老年糖尿病的临床特点与中西药合理应用

Clinical characteristics and rational use of Chinese and Western medicine on elderly diabetic patients

文章通过对老年糖尿病的临床特点、病机特征分析,结合血糖控制目标,提出了老年糖尿病中西药合理应用策略:①加强糖尿病教育,提高治疗依从性;②重视饮食和运动,提高临床疗效;③采用个体化治疗,合理使用降糖药;④用药方法应简单,可操作性强;⑤重视药源性低血糖症;⑥多种疾病并存,注意配伍禁忌;⑦避免漏服与重服降血糖,做好补救措施;⑧超重或肥胖患者,重视减肥治疗;⑨重视老年病机,辨证用药。

In this article, we propose the strategy of rational use of Chinese and Western medicine on elderly diabetic patients, based on their clinical characteristics and different syndromes, combined with glucose control target level, these strategies are described as follows： ①To improve patient＇s compliance by diabetic education; ②To enhance clinical effectiveness through diet and exercise; ③To implement individualized treatment with rational use of hypoglycemic drugs; ④To simplify medication with easy operability; ⑤To focus on drug-induced hypoglycemia; ⑥To pay attention to the imcompatibility when various diseases coexist; ⑦To avoid repeated use or forgetting to take the hypoglycemic drugs; ⑧To highlighted weight loss treatment for overweight or obese patients; ⑨To differentiate syndrome and treatment of elderly patients.