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• Generic Drugs
To avoid the
high cost of regular drug use, many people prefer to switch to generic
drugs. Only two commonly prescribed oral antidiabetic drugs are available
generically: tolbutamide and chlorpropamide. While many generic drugs are
safe, the Food and Drug Administration says that these generics may not be
as effective as the nongeneric items. Batches of the generic drugs have been
recalled, while in 22 or more years of production none of the nongeneric
antidiabetic drugs have been recalled.
Generic antidiabetic drugs can be harmful if they work too quickly or
strongly, because a hypoglycemic (low blood sugar) reaction may occur. Also,
if the drug isn't as strong as it should be, your blood sugar level may
become elevated without warning. If you want to switch from one brand to
another, do so only under your physician's supervision. If your diabetes is
stabilized with one particular product, you might jeopardize that control by
switching to one to which your system reacts differently, advises the
American Diabetes Association.
Use of generics in control of diabetes requires caution. Making an
unmonitored switch from a prescribed brand to a generic may mean loss of
diabetes control. In that case your cost in additional medical attention may
more than outweigh any savings realized from purchasing the generic
products.
Because some generic products cost less than their prescription equivalents,
many physicians write prescriptions for the generic drugs. If your physician
thinks a generic drug will work well for you, he or she will so indicate on
your prescription.
Whether you use injected insulin or an oral medication, it will be regular
use of the preparation, plus diet, a regular exercise program, and a good
mental outlook, that will help control your disease. Medication alone won't
do the job. The combined treatment approach works best.
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How to Indentify a
Diabetic Emergency* |
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Low blood sugar
(Hypoglycemia)
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High blood sugar
(Hyperglycemia with Acidosis)
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Onset Sudden |
Gradual |
Signs
Staggering, poor
coordination
Anger, bad temper.
Pale color
Confusion, Disorientation
Sudden hunger
Sweating
Eventual stupor or
unconsciousness
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Drowsiness
Extreme thirst
Very frequent urination
Flushed skin
Vomiting
Fruity or wine-like odor on breath
Heavy breathing
Eventual stupor or unconsciousness |
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Causes
Failure to eat before strenuous
exercise; delayed or missed meals
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Undiagnosed diabetes. Insulin not taken. Stress, illness, or injury.
Too much food, drink or both. |
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What to
Do
Provide sugar. If the person can
swallow without choking, offer any
food such
as soft drinks, fruit juice,
candy. Do
not use diet drinks when
blood
sugar is low. If the person does
not feel
better in 10-15 minutes, take |
If you are
uncertain about whether the person is suffering from high blood
sugar or low blood sugar, give him or her some food or drink
that contains some sugar. If there is no response in 10-15 minutes,
the person needs medical attention. Do not give any food or drink if
the person is unable to swallow. |
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