What Is a Hypoglycemic Coma?

At present, the commonly used antihyperglycemic drugs are divided into eight types according to the mechanism of action, mainly including insulin and its analogs, sulfonylurea secretions, metformin, -glucosidase inhibitors, and thiazolidinedione derivatives. Various sensitizers, phenanthrene derivatives, secretors , GLP-1 receptor agonists, DPP-4 enzyme inhibitors and proprietary Chinese medicines.

Hypoglycemic agents

At present, the commonly used antihyperglycemic drugs are divided into eight types according to the mechanism of action, mainly including insulin and its analogs, sulfonylurea secretions, metformin, -glucosidase inhibitors, and thiazolidinedione derivatives. Various sensitizers, phenanthrene derivatives, secretors , GLP-1 receptor agonists, DPP-4 enzyme inhibitors and proprietary Chinese medicines.

Diabetes is an absolute or relative lack of insulin, or

Insulin secretagogue

Insulin-promoting agents are standby first-line hypoglycemic agents. Such drugs include sulfonylureas and non-sulfonylureas. It mainly works by promoting insulin secretion, inhibiting ATP-dependent potassium channels, deactivating K +, depolarizing cells, influencing Ca2 +, and inducing insulin secretion. In addition, it can strengthen the binding of insulin to its receptors.

A common side effect of hypoglycemic agents is hypoglycemia. Alpha-glucosidase inhibitors, biguanides, and insulin sensitizers alone do not generally cause hypoglycemia, but may still occur when used in combination with other drugs. Patients may experience strong fasting sensation, cold sweats, general weakness, palpitations, shaking of hands and feet, eye irritation, headache, and drowsiness. Coma may occur in severe cases. Carbohydrates or glucose-containing beverages should be taken orally, and glucose should be injected immediately in severe cases.

Biguanide

Biguanide antihyperglycemic drugs have a greater harm to the stomach and intestines, which can easily lead to

Modern pharmacological studies have proven that many single-flavor Chinese medicines have a hypoglycemic effect. However, the treatment of diabetes by traditional Chinese medicine, like other diseases, is characterized by the importance of individual differences and the use of compound prescriptions. Traditional Chinese medicine treats diabetes not only by lowering blood sugar, but also by focusing on prevention and treatment.

The medication for diabetes is sophisticated. There are many types of oral hypoglycemic drugs, which are used differently due to different hypoglycemic mechanisms, and are mostly related to meal time. Several kinds of hypoglycemic drugs cannot be taken after meals.

1.a-glucosidase inhibitors mainly include Baitangping, Carbopine, Bexin and so on. These drugs should be chewed at the same time as the first meal. If taken after a meal, it does not have a hypoglycemic effect.

2.Glenay is commonly used in Novo Dragons,

Children's hypoglycemic chemicals

Because children and children are still growing, the medicines chosen must have no effect on growth and development. At present, only metformin hydrochloride and insulin have been tested on a large scale. Also, the dose should be used according to the weight loss of the child. The treatment strategy for childhood diabetes is basically the same as that for adult patients. For type 1 diabetes, insulin therapy must be used to replace the patient's insufficient secretion. For type 2 diabetes, first control the diet and strengthen exercise; if the control is not good, take metformin hydrochloride orally; if the control is not good, use insulin therapy.

Antidiabetic drugs for the elderly

Due to the slow metabolism, reduced physical activity, and overweight of the elderly, there may be a variety of diseases such as cardiovascular, lung, liver, kidney, and hypertension. Therefore, the treatment goal of elderly diabetes is determined to reasonably control blood sugar and prevent hypoglycemia To reduce the occurrence and development of various acute and chronic diseases and complications. At the same time, it is emphasized that the standard of good control is to control the upper limit of blood glucose to adapt to the characteristics of poor tolerance of hypoglycemia in elderly patients. The following is a brief introduction to the precautions of several commonly used hypoglycemic agents in elderly patients:

1. Acarbose: the drug of choice for elderly diabetic patients. After administration, side effects such as bloating, diarrhea, and malabsorption may occur, and symptoms need to be treated symptomatically.

2. Metformin: Medication alone rarely causes hypoglycemia and can be used for overweight and obese elderly. The elderly with various diseases such as lung, liver and kidney should be used with caution.

3, sulfonylureas: can promote insulin secretion and release, but the first generation such as D806, excellent hypoglycemia easily cause hypoglycemia in elderly patients. The second generation, such as Damekang, is relatively safe and rarely causes hypoglycemia. It can be used as the first choice in the treatment of senile diabetes among sulfonylureas. Tangshiping is suitable for senile diabetes patients with renal disease or renal insufficiency. Attention should be paid to blood glucose changes to determine the appropriate dose.

4. Insulin: It is used in elderly patients with severe or comorbidities such as acute infection, gangrene, hypertonic coma, lactic acidosis, severe cardio-cerebral vascular complications, and ineffective oral hypoglycemic agents. Generally choose a single variety or

According to their characteristics, chemical hypoglycemic agents can be divided into insulin and analogs, sulfonylurea secretion-promoting agents, metformin, -glucosidase inhibitors, non-sulfonylurea insulin secretion-promoting drugs (glitinide), Thiazolidinediones and GLP-1 receptor agonists. Hypoglycemic drugs can interact with multiple drugs, such as reasonable combination can improve the efficacy and reduce adverse reactions, improper combination can cause opposite results, should be paid attention to.

(1) Insulin

Combined with sulfonylurea or biguanide oral hypoglycemic agents, can strengthen

1. Although some traditional Chinese medicines have the effect of reducing blood sugar, what is the effective dose and whether the safety is guaranteed? These have not been strictly clinically verified, and eventually the patients are likely to cause hypoglycemia after taking them.

Second, some hypoglycemic traditional Chinese medicines are added with chemical drug ingredients, such as cheaper hypoglycemic agents, such as hypoglycemic, and hypoglycemic, but they are elusive in description.

Stay away from fake medicines

Although fake medicines are always in a variety of coats, which makes diabetic patients unpredictable, experts have made five suggestions for sugar friends to avoid illegal hypoglycemic drugs:

1. Identify the "medicine" name. The name of "medicine" is the approval number of a drug, which is a sign of the legality of drug production. In daily life, the most easily confused with the drug name is the "food" name, which is also a common method used by many illegal manufacturers to deceive. The "food" name is divided into "food" and "food health". The "food" name is used for foods that are not for therapeutic purposes, and is usually labeled "Wei Shi Zhuan Zi [Yuan] No. ×" . "Food health" is used for health food. Neither the "food" brand nor the "food" brand can promote health benefits.

2. Buy medicines from regular medical institutions and pharmacies. This is the most effective way to avoid the harm of illegal hypoglycemic agents. It is not safe to buy hypoglycemic drugs online, because the treatment of diabetes varies greatly from one person to another, and has never seen a drug that is suitable for everyone. In addition, the illusion of the network is also easy to cover the fake medicine of witch doctors.

3. Be cautious when encountering medicines that need to be mailed. Some products require the patient to mail the money in and post the medicine. It turns out that the addresses on many mailing ads simply don't exist, let alone safe and effective hypoglycemic agents.

Fourth, the price is too high to be careful. The price of special-effect medicines claimed by scammers is very high in order to cheat huge profits in a short period of time. In fact, as long as the choice is reasonable, many cheaper medicines are just as effective at controlling blood sugar.

5. The medicine claiming to cure diabetes is fake. At present, there is no medicine that can cure diabetes in the world. The treatment of diabetes requires individualized treatment, so products that claim "one-drug take-all" are also suspected of deception.

1. [Raw materials]: 10 grams of wolfberry, 9 grams of yam, 9 grams of trichosanthin.

2. [Manufacturing method]: Grind Huaishan yam and trichosanthin powder together with wolfberry into ceramic ware, add hydroponic heat and cook for 10 minutes, remove residue and drink juice.

Hypoglycemic tea

3. [Efficacy]: It has the effects of nourishing liver and kidney, replenishing qi and promoting fluid, reducing blood sugar, and promoting liver cell regeneration. Suitable for patients with chronic diseases such as diabetes and poor liver and kidney function.