Can I switch to hypoglycemic drugs after taking insulin?

The thought of taking insulin for most of my life makes me worried. The doctor said that he could switch to hypoglycemic drugs in the future.

Wang Jianhua, director of the Diabetes Diagnosis and Treatment Center of Jinan Hospital in Shandong Province, answered

In the opinion of many patients, once insulin is used, it is often not possible to switch to hypoglycemic drugs. This perception is one-sided. Some patients cannot withdraw or switch to hypoglycemic drugs after insulin injection, because the patient's condition requires insufficient insulin production.

This is the same reason that amputees must be fitted with prostheses if they want to walk. Patients with type diabetes must receive insulin** for life due to complete failure of pancreatic islet function to ensure the body's metabolic needs; Patients with advanced type diabetes mellitus with complete failure of pancreatic islet function.

Lifelong insulin is also required.

In fact, many patients use insulin to rest their pancreatic islet cells, improve their pancreatic repair and endocrine function, and it is entirely possible to switch to oral hypoglycemic drugs. People with type diabetes must take insulin** when they have acute complications of diabetes (such as ketoacidosis) or during surgery and when blood sugar is high. Whether insulin can be stopped and switched to oral hypoglycemic drugs in the future depends entirely on the specific condition of the patient, including the function status of pancreatic islets, whether there is liver and kidney damage and serious chronic complications, and whether oral hypoglycemic drugs have failed.

It is recommended that you listen to your doctor's advice to use insulin, and you should also consult your doctor about whether and when to switch to hypoglycemic drugs in the future.

The words of sugar friends are sideways, don't believe them. Don't say that insulin is irreversible, even hypoglycemic drugs can also be withdrawn. Listen to the doctor.

There are two reasons for high fasting.

1. Eating too much or too late for dinner.

2. Not enough insulin injection.

Depending on your numbers, you have eaten too much for breakfast, or you have taken less medicine. Lunch was too much. Dinner was ok.

Diabetes alone is not enough 1. Diabetes follows the principle of the "Five Troikas":

Dietary control (not just eating less or not eating).

Appropriate exercise (four "picos").

Medications** (oral medications or insulin).

Blood glucose self-monitoring (1 time a day, different time periods) Diabetes education (participate in diabetes center health education).

2. Pay attention to hypoglycemia.

3. Evaluate endocrine function (glucose tolerance, insulin release, HbA1C) 4. Evaluate chronic complications of diabetes (heart, brain, kidney, blood vessels).

5. Formulate a reasonable plan according to the evaluation results.

Insulin or medicine should be decided according to the function of your pancreatic islet cells, your doctor must have his reason for calling you to take insulin, such as the function of pancreatic islet cells is very poor, chronic complications have occurred, etc., and insulin is the smallest, and the purpose of insulin is to strictly control blood sugar, prevent and delay complications, but many people think that insulin is addictive, and they can't quit in the future, and they can't panic inexplicably. Recent studies have shown that the early application of insulin helps the recovery of the function of the pancreatic islet cells, and the early use of the function of the pancreatic islet cells can restore the secretion of their own insulin, and after a period of use, they can be stopped and changed to oral drugs. So there is no need to be overly resistant to insulin use.

You should go to the hospital for examination to evaluate the function of pancreatic islet cells secreting insulin and related complications before deciding on the first plan, and the first diabetes should follow the principle of "five troikas".

Routine blood, urine, and stool.

Liver and kidney function, blood electrolytes, blood lipids, a full set of sex hormones, a full set of thyroid function, a full set of blood viscosity.

Chest x-ray (P A) EKG

MRI of liver, gallbladder, pancreas, spleen, kidney, adrenal glands, thyroid, bladder, ureter, prostate B-ultrasound

OGTT insulin release (powdered sugar) HbA1c

Ultrasound, lower extremity vascular, carotid artery ultrasound.

Myocardial nuclide, GFR in both kidneys

Fundus photography, nerve conduction velocity.

Insulin is the only hormone in the body that lowers blood sugar and promotes glycogen, fat, and protein synthesis.

If you inject too much insulin in the **, it will lead to hypoglycemia, and when the poisoning is mild, it mainly affects the autonomic nervous system, which is manifested as hunger, dizziness, pallor, weakness and sweating, and can also have tremor, precordial discomfort, numbness of the face and limbs, and headache.

When blood sugar is further reduced, it affects the central nervous system, and dysphonia, diplopia, muscle tremor, ataxia, followed by coma and convulsions of varying degrees, this state is the so-called insulin shock, which can be fatal if not rescued in time.