These 6 mistakes lead to poor blood sugar after taking medicine
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In addition to three meals a day, the most consumed thing is probably hypoglycemic drugs. However, there are still many misunderstandings about medication, which is also an important factor why many Chinese people with diabetes cannot control their blood sugar.
So, what are the common misunderstandings about antidiabetic drugs?
1. Take medicine only when you have symptoms
Some people with diabetes (such as the person with diabetes at the beginning) are used to estimating the quality of their blood sugar control based on their subjective symptoms. Because many times blood sugar is high but the physical symptoms are not obvious, and there is not much difference between taking medicine and not taking medicine for a certain period of time, so it is believed that blood sugar can be controlled without taking medicine.
Correct approach:
In fact, this approach is very "smart". If your blood sugar is on the high side, you may not feel anything after one or two times, but imagine what a piece of garlic will look like if it is soaked in sugar water for a long time. By the time obvious symptoms can be felt in the body, it is actually too late.
If there is no obvious discomfort, the dosage of anti-diabetic drugs is arbitrarily reduced or the drug is stopped altogether, which often leads to poor blood sugar control.
Only a few people with type 2 diabetes who are diagnosed early, have good pancreatic islet function, and have a mild condition can achieve good blood sugar control through diet and exercise alone. The vast majority of people require drug treatment.
2. If you eat too much, increase the dosage.
The treatment of diabetes is a comprehensive process, and diet control, exercise and drug treatment are indispensable.
Clinical practice has fully proven that drug treatment needs to be coordinated with diet control and exercise to achieve good blood sugar-lowering effects. Without a good diet, no matter how good the blood sugar-lowering drugs are, the efficacy will be greatly reduced.
Correct approach:
Some people with diabetes don’t understand it very well and think that after taking the medicine, it doesn’t matter if they eat more. Others think that if they eat too much, they can use more to offset it.
The result of this is not conducive to blood sugar control. It not only makes the body gain weight and aggravates insulin resistance, but also causes large blood sugar fluctuations and increases the burden on the pancreatic islets.
3. Hypoglycemic drugs damage liver and kidneys
Some antidiabetic drugs can indeed cause an increase in liver transaminase and cholestatic jaundice, but this is only seen in individual patients with diabetes, and the adverse reactions disappear after stopping the drug.
Generally speaking, as long as there are no problems with the liver and kidneys themselves and the medicines are taken strictly in accordance with the doctor's instructions, the safety of the medicines is guaranteed and will have little impact on liver and kidney functions. Moreover, we should not underestimate our liver, which has a powerful detoxification function. .
Correct approach:
In fact, if we weigh it a little, we will know that the consequences of uncontrolled high blood sugar are much more serious than the possible adverse reactions of taking drugs.
When people with diabetes first see a doctor, the doctor will often conduct a systematic check on your liver and kidney function, and then choose appropriate drugs based on the specific situation. Therefore, Nono recommends that everyone go to the hospital for a liver and kidney function test.
4. Just take medicine without reexamination
Regular monitoring of blood sugar during medication can not only understand the condition control and treatment effects, but also serve as an important basis for selecting drugs and adjusting dosage.
With the prolongation of the course of the disease, the effect of many sulfonylurea hypoglycemic drugs (such as Xiaoke Pills, Youjiangdiag, etc.) may gradually decrease, which is called "secondary drug failure" in medicine: What happens when hypoglycemic drugs suddenly fail? manage? How long does it take for the medication to need to be replaced?
Correct approach:
Some people with diabetes do not pay attention to regular check-ups and feel that they have been receiving treatment continuously and feel psychologically safe. However, if the medicine fails, taking it will be the same as not taking it.
5. To quickly lower blood sugar, increase the dosage of medicine.
It is difficult for the human body's internal environment to fully adapt to a sudden drop in blood sugar. Therefore, we cannot rush to control blood sugar, but should decrease it steadily.
Some people with diabetes feel that their blood sugar status is not very good recently. In order to lower their blood sugar quickly, they increase the dose without authorization. This result is actually very scary, because it can easily trigger a hypoglycemic reaction. Not only that, excessive dosage will also increase the adverse reactions of the drug.
Correct approach:
The key to controlling sugar is not fast, but steady. Therefore, it is best to take medicine scientifically under the guidance of a doctor, and not to add medicine in a hurry.
6. If the medicine is not effective, change the medicine.
Nono understands very well that everyone wants to see obvious effects after taking the medicine. However, the effectiveness of some anti-diabetic drugs usually occurs in a step-by-step process. As the medication time is extended, the effects of the medicine gradually appear.
Correct approach:
In fact, some hypoglycemic drugs (such as insulin sensitizers) will not achieve the best hypoglycemic effect until they are taken for half a month to a month. Therefore, do not easily conclude that a certain drug is ineffective for you.
Doctors usually recommend gradually adjusting the dosage of medication based on blood sugar levels. When the maximum effective dose of the medication is used, if the blood sugar still does not drop or is not controlled satisfactorily, other medications may be used or used in combination with other medications. Frequent dressing changes will make it difficult to achieve the maximum hypoglycemic effect of the drug and may also cause blood sugar fluctuations.
Different drugs have different side effects. People with diabetes should not choose their own drugs. They should choose appropriate hypoglycemic drugs under the guidance of a doctor.