Since April 7 in Shanghai, the number of asymptomatic infections for three consecutive days has exceeded 20,000, which makes people gasp for breath;

At the end of March, Jilin's daily number of confirmed diagnoses exceeded 1,000, which is really worrying, but fortunately it has eased now;

Since the discovery of positive cases in Guangzhou, nucleic acid tests have been carried out in 11 districts one after another, and offline teaching has been suspended in primary and secondary schools in the city;

In Hong Kong, there are tens of thousands of confirmed cases and 200 to 300 deaths every day

The mainstream virus strain Omicron has shortened the distance between the virus and everyone by virtue of its "super fast" infection speed

The latest "New Coronary Virus Pneumonia Diagnosis and Treatment Plan" (trial version 9) also specifically points out vaccination in the final prevention part

At present, the vaccination of booster shots is not satisfactory among the elderly over 60 years old, and nearly half of them have not been vaccinated

Compared with normal healthy people, "how to effectively protect and manage" diabetic patients under the epidemic is particularly important

● Vaccines

"Whether healthy or diabetic, vaccination is still an effective means of protection

But in reality, there are still many people with diabetes who are reluctant to take booster shots for one reason or another

Experts solve puzzles

1.

Vaccination may have local adverse reactions, such as redness, swelling, pain or itching, small induration at the vaccination site, and systemic adverse reactions may also occur, mainly fatigue, but also include fever, muscle pain,

2.

As long as the recent blood sugar control is stable, the fasting blood sugar is below 13.

●Medicine

"Diabetes is a chronic disease.

So, under the epidemic situation, what hypoglycemic drug to choose can make "sugar friends" no longer worry, and can better cooperate with taking medicine and keep taking medicine?

Dr.

Expert advice

1.

It's not easy to go to the hospital now.

Therefore, hypoglycemic drugs can be selected in large packages, and buying a box can last for quite a while
.
For example, a large package of metformin ordinary tablets, a box of 60 tablets, can effectively reduce the trouble of going to the hospital and the inconvenience of frequent drug purchases
.

Kaoru "guanidine" friends: Metformin ordinary tablets, before or after meals?

Answer: Take it after meals or with meals to reduce gastrointestinal adverse reactions
.

2.
Can choose "long" but not "short", it is not easy to miss the service

One day at a certain time, you may suddenly receive a notice to "do nucleic acid", "to be blocked", and then rush to line up, or busy with food, and as a result forget to take medicine
.

Then, it is quite easy to choose a drug that only needs to be taken once a day.
For example, the sustained-release tablet of the original drug of metformin belongs to this category.
Take it once for a day, and it is not easy to miss a dose
.

Test "guanidine" friends: what is the original drug of metformin?

Answer: The original research drug of metformin, also known as the patented metformin drug, is an original hypoglycemic drug approved for marketing after years of rigorous clinical trials.
With the advantages of preparation technology, excipients, and purity, it will produce better absorption rate and less adverse effects.
react
.

3.
Fewer adverse reactions and better safety

To reduce blood sugar well, the safety should also be good
.
Otherwise, although the patient has lowered the sugar, but has obvious gastrointestinal adverse reactions or hypoglycemia, they may reduce or stop the drug on their own, increasing the risk of blood sugar fluctuations, and may also go to the hospital because of adverse reactions
.

As the first-line drug of choice for type 2 diabetes, metformin has a history of 100 years since it was prepared into a compound by Irish chemists Werner and Bell in 1922.
It has been clinically used for more than 60 years and has proven safety
.
The "Chinese Guidelines for the Prevention and Treatment of Type 2 Diabetes (2020 Edition)" pointed out: ".
.
.
if there is no contraindication, metformin should always be retained in the drug treatment regimen of diabetes (level A recommendation)"
.

Test the "guanidine" friend: which dosage form of metformin has less gastrointestinal reaction?

Answer: Metformin Original Drug Sustained-Release Tablets

Under the epidemic, patients with hyperglycemia should pay special attention to daily blood sugar monitoring and emotional adjustment, especially their emotions, in addition to vaccinating the whole course of vaccines and taking medicines on time
.

Pessimistic and depressed emotions will lead to high blood sugar, which is not conducive to sugar control.
Diabetics can adjust their mood by exercising, talking, listening to music,
etc.

Editor: Zhang Ge

Drawing: Chen Ting

Produced by: "Chinese Family Doctor" magazine