Varghese Sigi
Department of Endocrine Neoplasia and Hormonal Disorders, The University of Texas MD Anderson Cancer Center, 1515 Holcombe Boulevard, Houston, Texas, 77030, USA.
Nurs Clin North Am. 2017 Dec;52(4):523-537. doi: 10.1016/j.cnur.2017.07.003. Epub 2017 Oct 5.
Pharmacotherapy for diabetes has changed greatly owing to drugs and drug classes available. There are 11 classes of noninsulin diabetes medications available in the United States. With the use of 1 drug alone or in combination with different drugs, it is possible to improve glycemic control in patients with diabetes. Important properties of antidiabetic agents play a role in the choice of that particular medication for individual patients. Prescribing a diabetes medication regimen is based careful assessment of patient needs, and consideration of the medication's efficacy, impact on weight, hypoglycemia risk, potential side effects, cost, and patient preferences.
由于现有药物和药物类别,糖尿病的药物治疗发生了很大变化。在美国有11类非胰岛素糖尿病药物。单独使用1种药物或与不同药物联合使用,有可能改善糖尿病患者的血糖控制。抗糖尿病药物的重要特性在为个体患者选择特定药物时发挥作用。制定糖尿病药物治疗方案基于对患者需求的仔细评估,并考虑药物的疗效、对体重的影响、低血糖风险、潜在副作用、成本和患者偏好。