Haas L B
Nurse Pract Forum. 1991 Sep;2(3):166-74.
Drug therapy with oral hypoglycemic agents and insulin are components of diabetes management regimens that also include diet, exercise/activity, monitoring, and education. Major concerns for practitioners using drug therapy are selection of the appropriate therapy for a particular patient, and drug interactions and side effects. Drug therapy is based on knowledge of the medications' pharmacokinetics; glucose goals, as determined by practitioners and patients; common sense; and strong participatory relationships between practitioners and patients and, if indicated, families. When using insulin, practitioners need to consider the differences between insulin therapy for insulin-dependent and non-insulin-dependent diabetes; how to initiate, adjust, and supplement insulin; situations that require variations in insulin therapy; and injection mechanics.
使用口服降糖药和胰岛素进行药物治疗是糖尿病管理方案的组成部分，这些方案还包括饮食、运动/活动、监测和教育。使用药物治疗的从业者主要关注的是为特定患者选择合适的治疗方法，以及药物相互作用和副作用。药物治疗基于对药物药代动力学的了解；由从业者和患者确定的血糖目标；常识；以及从业者与患者之间，如有必要还包括与患者家属之间的密切参与关系。在使用胰岛素时，从业者需要考虑胰岛素依赖型糖尿病和非胰岛素依赖型糖尿病胰岛素治疗的差异；如何启动、调整和补充胰岛素；需要调整胰岛素治疗的情况；以及注射技巧。
