Types Of Drops for Diabetes

 

To eliminate coma, drops are prescribed for diabetes. This method of drug administration helps to quickly restore blood pH, treat dehydration, and remove toxins. For each patient, the physician selects an individual dosage and combination of drugs, depending on the severity of the condition, age, severity, and the presence of comorbidities.

Indications for using a dropper in diabetics

The medical need for a dropper for diabetes can be a consequence of the patient's health condition, poor test results, and high blood sugar.

In certain circumstances, diabetics have an increased risk of developing coma. An infusion of medication helps to stop this condition. The complexity of medical products is determined individually. In addition to eliminating the risk of coma, diabetes drops have the following purposes:

• stabilization of the peripheral circulation process;
• protection against brain cell hypoxia;
• restoration of water and acid-base balance, fight against acidosis;
• narrowly focused treatment;
• removal of toxins and toxins.

Coma is sensitive to patients with absolute endogenous hormone deficiency.This makes monitoring the patient's status difficult. Therefore, infusion therapy for diabetes is recommended to such people more often than other patients. Contraindications to drip medications with diagnosed diabetes:

• anuria
• acute and chronic kidney and liver diseases;
• swelling;
• decompensated heart failure;
• acute myocardial infarction;
• drug sensitivity;
• pulmonary edema;
• pregnancy and lactation.

Diabetic coma

The primary task is to remove diabetics from a coma. The order of administration, the name of the drug may vary. However, the following medications are the basis for treating such conditions:

• Saline solution 3 hours to 2 liters.
• The starting dose of insulin is 20 units. Based on the results of the analysis, an adjustment is made.
• 100 mg of cocarboxylase is given for cell renewal.
• 10-25 ml "Panangina".
• vitamins:
• vitamin C;
• B6 (1%) - 5 ml;
• B12-200 mcg.

Hyperosmolar coma

The symptoms are similar to cerebral edema, which complicates the diagnosis. The main task in the first hours is to restore the acid-base balance of the blood, reduce glycemia and eliminate dehydration. The method of installation is fractional, avoiding the development of pulmonary edema and heart failure:

• The first-hour dropper - 1 liter.
• Over the next 2 hours - 1 liter.
• Over the next 4 hours - 1 liter and so on.

To stabilize blood sugar with hyperosmolar coma put 400-600 ml per day:

• "Sodium bicarbonate" 2%;
• 0.45% saline.
• "Cocarboxylase";
• vitamin C in ascorbic acid;
• "Panangin";
• potassium chloride.

Hyperosmolar coma often occurs in older diabetics. Because of the changes that have taken place they do not feel thirsty. Sugar values ​​can exceed 55 mmol / L.

It is impossible to ingest sodium chloride in the first session due to excess sodium salts in the blood of patients diagnosed with hyperosmolar coma. Insulin dose is minimized or temporarily eliminated. Sugar levels should be reduced by 5 mmol/hour to prevent cerebral edema. Patients over the age of 60 may be administered "Heparin" to prevent blood clots from developing...

Hypoglycemic coma

Hypoglycemic coma is preceded by a critically low sugar level. First of all, such a patient drips glucose. To restore consciousness, a jet of 40% carbohydrate solution (20-100 ml) is injected. In especially dangerous cases - 0.1% adrenaline in a dropper. Glucocorticosteroids and glucagon are administered intravenously as prescribed by a physician. During treatment, the patient is under the daily supervision of a hospital physician.

Other cases

During surgery, patients are transferred to short-acting insulin in droppers. Surgery is performed if the sugar test does not exceed 8 mmol / L on an empty stomach. To compensate for type 2 diabetes, glucose is instilled with insulin during surgery. Insulin dose increases with liver disease and overweight. The daily dose of glucose is up to 125-130 mg.

Drops for the diabetic cardiovascular system

With type 2 diabetes, it is necessary to occasionally prevent diseases of the cardiovascular system. The basis is blood sugar levels, blood pressure, and lipids. The following medications are used:

1. Trental. It is prescribed to improve blood circulation and reduce viscosity. For diabetics with impaired microcirculation, this drug improves the condition. Reduces peripheral vascular resistance.
2. Mexidol. Reduces platelet aggregation. It has a prophylactic effect against vegetovascular dystonia. It reduces the number of lipids in the drops, reduces "bad" cholesterol. The course of treatment lasts from 3 days to 1.5 weeks.
3. "Reopoliglyukin". It is prescribed for the prevention of microthrombi and the improvement of microcirculation function. Reopoliglyukin is given dropwise 2-3 times a week, 400 ml each. The course of treatment is 6-8 sessions. A drop of "Reopoliglyukin" 

To:

• prevent blood cell aggregation,
• normalization of arterial and venous blood flow;
• decrease in blood viscosity;
• for detoxification.

• "Actovegin" quickly normalizes metabolic and regenerative processes, relieves pain and stiffness in the legs, tingling and tingling behind the sternum. The course is designed for 21 days, daily dose up to 500 ml intravenously. The diabetic is then switched to a tablet form.

Improvement occurs after the first installation, but at least 6-8 sessions are required to achieve a maximum therapeutic effect. All appointments, changes in insulin dose, correction of the course of treatment must be carried out only by a doctor. Self-medication is fraught with serious consequences.

Drops for type 2 diabetes: 

Intravenous administration of drugs in the treatment of diabetes is most commonly used in emergencies in which the rate of recovery of blood glucose levels is determined by vital signs.

Such life situations occur with hypoglycemic, ketoacidosis, hyperosmolar coma. Drops for diabetes are also prescribed for preoperative preparation, for parenteral nutrition in intensive care units.

Use infusion therapy for the prevention and treatment of vascular complications of diabetes - polyneuropathy, retinopathy, atherosclerotic changes of the vascular wall, prevention of thrombosis, various types of angiopathy.

Read What sweets can diabetes eat

Droplet administration of drugs to treat ketoacidosis

In light of insulin deficiency, in patients in whom blood glucose levels increase significantly, a condition develops in which dehydration and an increase in ketone body content increase.

The toxic effect of ketones disrupts the work of the central nervous system, kidneys, and liver, which determines the severity of the general condition of patients and requires urgent hospital treatment.

Urinary tract infections, pneumonia, viral infectious diseases, poisoning, food poisoning, as well as dietary violations, or the use of insulin preparations, lack of blood glucose control can cause ketoacidosis.

If the patient has been taking tablets for type 2 diabetes, then they are discontinued and short insulin is given subcutaneously or intramuscularly under the supervision of sugar and acetone, which are administered every 3-4 hours. Up to five injections of the drug are used daily, the initial dose of which does not exceed 20 units.

Treatment of diabetes with the development of precoma or coma with ketoacidosis is carried out in the following areas:

• Elimination of insulin deficiency by fast insulin preparations.
• Increased body fluid intake and decreased potassium deficiency.
• Elimination of acidosis.
• Creating normal working conditions for the vessels of the brain and heart.
• Prevention or treatment of infectious complications
• Symptomatic treatment.

Simultaneously with the introduction of the first doses of insulin, the dropper is placed in saline. It is given in an amount of about two liters. To improve metabolic processes, the following list of drugs is additionally used: 5 ml of ascorbic acid in the form of 5% solution, 100 mg of cocarboxylase, 1 ampoule of cyanocobalamin 200 μg, pyridoxine 5% 1 ml.

Diabetic drops with high doses of insulin preparations stimulate the release of contransular hormones as well as an increase in insulin resistance. At the same time, a rapid drop in blood sugar is dangerous not only with a hypoglycemic condition, but also with an increased risk of hypokalemia, lactic acidosis, and cerebral edema.

Therefore, it is better to use a regimen of continuous intravenous administration of small doses of insulin. It is given dropwise to saline in the amount of 0.1 PIECES per 1 kg of body weight. When the blood glucose level of 11 mmol / L is reached, they switch to the usual subcutaneous administration. Insulin drops in the initial period of treatment quickly restore vascular tone.

In addition, for the treatment of ketoacidosis it is good to drip such drugs to diabetics:

• Ringer-Locke solution.
• Panangin or Asparkam.
• 2.5% sodium bicarbonate solution (only with significant acidosis).
• Polyglucin.

On the second or third day, patients are recommended to drink a lot of alkaline mineral water, fruit juices, fruit drinks, as well as use of products that contain potassium: oranges, apricots, carrots, meat soups, oatmeal.

On the fifth day, you can include cheese, meat, and fish puree in your diet. At the same time, they switch to their usual insulin regimen.

Hyperosmolar coma infusion therapy

Non-acidotic coma can develop with a significant increase in blood sugar, which can exceed 55 mmol / L. This complication of diabetes is characteristic of the elderly, with reduced thirst who do not notice dehydration. Diabetic acidosis does not develop because the remaining insulin secretion is preserved.

The severity of the condition is due to the extreme manifestations of dehydration due to the mass excretion of glucose in the urine, which attracts water. Increased osmotic diuresis leads to circulatory failure as well as to the cessation of urine excretion after polyuria.

Difficulty in treating hyperosmolar coma is a correct assessment of neurological status, resembling cerebral edema. In this case, taking diuretics instead of rehydration leads to death.

Features of introducing a solution in hyperosmolar coma:

• It is impossible to introduce isotonic sodium chloride solution in the first hours because there is an excess of sodium salts in the blood.
• Rehydration is best performed with 2.5% glucose solution or 0.45% sodium chloride solution.
• Insulin is given in very small doses or none at all.

• Glycemia should be reduced very slowly, no more than 5 mmol / l per hour, because a sharper drop in sugar leads to pulmonary and cerebral edema.
• Small doses of heparin are used to reduce the risk of blood clots in the elderly.

When indicated, cardiac drugs and antibiotics may be administered.

Use of drops during operations

All patients with abdominal surgery, as well as if there are contraindications to normal food intake after surgery, were switched to short-acting insulin and short-acting insulin drops for type 2 diabetes mellitus, as well as for type 1 disease, regardless of how the treatment was performed. ago.

Planned operations are performed only if the glycemia in the voice is not higher than 8 mmol / l, and the maximum after a meal is not higher than 11.2 mmol / l. To compensate for diabetes during and after surgery, insulin and glucose or potassium chloride solution are given intravenously. Glucose should receive an average of about 130 g per day.

For intravenous administration in drops during operations, a standard mixture of glucose, potassium, and insulin - GKI solution is used. It contains a ratio of insulin to glucose of 0.3 PIECES per 1 g. This mixture is given for 5 hours. If patients have liver damage or significant obesity, then the insulin dose is increased.

Also, patients with diabetes during surgery can give:

• Potassium chloride for the prevention of hypokalemia.
• Plasma replacement solutions.
• Baking soda for signs of ketoacidosis.
• 10% albumin solution to prevent insulin deposition in the system.

Application of drops in the treatment of neuro- and angiopathy

Intravenous administration of drugs can also be carried out with the planned treatment of patients with diabetes. For this, drugs have been used that act directly on the vascular wall, improving microcirculation and metabolic processes in tissues.

The most common group of drugs used to treat patients with diabetes is thioctic acid. These are drugs with proven clinical efficacy of polyneuropathy.

Lipoic acid in diabetes, its drugs regulate metabolic processes that include carbohydrates and fats, improve blood cholesterol, reduce the formation of free radicals, peroxidation of lipids in nerve fibers.

Thioctic acid preparations - Thiogamma, Espa Lipon, Thioctacid, Dialipon, Berlition improve blood circulation and conduction in the nervous system, and also help in the use of glucose in skeletal muscle without insulin.

Indications for the use of drugs for diabetes:

• Diabetic polyneuropathy.
• Micro and macroangiopathy.
• Chronic hepatitis.
• Hyperlipidemia and atherosclerosis.

The administration of the drug begins with intravenous administration, prescribing 600 mg daily, with severe polyneuropathy and signs of diabetic foot, the dose may be increased to 900 - 1200 mg. The drops are delivered for 10 to 20 days, and then they switch to taking 600 mg of the medicine in tablets 1 to 3 times a day.

Read Diet for diabetes type 2

The course of treatment with thioctic acid preparations lasts from one to three months. Prophylactic administration of drugs may be recommended in doses half as low as for therapeutic use.

The use of intravenous administration of Mexidol in a complex of therapeutic measures for diabetes helps to reduce the dose of drugs to correct hyperglycemia, avoid complications of diabetes and achieve compensation for the disease in the unstable course of the disease. Mexidol is indicated for patients with impaired lipid metabolism, as well as for such pathologies:

1. Severe diabetic neuropathy.
2. retinopathy.
3. Nephropathy with manifestations of renal failure.
4. Dyscirculatory or diabetic encephalopathy.
5. Memory impairment, intellectual impairment.

The course of treatment can be carried out within 5-7 days when using 200 mg of Mexidol per 100 ml of saline. The dose is selected, focusing on the biochemical parameters of carbohydrate and lipid metabolism.

In the treatment of diabetes, drops with such vascular preparations as Actovegin, Wessel Dou F, Mildronat, Trental may be prescribed. Vitamin, hypotensive, and vasodilator drugs are also used in various combinations. The video in this article talks about how diabetes is treated with infusion therapy.

Eye drops against diabetes

People who have diabetes are more likely to develop ophthalmic diseases: glaucoma, cataracts, diabetic retinopathy, dry eye syndrome. They are more sensitive to the development of infectious processes.

All drugs for prevention and treatment are selected and prescribed by a specialist taking into account possible side effects, patient characteristics, and the presence of concomitant diseases.

Features of treatment of eye diseases in diabetes

Scientists have long discovered a direct link between diabetes mellitus (DM) and eye diseases. High blood sugar leads to poor health, disorders in the body. In particular, the vascular system suffers, the walls of blood vessels collapse and become thinner, excess fluid accumulates in the tissues of the eye, the substance of the lens becomes cloudy, and visual functions deteriorate.

Features of treatment of diseases of the visual organs in diabetes:

• in the initial stages of the disease it is possible to improve the work of the visual apparatus by proper treatment of the underlying disease (diabetes mellitus);
• the main measure of therapy is the use of eye drops, with advanced and severe forms of the disease surgical intervention is indicated;
• patients must visit an ophthalmologist once every six months, follow a diet, if necessary, adjust diet, constantly monitor glucose levels;
• the appointment of drugs is carried out only by a specialist for therapeutic and prophylactic purposes.

The course of treatment is determined individually: in glaucoma, drops are used constantly, for a long time, in other eye diseases 3-4 weeks with a break.

Choice of drops depending on the disease

The group of drops is determined by the type of disease, stage, presence of concomitant diseases in the anamnesis, and is selected by the ophthalmologist.

cataract

With diabetes, the disease is characterized by accelerated progression: fogging of the lens, impaired vision, blindness.

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Often Katahrom

Combination cataract drugs based on adenosine, nicotinamide, and cytochrome C.

It improves metabolic processes in the lens, protects the eyes from negative factors, moisturizes the mucous membranes, and removes free radicals. By using Oftan Katachrome, the maturation of the cataract slows down, the destruction of the lens cells stops.

Restriction - age 18 years due to insufficient study of the drug in this category of people.

Katalin

A cure for senile and diabetic cataracts. Catalin restores the permeability of the lens membrane, stops the destruction of a special substance. The tool is applied for several months.

Quinax

The drug is discontinued. Quinax has been previously used for all types of cataracts (senile, secondary, diabetic, congenital, traumatic).

Taufon

Vitamin preparation improves metabolism in the tissues of the eye, serves as a therapeutic and prophylactic agent for cataracts. Strengthens ongoing metabolic processes. Applied Taufon course one month with the same interval.

It is combined with the eponymous multivitamin complex Taufon Tabs.

Taurine

Russian analog of Taunton. The drug is characterized by the same indications, limitations, and naming features. Taurine is significant at several times lower price, producer of raw materials, cleaning.

Glaucoma

With the disease, the outflow of intraocular fluid is disturbed, the intraocular pressure increases, and the nervous and vascular system of the organs of vision is damaged. As a result, the visual function suffers. Ultimately, the patient may become irreversibly blind in the event of an untimely diagnosis of the disease and the absence of therapy.

Betaxolol

This is the active substance of the following eye drops: Betaxolol, Betoptik, Betoftan, Xonef, Betalmic EU. After installation, after half an hour, the intraocular pressure decreases, the production of intraocular fluid decreases. The healing effect lasts 12 hours. The drug is used twice a day.

Pain, itching, photophobia, lacrimation, and short-term discomfort may occur after installation.

Latanoprost

The component increases the outflow of moisture, lowers intraocular pressure, is used for open-angle glaucoma. It is part of imported and domestic drugs: Xalatan, Xalatamax, Glaumax, Glauprost, Lanatan, Latanamol, Trilactan, Prolactan, Latanoprost-Teva. The drug is safe, restrictions on use - individual intolerance and age up to one year.

Pilocarpine

A cheap cure for the chronic form of open-angle glaucoma. Its action is based on reducing intraocular pressure. A side, an additional effect is the narrowing of the pupil. Pilocarpine is used strictly according to its intended purpose, it can cause headaches, contact forms of eyelid dermatitis, follicular conjunctivitis ..

Timolol

The substance lowers intraocular pressure, reduces the production of intraocular fluid. It is part of the drops of domestic and imported production: Oftan Timolol, Timolol, Okamed, Arutimol. With diabetes, the doctor prescribes it with caution. The drug cannot be used for bronchial asthma, sinus bradycardia and corneal dystrophy. It is used twice a day.

Armchair and Armchair forte

The combined drug based on pilocarpine and timolol requires refrigerated storage. Fotil forte is characterized by a higher dose of pilocarpine. If used twice a day, it can cause narrowing of the pupil. Contraindications for the use of drops are the same as with Timolol.

Gunfort

A complex drug based on timolol and bimatoprost. It has a stronger, pronounced effect of lowering intraocular pressure, reduces the production of intraocular fluid, and enhances its outflow. Ganfort is used in severe cases when monotherapy does not give a stable result. It is applied once a day. Restrictions on the use of Timolol.

Read Can a diabetic eat rice

Retinopathy

In addition to the disease, the vessels of the eye are also damaged, and the vessels of the heart and brain are subsequently affected in the absence of complex treatment.

Emoxipin

The drug protects the retina from harmful factors, solves intraocular bleeding, reduces the fragility and permeability of blood vessel walls, improves metabolic processes and the circulation of ocular fluids.

Emoxipin is used in courses 2-3 times a month or continuously for up to six months. When injected, a painful burning sensation and redness of the mucosa is noticed. It is made in Russia.

Emoxibel

Belarusian analog of Emoxipin with the same properties and active substance.

Learn more about the drug here.

Epoxy Optic

Domestic replacement for Emoxipin, low price.

Learn more about the drug here.

Vixipine

Unlike Emoxipin, it is presented in several forms of release: a standard bottle and disposable droppers. The second option is more desirable on the road, and an allergy to auxiliary preservatives is less likely to lead to an eye infection.

Dry eye syndrome

With the disease, patients complain of dryness and redness of the mucous membranes, a feeling of sand in the eyes, pain, burning.

Visomitin

Visomitin moisturizes the mucous membrane of the eye, protects the cornea, affects the process of creating tear fluid, improves its quality and stability, enhances healing. It is applied three times a day.

Hilo chest of drawers

The drug can be used when wearing contact lenses. Hilo-chest has the following therapeutic effects: moisturizes the mucous membranes and cornea relieve dryness and irritation.

Ophthalmic

Ophthalmic belongs to the group of keratoprotectors. Protects the cornea of ​​the eye, reduces irritation and redness, improves the physical properties of milk fluid. It is presented in two forms: an ordinary bottle and with the prefix BK without preservatives. The second form is suitable in the presence of allergies to preservatives, the need for installation outside the house. Frequency of use - 3-4 times a day.

Deflysis

The drug is based on hypromellose. Disclose has the following properties: it protects the corneal epithet, softens and lubricates, restores the production and optical properties of the tear film.

Tear

It is an artificial tear: it reduces the signs of irritation and "dry" eyes, moisturizes the cornea, affects the properties of the tear film and its contact with the surface of the eye. The spleen acts for 1.5 hours.

Drugs for the prevention and treatment of complications of diabetes

Features: Drugs used to prevent and treat complications of diabetes most often have antioxidant and vasodilating properties.

Most common side effect: allergic reactions.

Main Contraindications: individual intolerance.

Important patient information:

Medications can be used in both the first and second types of diabetes.

These funds give maximum effect with the use of the course. The doctor selects the necessary medication, assessing the needs of the patient’s body. In this case, courses of therapy with various drugs are often alternated.

Remember, self-medication is dangerous; get medical counsel before using any drug.

Drops for diabetes

Diabetes mellitus is a complex and dangerous disease, it is important not only to diagnose it in time but also to start treatment quickly. Diabetes mellitus uses a complex treatment, which includes insulin therapy, diet, exercise, a proper and healthy lifestyle. Drops for diabetes mellitus are placed mainly to normalize the patient's health condition, to improve his general condition.

What medications are used for diabetes?

The drops can be given to all diabetics, but they are most needed by people with endogenous hormone deficiency. Such patients may become comatose, their well-being may suddenly deteriorate, and without timely medical attention, there is a danger of serious danger and even death. Thus, the drops are most often given for type 1 diabetes.

Diabetes drops not only improve the general well-being but is also used to prevent the development of cardiovascular diseases. Medication that is properly administered restores the lipid profile and strengthens the blood vessels in the body.

Drops for diabetics are relevant for use in the following cases:

• high blood sugar;
• high or low blood pressure;
• abnormal lipid levels.

If the indicators are normal, the droppers are not placed. At best they will be useless, at worst they can harm the body.

From the main medications prescribed to diabetics to improve their condition, the following can be distinguished:

• Actovegin - activates metabolic processes in body tissues;
• Mexidol - is prescribed for the prevention of VVD, as well as for improving the microcirculation of blood in the veins;
• trental - is prescribed to reduce blood viscosity and improve microcirculation.

Drops for coma

However, diabetics are most often given drops with a comet - ketoacidosis, hypersmolar, hypoglycemic. The content of such drops varies according to the patient's health and blood sugar level.

With diabetic coma, drops are made with insulin and saline. In addition, drugs such as cocarboxylase, ascorbic acid, and vitamins are introduced. The main goal is to remove the patient from the coma. Medications can be different, they can be supplements, because each situation is individual, and the doctor already decides which medications to use and in what order.

Hyperosmolar coma - increased glycemia. The main goal here is to reduce performance, to fill the body with fluid. Saline and sodium bicarbonate are given to panic. It is also necessary to take up to 6 liters of fluid a day. In addition, panangin, cocarboxylase, ascorbic acid, and other medications may be prescribed to help combat the associated complications.

With hypoglycemic coma, glucose drops are prescribed. In particularly severe cases, adrenaline, glucagon, and glucocorticosteroids are prescribed. In addition, a carbohydrate solution is required.

Is it possible to make droppers at home and is it recommended?

Infusion therapy is the most difficult in modern medicine because it is quite difficult to choose the most appropriate drugs. It is forbidden to make drops at home because it can cause complications.

Infusion measures should be performed exclusively in a hospital and under the supervision of an experienced professional. The doctor conducts an examination, collects a complete medical history, and only after that certain medications are prescribed.

Without the use of diabetes drops, it is sometimes difficult to cope with the disease, especially in cases when the patient falls into a coma. Preventive infusions significantly reduce the risk of complications, help reduce disease progression and reduce the risk of ulcers.

In any case, the drops are justified only if prescribed by a doctor. Do not trust unreliable experts or traditional medicine, keep in mind that diabetes is a dangerous and insidious disease. Any incorrectly chosen medicine can cause complications, get into a coma, and if you do not provide timely professional medical help, it is likely that it will lead to a fatal outcome.

Crushers for diabetes mellitus type 2 and type 1

Intravenous infusion of various drugs in the pathology of the endocrine system is often used during acute pathological conditions that endanger a person's life. Diabetes drops are used in preparation for surgery as well as during treatment in the intensive care unit. The drugs are used in diseases of type 1 and 2. ..

Intravenous infusion with high glucose

Why put a dropper for diabetes

The result of a long-term increase in blood sugar is damage to the heart, blood vessels, and nervous system. Due to improper treatment, violation of diet, lack of insulin and other factors, the body of diabetics can not cope with the load, critical dangerous conditions arise.

Diabetic coma is divided into three syndromes in which there is an emergency intravenous infusion:

• ketoacidotic coma or ketoacidosis;
• hyperosmolar coma;
• hyperlactacidemic coma.

A diabetic is at risk of developing hyperglycemic coma due to improper administration of insulin preparations.

Type 1 and 2 diabetes

The drop should quickly remove the condition of hyperglycemia, which is dangerous for any diabetic.

The appointment of intravenous infusion of medicinal solutions occurs in such situations:

1. High blood glucose.
2. Change in blood pressure.
3. Increased lipids.

In addition to normalizing blood glucose, infusion therapy has a positive effect on the functioning of internal organs:

1. Repeated disturbance of acid-base balance in the patient's body is restored.
2. Brain cells reliably protect against hypoxia after the active action of drugs.
3. Therapy activates microcirculation.
4. Harmful substances are removed quickly.

Important! Diabetes drops are most often given with the type of disease and absolute hormone deficiency. This situation arises due to the fact that it is difficult to control insulin levels and often a person develops a coma.

Complications of diabetes and their modern treatment

Causes of intravenous infusion for type 2 disease

The main reason for the treatment of type 2 diabetes is considered to be impaired strengthening due to the pathology of the cardiovascular system. There are special courses for the treatment of intravenous infusion of diabetics.

If the patient has a stable sugar level, normal blood pressure, and the amount of fat in the body, a proper diet, and certain medications will suffice. In all other cases, special infusion therapy cannot be omitted.

Administration of Ketoacidosis Drugs

Due to the decrease in the production of the hormone insulin or its absence in the body, the glucose in the patient's blood rises sharply. In such a situation, the body becomes dehydrated.

During acute diabetic decompensation of metabolic processes in the patient's body, in addition to high glucose values, the amount of ketone bodies in the blood increases, and they also appear in the urine. This condition requires urgent hospitalization, and therapy does not go without a drug infusion.

Ketoacidosis coma in diabetes and its treatment

How pathology arises

With the lack or complete absence of the hormone insulin, the production of glucose in the liver increases, while its use in muscle, liver, and adipose tissue worsens. The pathological process leads to hyperglycemia.

In case of insulin deficiency, the body receives energy during the processing of free fatty acids, which leads to by-products - ketone bodies. They form so quickly that they do not have time to delay, ketoacidosis develops.

Modern infusion therapy

Drops for type 2 diabetes are administered concomitantly with discontinuation of tablets and intramuscular administration of short-acting insulin preparations. An intravenous infusion is given for a long time in the hospital.

Therapy is divided into three points:

• rehydration with a large amount of saline;
• correction of acid-base state of blood to indicators of 16.7 mmol / l, support of indicators at normal level;
• Glycemic control by hormone injections every 4 or 5 hours.

Infusion therapy for the pathology of the endocrine system

Solutions are given intravenously:

• sodium chloride;
• potassium preparations;
• sodium bicarbonate.

The amount of each solution and the time of the procedure depend on the condition of the victim, his age, and individual characteristics.

Intravenous infusion of solutions in the pathology of the endocrine system

Hyperosmolar coma

Dangerous pathology is often found in people with diabetes after the age of 50. Although such coma occurs less frequently than ketoacidosis, mortality occurs in 50-60% of cases, so treatment is started immediately.

It is characterized by high blood glucose levels simultaneously with hyperosmolarity. Hyperglycemia and fluid loss lead to the rapid development of coma in the patient.

First of all, it is necessary to remove dehydration and restore normal plasma osmolarity, so start infusion therapy immediately:

1. In the first hours of the pathological condition, you need to enter up to 2 liters of hypotonic solution, and then the isotonic solution continues to drip until glucose drops to 12 mmol / l.
2. When blood sugar is reduced, a 5% glucose solution with insulin is given at the same time to prevent hypoglycemia.

Diabetes glucose solution

Drops to prepare for surgery

In diabetes mellitus, the drops are placed before surgery with ultrasound and short-acting insulin.

Routine surgical intervention is performed after the sugar level is not higher than 8 mmol / l before meals.

If there are no liver problems and a lot of extra pounds, the diabetic will need a dropper with glucose, insulin, and potassium - the usual mixture is given for 5 hours.

You may also need the following system:

• potassium chloride solution to prevent hypokalaemia;
• plasma replacement drugs;
• sodium bicarbonate with ketoacidotic coma;
• egg white.

First aid for complications of diabetes

Treatment of neuropathy, angiopathy

Drops for type 2 diabetes are also given to prevent the severe consequences of endocrine system malfunction. With damage to the nervous system in diabetics, the drops are usually placed with thioctic acid. The drug effectively fights polyneuropathy.

Thiogamma, dialipon, and other drugs are used to improve blood circulation in the nervous system. Lipoic acid is introduced to regulate metabolic processes, lower cholesterol. Indications for such treatment will be polyneuropathy, angiopathy, hyperlipidemia.

Actovegin

Before use, the drug is diluted with a solution of glucose or sodium chloride ..

The general course of treatment consists of 20 procedures and has the following effects on the body of diabetics:

• stimulates tissue regeneration processes;
• speeds up metabolism;
• removes various damage to blood vessels.

In diabetes, Actovegin relieves such acute symptoms as pain, heart discomfort, tingling, tingling. One of the common indications for the drug is diabetic polyneuropathy. Actovegin diabetic drops are replaced by tablets after 3 weeks.

With a prolonged rise in blood glucose, the nervous, cardiovascular system suffers. To strengthen the body, improve the general well-being of the patient, drops are prescribed for diabetes mellitus for blood vessels.

Infusion therapy for high blood sugar

Possible contraindications to the procedure

In diabetes, the drops are placed only on the recommendation of a doctor after a thorough diagnosis.

In the following diseases, medicinal substances cannot be introduced into the patient's body in this way:

• myocardial infarction;
• fluid retention in tissues;
• liver and kidney failure;
• pulmonary edema;
• During pregnancy and lactation;
• poor blood coagulation;
• hypertension;
• individual drug intolerance.

Important! Caution should be exercised with intravenous infusion if a diabetic has recently undergone surgery.

The right way to live with diabetes

Because the diagnosis of diabetes increases the risk of cardiovascular disease by 5 times, the prevention of complications often focuses on these important organ systems.

1. Timely use of the drops reduces the risk of diabetic ulcers.
2. Intravenous infusion neutralizes the action of the pathological process, stops its negative consequences.
3. The number of side effects, various complications is reduced.
4. The load on the vessels and the nervous system is reduced.
5. The prognosis will be favorable with proper treatment, a complete change in lifestyle and diet. Improving the quality of life of diabetics, as well as avoiding the many consequences of the pathology of the endocrine system allows proper infusion therapy.

Drops for diabetes

Diabetes is an endocrine disease that can lead to irreversible pathological processes in almost the entire body.

Diabetes drops are also used to maintain the general health of the patient and prevent complications and remove him from the living condition.

As a rule, type 1 diabetics need more drops, due to the increased risk of a sudden deterioration in well-being and the occurrence of coma.

However, drops for type 2 diabetes are also not excluded. With the help of intravenous infusions, it is possible to stabilize the state of human health with some deviations from the norm.

Drops for better health

The importance of drops for diabetics and their composition is determined exclusively by an expert based on:

• excess glucose in the body;
• deviations from the norm of blood pressure indicators;
• excess lipids.

With normal indicators of blood pressure, as well as the level of glucose and lipids in the body, the use of drops will not bring any effect but can cause side effects

In this case, do not engage in treatment and if you do not feel well, you should consult a doctor to help you decide on the appropriate medication.

Actovegin

The drug is diluted with glucose or saline and poured into a vein by drip in a volume of 250 to 500 ml. The course of treatment is about 20 procedures.

"Actovegin" is available in the form of tablets, gels, ointments, creams, solutions for injections, and infusions. Infusion use of the drug allows you to achieve the best results

Actovegin has the following effects on the body of diabetics:

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• helps to improve glucose tolerance due to insulin-like action, ie has an antidiabetic effect;
• Studies have found that the drug eliminates or minimizes the manifestations of diabetic neuropathy: it reduces pain and stiffness in the affected areas, improves their tactile sensitivity. This effect not only helps to improve the psychological state of patients but also allows you to increase physical stress on the body;
• helps to improve intracellular oxygen metabolism in each organ, resulting in a reduction in hypoxic changes in damaged tissues during metabolic disorders;
• due to the specific enzyme superoxide dismutase contained in the agent shows antioxidant properties;
• possesses regenerative properties, which is especially important in diabetic polyneuropathy with the formation of ulcers on the lower extremities.
• fights diabetic angiopathy prevents and helps eliminate cardiovascular pathology, heart attack, stroke, gangrene.
• After infusion therapy with the drug, oral administration is possible.
• In some cases, the use of the drug leads to swelling, allergic reactions, and an increase in total body temperature.
• Also, Actovegin is not recommended for use:
• before the age of three;
• with allergic reactions to drug components;
• with disorders of the heart and lungs;
• during pregnancy and action.

As a rule, the drug is well tolerated by patients, side effects are rarely noticed.

Trental

The drug contributes to:

• reduction of blood viscosity, improvement of microcirculation, which reduces the risk of thrombosis;
• increased clearance in the vessels due to the accumulation of Edenic acid on their walls;
• increased elasticity of blood vessels due to blocking the activity of phosphodiesterase enzymes;
• relaxation of the smooth muscles of blood vessels, a slight dilation of their walls, while practically not changing the frequency of heart contractions;
• normalization of cellular respiration in the tissues of the central nervous system, kidneys, arms, and legs;
• improving metabolism in the central nervous system and its electrical conductivity;
• blood flow to peripheral extremities.

The active component of Trental is pentoxifylline, which gives the drug a vasodilating effect

Diabetics have prescribed the drug for peripheral circulatory disorders caused by atherosclerotic pathologies (diabetic angiopathy), trophic ulcers, ischemic conditions, impaired blood circulation in the eyes, etc.

The specialist determines which dose of the drug should be administered to the patient, based on the patient's medical condition and the desired effect.

Trental has many side effects and contraindications, which makes it impossible to use it without a prescription.

Mexidol

The anti-diabetic drug not only protects membranes and fights free radicals, but also leads to:

• blood oxygen saturation;
• improves blood circulation, as well as its rheological properties (viscosity and fluidity);
• reduce cholesterol in the body;
• activation of cell energy base;
• prevention of pathological changes and regression of atherosclerotic changes in blood vessel walls.

The main active ingredient of Mexidol is ethylmethylhydroxypyridine succinate, which determines its antihypoxic and antioxidant orientation.

• "Mexico" is of special importance in diabetic encephalopathy because of its ability to eliminate metabolic and vascular disorders in the brain, as well as to restore damage to speech, memory, attention, intelligence, and other manifestations of the disease.
• The drug is not used for hypersensitivity to its components, as well as for pathological changes in the liver and kidneys, etc ..
• As a rule, drops with Mexidol are given 2 to 4 times a day in a dose of 200-500 mg for 10-14 days, with further reduction.

Reopoliglyukin

In diabetes, the drug is used to:

• prevent the formation of blood clots;
• normalize arterial and venous blood flow;
• neutralize toxic substances in the body;
• prevent blood cell aggregation.

"Reopoliglyukin" normalizes blood viscosity and blood circulation in the body

Reopoliglyukin has contraindications and side effects, including jumps in blood pressure, dizziness, fever, and other negative manifestations up to anaphylactic shock.

Rheopolyglucin diabetes drops are not used together with glucose solution (5%).

The use of the drug by infusion should be carried out under the supervision of a physician up to 3 times in 7 days, in an amount of 400 ml. The course of treatment is 6 to 8 times.

Droplet disability is manifested in a coma, the occurrence of which is possible in diabetes mellitus and the patient needs urgent medication. It should be noted that the treatment regimen may vary depending on the patient's condition and the characteristics of the course of the disease.

Ketoacidosis coma

In order for the patient to withdraw from a coma and subsequent treatment, specialists in complex therapy use the following drops of medication:

1. injected insulin into a vein or intramuscularly from 10 to 20 units. An insulin dropper is then used (0.1 units per 1 kg of patient weight or 5 to 10 units in 60 minutes);
2. fill the body with fluid, using saline from 5 to 10 ml per 1 kg of body weight for 1 to 3 hours;
3. put a dropper with glucose (5%) and sodium chloride (0.45% solution) when the body sugar level drops to 16 mmol / l.

Hyperosmolar coma

The first measures of withdrawal of the patient which follow by infusion of the following drugs:

• with lowering blood pressure: sodium chloride (0.9% solution) with glucose (5% solution) in a volume of 100 to 2000 ml;
• with arterial hypertension resort to a dropper with magnesium sulfate or its intravenous administration;
• dehydration is removed by dripping 0.9% sodium chloride in amounts of 1000 to 1500 ml in the first hour. Over the next two hours, the amount of drug is reduced and ranges from 500 to 1000 ml, in the future - from 300 to 500 ml;
• during the first 60 minutes a 5% glucose solution is injected dropwise in amounts of 1000 to 1500 ml, followed by a reduction within two hours from 500 to 1000 ml, then from 300 to 500 ml.

The main goal of therapeutic measures, when the patient withdraws from a hyperosmolar coma, is: restoration of blood pH, elimination of dehydration, and normalization of glucose levels in the body

In parallel, insulin drop therapy.

The patient is constantly tested, depending on the results of which, the doses of drugs used vary.

Hypoglycemic coma

With critically lowered glucose levels in the body, the patient is injected with glucose (5%) intravenously, by injection, dropper, or even as an enema, while maintaining the cardiovascular system and other organs.

surgery

Diabetes surgeries are performed at a glucose level in the patient's body of less than 8 mmol / l on an empty stomach. In some cases, the use of a drop of glucose and insulin during surgery is recommended for a patient with type 2 diabetes to normalize sugar levels.

contraindications

Drip therapy for diabetes is contraindicated in:

• absence of urine in the bladder (anuria);
• pathological processes of acute and chronic nature in the kidneys and liver;
• acute myocardial infarction;
• puffiness;
• pulmonary edema;
• decompensated heart failure;
• hypersensitivity to the components of the drug;
• pregnancy and lactation.

The use of drops at home, even for preventive purposes in diabetes, is not recommended. Procedures should be performed in a clinic or hospital under the supervision of a specialist.

Types of drops for diabetes

Diabetes drops are prescribed to support overall health and some complications. These procedures help maintain the patient's condition because they normalize blood sugar and metabolism.

Indications for the use of a dropper for diabetics

Indications for the use of droppers for diabetes mellitus are as follows:

1. A diabetic coma with high sugar levels that cannot be eliminated with standard medications.
2. Hyperosmolar coma.
3. Hypoglycemic coma - a sharp drop in blood sugar to a critical level.
4. Prevention of cardiovascular diseases in diabetics.
5. Surgery - to monitor blood glucose during surgery.
6. Ketoacidosis is a serious complication of diabetes, in which the kidneys do not have time, remove ketone from the body and, as a result, the diabetic can fall into a coma.
7. Neuropathy - damage to nerves and nerves. It is found in diabetics most often in the region of the lower extremities, in the feet.
8. Angiopathy is a vascular lesion that is common in people with diabetes.

Diabetes drops can be given periodically in the form of prophylaxis, and urgently in a critical condition.

Prevention drops are used to cleanse the body of toxins and toxins, as a restoration of water and acid-base balance, as well as to improve blood microcirculation in all vessels and small capillaries.

Depending on the patient's condition, such as diabetes mellitus, different drugs in the required dose are applied droppers. In most cases, this is done on an outpatient basis under the supervision of a specialist and according to a doctor's prescription.

You cannot prescribe the drops yourself, as this can lead to overdoses, complications, and a lot of side effects. In critical conditions, drops may be urgently needed, so the patient is called an ambulance.

Diabetic coma

A particularly dangerous condition that requires urgent medical attention. Diabetic coma is of 4 types, including:

1. Hypoglycemic coma.
2. Hyperglycemic coma.
3. Hyposmolar.
4. Lactacidymic.

A drop for diabetes can be given in case of hypoglycemic coma

Hyperglycemic coma is the only condition in which diabetes can and should give insulin. If you do not take the necessary measures, then any of these types of diabetic coma can occur death. In a lactic acid coma, mortality reaches 90%, so measures should be taken as soon as possible.

With hypoglycemia

Hypoglycemia is a condition with a sudden drop in blood sugar. It most commonly occurs in type 1 diabetics when the insulin dose is not calculated and the blood sugar level drops to a critical level.

Also, sugar levels can be lowered with great physical exertion and the wrong technique of giving insulin. In addition, sugar decreases with some dietary errors, severe stress, or alcohol intake.

• Pale skin.
• Fast pulse.
• Dizziness as well as headache.
• Changes in behavior, a person may become aggressive or vice versa too kind.
• Confused breathing, possible loss of consciousness.
• At night - restless sleep and nightmares.

Dizziness is one of the symptoms of hypoglycemia.

If measures are not taken in time, the patient may die. Sometimes it is enough to give a person a small piece of bread, sugar or another carbohydrate in a light form, but in difficult situations, this can cause even more damage.

If a person switches to intensive care with glycemia in 3-4 stages, then he is injected with a jet solution of glucose 80-100 ml of 40% glucose solution. If there is no effect, an infusion of 5% glucose solution is performed.

Hypoglycaemic coma occurs when blood glucose falls below 3 mmol/liter. Complications after this condition can be a stroke or myocardial infarction.

If the patient has high blood pressure, then a solution of magnesium sulfate is added to the dropper.

With hyposmolar coma

This is another coma, characterized by a severe metabolic disorder. The condition develops within a few weeks. An important sign is that glucose levels are not regulated by medication. Mortality, with such a coma, reaches 50%

Using hyposmolar coma, the patient is given drops from several drugs:

• With a drop in blood pressure - 0.9% sodium chloride solution and 5% glucose. The total volume of the dropper is 100-2000 ml.
• Elimination of dehydration - a solution of 0.9% sodium chloride in an amount of 1000-1500 ml in the first hour of the condition.
• 5% glucose and 1000-1500 ml drip also in the first 60 minutes.

Sodium chloride solution is prescribed to eliminate dehydration

Thus, the goal of hyposmolar coma therapy is to restore the pH level in the blood and the level of glucose in the body.

With ketoacidosis

It is a condition of the patient, in which there is an increased production of ketone bodies. In diabetes, which drops are used in this condition, they will tell the doctor on duty. Often, ketoacidosis is the first sign of type 1 diabetes. Mortality - up to 15%. symptoms

1. Nausea, vomiting.
2. Severe abdominal pain.
3. The smell of acetone from the mouth.
4. The presence of acetone in the urine (can be detected by special strips).
5. Dizziness, lethargy, drowsiness.

With severe ketoacidosis, it is recommended that the patient be hospitalized with outpatient administration of a drop of isotonic sodium chloride solution.

For the cardiovascular system

Because the heart and blood vessels of patients with diabetes are stressful and destroyed, doctors use a variety of prevention and health support measures. Thus, the patient can lead a long, full, active life, regardless of the diagnosis.

There are several medications I use in drops to maintain and restore the vascular system of patients with diabetes:

Actovegin. It supports normal metabolic processes and stimulates cell and tissue regeneration. It is prescribed for violations of the peripheral vascular system, arterial and venous. The course of treatment is three weeks of 250-500 ml. The drug is used for both types of diabetes. It helps reduce pain and stiffness in the legs, which are often found in diabetics.

Trental. Improves blood microcirculation. It reduces the resistance of all the vessels in the body and also dilates the coronary vessels. The drops are applied 1-2 times a day, and the doctor should calculate the dose of the drug based on the individual characteristics of the patient.

Mexidol. It is given strictly through a dropper and helps reduce platelet aggregation. It is an excellent remedy for vegetative-vascular dystonia, which often develops in type 2 diabetics. It lowers cholesterol. The course of the drops is 3-10 days, depending on the condition and need.

Reopoliglyukin. These drops for diabetes for blood vessels perform the function of preventing the appearance of blood clots. It also removes toxins and reduces blood viscosity. The drops are applied 3 times a week, with a dose of 300-400 ml. It is not recommended to perform more than 8 procedures in a row. This course is quite enough to get the desired result and improve the patient's condition.

Mexidol is one of the medications given through diabetes drops

The main advantage of drops, compared to tablets and injections, is that they work immediately, while tablets only work after a certain period.

With neuropathy and angiopathy

To maintain the normal functioning of the nervous system, so as not to cause complications in the form of polyneuropathy, experts recommend drops that use thioctic acid. The course of treatment is 10 to 20 days. If there is a further need for this drug - prescribe similar tablets.

Lipoic acid is also used. Both of these acids are involved in the conversion of carbohydrates into energy, which is important for patients with type 2 diabetes.

Neuropathy in diabetics is manifested by the following symptoms:

• Heartburn.
• Limb tingling.
• Blood pressure.
• In men - problems with potency.
• Pain.

In this case, with a severe form of neuropathy, the patient is hospitalized, and he receives thioctic acid intravenously, dripping at a dose of 300-600 mg for 3-4 weeks.

During surgical interventions

Any surgical intervention is allowed only if the blood glucose content of patients with diabetes does not exceed 8 mmol/liter.

Therefore, drops for type 2 diabetes during surgery are prescribed with insulin to maintain normal glucose levels.

The specific dosage is calculated by the doctor depending on the severity of the operation, the patient's condition, as well as the initial level of glucose and the possibility of its jump.

Contraindications to the procedure

Despite all the benefits, the drops have contraindications. First of all, they are based on the contraindications for drugs given by dripping to the patient. But there are general contraindications:

1. Anuria (a condition where urine does not enter the bladder).
2. Acute and chronic liver and kidney diseases.
3. Acute myocardial infarction.
4. Pulmonary edema.
5. Severe swelling.
6. Pregnancy and breastfeeding.
7. Hypersensitivity or intolerance to those drugs that enter the solution.
8. Decompensated heart failure.

Diabetes drops are contraindicated in kidney disease

In addition to hypoglycemia, it is forbidden to inject insulin in any form, because otherwise, it can lead to the death of the patient.

General rules for placing drops for diabetes

You cannot put the dropper on yourself, it should be done by a doctor who will correctly calculate both the dose and the need for the dropper. The general rules are as follows:

The endocrinologist calculates the dose of the drug and the course of treatment after examining the patient.

A diabetic for giving drops should lie down or take a comfortable position because the average duration of one procedure is at least half an hour.

Instruments should be sterile, ideally disposable.

The rate of drug administration depends on the doctor's prescription, which takes into account many factors, including the composition of the solution.

Diabetes of any type involves not only monitoring blood glucose levels but also monitoring the general condition of the patient. It is necessary to adhere to dietary standards, physical activity and monitor your health.

Therefore, patients are periodically prescribed drops to maintain normal glucose levels, blood vessels, as well as during surgical interventions. This form of medication is very effective because it starts working immediately.

This is especially important in critical conditions of patients with diabetes. It is important that the doctor prescribes a dropper, given all the nuances of the diabetic's condition.

How and what do drugs do for the blood vessels in diabetes?

Vascular drops for diabetes are needed, as well as maintaining normal glucose levels. After all, diabetes mostly affects the cardiovascular system. All metabolic processes and cholesterol levels depend on the work of the vascular system.

The need for drops for diabetes

Drip medications for diabetes are prescribed if the level of indicators such as blood sugar, fat, and blood pressure is weakened. It is also an indicator of the prevention of cardiovascular disease.

Also, droplet solutions prevent ulcerative formations, stop already progressing complications, restore organ function with neuropathy and retinopathy. If there is atherosclerosis, which is often associated with diabetes, the dropper will help destroy and remove excess cholesterol, and in the future will prevent it from settling on the walls of the arteries.

In addition, the drops contribute to improving general well-being, strengthening the immune system, accelerating all metabolic processes.

General rules of procedure

The infusion of the solution by drip should be carried out with special precision. This is the only way to achieve maximum efficiency. For this reason, it is not recommended to apply the drops on your own - this should only be done by a specialist.

There are general rules for the procedure for placing drops for diabetes mellitus:

• the endocrinologist conducts a comprehensive examination, on the basis of which the drug is prescribed, the duration of the course, and the dosage;
• the average duration of such therapy is 10-20 infusions, and the positive effect will be noticeable after only a few procedures;
• if necessary (for different conditions), insulin, saline, ascorbic acid, cocarboxylase, vitamins may be added;
• when installing a dropper, the diabetic should take a comfortable posture, preferably lying down;
• sterile disposable instruments are used to administer the drug by drip;
• after installing the dropper, the medical staff determines the number of infusion drops per minute, it depends on the drug and the doctor's examination.

What medications are injected for diabetes?

Actovegin

Actovegin is actively used to treat cardiovascular pathologies. It is indicated for diabetes. It has a number of medicinal properties:

• speeds up metabolism;
• regenerates cells and tissues;
• relieves pain;
• neutralizes stiffness;
• improves glucose tolerance - has an insulin-like effect;
• has an antioxidant effect (due to the content of the enzyme superoxide dismutase);
• regenerates damaged cells and tissues;
• reduces the viscosity of blood fluid;
• accelerates blood circulation, preventing the development of thrombosis;
• increases the elasticity of blood vessel walls (blocks phosphodiesterase);
• relaxes smooth muscles in arteries;
• gently dilates blood vessels, lowering blood pressure;
• increases clearance.

Actovegin is given in an amount of 250 to 500 ml per day for 21 days. It is actively used in diabetic polyneuropathy and angiopathy, which improves the psychological state of diabetics, as tactile sensitivity appears and it becomes possible to increase physical activity.

The drug has minimal contraindications: the period of pregnancy and lactation, the age limit of 3 years, allergy to components and some lung and heart lesions. Side effects are extremely rare.

Trental infusion solution

It is based on a substance with vasodilating action - pentoxifylline. The main direction of the drug is to accelerate blood circulation in the body, normalize blood viscosity.

Trental drops produce the following therapeutic effect:

• saturation of blood fluid with oxygen;
• nutrition of tissues and cells with useful substances that supply the blood;
• improving the rheological properties of blood fluid;
• destruction and removal of bad cholesterol;
• activation of the body's energy reserves at the cellular level;
• preventing the formation of cholesterol.

Trental significantly dilates coronary vessels and reduces peripheral resistance of the entire vascular system. Therefore, it is actively used in diabetic angiopathy. The drug is indicated for the prevention of trophic ulcers, stroke, heart attack, and vascular pathologies of the visual apparatus.

The dosage and duration of the course is determined by the endocrinologist. On average, 200-400 ml can be given daily. If the dropper is put on a day, the calculation is done individually: for 1 hour of infusion, it is necessary to enter 0.6 mg of solution per kilogram of body weight of the patient.

Contraindications include bleeding, pregnancy, stroke, heart attack, etc.

Mexidol

The main effect of the solution is to speed up blood circulation. It is used for vegetative-vascular dystonia. It has the following properties:

• lipid-lowering effect;
• thrombosis prevention;
• restoration of blood flow in veins and arteries;
• neutralization of toxic deposits;
• lower cholesterol;
• preventing blood cell aggregation.

The drug is strong enough so that the duration of the course can be from 3 to 14 days. The drops are applied daily in a dose of 200 to 500 ml. The solution can be given up to 4 times a day.

Due to its antioxidant and antihypoxic effect, Mexidol is used in diabetic encephalopathy.

Reopoliglyukin

The drip solution is designed to speed up blood circulation, prevent blood clots. In addition, it has the following effect:

prevents cell accumulation and restores blood flow;

reduces blood viscosity and detoxifies.

The drug has a number of contraindications, in violation of which anaphylactic shock can occur. Therefore, self-medication is strictly forbidden.

In diabetes mellitus, the solution is given along with glucose. The drops are applied 3 times a week, the volume is 300-400 ml. Course duration - maximum 8 procedures.

Drops for ketoacidotic coma

In diabetic ketoacidosis, complex infusions are used. An insulin preparation is given first, then saline, and then sodium chloride with glucose. Doses are determined by your doctor.

Drops for the preparation of hyperosmolar coma

Possibilities for drugs that can be used with hyperosmolar coma:

• if the diabetic has low blood pressure, a solution of sodium chloride and glucose is used;
• with high blood pressure, magnesium sulfate is applied;
• to remove dehydration put a dropper with sodium chloride;
• in other cases, glucose is used.

Hypoglycaemic coma infusion solutions

In case of hypoglycaemia, a dropper with glucose is required. Insulin is strictly forbidden.

Drops for surgical interventions

In order for the operation, which the diabetic performs, to be successful, it is necessary to perform drop-by-drop captions of glucose and insulin in certain cases. The main thing is to normalize blood glucose levels.

The treatment regimen, dosage, duration of the course and other regulations for each patient are different and are determined exclusively by the doctor. It depends on the type of diabetes, the patient's condition, the severity of the disease, and the characteristics of the body.

contraindications

Each drug has its own contraindications and side effects, but it is forbidden to give drops to diabetics for blood vessels in such general cases:

• individual intolerance to one or the other component;
• incompatibility of the prescribed drug with the means taken by the person (therefore, be sure to inform the endocrinologist about all the drugs you consume without prescribing them);
• myocardial infarction and cerebral infarction in the acute period;
• coronary heart disease;
• decompensated heart failure;
• pulmonary edema;
• period of pregnancy and lactation;
• anuria
• exacerbated kidney disease;
• some liver pathologies;
• non-elimination of fluid from the body.

Caution should be exercised when dripping medications to diabetics with arterial hypotension (low blood pressure), hemophilia (blood clots weak, resulting in bleeding). It is also undesirable to put drops after surgery.

With diabetes, blood vessel drops are needed, but the doctor should be concerned with the choice of medication. If you do not adhere to the contraindications, serious complications that lead to death are possible. Every diabetic should understand the importance of a preliminary comprehensive examination and strict adherence to all endocrinologist prescriptions.