Is insulin a hormone? Can long-term use be addictive?

After admission, ECG showed obvious ST-segment changes. Blood samples showed that serum creatinine was 220umol/L, glycosylated hemoglobin was 9.6%, and blood pressure was 160/ 100mmHg. Obviously, the patient's blood sugar and blood pressure are definitely not well controlled, otherwise glycosylated hemoglobin would not be so high.

As for why he said that blood sugar is well controlled? We asked, and as a result, he didn't feel any symptoms himself, so he thought it must be well controlled.

The patient not only has angina pectoris, but also has renal insufficiency. In this case, we certainly recommend insulin therapy to control blood sugar, which should be the most beneficial treatment for him.

However, this grandfather strongly disagreed. He said that insulin is a hormone. Others told him that hormones are addictive and cannot be abused. He is worried that after using insulin, they will become addicted, which is not good for their health. I couldn't reason with the old man, so I told his daughter about his illness. As a result, his daughter holds the same attitude, thinking that insulin is not good for health and can be avoided as much as possible.

In fact, I want to tell them that the patient has developed renal insufficiency, obvious renal lesions and heart problems. If it is not well controlled, it is likely to develop into uremia and myocardial infarction. Is this good for your health?

The rumor that insulin is addictive has been circulating in the market for a long time and has been repeatedly mentioned by everyone, and countless people believe it.

Actually, this is not right.

With the aging of population and the change of lifestyle in China, diabetes has become an epidemic, and the prevalence rate has soared from 0.67% in 1980 to 0.4% in 20 13 years. At present, the number of diabetic patients exceeds 1 100 million.

Many diabetics have a misunderstanding about insulin, thinking that once they use insulin, they can't stop, and they must use it for a lifetime. They are worried about insulin addiction and dependence.

In fact, insulin is just a way to control blood sugar. It is not what we usually call hormones (such as dexamethasone, prednisone, etc.). ). Long-term clinical use will not lead to drug dependence, nor will it be as addictive as drugs.

The earliest insulin used to treat diabetes in clinic is almost always extracted from the pancreas of pigs and cows. However, compared with human insulin, animal insulin is easy to produce antibodies. At present, insulin analogues with similar efficacy to human insulin in blood glucose control are commonly used in clinic, but the risk of hypoglycemia is low.

At present, the way of home administration is usually subcutaneous injection of insulin pen, which is very simple to use. After short-term teaching, most patients can master it easily, and the needle of insulin pen is very thin and sharp, and there is no obvious pain when injecting.

This article is original for "Stardust in My Heart"

As a treatment scheme of injection, of course, not all patients need to use it.

Insulin therapy has its corresponding indications:

1 type and 1 type diabetic patients need insulin therapy and lifelong replacement therapy after onset.

2. If the newly diagnosed patients with type 2 diabetes have obvious symptoms of hyperglycemia, ketosis or ketoacidosis, insulin therapy can be the first choice.

3. When it is difficult to classify newly diagnosed diabetic patients and differentiate them from 1 type diabetes, insulin therapy can be the first choice.

4. On the basis of lifestyle and oral hypoglycemic agents, if the blood sugar does not reach the control goal, patients with type 2 diabetes can start the combined treatment of oral hypoglycemic agents and initial insulin.

5, in the course of diabetes (including newly diagnosed type 2 diabetes), when there is no obvious cause of significant weight loss, insulin treatment should be used as soon as possible.

6. If diabetic patients have acute infection, complications, need surgery, severe liver and renal insufficiency, pregnancy, etc. Insulin therapy is also recommended.

After our repeated explanations, the uncle finally reluctantly agreed to use insulin temporarily, and soon his blood sugar was under control. However, he made a request that he must not take insulin when he was discharged from the hospital, and he must take oral hypoglycemic drugs instead. He said he was afraid that others would laugh at him.

In fact, does insulin need long-term application? This needs to be decided according to everyone's actual situation, but also depends on the recovery of their own islet cells. As for jokes that others may lead to ignorance, we can only say that health is in our own hands, go our own way and let others laugh!