Treatment
General:health education to patients,diet,physical exercise,weight reduction in type 2 diabetes.
(1)Type I diabetes mellitus:
Insulin-requirement:inject 0.5~1.0 U/(kg·d),30 minutes before meals.
①Actrapid,short-acting soluble insulin(the starting time is 30 minutes,duration is 3~6 hours)
②Protaphane,long-acting insulin(the starting time is 3~4 hours,duration is 12~18 hours)
2/3 of daily insulin is injected during morning and the rest is injected during afternoon.
Am+pm:2/3“lente”+1/3“soluble”
(2)TypeⅡdiabetes mellitus:
Step by step:(https://www.daowen.com)
①weight loss/diet(in mild cases).
②The adverse effect of metformin:lactic acidosis!The patients with renal failure or on stavudine should avoid taking the metformin.
③Glibenclamide(the maximum dose of glibenclamide in the patients of typeⅡdiabetes with normal weight is 10 mg in the morning and 5 mg in the afternoon).
④Long-acting insulin+Metformin or Glibenclamide.
⑤Insulin-only.
(3) Treatments aim:
Fasting blood sugar<120 mg/d L.
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