2型糖尿病，该吃哪种药？ 2型糖尿病使用哪种药物好？
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1）双胍类；
2）磺酰脲类；
3）α- 葡萄糖苷酶抑制剂；
4）噻唑烷二酮类；
5）速效型胰岛素分泌促进药。
体型肥胖的患者，若无肝肾功能异常，双胍类药物最好选用，可以减轻体重并且改善部分胰岛素敏感性；
α- 葡萄糖苷酶抑制剂相对于高碳水化合物饮食的人群来说，降糖效果比较显著，主要针对餐后血糖，一般也是口服降糖药物治疗组合的重要组成部分；
磺酰脲类和速效型胰岛素分泌促进药均属于促胰岛素分泌剂，前者对于空腹血糖与餐后血糖都有效，后者针对餐后血糖；
噻唑烷二酮类药物属于胰岛素增敏剂，不过副作用较明显，欧美国家已经逐渐停用；
以上是各种口服降糖药物的特点，怎样选用要根据血糖波动规律为指导；
建议：至少1-2周检测血糖（三餐前、三餐后两小时、晚10时），每周一次早晨3时血糖，绘制血糖波动曲线，在专业医师指导下选用合适的药物组合；
双胍类与α- 葡萄糖苷酶抑制剂可以作为联合用药的基础，在此基础上调整药物，如餐后血糖水平没有空腹血糖水平增高幅度大的患者，可以三餐α- 葡萄糖苷酶抑制剂（加或者不加双胍类）+睡前双胍类；如空腹血糖与餐后血糖水平同步增高，则可以三餐α- 葡萄糖苷酶抑制剂（加或者不加双胍类）+磺酰脲类；如空腹血糖水平没有餐后血糖水平增高幅度大的患者，可以三餐α- 葡萄糖苷酶抑制剂（加或者不加双胍类）+速效型胰岛素分泌促进药；
具体的细微调节还是需要专业人员指导，请不要自行尝试，并且需要做好血糖监测；
喝茶并不会明显影响药物疗效。
我建议你用米格列醇片，他的主要作用就是降低餐后血糖。米格列醇属于α-葡萄糖苷酶抑制剂，不刺激胰岛素分泌，抗高血糖作用机制为可逆性抑制肠粘膜上的α-葡萄糖苷酶。α-葡萄糖苷酶能将低聚糖和双糖水解为葡萄糖和其它单糖类，而有利于糖的吸收，通过抑制此酶的作用延迟了糖的吸收，故可使餐后血糖降低。
那格列奈片属于较为先进的促进胰岛素分泌的药物，也可降低餐后血糖。但比较适用于胰岛素分泌不足的2型糖尿病患者。
也可检查一次“胰岛功能（需要两次抽血检验）”，如不存在胰岛素分泌不足，就选择米格列醇；反之，则选择那格列奈。
你空腹血糖正常，应该考虑不存在胰岛素分泌不足。
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绛旓細浜岀敳鍙岃儘浣跨敤Tips 1.閫傜敤浜庢墍鏈2鍨嬬硸灏跨梾鎮ｈ呭悧锛熶簩鐢插弻鑳嶇殑閫傜敤鑼冨洿寰堝箍锛10宀佷互涓婄殑瀛╁瓙閮借兘鍚冦備笉杩囷紝瀛曟湡銆侀厳閰掋佺淮鐢熺礌B12缂轰箯銆佷唬璋㈡ч吀涓瘨銆佽偩鍔熻兘鍑忛绛夋儏鍐碉紝涓嶉傚悎鏈嶇敤浜岀敳鍙岃儘銆2.鑳界敤浜1鍨嬬硸灏跨梾鎮ｈ呭悧锛熻兘锛鍗曠敤鑳板矝绱犵枟鏁堜笉濂芥椂锛屽彲鍔犵敤浜岀敳鍙岃儘銆傛敞鎰忥細1鍨嬬硸灏跨梾鎮ｈ咃紝涓嶈兘鍗曠敤浜...
绛旓細2銆佸弻鑳嶇被闄嶇硸鑽細锛1锛夎嫰涔欏弻鏈嶏紙闄嶇硸鐏碉級锛氬紑濮嬫椂涓娆25mg锛屼竴鏃2锝3娆★紝楗墠鏈嶇敤锛屽彲閫愭笎澧為噺鑷虫瘡鏃50锝100mg锛屼絾姣忔棩鏈澶ч噺涓嶈秴杩0.15g銆傝佸勾绯栧翱鐥呬汉浠ヤ笉瓒呰繃75mg涓哄疁銆鏈搧甯镐笌鏍煎垪榻愮壒绛夌：閰版湇绫诲彛鏈嶉檷绯栬嵂鍚堢敤锛屼絾鍓傞噺搴旀牴鎹梾鎯呬綔閫傚綋璋冩暣銆傦紙2锛変簩鐢插弻鑳嶏紙闄嶇硸鐗囷級6姣忔鍙ｆ湇0.25...
绛旓細锛1锛夋秷娓翠父銆備富瑕佹垚鍒嗭細鍖楄姫銆佺敓鍦般佽姳绮夈佹牸鍒楁湰鑴诧紙姣忎父鍚0.25mg锛屽嵆10涓告秷娓翠父鍚竴鐗囨牸鍒楁湰鑴诧級銆傚姛鐢ㄥ強涓绘不锛氭粙鑲惧吇闃淬佺泭姘旂敓娲ャ傚叿鏈夋敼鍠勫楗佸灏裤佸椋熺瓑涓村簥鐥囩姸鍙婅緝濂界殑闄嶈绯栦綔鐢ㄣ備富娌2鍨嬬硸灏跨梾銆傛湇鐢ㄦ敞鎰忎簨椤癸細楗墠30鍒嗛挓鏈嶇敤銆傜敱浜庢湰鑽唴鍚牸鍒楁湰鑴诧紝鎵浠ヤ弗绂佷笌鏍煎垪鏈劜鍚屾椂鏈嶇敤锛...
绛旓細浜岀敳鍙岃儘鏄敤浜庣硸灏跨梾鐨勫父鐢ㄨ嵂鐗╋紝棣栭夌敤浜庡崟绾ギ椋熸帶鍒跺拰浣撹偛閿荤偧娌荤枟鏃犳晥鐨2鍨嬬硸灏跨梾锛屽挨鍏舵槸鑲ヨ儢鎮ｈ呭拰浼存湁楂鑳板矝绱琛鐥囩殑鎮ｈ呫備簩鐢插弻鑳嶈兘澶熼氳繃鏀瑰杽鎮ｈ呬綋鍐呯殑鑳板矝绱犳姷鎶楋紝浠庤岃揪鍒伴檷琛绯栫殑鐩殑銆備簩鐢插弻鑳嶄笉浣嗘湁闄嶄綆琛绯栫殑浣滅敤锛岃繕鍏锋湁闄嶄綆浣撻噸锛岃皟鑺傝鑴傜殑浣滅敤銆傝櫧鐒朵簩鐢插弻鑳嶄竴鑸儏鍐典笅涓嶄細璇卞彂浣庤绯栵紝...
绛旓細涓昏甯哥敤鑽湁鏍煎垪榻愮壒锛堜紭闄嶇硸锛夈佹牸鍒楅綈鐗癸紙杈剧編搴凤級鍜岀敳鑻：涓佽劜锛岄傜敤浜庢湁涓瀹鑳板矝绱鍔熻兘缁忛ギ椋熸帶鍒舵棤鏁堢殑2鍨嬬硸灏跨梾鎮ｈ呫傝屽弻鑳嶇被鑽墿鍏朵綔鐢ㄦ満鍒朵负淇冭繘鑲岃倝绛夊鍛ㄧ粍缁囨憚鍙栬憽钀勭硸锛屽姞閫熸棤姘х硸閰佃В鍜屾姂鍒剁硸寮傜敓锛岄傜敤浜庣棁鐘惰交銆佽偉鑳栦笖楗鎺у埗鏃犳晥鐨勭硸灏跨梾銆甯哥敤鑽墿涓轰簩鐢插弻鑳銆
绛旓細1銆佸弻鑳嶇被鑽墿锛氫负涓村簥涓婂箍娉涗娇鐢ㄧ殑涓绉嶈嵂鐗╋紝涔熺О浣滀簩鐢插弻鑳锛屼竴鑸綔涓烘櫘閫2鍨嬬硸灏跨梾鍜岃偉鑳2鍨嬬硸灏跨梾鎮ｈ呯殑棣栭夊拰涓绾胯嵂鐗╋紱2銆佺：鑴茬被鑽墿锛氳繖绫昏嵂鐗╁彲淇冭繘鑳板矝绱閲婃斁淇冩硨鍓傦紝闄嶇硸鏁堟灉鏄庢樉銆傚寘鎷棭鏈熺殑鏍煎垪鏈劜锛岃繕鏈夋牸鍒楅綈鐗广佹牸鍒楃編鑴茬瓑锛3銆侀樋鍗℃尝绯栵細鍙皟鑺傞鍚庤绯栵紱4銆佸櫥鍞戠兎浜岄叜绫昏嵂鐗╋細鍙...
绛旓細浣嗗湪浜岀嚎鎴栬呮槸涓夌嚎鍩庡競涓紝鑽环浼氱◢寰綆涓浜涳紝澶ч兘鍦138.00鍏冨乏鍙炽2銆佸姛鏁堝浣曟嵁浜嗚В锛岃タ鏍煎垪姹浜岀敳鍙岃儘鐗(I)鐨勪富瑕佹垚鍒嗘槸鐩愰吀浜岀敳鍙岃儘鐗囷紝鏄竴绉嶇櫧鑹茬殑钖勮啘琛ｇ墖銆傝鑽富瑕佺敤浜庣硸灏跨梾鐨勬不鐤楋紝灏ゅ叾鏄噰鐢ㄩギ椋熺枟娉曞拰杩愬姩鐤楁硶閮戒笉瑙佹晥鏋滅殑绯栧翱鐥呮偅鑰呰韩涓娿傛湇鐢ㄨ鑽墿涔嬪悗锛岃兘澶熸湁鏁堢殑闄嶄綆鎮ｈ呬綋鍐呯殑琛绯...
绛旓細浣犲ソ锛屽凡缁忕‘璇婄殑2鍨嬬硸灏跨梾鎮ｈ呭彲浠ラ夋嫨鐨勫父瑙勫彛鏈嶉檷绯栬嵂鏈夛細1锛夊弻鑳嶇被锛2锛夌：閰拌劜绫伙紱3锛壩- 钁¤悇绯栬嫹閰舵姂鍒跺墏锛4锛夊櫥鍞戠兎浜岄叜绫伙紱5锛夐熸晥鍨鑳板矝绱鍒嗘硨淇冭繘鑽備綋鍨嬭偉鑳栫殑鎮ｈ咃紝鑻ユ棤鑲濊偩鍔熻兘寮傚父锛屽弻鑳嶇被鑽墿鏈濂介夌敤锛屽彲浠ュ噺杞讳綋閲嶅苟涓旀敼鍠勯儴鍒嗚儼宀涚礌鏁忔劅鎬э紱伪- 钁¤悇绯栬嫹閰舵姂鍒跺墏鐩稿浜庨珮纰虫按鍖栧悎...
绛旓細銆愮瓟妗堛戯細A 鐢变簬纾鸿劜绫婚檷绯栬嵂涓昏鏄氳繃鍒烘縺鑳板矝绱犵殑鍒嗘硨鍙戞尌闄嶈绯栦綔鐢ㄧ殑锛屾晠涓鑸簲鐢ㄤ簬缁忛ギ椋熴佽繍鍔ㄧ瓑娌荤枟鎺у埗涓嶄匠鐨2鍨嬬硸灏跨梾鐥呬汉銆傝繖绫绘偅鑰呯殑鑳板矝灏氬瓨鍦ㄤ竴瀹氱殑鑳板矝绱犲垎娉屽姛鑳姐傚浜庣梾绋嬭緝闀跨殑2鍨嬬硸灏跨梾鍜岃捣鐥呯紦鎱㈢殑1鍨嬬硸灏跨梾鎮ｈ咃紝缁忚儼宀涚礌閲婃斁璇曢獙璇佸疄灏氭湁涓瀹氳儼宀涚礌鍒嗘硨鍔熻兘锛屼害鍙娇鐢璇ヨ嵂锛浣嗕粛...
