Insulin resistance in diabetic patients needs to be properly faced. Some patients will worry that people around them will discriminate against their insulin. 'doctor, I don't want to take insulin. If I inject insulin now, I can't do without it in the future. My illness is not so serious.... 'This is a common situation for many patients when they go to see a doctor.
Why are patients reluctant to take insulin?
Due to the characteristics of diabetes, patients with more complications and longer course of disease are more likely to be in a state of mental crisis caused by negative emotions such as helplessness, anxiety, fear and depression than others. Under the influence of this negative emotion, the internal psychological activities of patients with diabetes, such as cognition, emotion and consciousness, are often out of balance. When they choose the treatment, they often lack the understanding of the disease and fear that their body will be injured by long-term insulin injection. Therefore, they stubbornly believe that the adverse reactions of oral drug treatment must be less than that of injection treatment. Some patients also worry that people around them will discriminate against their insulin. In particular, many patients are in the menopause stage, the change of sex hormones makes the mood more unstable, depression, anxiety, doubt, panic and other emotions exist for a long time, so it is difficult to accept the doctor's advice, let alone cooperate with the treatment. Although some patients with diabetes feel that the doctor is right, they are still difficult to accept the fact of insulin injection psychologically. Under the influence of the above factors, some patients have the mentality of blindly refusing insulin treatment. We might as well call it 'psychological insulin resistance'.
This kind of 'insulin resistance' comes from patients' psychology, and the resistance to treatment is often greater than the body's insulin resistance. Therefore, doctors should not only relieve physical pain for patients, but also have good psychological intervention skills to help patients cope with the pressure of diabetes in a good psychological state. At the same time, patients with diabetes should also rationally take the initiative to accept the relevant psychological counseling.
Drug dependence and substitution therapy
Drug dependence refers to that with the extension of medication time, the initial dose is not enough to control the disease and has to increase the dose, once terminated or reduced, there will be physical discomfort (withdrawal reaction). Due to the deficiency of islet function, the insulin secretion of diabetic patients is seriously insufficient. At this time, only exogenous insulin can replace the insufficient part to meet the body's need for insulin. Substitution therapy is essentially different from the above drug dependence. If we need to use exogenous insulin treatment, but patients have to insist on oral medication, we can only continue to increase the overdraft of islet function, which is like 'whipping cattle'. Because once diabetes is diagnosed, only 50% of the islet function remains, and the islet resources available for patients to overdraw in their lifetime are extremely limited.
With the aggravation of islet failure or diabetic complications, patients may need to gradually increase the amount of insulin injection, but this is not caused by the wrong use of insulin or drug dependence.
Hypoglycemic reaction can be seen in patients with insulin, sometimes even very serious, so that patients have a sense of fear, but through appropriate blood glucose monitoring and the selection of the appropriate dose, serious hypoglycemic events can be completely avoided.
How to dance with sugar?
Experts remind you:
1. First of all, diabetes patients and doctors should interact actively on the basis of mutual trust, and change passive communication into active communication. In this way, we can gradually understand the knowledge about diabetes and improve the long-term fluctuation of mood. Good doctor-patient relationship can make the treatment plan of patients not deviate from the direction.
2. Improve the knowledge of diabetes prevention and treatment. Collect and read newspapers and magazines related to diabetes, or visit the regular diabetes website to gain fighting spirit and rich knowledge. Don't blindly listen to exaggerated diabetes advertisements, so as not to fall into the misunderstanding of cognition and treatment.
3. By participating in diabetes club, we can gain advanced treatment experience through rich collective activities. When communicating with others, you can make yourself happy physically and mentally and improve the quality of life.
The above points can help patients with diabetes eliminate psychological insulin resistance. Only in the first to overcome psychological insulin resistance, in order to cooperate with doctors to overcome physical insulin resistance. Diabetic patients should learn to adjust their own psychology, and strive to coordinate the inner activities of knowledge, emotion and intention. If you have psychological problems that you can't solve, you should seek help from diabetes or psychological experts in time.