Titre : Biguanides

Biguanides : Questions médicales fréquentes

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: Biguanides - Questions et réponses", "headline": "Questions et réponses médicales fréquentes sur Biguanides", "description": "Une compilation de questions et réponses structurées, validées par des experts médicaux.", "datePublished": "2025-04-30", "inLanguage": "fr", "hasPart": [ { "@type": "MedicalWebPage", "name": "Diagnostic", "headline": "Diagnostic sur Biguanides", "description": "Comment diagnostiquer le diabète de type 2 ?\nQuels tests sont utilisés pour évaluer la résistance à l'insuline ?\nQuels symptômes indiquent un diabète non contrôlé ?\nComment évaluer l'efficacité des biguanides ?\nQuels sont les critères de diagnostic du diabète ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-diagnostic" }, { "@type": "MedicalWebPage", "name": "Symptômes", "headline": "Symptômes sur Biguanides", "description": "Quels sont les effets secondaires des biguanides ?\nComment reconnaître une hypoglycémie ?\nQuels symptômes peuvent indiquer une acidose lactique ?\nQuels signes indiquent une mauvaise gestion du diabète ?\nComment les biguanides affectent-ils l'appétit ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-symptômes" }, { "@type": "MedicalWebPage", "name": "Prévention", "headline": "Prévention sur Biguanides", "description": "Comment prévenir le diabète de type 2 ?\nQuels facteurs de risque sont modifiables ?\nComment le poids corporel influence-t-il le diabète ?\nQuel rôle joue l'activité physique dans la prévention ?\nLes contrôles médicaux réguliers sont-ils importants ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-prévention" }, { "@type": "MedicalWebPage", "name": "Traitements", "headline": "Traitements sur Biguanides", "description": "Comment les biguanides agissent-ils ?\nQuels sont les principaux biguanides utilisés ?\nQuand commencer un traitement par biguanides ?\nQuels sont les dosages habituels de metformine ?\nLes biguanides peuvent-ils être combinés avec d'autres médicaments ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-traitements" }, { "@type": "MedicalWebPage", "name": "Complications", "headline": "Complications sur Biguanides", "description": "Quelles sont les complications du diabète mal contrôlé ?\nComment prévenir les complications liées au diabète ?\nQuels sont les signes d'une neuropathie diabétique ?\nComment le diabète affecte-t-il la santé rénale ?\nQuels examens sont nécessaires pour surveiller les complications ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-complications" }, { "@type": "MedicalWebPage", "name": "Facteurs de risque", "headline": "Facteurs de risque sur Biguanides", "description": "Quels sont les principaux facteurs de risque du diabète ?\nL'hérédité joue-t-elle un rôle dans le diabète ?\nComment le stress influence-t-il le diabète ?\nLe tabagisme est-il un facteur de risque ?\nQuel impact a l'alimentation sur le risque de diabète ?", "url": "https://questionsmedicales.fr/mesh/D001645?page=2#section-facteurs de risque" } ] }, { "@type": "FAQPage", "mainEntity": [ { "@type": "Question", "name": "Comment diagnostiquer le diabète de type 2 ?", "position": 1, "acceptedAnswer": { "@type": "Answer", "text": "Le diagnostic se fait par des tests de glycémie, comme la glycémie à jeun ou l'HbA1c." } }, { "@type": "Question", "name": "Quels tests sont utilisés pour évaluer la résistance à l'insuline ?", "position": 2, "acceptedAnswer": { "@type": "Answer", "text": "Le test de tolérance au glucose et l'indice HOMA-IR sont couramment utilisés." } }, { "@type": "Question", "name": "Quels symptômes indiquent un diabète non contrôlé ?", "position": 3, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent soif excessive, urination fréquente et fatigue persistante." } }, { "@type": "Question", "name": "Comment évaluer l'efficacité des biguanides ?", "position": 4, "acceptedAnswer": { "@type": "Answer", "text": "L'efficacité est évaluée par la réduction de la glycémie et l'amélioration de l'HbA1c." } }, { "@type": "Question", "name": "Quels sont les critères de diagnostic du diabète ?", "position": 5, "acceptedAnswer": { "@type": "Answer", "text": "Les critères incluent une glycémie à jeun ≥ 7 mmol/L ou HbA1c ≥ 6,5%." } }, { "@type": "Question", "name": "Quels sont les effets secondaires des biguanides ?", "position": 6, "acceptedAnswer": { "@type": "Answer", "text": "Les effets secondaires peuvent inclure des troubles gastro-intestinaux et des douleurs abdominales." } }, { "@type": "Question", "name": "Comment reconnaître une hypoglycémie ?", "position": 7, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent tremblements, sueurs, confusion et palpitations." } }, { "@type": "Question", "name": "Quels symptômes peuvent indiquer une acidose lactique ?", "position": 8, "acceptedAnswer": { "@type": "Answer", "text": "Les symptômes incluent fatigue extrême, douleurs musculaires et respiration rapide." } }, { "@type": "Question", "name": "Quels signes indiquent une mauvaise gestion du diabète ?", "position": 9, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent des infections fréquentes, des plaies qui guérissent lentement et des troubles de la vision." } }, { "@type": "Question", "name": "Comment les biguanides affectent-ils l'appétit ?", "position": 10, "acceptedAnswer": { "@type": "Answer", "text": "Les biguanides peuvent réduire l'appétit, contribuant ainsi à la perte de poids chez certains patients." } }, { "@type": "Question", "name": "Comment prévenir le diabète de type 2 ?", "position": 11, "acceptedAnswer": { "@type": "Answer", "text": "Un mode de vie sain, incluant une alimentation équilibrée et de l'exercice régulier, aide à prévenir le diabète." } }, { "@type": "Question", "name": "Quels facteurs de risque sont modifiables ?", "position": 12, "acceptedAnswer": { "@type": "Answer", "text": "L'obésité, le manque d'activité physique et une alimentation déséquilibrée sont modifiables." } }, { "@type": "Question", "name": "Comment le poids corporel influence-t-il le diabète ?", "position": 13, "acceptedAnswer": { "@type": "Answer", "text": "Un excès de poids augmente la résistance à l'insuline, augmentant le risque de diabète." } }, { "@type": "Question", "name": "Quel rôle joue l'activité physique dans la prévention ?", "position": 14, "acceptedAnswer": { "@type": "Answer", "text": "L'activité physique régulière améliore la sensibilité à l'insuline et aide à contrôler le poids." } }, { "@type": "Question", "name": "Les contrôles médicaux réguliers sont-ils importants ?", "position": 15, "acceptedAnswer": { "@type": "Answer", "text": "Oui, des contrôles réguliers aident à détecter précocement le diabète et à gérer les risques." } }, { "@type": "Question", "name": "Comment les biguanides agissent-ils ?", "position": 16, "acceptedAnswer": { "@type": "Answer", "text": "Ils diminuent la production de glucose par le foie et augmentent la sensibilité à l'insuline." } }, { "@type": "Question", "name": "Quels sont les principaux biguanides utilisés ?", "position": 17, "acceptedAnswer": { "@type": "Answer", "text": "La metformine est le biguanide le plus couramment prescrit pour le diabète de type 2." } }, { "@type": "Question", "name": "Quand commencer un traitement par biguanides ?", "position": 18, "acceptedAnswer": { "@type": "Answer", "text": "Le traitement commence généralement après un diagnostic de diabète de type 2 et un échec des changements de mode de vie." } }, { "@type": "Question", "name": "Quels sont les dosages habituels de metformine ?", "position": 19, "acceptedAnswer": { "@type": "Answer", "text": "Les doses varient de 500 mg à 2000 mg par jour, selon la tolérance et la réponse du patient." } }, { "@type": "Question", "name": "Les biguanides peuvent-ils être combinés avec d'autres médicaments ?", "position": 20, "acceptedAnswer": { "@type": "Answer", "text": "Oui, ils peuvent être combinés avec d'autres antidiabétiques pour un meilleur contrôle glycémique." } }, { "@type": "Question", "name": "Quelles sont les complications du diabète mal contrôlé ?", "position": 21, "acceptedAnswer": { "@type": "Answer", "text": "Les complications incluent des maladies cardiovasculaires, des neuropathies et des problèmes rénaux." } }, { "@type": "Question", "name": "Comment prévenir les complications liées au diabète ?", "position": 22, "acceptedAnswer": { "@type": "Answer", "text": "Un bon contrôle glycémique et des examens réguliers aident à prévenir les complications." } }, { "@type": "Question", "name": "Quels sont les signes d'une neuropathie diabétique ?", "position": 23, "acceptedAnswer": { "@type": "Answer", "text": "Les signes incluent des picotements, des engourdissements et des douleurs dans les membres." } }, { "@type": "Question", "name": "Comment le diabète affecte-t-il la santé rénale ?", "position": 24, "acceptedAnswer": { "@type": "Answer", "text": "Le diabète peut entraîner une néphropathie, affectant la fonction rénale et provoquant des complications." } }, { "@type": "Question", "name": "Quels examens sont nécessaires pour surveiller les complications ?", "position": 25, "acceptedAnswer": { "@type": "Answer", "text": "Des examens réguliers de la fonction rénale, des pieds et des yeux sont essentiels." } }, { "@type": "Question", "name": "Quels sont les principaux facteurs de risque du diabète ?", "position": 26, "acceptedAnswer": { "@type": "Answer", "text": "Les facteurs incluent l'obésité, l'âge avancé, l'hérédité et le mode de vie sédentaire." } }, { "@type": "Question", "name": "L'hérédité joue-t-elle un rôle dans le diabète ?", "position": 27, "acceptedAnswer": { "@type": "Answer", "text": "Oui, un antécédent familial de diabète augmente le risque de développer la maladie." } }, { "@type": "Question", "name": "Comment le stress influence-t-il le diabète ?", "position": 28, "acceptedAnswer": { "@type": "Answer", "text": "Le stress peut affecter la glycémie et la gestion du diabète, augmentant le risque de complications." } }, { "@type": "Question", "name": "Le tabagisme est-il un facteur de risque ?", "position": 29, "acceptedAnswer": { "@type": "Answer", "text": "Oui, le tabagisme augmente le risque de diabète et de complications cardiovasculaires." } }, { "@type": "Question", "name": "Quel impact a l'alimentation sur le risque de diabète ?", "position": 30, "acceptedAnswer": { "@type": "Answer", "text": "Une alimentation riche en sucres et en graisses saturées augmente le risque de diabète." } } ] } ] }

Sources (69 au total)

The effect of final irrigation with different solutions on smear layer removal and dentin erosion: A scanning electron microscope study.

This study aimed to compare the effectiveness of initial irrigation with sodium hypochlorite (NaOCl) and final irrigation with QMix, 40% citric acid, and 17% ethylenediaminetetraacetic acid (EDTA) on ... Forty extracted human mandibular premolar teeth were randomly divided into four groups (n = 10) according to the type of final irrigants used: 17% EDTA, QMix, citric acid, and control (normal saline).... In regards to smear layer removal, there was a significant difference between the control group and the other tested groups. Moreover, it was significantly higher in the coronal and middle thirds than... Final irrigation with solutions had a higher ability to remove the smear layer in the coronal and middle thirds compared to the apical third. Of all the solutions tested, 40% citric acid had the most ...

Associations Between Drug Treatments and the Risk of Aneurysmal Subarachnoid Hemorrhage: a Systematic Review and Meta-analysis.

There is increasing interest in drug therapy for preventing aneurysmal subarachnoid hemorrhage (aSAH). We aimed to comprehensively evaluate the association between drug use and the risk of aSAH. We se...

Evaluation of the Smear Layer Removal Ability of Various Rotary Files with/without Chemical Agents on Primary Teeth: An

The aim of the current study was to assess the cleaning and smear layer removal efficacy of two different rotary files with or without chemical agents on primary teeth.... For the study, 90 extracted primary maxillary incisors without internal or external resorption and with at least two-thirds of complete roots were chosen. Then, based on the kind of instruments used t... With irrigant solution, the highest mean value was found in manual K-files (2.86 ± 0.34), followed by Kedo-S files group (1.34 ± 0.26) and Kedo-SG Blue files (1.28 ± 0.18). Without irrigant solution, ... On conclusion, the current study's findings demonstrated that irrigation solution was significantly more effective in cleaning and removing smear layers from pediatric rotary files than manual K-files... The effectiveness of endodontic therapy depends on a successful chemomechanical preparation. The canals are instrumented using either hand files or rotary instruments; there are several irrigation and...

Hip and vertebral fracture risk after initiating antidiabetic drugs in Japanese elderly: a nationwide study.

We aimed to clarify the risks of initiating antidiabetic drugs for fractures using a nationwide health insurance claims database (NDBJ).... Patients aged ≥ 65 years initiating antidiabetic drugs at the outpatient department were enrolled after a 180-day period without prescribed antidiabetic drugs and followed with during 2012-2018 using ... The DPP-4 inhibitor was the most often prescribed antidiabetic drug followed by biguanide with prescribed proportions of 71.7% and 12.9%. A total of 4,304 hip fractures and 9,388 vertebral fractures w... Initiating insulin increased the risk of not only hip fractures but also vertebral fractures. Patients initiating antidiabetic drugs had increased risks of hip and vertebral fractures compared with th...

Efficacy of different preoperative skin antiseptics on the incidence of surgical site infections: a systematic review, GRADE assessment, and network meta-analysis.

Surgical site infection (SSI) is the most common postoperative complication and substantially increases health-care costs. Published meta-analyses and international guidelines differ with regard to wh... This systematic review and network meta-analysis compared different preoperative skin antiseptics in the prevention of SSIs in adult patients undergoing surgery of any wound classification. We searche... Overall, 2326 articles were identified, 33 studies were eligible for the systematic review, and 27 studies with 17 735 patients reporting 2144 SSIs (overall incidence of 12·1%) were included in the qu... For adult patients undergoing a surgical procedure of any wound classification, skin preparation using either 2·0-2·5% chlorhexidine in alcohol or 1·5% olanexidine is most effective in the prevention ... Dutch Association for Quality Funds Medical Specialists....