Doctor, do I have to take insulin when I’m diagnosed with diabetes? Will I have to take insulin for the rest of my life?” In recent years, many newly diagnosed diabetics, especially young diabetics, have been advised by doctors to use insulin therapy when they were just found to have diabetes, often having the above questions and even having strong resistance.
So why is insulin recommended for new onset diabetes? Do we really have to take insulin for the rest of our lives? In fact, whether it is really necessary to take insulin for a lifetime after the disease, but also according to the diabetes condition.Type 1 diabetes is also known as insulin-dependent diabetes mellitus in the past, patients with absolute lack of insulin.
In the future life is indeed dependent on exogenous insulin injection to maintain normal blood sugar, some patients misunderstood insulin dependence, addiction may also be related to this point. In type 2 diabetes, also known as non-insulin-dependent diabetes, the failure of islet function is slow, so it can be treated by oral hypoglycemic drugs in the early stage. There are other special types of diabetes that are relatively rare and need to be determined according to the condition.
So why are some people with type 2 diabetes advised to take insulin when they first discover they have the disease? In the early diagnosis and treatment process of diabetes, most type 2 diabetes patients are treated with diet and exercise first, and then start oral hypoglycemic drug treatment if the control is not good, and the effect of oral hypoglycemic drug is not satisfactory before insulin treatment.
However, with the progress of science and technology, new scientific evidence is constantly updated, and studies have found that some patients with newly diagnosed type 2 diabetes have a relatively high remission rate after early intensive insulin therapy. The remission period of diabetes refers to the period when blood sugar can still be in a standard state or normal state without the use of hypoglycemic drugs.
What new type 2 diabetes needs early intensive insulin therapy? For newly diagnosed type 2 diabetes patients with HBA1c ≥9.0% or fasting blood glucose ≥11.1 mmol/L, or with significant symptoms of hyperglycemia, especially young newly diagnosed type 2 diabetes patients meeting the above indications, short-term intensive insulin therapy is recommended to promote short-term blood glucose compliance. In order to ensure patient safety and reduce the time to compliance, hospitalization is sometimes recommended.
Short-term insulin intensive therapy can help quickly relieve hyperglycemia toxicity, promote the recovery of islet cell function and improve insulin sensitivity of target organs. More commonly, it is explained that severe hyperglycemia is “toxic”, and the solution of “poison” is naturally the sooner the better. As for the follow-up treatment, it also needs to see the specific condition of the patient.
To sum up, although it is necessary to take insulin when you have diabetes, in fact, there is no need to worry and resist. With the advancement of science and technology, the treatment concept and program will be constantly updated, and the doctor will choose the current “optimal solution” according to your specific condition. There are also the rumors of “insulin addiction” and “liver and kidney injury by eating oral hypoglycemic drugs” mentioned earlier. In the face of such problems, patients can consult endocrine specialists in regular hospitals, and do not blindly listen to what the network says.
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