Title: Medication Instructions for the Sick Diabetic
题目：重症糖尿病的用药策略
Author 作者： Ellen Lemkin

Hold metformin if the patient is at risk for dehydration (eg. vomiting, diarrhea) due to the risk of lactic acidosis
如果病人有脱水的倾向（如呕吐，腹泻），停止用二甲双胍，因其有产生乳酸性酸中毒的危险
Medications that stimulate insulin secretion (eg. sulfonylureas, repaglinide, or nateglinide) should be held if the patient is at risk for hypoglycemia
如果病人有发生低血糖的倾向，要停用刺激胰岛素分泌的药物（如磺脲类，瑞格列奈，那格列奈）
Patients usually should continue their basal insulin, but may decrease or hold their bolus dosing.
患者通常应继续用他们的基础胰岛素，但可以减少或停用静注剂量
Finger sticks should be checked every 2-4 hours for those on insulin, or 2-4 times per day for type II diabetics not on insulin.
对用胰岛素病人， 要每2-4小时检查指血；而没有用胰岛素的II型糖尿病患者要每天检查2-4次

References参考文献:
Diabetes. Pharmacist's Letter March 2013;29(3):13-4.