1.Comprehensive treatment of sugar reduction and liver preservation and sugar reduction: liver disease is the real cause of hepatogenic diabetes mellitus, simple sugar reduction treats the symptoms but not the root cause. 2, moderate dietary control: most patients with cirrhosis are malnourished, if the diet is overly restricted in order to control blood sugar, it will aggravate hypoproteinemia and affect the regeneration and repair of liver cells. In addition, improper dietary control will also lead to vitamin
K intake will be reduced, which will cause coagulation dysfunction. Therefore, the caloric intake of liver-derived diabetic patients should be appropriately relaxed, giving high protein, low salt, low fat, high vitamin easy to digest food. 3, sugar desirable insulin: because liver function has been significantly damaged, so the treatment as far as possible without oral hypoglycemic drugs, the vast majority of oral hypoglycemic drugs have to go through the liver metabolism, will increase the burden on the liver, so that liver disease aggravated or even induced liver failure. Insulin can not only effectively lower blood sugar, but also favorable liver cell repair and liver function recovery, which is the best choice for liver-derived diabetes. When choosing the dosage form of insulin, it is best to use short-acting (or ultra-short-acting) insulin, and it is not advisable to use medium- or long-acting insulin. Because the liver glycogen reserve is insufficient in cirrhosis, the ability to regulate blood glucose is reduced, and hypoglycemia can easily occur, and the use of medium- and long-acting insulin does not facilitate rapid adjustment and correction once hypoglycemia occurs. Patients with basically normal liver function can also take diet therapy and oral
a glucosidase inhibitor (such as bactrim) to control blood glucose, the latter mainly works in the intestinal tract, almost not absorbed into the blood, and has no adverse effect on the liver and kidney.