, because these will aggravate the condition of diabetes. The original hypoglycemic drugs for more than half a year, can not stop suddenly.