When does a diabetic patient need to use an insulin?

1.Patients with diagnosed type 1 diabetes.

2.Type 2 diabetic patients with the following conditions require short-term or long-term use of insulin.

When does a diabetic patient need to use an insulin?
When does a diabetic patient need to use an insulin?

Short-term indications:

  • Severe acute metabolic complications such as diabetic ketoacidosis, hyperosmolar coma, etc.
  • Acute or chronic emergency situations: severe infections, acute cardiovascular events, major surgeries, etc.
  • “Glycemic toxicity” state, especially for patients with fasting blood glucose above 15mmol/L.

Long-term adaptation statement:

  • For patients with type 2 diabetes who cannot achieve satisfactory blood glucose control (fasting blood glucose >7.8mmol/L or hemoglobin A1c >7%) despite dietary control, exercise therapy, and adequate oral medication. For those with normal or thin weight, a more proactive approach to using insulin is required.
  • Unable to persist with oral drug therapy due to liver and kidney dysfunction and drug side effects.
  • Severe chronic complications of diabetes exist.
  • Diabetes complicated by pregnancy or gestational diabetes.
  • Diabetes caused by other factors, such as pancreatic diabetes.

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