临床药师对严重胰岛素抵抗2型糖尿病患者的用药分析

Analysis of Clinical Pharmacists Participating in the Drug Use of Type 2 Diabetes Mellitus Patients with Severe Insulin Resistance

目的:探讨严重胰岛素抵抗2型糖尿病患者的综合治疗方案。方法:通过查阅文献,参考国内外指南,临床药师总结了改善胰岛素抵抗降糖药物的特点,并制定2型糖尿病患者胰岛素抵抗处理路线图。结果:结合患者病情,参照胰岛素抵抗处理路线图,为患者制定个体化治疗方案,患者血糖明显改善,胰岛素抵抗减轻,且无明显低血糖反应。结论:临床药师参与严重胰岛素抵抗2型糖尿病患者的治疗,保证了治疗的有效性和安全性,起到了积极的作用。

Objective: To explore the comprehensive treatment method for the type 2 diabetic patients with severe insulin resistance. Methods: According to the literature review and the relevant guidelines,clinical pharmacists summarized the characteristics of hypoglycemic drugs that can improve insulin resistance and formulated the flow chart for insulin resistance in patients with type 2 diabetes mellitus. Results: Based on the characteristics of the patients and the flow chart for insulin resistance, clinical pharmacists proposed individualized treatment plans that achieved significant improvement in glycemic control and reduction in insulin resistance without significant hypoglycemia. Conclusion: By participating in treating severe insulin resistance in patients with type 2 diabetes mellitus, clinical pharmacists played a positive role for ensuring the effectiveness and safety of therapy.