Diabetes Medication Dosage?

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NIGHT. I want to ask. If diabetes is ± 300, how many kinds of drugs and time are there?

1 Answer:

Hi Ade,

Thank you for asking the HealthReplies.com Community

Diabetes Mellitus is characterized by blood sugar levels above normal, it could be the result of the body not producing enough insulin or the body not using insulin effectively. Diabetes mellitus is a chronic disease that cannot be cured so that the treatment aims to control sugar levels according to the target.

The goal of diabetes treatment is to maintain a balance of blood sugar levels and control symptoms to prevent complications that may occur. In addition to taking drugs, sufferers must change their lifestyle, for example

- adopting a healthy diet, by consuming lots of fiber and limiting foods that have high sugar levels

- regularly exercise, at least 3-5 times a week

- lose weight, especially for people who are obese

- limit the consumption of alcoholic beverages, and stop smoking.

In addition to lifestyle, drug consumption is also important for controlling sugar levels. Anti-diabetes drugs (OAD) have many types. The choice of medicine will be adjusted to the conditions, symptoms, and illnesses other than diabetes. Drug administration can be singly or in combination as well as dosage and usage depending on the drug response to the body. So it is necessary to consult a doctor. Then the doctor will choose a drug that is suitable for you and control your sugar levels. Examples of frequently used drugs;

1. Metformin

This is the first drug that is often recommended for people with type 2 diabetes. Unlike other drugs, metformin does not cause weight gain. Therefore this drug is usually given to patients who are overweight.

2. Sulfonylureas, diabetics who cannot take metformin or are not overweight may be given this drug. If metformin is less effective at controlling your blood sugar levels, your doctor may combine it with a sulfonylurea. Examples of these drugs are glimepirid, glibenclamide, glipizide, gliclazide, and gliquidone.

3. Pioglitazone, this drug can cause weight gain and swelling of the ankles. It is not recommended that you take pioglitazone if you have heart failure or are at risk of fracture.

4. Acarbose, this drug prevents the increase in blood sugar levels too quickly after diabetics eat. This medicine may cause side effects of diarrhea, flatulence, and frequent gas. Acarbose is rarely used to treat type 2 diabetes, unless the patient is not suitable for taking other drugs.

5. Insulin, if oral administration is not effective for treating diabetes, you may need insulin therapy. In addition, insulin therapy is mandatory for pregnant women, or if you have other illnesses such as severe infections, strokes, etc.

Drug administration will be started in stages starting from a healthy lifestyle, monotherapy, a combination of 2 OADs, a combination of 2 OAD + basal insulin, and finally intensive insulin. This stage is carried out by monitoring blood sugar levels and checking HbA1c, this test measures the average blood sugar level over a period of 2-3 months.

Therefore, for drug selection, dosage, and the amount of medicine you must consult your doctor because the doctor will do questions, physical examination, and a laboratory to determine treatment.

This is the information that can be conveyed, thank you, hope it helps.

Regards,

dr. Rizki

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