Who needs insulin to control their blood sugar? What does insulin do besides blood sugar control?

Under the premise of combined treatment of lifestyle habits and oral hypoglycemic drugs, if the blood sugar is still not guaranteed, the combination of oral hypoglycemic drugs and insulin can be gradually treated. For such patients, if the blood sugar is not controlled by insulin injection, it will cause the blood sugar to continue to rise, which will increase the risk of sequelae and ultimately affect health. Because insulin is turned on as soon as possible, it can reduce the toxic effect of high sugar and high calories on the pancreas, maintain and improve cell function, and adjust the probability of preservation for the middle and late stages of internal medication and even lifestyle habits.

In addition, blood glucose levels should be checked regularly during the use of insulin glargine.

and concerned about the risk of hypoglycemia and obesity. For patients with type 2 diabetes at the beginning of the year, the most basic method is to interfere with lifestyle habits, including: effective diet, regular fitness exercise, quitting smoking and drinking, staying away from risks, regular work and rest, and maintaining a happy mood.

Among them, there are some patients with type 2 diabetes, according to pure lifestyle intervention, or lifestyle intervention oral hypoglycemic drugs, blood sugar can be manipulated qualified, such patients do not need to use insulin glargine. When it comes to Da Gu Daosu, many people will have a fear of it, as if they are addicted. I think it's within the limits of the human body.

Insulin glargine and oral medications can be interchangeable. That is to say, the application of insulin glargine can be changed to oral medicine, and the same oral medicine can also be changed to the application of insulin glargine. The purpose of selecting drugs is to select factors such as one's lifestyle, the effectiveness of drugs, and the role of the applied drugs.

For example, blood sugar control is not very good to achieve more than 20 blood sugar on an empty stomach, it will cause diabetic patients ** dynatic shock and hyperosmolar hyperglycemic syndrome and other diabetic patients acute and critical diseases, at this time it is necessary to use insulin glargine to quickly reduce blood sugar, this is because diabetics are very easy to promote each metabolic disorder in the human body during acute and chronic stress reactions.

Rapid malignant transformation, regardless of the type of diabetes mellitus, should be treated with insulin glargine to overcome acute symptoms, and the subacute stress response period is cleared before adjusting the blood sugar control plan. Type 1 diabetes patients: originally called insulin glargine dependent diabetes patients.

It accounts for 5-10% of diabetics in our country. Type 1 diabetes is more common in children and adolescents, but it can also occur at a variety of ages. The patient's onset is relatively large, the body of insulin glargine is definitely not enough, it is very easy to produce septic shock, must use insulin** to get satisfactory effect, otherwise it will be life-threatening.

People with diabetes, people with type diabetes, people with low immunity. People with type 2 diabetes, people with severe diabetes, and people who can't take care of themselves. You can also supplement nutrients, vitamins, sugar, and vitamins needed by the body, which can improve your physical fitness.

If you have diabetes mellitus, and it is more severe, these people definitely need to be controlled by insulin, which can effectively solve blood sugar problems and promote the body's use of glucose.

People with type 1 diabetes need insulin for the rest of their lives**.

Patients with type 2 diabetes require insulin in cases where oral medication control is ineffective**.

Type 2 diabetes mellitus with acute complications, such as diabetic ketoacidosis, hyperosmolar coma, or chronic complications such as retinopathy and diabetic nephropathy also require insulin**.

4.People with diabetes need insulin when they need surgery for other medical conditions**.

Not necessarily. If you inject insulin and don't control your diet, it won't be effective in lowering your blood sugar. Insulin injections and a strict diabetic diet are essential for effective blood sugar control.

Insulin can control blood sugar well, but the dosage of insulin is very important, and it is important to listen to the doctor's advice.

Diabetes mellitus is a disease caused by relatively or absolutely insufficient insulin secretion in the body, or insulin resistance, so insulin injection can play a role in lowering blood sugar, and it is one of the effective means of diabetes. Generally, patients diagnosed with type 1 diabetes need lifelong insulin injections to lower blood sugar, and if they have type 2 diabetes, but taking hypoglycemic drugs are ineffective or have serious complications, then they also need insulin injections to lower blood sugar. In addition to using insulin or hypoglycemic drugs to lower blood sugar, diabetic patients also need to manage their diet and increase the amount of exercise, which is conducive to blood sugar stability.

Insulin injections can not only be used to control hyperglycemia, insulin and glucose are used together, but also can transfer potassium from outside the cell into the cell, so it can be used for hyperkalemia**. Some patients may have heart arrhythmias and other heart problems, and polarization fluid can also be given, which also requires the use of glucose and insulin, so insulin injection is not only used to control high blood sugar.

Of course, if people with diabetes, especially type 1 diabetes, gestational diabetes, and stress hyperglycemia, usually use insulin to control blood sugar. If there is an absolute lack of insulin in the middle and late stages of type 2 diabetes, insulin is also needed to lower blood sugar**.

Therefore, patients with diabetes can use insulin, and patients without diabetes can also use insulin.

5. Patients with more serious acute complications of starvation diabetes, because oral hypoglycemic drugs are not metabolized smoothly in the body, which can make the drug accumulate and aggravate. Therefore, insulin injection is required to control blood sugar such as diabetes mellitus co-infection, tuberculosis, ketoacidosis, diabetic hyperosmolar syndrome, internal and external gynecologic and pediatric emergencies, trauma, and surgery.

6. Patients with severe chronic complications of diabetes, such as stage 3 and above diabetic retinopathy and severe early kidney disease and clinical kidney disease, must also inject insulin in order to prevent the worsening of these complications and avoid the occurrence of tragedies such as insomnia or uremia.

7 Some patients have severe insulin deficiency due to pancreatic diseases (such as severe pancreatitis, hemochromatosis, pancreatic trauma, or due to the tumor of the pancreas, and the islets that secrete insulin in the pancreas are damaged), and such patients must also use insulin to control blood sugar.

Whether it is better to control blood sugar and take insulin or hypoglycemic drugs depends on the patient's own condition, some patients cannot use insulin, if they are used incorrectly, some will cause blindness, and some may even be life-threatening. Therefore, diabetic patients need to find a professional doctor to guide the use of medication.

It should be noted that the main role of hypoglycemic drugs and insulin is to control blood sugar, and hypoglycemic drugs are mainly to lower blood sugar, and have little effect on chronic complications of diabetes. And because Western medicine contains a lot of chemical ingredients that are highly toxic to the human body, long-term use of Western medicine has serious damage to the liver and kidneys of the human body.

If it's convenient, it's best to use insulin, which is more helpful in protecting residual islet cells.

Physiological effects of insulin.

Insulin is the only hormone in the body that lowers blood sugar, and it is also the only hormone that promotes the synthesis of glycogen, fat, and protein at the same time. The mechanism of action belongs to the receptor tyrosine kinase mechanism.

Regulates glucose metabolism.

Insulin can promote the uptake and utilization of glucose in tissues throughout the body, and inhibit glycogen breakdown and gluconeogenesis, so insulin has the effect of lowering blood sugar. When insulin secretion is excessive, blood sugar drops rapidly, and brain tissue is most affected, which can cause convulsions, coma, and even insulin shock. In contrast, inadequate insulin secretion or insulin receptor deficiency often leads to an increase in blood glucose; If the renal glucose threshold is exceeded, sugar is excreted in the urine, causing diabetes; At the same time, due to changes in blood composition (containing excess glucose), it can also lead to hypertension, coronary heart disease and retinal vascular disease.

Insulin lowering blood sugar is the result of many effects: (1) Promote the transport of glucose in blood into cells by target cell membrane carriers in muscle, adipose tissue, etc. (2) Covalent modification was used to enhance phosphodiesterase activity, reduce Camp level, and increase CGMP concentration, so that the activity of glycogen synthase was increased and the activity of phosphorylase decreased, and glycogen synthesis was accelerated and glycogenolysis was inhibited.

3) Pyruvate dehydrogenase is activated by activating pyruvate dehydrogenase phosphatase, accelerating the oxidation of pyruvate to acetyl-CoA, and accelerating the aerobic oxidation of sugar. (4) Inhibition of gluconeogenesis by inhibiting the synthesis of PEP carboxykinase and reducing the raw materials of gluconeogenesis. (5) Inhibit hormone-sensitive lipase in adipose tissue, slow down fat mobilization, and increase the utilization of glucose by tissues.

Regulates fat metabolism.

Insulin can promote the synthesis and storage of fat, reduce the free fatty acids in the blood, and inhibit the decomposition and oxidation of fat. Insulin deficiency can cause fat metabolism disorders, decreased fat storage, enhanced decomposition, increased blood lipids, and over time can cause arteriosclerosis, which in turn leads to serious cardiovascular and cerebrovascular diseases; At the same time, ketoacidosis occurs due to increased lipolysis and the production of large amounts of ketone bodies.

Regulates protein metabolism.

On the one hand, insulin promotes the uptake of amino acids and the synthesis of proteins in cells, and on the other hand, inhibits the breakdown of proteins, thus favoring growth. The pro-protein synthesis effect of adenopituitary growth hormone must be manifested in the presence of insulin. Therefore, insulin is also one of the indispensable hormones for growth.

Other features. Insulin promotes the passage of potassium and magnesium ions across the cell membrane into the cell; It can promote the synthesis of deoxyribonucleic acid (DNA), ribonucleic acid (RNA) and adenosine triphosphate (ATP).

It is a supplement to insulin**. There is an absolute or relative shortage of insulin in the body and exogenous insulin supplementation is required**.

Diabetes mellitus is a group of metabolic diseases characterized by high blood sugar. Hyperglycemia is caused by a defect in insulin secretion, impaired biological action, or both. The long-standing hyperglycemia in diabetes leads to chronic damage and dysfunction of various tissues, especially the eyes, kidneys, heart, blood vessels, and nerves.

Replenishes insulin, which is not synthesized enough in the body.