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Can Diabetics stop taking oral antidiabetic drugs (hypoglycemic agents)?

Can one stop taking oral antidiabetic drugs after a good control of blood glucose level? This question doesn’t have a uniform answer. There are a lot people with diabetes who don’t want to eat drugs continuously, not only because the side effects of drugs, but also because the economic burden they bring to the diabetes patients. However, the answer to that question is not absolute and depends on the situation of every diabetes patients.

For most diabetes patients who want to control the blood glucose to a proper level, the best way is a combination of dietary therapy, sports therapy and drug therapy. Oral administration of antidiabetic drugs is a crucial part of the combination therapy. Once one stops having drugs, the blood glucose level will soon rise up.

Antidiabetic drugs, similar with antipyretic drugs, can only assist to decrease the blood sugar concentration and cannot completely cure diabetes. Similarly, your fever will be gone after having antipyretic drugs, but this will not guarantee the elimination of fever in the future. The problem of the patient’s pancreatic islets is always existing; thus the blood glucose level will increase easily for the drug suspension.

However, the diabetes patients don’t need to be too frustrated. A portion of diabetes patients are able to stop having antidiabetic drugs with strictly controlled diet and increased physical exercise after a good control of blood glucose level. If a patient really wants to suspend taking drugs, he or she can do that when experiencing a relatively low blood level. On one hand, this is to avoid hypoglycemia (low blood sugar). On the other hand, this is a test about whether the blood glucose level can still be fine without the antidiabetic drugs; once the glucose level goes up dramatically, the patient can take drugs to control it, which can greatly reduce the risk.

Secondly, the withdrawal of drugs should take place gradually, one tablet after another, to get rid of antidiabetic agents. The of stepwise elimination of drug administration will offer a buffer period to the body, during which one can always go back to the original dosage if there are any problems occurring. What’s more, many diabetes patients may think that their diabetes is cured after they are able to control the blood glucose level, so they stop taking drugs and a less strict diet control. This will lead to reoccurring of the symptoms. Here I have one more suggestion. Even if you stop taking drugs, you should not stop diet control and exercises; and even the glucose control is perfect, you should also have a reasonable and healthy diet and sport habits.

One should frequently measure his or her blood glucose level after the drug suspension. In this way, one can find out if there is anything wrong with the glucose level in time and take action. Don’t wait until the high blood sugar concentration appears to realize the instability of your blood glucose level. This is a very important point.

Any kind of oral drug will go through the metabolism and detoxification via liver and kidney and then get eliminated by the liver. Taking drugs will certainly increase the burden of liver and kidney and there is no drug without side or toxic effects. Any patient should realize that losing a good control over your blood glucose level will do more damage to your liver and kidney than the side effects of oral antidiabetic drugs. So please make sure to take drugs when necessary.

Formal antidiabetic drugs are filtered for multiple times in terms of a number of animal level experiments and years of clinic verification and are confirmed to be safe and effective with mild side effects. While some diabetes patients may show renal dysfunction when taking drugs, this is more likely to be caused by diabetes itself. Please do not concern too much when taking drugs. If the hepatic and renal dysfunction preexist, then taking antidiabetic drugs may cause problems. However, doctors will examine the patient thoroughly before they prescribe medicine, so they will make sure there is nothing wrong with the patient’s liver and kidney function before the drugs are prescribed based on the patient’s situation. Also, liver and kidney function of a diabetes patient should be examined regularly to quickly discover the pathological conditions. Thus, as long as the drug therapy is directed by the doctor professionally and the liver and kidney function are monitored regularly, one can always be at ease to take antidiabetic drugs in a long term.

Some diabetes patients can stop taking antidiabetic drugs gradually but this is highly dependent on each patient’s situation. Although not all the diabetes patients can achieve that, everyone can try the best towards that. Take the drug when necessary, the withdrawal of drugs should take place gradually and communicate with your doctor timely.

See also:
item Principles of the Treatment of Diabetes
item Five Contraindications for Diabetes
item Hypoglycemic drugs:

item Insulin:

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