Underdosing of insulin and oral hypoglycemic [antidiabetic] drugs, sequela Save

Underdosing of Insulin and Oral Hypoglycemic Drugs: The Sequela

Underdosing of insulin and oral hypoglycemic drugs is a common problem among patients with diabetes. This can occur due to a variety of reasons, including fear of hypoglycemia, forgetfulness, lack of understanding of dosing instructions, and financial constraints. However, underdosing of these medications can have serious consequences.

1. Hyperglycemia: Underdosing of insulin and oral hypoglycemic drugs can lead to high blood sugar levels, known as hyperglycemia. This can cause a range of symptoms, including excessive thirst, frequent urination, fatigue, blurred vision, and slow healing of wounds. Over time, hyperglycemia can lead to serious complications such as cardiovascular disease, kidney damage, and nerve damage.
2. Ketoacidosis: If underdosing of insulin is severe and prolonged, it can lead to a condition called diabetic ketoacidosis. This occurs when the body starts to break down fat for energy instead of glucose, leading to the production of ketones. This can cause symptoms such as nausea, vomiting, abdominal pain, and confusion. Diabetic ketoacidosis is a medical emergency and requires immediate treatment.
3. Hypoglycemia: Ironically, fear of hypoglycemia can also lead to underdosing of insulin and oral hypoglycemic drugs. However, if blood sugar levels drop too low, it can cause hypoglycemia, which can be life-threatening. Symptoms of hypoglycemia include sweating, trembling, confusion, and loss of consciousness. Severe hypoglycemia can cause seizures and coma.
4. Poor Glycemic Control: Underdosing of insulin and oral hypoglycemic drugs can also lead to poor glycemic control. This means that blood sugar levels are not well-managed, which can increase the risk of complications. Poor glycemic control can also make it more difficult to achieve treatment goals and can lead to the need for higher doses of medication in the future.

In conclusion, underdosing of insulin and oral hypoglycemic drugs can have serious consequences for patients with diabetes. It is important for healthcare providers to work with patients to ensure that they understand their dosing instructions and are able to afford their medications. Patients should also be encouraged to communicate with their healthcare providers about any concerns or questions they may have about their medications.