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This kind of thinking is not right in the field of chronic diseases, because chronic diseases often need to take drugs for a long time, or even for life, and will not be cured because of the disease of taking medicine, it can only be said that taking medicine can help control certain indicators, such as controlling blood pressure, blood lipids, blood sugar, uric acid and a series of indicators through drugs, and then achieve the purpose of controlling the development of the disease through the control of these indicators.
Depending on the situation, there are studies that have found new-onset diabetes in patientsAfter the early insulin pulse** blood sugar returns to normal, the drug is stopped, and some can be done for two to three years without taking medicine or injectionEarly detection and early detection can restore the function of the damaged pancreatic islets; Some prediabetic patients can recover the elevated blood sugar by strictly controlling their diet, regular aerobic exercise, adjusting their lifestyle habits, etc., and the drug can be discontinued in the later stage.
Patients with long-term chronic diabetes mainly maintain blood sugar at a normal level through basic ** and long-term use of hypoglycemic drugs, and blood sugar can be stabilized only under the condition of medicationUnstable and elevated blood glucose has serious damage to the target organs, so it is still necessary to continue to take hypoglycemic drugs.
Reducing the dose of the drug can be considered, but this kind of thing should still be done under the guidance of a specialist; There are two things that need special attention, one of them, the diet should also be slightly controlledTry to achieve a low-salt, low-sugar, low-fat, low-calorie diet, and limit your total daily calorie intake; Second,During the tapering period, it is possible to measure blood glucose on time every dayKeep abreast of blood sugar fluctuations so that you can adjust your medication regimen!
Diabetes mellitus is a chronic diseaseDiabetes is a group of metabolic diseases characterized by high blood sugar, high blood sugar is only a physiological characteristic of diabetes, normal blood sugar does not mean diabetes, so far, diabetes is not possible in the world.
If you can keep your blood sugar normal while taking medicine, you need to continue to maintain this ** methodIf you stop taking the drug rashly, then blood sugar is bound to make a comebackIn this way, repeated blood sugar fluctuations are extremely harmful to the body's health.
Diabetes itself is not terrible, but what is terrible is its complications, so for most patients, especially those with a long course of disease and many complications, even if the medication and lifestyle habits are well controlled, hypoglycemic drugs cannot be stopped. If it is a patient on insulinIn cases where blood glucose monitoring tends to normal and stabilizes, oral medications can be switched. If patients are taking oral medications, the dose can be appropriately reduced to maintain blood glucose stability if the blood glucose is monitored normally.
Conclusion: To stop taking the drug, take your time under the guidance of your doctor, and monitor changes in blood sugar frequently. After stopping the drug, it is more important to pay attention to changes in blood sugar, and even better if there is a libre detection. In addition, it should also be noted that regardless of whether the drug is stopped or not, diet and exercise must not be missing!
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Glycosylated hemoglobin is only one of the indicators to judge diabetes, reaching a normal value can only mean that you are well controlled, it does not mean that it is normal, you also have to observe the changes in blood sugar, change the dosage, and cannot stop the drug immediately.
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Some subtle lesions can not be detected from blood sugar and hemoglobin alone, mainly depending on the doctor's instructions, as for whether you can stop the drug, you need to consult a professional doctor, before you can decide not to stop the drug without authorization.
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I think I can consider stopping the drug, and continue to observe whether the blood sugar and glycated blood red egg levels are still up to standard.
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Of course not. After all, this is a chronic disease, and chronic diseases cannot be recovered immediately.
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Glycosylated hemoglobin can reliably reflect the average blood glucose level in the 120 days prior to the test, and is not greatly disturbed by factors such as the time of blood draw, fasting, and insulin use. Therefore, the International Diabetes Federation has launched a new version of the Asia-Pacific diabetes prevention and treatment guidelines, which clearly stipulate that glycosylated hemoglobin is the internationally recognized "gold standard" for diabetes monitoring. If fasting blood glucose or postprandial blood glucose is not well controlled, glycosylated hemoglobin is unlikely to be reached.
Glycosylated hemoglobin and glycemic control 4% 6%: normal glycemic control.
6% 7%: Glycemic control is ideal.
7% 8%: Glycemic control is average.
8% 9%: The control is not ideal, it is necessary to strengthen blood sugar control, pay more attention to diet and exercise, and adjust the ** plan under the guidance of a doctor.
9%: Poor glycemic control is a risk factor for the development of chronic complications, which may lead to complications such as diabetic nephropathy, arteriosclerosis, cataracts, and acute comorbidities such as ketoacidosis.
The drug cannot be stopped immediately, the glycosylated hemoglobin target is the result of the drug, and if the drug is stopped, the blood sugar may rise.
Suggestion: Consult your primary care physician to reduce medication accordingly according to your own situation, and observe the blood sugar after reducing medication. Under the premise of normal blood sugar, gradually reduce the dosage until you are no longer taking medicine!
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Diabetes is a lifelong condition, but a timely professional** can induce a "honeymoon phase" of diabetes (both type 1 and type 2 diabetes) – blood sugar levels that can be kept at normal levels over a period of months to years without injections or medications (diet and exercise still need to be maintained). From your description, you should have type 2 diabetes, and your medical history is short, and timely medication combined with diet and exercise to control blood sugar can induce the "honeymoon phase" of diabetes. Your current condition has reached the "honeymoon stage" and you need to continue to take the medication, which induces you to gradually reduce the dose of the medication and finally stop taking it.
It is worth reminding that miciglinide calcium tablets are oral hypoglycemic drugs, which have a strong hypoglycemic effect, which can be seen from the blood sugar value after your medication. However, mitiglinide calcium tablets can lower blood sugar and increase the burden of pancreatic islet cells, which has certain damage to pancreatic islet cells, so it is recommended that you test the function of pancreatic islets.
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Because it is a newly discovered diabetes, after controlling the diet, strengthening exercise, and strengthening of hypoglycemic drugs**, the function of the pancreatic islets will be partially restored, and your fasting blood sugar and postprandial blood sugar are well controlled, so it is recommended that you try to reduce the amount of mitiglinide calcium tablets under the premise of monitoring your blood sugar, and if your blood sugar is still stable, you can gradually stop it and maintain it by diet and exercise alone. If you stick to it, it will last for many years.
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Diabetics must have heart disease.
It is recommended to take Chinese herbal medicine**.
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