— 藥理與非經腸給藥 · EASY · MCQ —
一位第二型糖尿病病人獲處方服用 metformin。病人哪句話顯示他已了解用藥指導？
A client with type 2 diabetes mellitus is prescribed metformin. Which statement by the client indicates an understanding of the medication's administration?
- AI will take this medication on an empty stomach我會空腹服用此藥物
- BI will take this medication with meals✓ 正解我會隨餐服用此藥物
- CI will take this medication when my blood sugar is high我會在我血糖高時服用此藥物
- DI will take this medication before bedtime我會睡前服用此藥物
— Explanation · 中文詳解 —
Metformin 主要作用於肝臟以抑制葡萄糖新生，是第二型糖尿病的第一線藥物。其最常見的副作用為腸胃道症狀，如噁心、嘔吐、腹瀉或腹脹。這些副作用通常與劑量及胃黏膜刺激有關。隨餐服用可有效減緩藥物對胃腸道的直接刺激，提升病人的服藥順從性（Compliance）。若病人未隨餐服用，極易因嚴重的副作用而中斷治療，進而導致血糖控制失敗。
Metformin should be taken with meals to minimize common gastrointestinal side effects such as nausea and abdominal discomfort. This administration strategy improves patient compliance and prevents treatment interruption due to adverse reactions, as metformin is a maintenance medication rather than a rapid-acting glucose reducer.