一位第二型糖尿病病人被處方甲福明 (metformin)。病人哪項陳述表示需要進一步衛教？
A client with type 2 diabetes is prescribed metformin. Which statement by the client indicates a need for further teaching?
- A'I will inform my doctor if I experience muscle pain.''如果出現肌肉疼痛，我會告知醫師。'
- B'I will take this medication with meals to reduce stomach upset.''我會隨餐服用此藥物以減少胃部不適。'
- C'I should stop taking this medication if I feel dizzy.'✓ 正解'如果我感到頭暈，我應該停止服用此藥物。'
- D'I will avoid drinking alcohol while taking this medication.''服用此藥物期間，我會避免飲酒。'
Metformin 是治療第二型糖尿病的一線藥物，常見副作用為胃腸道不適，故建議隨餐服用。其最嚴重但罕見的副作用為乳酸性酸中毒 (Lactic acidosis)。病人若出現頭暈、肌肉酸痛、呼吸困難等症狀，應提高警覺並就醫，而非自行停藥。自行停藥可能導致血糖嚴重失控，增加高血糖高滲透壓狀態 (HHS) 的風險。
Metformin is a first-line medication for type 2 diabetes. Its most common side effects are gastrointestinal, so it is recommended to be taken with meals. Its most serious but rare adverse effect is lactic acidosis. If the client experiences dizziness, muscle aches, or shortness of breath, the client should be vigilant and seek medical evaluation rather than stop the medication independently. Stopping metformin on one's own can cause severe hyperglycemia and increases the risk of hyperglycemic hyperosmolar state (HHS).