After changing the medicine due to lack of medicine, it is necessary to closely monitor the changes in blood sugar.

(Photo provided by Yan Qunfang)

Text/Yan Qunfang

Incretin drugs are used for weight loss because they have the effect of reducing body weight. Recently, the drug shortage incident has been in the news, which makes many diabetic patients need to change their drugs, which is inconvenient.

The existing common hypoglycemic drugs can be divided into 7 categories. When choosing which drug to use to treat diabetes, the age of the patient, whether there are other diseases, and the risk of hypoglycemia will be considered before deciding on the drug.

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To avoid excessive fluctuations in blood sugar can be well controlled

Among them, the drugs containing incretin not only have a strong hypoglycemic effect, but also have a small risk of hypoglycemia, and have the effect of protecting cardiovascular and renal functions. If you choose to use long-acting drugs, you only need to take it once a week, and you don’t need to take it every day. It is an ideal drug for the patients themselves to greatly reduce the number of injections. The only thing to pay attention to is that it may cause gastrointestinal side effects, such as nausea and vomiting.

Compared with insulin, which is also injected, the advantage of insulin is that the effect of lowering blood sugar is the strongest. Therefore, it is recommended that if you take a variety of oral medicines, but your blood sugar control is still not satisfactory, you can inject insulin as soon as possible to effectively lower blood sugar. , but relatively, it will increase the risk of hypoglycemia and weight gain at the same time, so people are asked to measure their weight regularly when using insulin, and pay attention to the signs of hypoglycemia, and carry candy with them in case of emergency.

For other oral medicines for the treatment of diabetes, what kind of medicines to replace will still be determined with reference to the daily life style, diet, disease control status (such as blood sugar level, glycosylated hemoglobin), and even possible side effects. An optimal choice, such as patients with a history of urinary tract infection, may not be suitable for use of sugar-depleting drugs, because it will increase the risk of re-infection.

In the absence of medicines, the public is bound to face the situation of changing medicines. Whether it is switching to oral medicines or switching to other types of injections, one must first understand the possible effects of medicines on the body before they can deal with them. .

In the early stage of dressing change, it is even more necessary to monitor the blood sugar value to avoid excessive blood sugar fluctuations and achieve the goal of good blood sugar control.

(The author is a pharmacist at Weigong Memorial Hospital in Miaoli)

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  • diabetes

  • health care

  • insulin

  • blood sugar control

  • hypoglycemic drugs

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