(metformin)
But many patients will encounter some problems when taking metformin. Obviously, I take metformin every day to treat diabetes, but I find that my blood sugar can't drop all the time, and I don't know what's going on.
Sometimes eating metformin can't lower blood sugar, which may be caused by the simple eating method. After all, the way to take medicine is also very particular. Once you eat it wrong, you can't effectively lower your blood sugar, which is equivalent to eating it for nothing, which will not only lead to an increase in blood sugar, but also waste money.
(metformin)
It can be said that metformin is a first-line drug. As long as it is taken properly, it can generally effectively reduce a blood sugar value of type II diabetes, but in clinic, some patients have been unable to do so. This situation may be caused by the wrong way of eating.
1, did not follow the doctor's advice.
Generally speaking, for patients who take metformin for the first time to lower blood sugar, doctors will prescribe a small dose first, and then slowly increase the dose after the body adapts. So at first, you will start taking 500mg/ time, and you only need to take it once a day. When the patient takes it for about a week, the body begins to show tolerance. The dose can be increased at this time.
(metformin)
However, many patients feel that it is time to reduce the dosage, rather than increase the dosage, when taking the medicine, because their condition has eased. Therefore, not only the dosage is appropriately increased according to the doctor's advice, but the dosage is reduced. At this time, it is easy to lead to an uncontrolled increase in blood sugar in the body. Because the dosage of metformin is closely related to its curative effect.
The optimal dosage of metformin in the treatment of diabetes should be 2000mg. Only when this dosage is reached can its hypoglycemic effect be fully exerted. Patients can't reach this dose for a long time, or it is much lower than this dose, which leads to little effect of the drug and thus can't control blood sugar.
(metformin)
2. Take the wrong time
The drug action time of metformin is 6-8 hours, so it needs to be taken 2-4 times a day. It is not enough to take metformin once a day to control blood sugar. Because some patients are busy during the day, they almost always eat before breakfast on an empty stomach, and almost forget to take medicine during the day and at night.
Taking metformin before breakfast can effectively reduce the blood sugar level at breakfast, lunch and after lunch, but in the afternoon, blood sugar can easily rise without drug control, and at night, it will rise sharply because there is no drug control at all. Especially in the early morning, liver glycogen is decomposed, leading to an increase in fasting blood sugar.
3. Taking the wrong type of drugs.
At present, there are two kinds of metformin drugs on the market, one is ordinary tablets and the other is sustained-release tablets. The dosage forms of the two drugs are different, and the taking methods are also different. Because the half-life time of ordinary tablets and sustained-release tablets is different, the half-life of ordinary tablets is about 6-8 hours.
Sustained-release tablets have a long half-life and can effectively stabilize blood sugar in the body within 24 hours, so for patients with mild diabetes, they only need to be taken once a day. However, if you want to control the blood sugar in your body, you need to take it 2-4 times a day. The specific number of times you take it needs to be judged according to the patient's blood sugar.
Therefore, if patients take the wrong dosage form and take ordinary tablets as sustained-release tablets, they will not be able to stably control blood sugar once a day, which will lead to an increase in blood sugar in the body.
At present, there are three kinds of metformin in the market, one is metformin hydrochloride, which is often called ordinary metformin tablets, the other is metformin enteric-coated tablets, and the last is metformin sustained-release tablets. However, different dosage forms have different ways of taking.
1, metformin ordinary tablets
Metformin tablets are common tablets, which begin to dissolve and absorb after entering the stomach. Because it is absorbed directly in the intestine and small intestine, it is easy to say that metformin tablets have the highest absorption rate and the fastest time for its drug to act. But it is also the most irritating to the stomach, so it is best to take metformin tablets during and after meals.
2. Metformin enteric-coated tablets
Metformin enteric-coated tablets are mainly coated on the surface of tablets, but this coating is not easily dissolved by gastric acid after entering the stomach, and it needs to be disintegrated and released in alkaline intestinal environment, that is, it will be released after entering the intestine. So metformin is not irritating to the stomach. Metformin enteric-coated tablets can be taken before, during and after meals, and the effect is similar.
3. Metformin sustained-release tablets
Metformin sustained-release tablets are made by a new pharmaceutical preparation technology, which mainly uses a special method to wrap drugs in some skeleton structures. Once it encounters liquid, that is, digestive juice, it will slowly release the drug, which can effectively delay the release and absorption of the drug in the body, thus effectively prolonging the time when the drug exerts its efficacy in the body. The bone will not be absorbed by the human body, but will be excreted in its original form.
Metformin sustained-release tablets are in a sustained-release state after entering the human body, which can last for 24 hours, so it has little stimulation to the stomach. In addition, because the effect of metformin sustained-release tablets in the body can reach 24 hours, it only needs to be taken once a day and can be taken at any time the next day. It is not limited by time, so it is more free to take.
In addition to taking drugs to control blood sugar, diabetes can also be controlled through diet and life intervention. Only by comprehensive treatment with various methods can the blood sugar in the body be controlled in a balanced state to avoid damage to the body.
1, weight control
For type 2 diabetes, most patients are caused by obesity and severe overweight. Therefore, obesity and diabetes are closely related. In order to prevent and treat diabetes, it is very important to strictly control blood sugar.
Therefore, in daily life, whether through diet or exercise, we should actively control our weight and avoid excessive weight gain. Of course, the rapid decline is also harmful to our health. The best way to lose weight is to keep our weight within the normal range step by step, which is beneficial to the control of blood sugar.
Both type II diabetes and type I diabetes need drugs and lifestyle intervention and treatment. First of all, patients need to maintain a healthy lifestyle, ensure regular work and rest, and avoid long-term staying up late and lack of sleep. In addition, the daily diet should be light and easy to digest, eat more vegetables and exercise properly. These can all play a role in controlling blood sugar.
For drug treatment, because there are many drugs, you should go to the hospital first. Professional doctors will make a perfect treatment plan according to the cause of diabetes and the current blood sugar level.
3. Give consideration to blood sugar control and cardiovascular protection.
Diabetes is a lifelong chronic disease, so we should not only pay attention to controlling the blood sugar level in the body, but also pay attention to reducing the complications and damage to the cardiovascular system. Because the terrible thing about diabetes is not diabetes itself, but the complications it causes. Once serious complications occur, its disability rate and mortality rate are still very high.
Therefore, we need to be very cautious when choosing medication. We need to choose a drug that can effectively control blood sugar, and at the same time try to reduce the cardiovascular damage to patients. Moreover, during taking medicine, we should pay attention to regularly reviewing various functions of the body. Once there is abnormality, we should treat it and adjust the treatment plan.
For patients with type II diabetes, in the early stage of the disease, diet control and proper exercise are the main treatment methods. If these life interventions can lower blood sugar, some patients can even be treated without drugs. For patients with little effect of simple life intervention, a single hypoglycemic drug is needed for treatment.
However, if a single hypoglycemic drug can not achieve the therapeutic effect, it needs a combination of multiple drugs. If multi-drug combination therapy fails, insulin will be used as a last resort. However, this step-by-step treatment is not suitable for all patients, especially some patients with hyperglycemia, and it needs to be controlled as soon as possible in a short time. Long-term hyperglycemia can easily lead to various diseases.
No matter what kind of disease, we should pay attention to taking medicine strictly according to the doctor's advice during the treatment, and we must not reduce or increase the dosage without authorization. Many patients like to use drugs at will according to their own personal experiences and feelings, which leads to drug failure or strong drugs, causing harm to the body.
Especially for chronic diseases such as diabetes, if drugs are not actively used to control it, it will easily lead to repeated fluctuations in blood sugar, which will do great harm to the body and also easily lead to various complications, which will have a great impact on the health of patients. Once there is any abnormality during medication, you should go to the hospital in time to find out the specific reasons.