In clinical practice, when the doctor advises the patient to use insulin according to the patient's condition needs, the most asked sentence of the patient is: "Can you change to oral antidiabetic drugs after using insulin?" In the eyes of many patients, insulin is dependent, and once used, it is often impossible to remove it. This understanding is completely wrong.
Some patients are also worried that using exogenous insulin will cause the use of islet function to be useless. The fact is just the opposite. By supplementing exogenous insulin, the self-island b cells can rest, which is more conducive to the repair of its own pancreas and and the improvement of endocrine function.
There are many patients with diabetes who have failed oral antidiabetic drugs in clinical practice. After a period of insulin treatment, they switch to oral antidiabetic drugs and their blood sugar can still be controlled well.
htmlType 12 diabetes Whether lifelong administration is required after insulin is used depends on the degree of recovery of pancreatic β-cell function.
If the daily dose of insulin is gradually reduced after treatment, the daily dose of insulin is less than 24 units and the blood sugar control is satisfactory, it means that the patient's pancreatic function has recovered. You can consider stopping insulin or changing to oral antidiabetic drugs for treatment.
If the daily insulin do not gradually decrease, or there are serious chronic complications, you should insist on using insulin, because the use of insulin is a need for the condition.
In addition, insulin should be adjusted at any time during use. For example, if diabetics are infected or obese, type 2 diabetes is not sensitive to insulin, they need more insulin; taking certain drugs, such as glucocorticoid , birth control pills, diuretics, and anti-inflammatory may also increase the dose of insulin injection.
It should be noted that in the early stage of pregnancy, pregnant women will vomit and eat less insulin in early pregnancy; in the middle stage, the placenta secretes multiple hormones to antagonize insulin, and the demand for more, and the dosage or stop medication after delivery.
