Patient's question:
Patient, female, 69 years old. She has had diabetes for 5 years. In the first 4 years, her fasting blood glucose was generally controlled below 6.8 through diet and exercise. In the past year, her blood glucose control has been poor, with fasting levels ranging from 6.5 to 9.2 and post-meal levels between 9.0 and 11. Hemoglobin A1c is 7.6. She would like to consult with an expert on what type of glucose-lowering medication should be chosen at this time.Doctor's answer:
It is recommended to use glyburide plus Glipizide, and continue adhering to dietary and exercise therapy. Diabetes is divided into Type 1, Type 2, and other special types. Childhood diabetes is primarily based on Type 1. The treatment of Type 1 diabetes includes medication, dietary control, blood glucose monitoring data, activity, and other aspects. Children with Type 1 diabetes need to understand the disease through technical means, adopt a healthy and regular lifestyle, and administer insulin on time and in the correct dosage. They must also test blood glucose levels daily to understand the changes and assess blood glucose control, and promptly adjust the treatment plan as needed.