Is a dozen insulins for diabetes a lifetime?

Whether you take insulin or not depends on your blood sugar recovery, if you go through the hospitalization comprehensive**, your blood sugar is stable, you can stop it under the guidance of a doctor, and the comprehensive diabetes** is to drive the five troikas: diet**, exercise**, medication**, self-blood sugar monitoring, diabetes education, it is recommended that you follow the doctor's guidance, adjust your diet, exercise moderately, take medicine on time, learn more diabetes knowledge, pay attention to monitoring blood sugar, and you will definitely control your blood sugar. Judging from the situation you introduced, you need **, 200 pounds, a little too fat, hehe, but I don't know your height, I can't help you calculate your ideal weight, eat scientifically, exercise reasonably, lose weight, blood sugar will be easier to control, obesity is the source of all diseases, may cause various chronic metabolic diseases.

Glucose 4+ has to be shot with insulin. Bring the high blood sugar down first. Western medicine and Chinese medicine can not ** diabetes.

Don't put your health to the test. Control your diet, read the book written by the director of the Japanese scholar Yasuji Ebe Diabetes Hospital, and understand that the glycemic index and glycemic load index of food are helpful for managing blood sugar. If your blood sugar is well managed, your health can be preserved.

It is recommended that you take insulin as basal insulin, control your diet, and do more aerobic exercise. Barley rice digests slowly and can be eaten in small and frequent meals. Achieve hyperglycemia below blood sugar hemoglobin 6 or less.

According to Western medicine, it is necessary to fight for a lifetime, because insulin can never cure diabetes. According to traditional Chinese medicine, diabetes can be cured, first of all, spiritually, believe that diabetes can be cured, do not doubt, do not be pessimistic, not afraid, followed by appropriate exercise, balanced diet, and then cooperate with Chinese patent medicine, quit smoking, drinking, overeating and staying up late.

A lot of miracles can't be explained by medicine, you can start by exercising more.

Insulin can cause a range of complications.

There is a large causal relationship between complications and insulin.

You have diabetes.

Does the use of insulin mean that the condition is getting worse? Diabetes is a lifelong disease that not only increases cardiovascular disease.

and also increase the risk of certain cancers.

risk. By using insulin alone or in combination, blood sugar can be well controlled, reducing the risk of diabetes without worsening it. Whether insulin injections increase hypoglycemia.

The possibility? People with type diabetes are less likely to develop severe hypoglycemia and have long-acting insulin.

Hypoglycemia is less likely to occur than other insulins. In addition, you can learn how to prevent hypoglycemia so you can be prepared in case of a serious reaction. Do insulin injections necessarily lead to obesity?

Insulin can cause weight gain, but it can be reduced with the right dose of insulin, a controlled diet, and increased exercise. This interior feels different for everyone I have a friend who said he doesn't like this interior, I personally feel okay There is no obvious place for special rejection, and his intelligent voice still likes it. This kind of recognition of opening the air conditioner and opening the sunroof is very clear.

Once insulin is used, it develops dependence and requires lifelong injections.

Insulin is used by paraliters for some diabetic patients temporarily**, such as when they are initially diagnosed with diabetes, or when they are hospitalized**, to cause their blood sugar levels to drop rapidly. Once your blood sugar is at a reasonable level, consider reducing the dose or stopping it. In addition, the need for islets is reduced, and some people may not need insulin at all.

Can insulin be diabetic? Currently, there is no best way to treat diabetes. Insulin is just a means.

It is the only hypoglycemic hormone in the human body. Some patients require long-term insulin**, not because of dependence, but because of loss of their own islet function, and must rely on exogenous insulin to help control blood sugar. For example, people with type diabetes who need insulin** at the onset of the disease and are on insulin replacement** for the rest of their lives cannot stop taking insulin.

However, people with type diabetes need to decide whether to use insulin based on the function of the islets**.

For example, in the early stages of the disease, blood sugar can be well controlled with lifestyle interventions and medications**, and insulin is generally not required**. However, for some patients with newly diagnosed diabetes mellitus, HbA1c or fasting blood glucose, and significant symptoms of hyperglycemia, short-term insulin fortification can be given**; Many patients have good glycemic control after insulin fortification**, and thus adjust to oral hypoglycemic drugs. Therefore, patients should be consulted by a specialist about whether they are taking insulin and whether they need to use insulin.

Type diabetes is caused by the destruction of pancreatic islet cells, resulting in a deficiency of insulin, the only hypoglycemic hormone in the body, and an increase in blood sugar, which requires insulin to sustain life.

So you have to use insulin to ** it. In fact, before 1997, diabetes was diagnosed as insulin-dependent and non-insulin-dependent diabetes, which is now type 1 and type 2 diabetes. So people with type 1 diabetes have few options and must use insulin**.

For patients with type 2 diabetes, I believe that this part of the patients is hesitant and will have a lot of concerns between using it and not using it.

Many people have a certain misunderstanding of insulin and think that it is dependent, so many people refuse the doctor's advice and are unwilling to use this method when they need to use insulin**. However, insulin is still recommended for diabetic ketoacidosis, liver and kidney insufficiency, digestive disorders, infections, perioperative conditions, etc. After the condition is stabilized, the doctor will generally propose several ** regimens according to the patient's condition, such as insulin**, oral drugs**, etc., for the patient to choose.

Since oral medication** can be administered after insulin, it means that insulin is not dependent and patients can rest assured that it is used.

If you take insulin, you have to take it for life.

Patients with type 1 diabetes, due to the impaired function of their own pancreatic islet cells, and the absolute lack of insulin secretion, need insulin** at the onset of the disease, and need lifelong insulin replacement** to maintain life and life.

This type is more common in young people with diabetes who develop before the age of 25 years, are emaciated, and have multiple episodes of ketosis or ketoacidosis. For them, because their own pancreatic B cells are almost completely damaged, injections of exogenous insulin are necessary to maintain blood glucose stability and metabolic balance in the body. Therefore, it is necessary to continue to take insulin for life.

As long as the oral drug** is not effective, it is necessary to take insulin, which generally takes a long time to maintain the stability of blood sugar. Insulin and medicine are both to control blood sugar, and it is still advantageous to take insulin in diabetes, because insulin has a promoting effect on the body's secretion of insulin.

Can insulin be stopped.

Stopping insulin or reducing the number of injections may be considered in the following situations:

First, obese patients who have been on insulin for many years**, patients with normal liver function or mild abnormality of kidney function, and poor blood sugar control.

Second, diabetes mellitus with hypertension, hyperuricemia, dyslipidemia, fatty liver and other manifestations of metabolic syndrome, try to stop insulin.

Third, those who completely use premixed insulin 30**, often have postprandial blood sugar does not meet the standard, and follow the insulin dosage to cause hypoglycemia. If there are no contraindications, it can be switched to an oral hypoglycemic agent, plus basal insulin, or completely switched to an oral metformin-based oral hypoglycemic agent.

Fourth, blood glucose control under the combination of long-acting insulin and oral hypoglycemic drugs**, even if the target is reached, if the insulin dose is not large, insulin can be considered to be discontinued.

Fifth, those who choose to inject insulin due to mild abnormalities in liver and kidney function, some patients with chronic hepatitis B or hepatitis C who do not have cirrhosis and have good liver function, or who have mild abnormalities, have oral hypoglycemic drugs to choose from.

It is common for many diabetic patients who take insulin to have good blood sugar control, continue good lifestyle management, and stop taking insulin.

Diabetics with such insulin do not necessarily have to be taken for life, but should be determined according to their own type; There are two types of diabetes, type 1 diabetes, which is relatively deficient in insulin and needs to be played for life, and type 2 diabetes, which only needs to take medication.

Yes. The basis is that diabetics have problems with their metabolism and can only control the metabolism of the kidneys by taking insulin, and they are also very dependent on such behaviors, but such behaviors will cause some damage to the body and will form sequelae.

Yes, the physical condition of diabetic patients is very unstable, and insulin injections must be injected for a long time to ensure the stability of blood sugar. The body can also develop a certain dependence.

Mr. Li, 45, found that he had symptoms of eating too much, drinking too much, urinating a lot and losing weight, and went to the metabolism clinic and was diagnosed with diabetes. The doctor advised him to receive insulin**, but Mr. Li was quite reluctant at first, fearing that after receiving insulin**, his health would get worse and worse in the future, and finally he faced the problem of dialysis.

Insulin doesn't have to last a lifetime

Guo Yawen, attending physician of the Department of Endocrinology and Metabolism of Zhongxing Hospital, Beishi United Medical Center, pointed out that when visiting outpatient clinics, patients often mention myths about insulin, such as dialysis after insulin; The use of insulin is a very serious patient, indicating that there is no help; Addictive to insulin; Once insulin is administered, it will be given for the rest of your life.

However, many concepts are actually wrong, such as dialysis patients because of poor kidney function, which will affect drug metabolism and then produce ***, such as hypoglycemia, so there are few oral hypoglycemic drugs to choose from, so insulin intervention is often required, Guo Yawen explained.

Poor bequest effectiveness should not reduce diabetic complications

Guo Yawen pointed out that in the concept of diabetes, there is a legacy effect, which refers to the fact that if blood sugar is actively controlled early, future complications can be reduced. Insulin, on the other hand, allows patients to quickly control their blood sugar when they first develop diabetes.

Now there are regret studies that show that the initial use of insulin to control blood sugar can allow pancreatic islet cells to rest, and delay the decline rate of pancreatic islet cells, so after using short-term insulin, you can change to oral hypoglycemic drugs, or even stop using any drugs, so not all patients have to take insulin for a lifetime. 」

Guo Yawen gave an example, for example, Mr. Li finally decided to receive insulin**, and after 3 months of using insulin combined with a single oral hypoglycemic drug**, the patient's fasting blood sugar dropped to 83mg DL and glycosylated hemoglobin, and he is currently using a single oral hypoglycemic drug**, and is continuing outpatient follow-up.

Three more and one less Be careful of diabetes

The diagnostic criteria for diabetes mellitus are fasting plasma glucose 126 mg dl, plasma glucose 200 mg dl at the second hour of oral glucose tolerance test, glycosylated blood syrup, and hyperglycemic symptoms (including polyuria, frequent thirst, and weight loss) with random plasma glucose 200 mg dl.

Guo Yawen said that diabetes drugs** are divided into oral hypoglycemic drugs and injections, and injectable drugs contain insulin and glucagon-like peptide-1 receptor agonists (GLP-1 receptor agonist). Diabetes ** is nothing more than lifestyle improvement and medication**, and the choice of drugs varies from person to person, if there are related ** problems, don't forget to go to the endocrinology and metabolism department outpatient clinic, Guo Yawen suggested.

Diabetes itself is actually not so scary, because we have coping methods, such as taking hypoglycemic drugs or insulin injections, which can indeed have a certain effect on blood sugar control. The terrible thing is that the complications induced by the advanced stage of diabetes (such as the onset of more than 10 years), especially some serious complications, such as retinopathy, diabetic amputation, kidney failure, etc., the probability of diabetic complications in diabetic patients for more than 10 years is 30 to 40% high, so in order to avoid complications, strictly control their blood sugar, keep their mouths shut and open their legs is what diabetics need to remember.

Diabetes itself is actually very simple, as the name suggests, there is sugar in the urine, why is there sugar in the urine? Because the sugar ingested by oneself cannot be effectively utilized, most of it enters the kidney metabolism, the filtration effect of the glomeruli is limited, and a small part of the sugar is still excreted with the urine, and in the long run, if the blood sugar is not controlled in time, the burden on the kidneys is heavier, and the kidney function is affected, and the situation may become more and more serious.

There is always too much sugar in the blood leading to high blood sugar, which is related to the hormone "insulin" in the body, pancreatic islets can sense blood sugar changes and secrete insulin, insulin can open the door of glucose transport to cells, so that they can go to cells for energy, thereby reducing the concentration of glucose in the blood, and can also accelerate the storage of glucose into glycogen, accelerate the synthesis of fat, and effectively reduce glucose concentration.

It is also the only hormone in our body that can lower blood sugar, and diabetes is a problem with this hormone, there are many situations, it may be related to the damage of the cells of the pancreatic islets themselves, which can not effectively secrete insulin, or it may be related to the decrease in the efficiency of insulin itself, or it may be because of low insulin sensitivity, poor ability to perceive blood sugar changes, or severe insulin resistance, unable to effectively act on target cells, any of which may cause hyperglycemia or diabetes.

However, modern medical technology for blood sugar control has been achieved, such as simulating human insulin and replacing it with pig insulin, which can have a good hypoglycemic effect; Most patients with less severe disease or type 2 diabetes can also improve their blood sugar by taking hypoglycemic drugs and improving their daily diet and controlling carbohydrate intake, so dealing with diabetes itself is not so scary.