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Treatment for newly-diagnosed Type 2 diabetes –Shared Decision Making 新診斷第2型糖尿病治療的選擇-醫病共享決策

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Treatment for newly-diagnosed Type 2 diabetes –Shared Decision Making 新診斷第2型糖尿病治療的選擇-醫病共享決策

2024/4/15

 

 

Oral antidiabetic agent

GLP-1 receptor agonist

Insulin

Lifestyle modification  and diet control

Application
Several pills a day
Once a week
Once daily, or multiple times a day
1. Balanced diet:
Avoid eating too much food that will raise blood glucose
(1) Whole grains
(2) Fruits
(3) Dairies
 
2.Exercise:
(1) Aerobics
(2) Resistance
(3) Stretching
 
3. Weight reduction
Advantage
Convenience
1. Stable blood glucose level
2. Less hypoglycemia
3. Reducing the appetite and body weight
4. Heart and renal protection
1. Excellent effect in control blood glucose
2. Dosage can be adjusted according to the blood glucose level
3. May be used with renal/live function insufficiency or during pregnancy
Disadvantage
Limited option in case of liver function/renal function impairment 
1. Need to learn the injection skill  
2. Possible local reaction of injection site
3. Potential side effects of nausea and vomiting
1. Need to learn the injection skills
2. Possible local reaction of injection site
3. Potential hypoglycemic event  
4. Weight gain
Covered by National Health Insurance
Yes
Payment under certain condition
Yes
Reference
  • 社團法人中華民國糖尿病學會(2022).2022第2型糖尿病臨床照護指引.社團法人中華民國糖尿病學會。
  • American Diabetes Association.
製作單位:內科部內分泌暨新陳代謝系 編碼:HE-10310-E
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