對於糖尿病患者及空腹血糖值過高或併有肥胖症、高血壓和高血脂等疾病的代謝症候群病人,應謹慎使用thiazide類利尿劑和乙型阻斷劑,平日用藥除了要留意原有的疾病控制外,也要定期監控血糖,以減少併發症或血糖過高的風險。
財團法人藥害救濟基金會再次提醒民眾,為避免高血糖的危害,除了改善飲食及規律運動等生活型態的調整之外,也要留意正在使用的藥物是否有導致高血糖的可能性,如服用可能引起高血糖的藥物,用藥期間要特別留意血糖的變化,尤其是糖尿病患者,平日除應遵照醫囑規律用藥與監測血糖外,就醫時亦應告知醫療人員併用之藥品,若發生不良反應時,建議立即回診就醫,必要時依據醫囑調整治療藥物。
除了留意常見引起高血糖的原因及可能的藥物,平日生活保持愉悅心情、規律作息及正確飲食習慣,不讓血糖跟著生活波動而起伏,方能讓我們與失控的血糖說拜拜。
參考資料:
- https://www.uptodate.com/contents/screening-for-type-2-diabetes-mellitus?search=screening%20for%20type%202%20diabetes%20mellitus&source=search_result&selectedTitle=1~150&usage_type=default&display_rank=1
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- Abdur, R., Stephen, M. S., Mays, H. V. (2011). Drug-Induced Glucose Alterations Part 2: Drug-Induced Hyperglycemia. Diabetes Spectrum, 24, 234-238
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- Product Information: Hydrochlorothiazide. 衛署藥製字第003388號。
- Product Information: Indapamide. 衛署藥製字第042659號。
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