Treatment

更新于 2026年10月31日 版权声明
3.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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