The same diabetic patients, are in the glucose-lowering treatment, but the efficacy is very different, because some patients, although in the medication, but went astray, blood sugar as usual jumping up and down, complications as usual lined up to come. The first is to not trust the doctor and listen to friends In the clinic, we often encounter this type of patients, do not believe in the treatment plan developed by the doctor, but believe in the friends of the medication method, do not know, diabetes patients have great individual differences, some are mainly insulin resistance, some are mainly pancreatic islet cell function defects, and, the length of the disease is different, complications and comorbidities are different glucose-lowering treatment goals are not the same. The treatment of diabetes should be individualized scientific and rational treatment, i.e., targeted individualized treatment plan for each patient’s specific situation and condition characteristics. A thousand people can not achieve good clinical results, but may cause damage to the organism. The second way: insulin is a beast Some patients blindly resist insulin, thinking that after taking insulin, they become “insulin-dependent”, which is a big misunderstanding, in fact, insulin does not have to be maintained for life once used. In addition to the benefits of insulin, it can also protect pancreatic islet cells. For patients with short duration of disease, intensive treatment with insulin is beneficial to the recovery of pancreatic islet function, and patients can use oral hypoglycemic drugs according to their condition after the recovery of pancreatic islet function. In clinical practice, when doctors prescribe insulin for patients, they will consider the patient’s condition, and only after a comprehensive analysis of the condition, they will recommend the use of insulin if they think it will benefit the patient more. For patients with heavy disease and particularly high blood glucose, deliberately avoiding insulin for fear of insulin dependence and treating with oral medication will not only be ineffective and costly, but may even delay the treatment of the disease. Diversion 3: Eat and drink as usual Diet and exercise therapy are the cornerstones of diabetes treatment. If the foundation is not laid, how can a good building be built? Some patients, especially young patients, often do not pay attention to lifestyle interventions, taking medication at the same time, eating and drinking as usual, in this case, it is difficult to control blood sugar, for example, obese patients who do not pay attention to weight loss, the effect of insulin and pro-insulin secretagogue will be poor. Some glucose-lowering drugs are related to meals, and some patients often forget to take their medication within the prescribed time, or after injecting insulin, they cannot find a meal to eat, and this situation not only affects the efficacy, but also brings the risk of hypoglycemia. There are many things to be said about diabetes medication, and it is necessary to take the medication on time under the doctor’s orders, not forgetting diet control and exercise, regular review and timely adjustment of medication to achieve satisfactory results.