When to start treatment for type 2 diabetes
Treatment and Management of Type 2 Diabetes
treatment and management of type 2
diabetes type 2 diabetes is a metabolic
disorder that causes sugar in the form
of glucose to accumulate in the blood
rather than being used as fuel by the
cells in our body
the goal of type-2 diabetes treatment is
to safely keep blood glucose within the
normal range
improving diet and exercising regularly
are important parts of type-2 diabetes
management and treatment in overweight
or obese persons weight loss can often
return blood glucose levels to normal if
it occurs early exercise decreases the
resistance of the cells to the action of
insulin making it easier for the glucose
to enter the cells from the bloodstream
this benefit of exercise occurs even if
there is no Associated weight loss
if weight loss improved diet and
exercise do not reduce blood glucose
levels adequately then medication is the
next step
there are a variety of oral and
injectable medications used to treat
type 2 diabetes most persons with
diabetes are initially prescribed
metformin metformin blocks the
production of glucose by the liver
metformin also decreases the resistance
of cells to insulin making it easier for
the cells to take up glucose from the
bloodstream after metformin doctors
often prescribe sulfonylureas or dpp-4
inhibitors like metformin sulfonylureas
are inexpensive and effective they work
by increasing insulin release from the
pancreas however they may cause
hypoglycemia hypoglycemia occurs when
the blood glucose level drops too low it
is important for patients to recognize
the symptoms of hypoglycemia
such as shakiness sweating palpitations
and weakness before it leads to more
dangerous effects such as confusion
fainting or loss of consciousness in
cretons are essential chemicals secreted
by the gut in response to meals and have
important anti-diabetic effects they
work by slowing the emptying of the
stomach so you feel full longer
increasing insulin secretion improving
insulin sensitivity and decreasing
glucose production
in diabetes Inc rheton levels are
reduced there are two types of
medications that work to improve the
levels of in cretons in the body the
oral dpp-4 inhibitors and the injectable
glp-1 analogs
the dpp-4 inhibitors prevent the
breakdown of ink ratan hormones and
increase their anti-diabetic effects
these newer medicines work by increasing
insulin production
they have little risk of hypoglycemia
they also make cells more sensitive to
the action of insulin the injectable
glp-1 analogs replace the in cretons
directly they also slow the movement of
food through the digestive tract so you
feel fuller longer they improve insulin
secretion and may promote weight loss
they also have a low risk of
hypoglycemia thiazolidinediones are
another class of oral anti-diabetic
agents they work by making the cells
more sensitive to insulin and decreasing
glucose production they do not cause
hypoglycemia but they may cause weight
gain other types of pills for diabetes
include sglt2 inhibitors
alpha-glucosidase inhibitors
and bromocriptine and colas of elam over
time
medications often become less effective
rather than switching a medication
your doctor may combine two different
ones that have been shown to work well
together if your blood glucose cannot be
controlled by pills alone
your doctor may put you on insulin
insulin is the most common injectable
medication used to treat diabetes there
are two types of insulin long-acting or
basal insulin and short acting or
mealtime insulin an insulin pump can be
used in type 2 diabetes to deliver
insulin just like the pancreas
healthy diet exercise and maintaining a
healthy body weight are important
aspects of diabetes management even if
you are on medications you should
develop a self management plan with your
doctor and other health professionals
such as a dietitian and certified
fitness professional
your plan should include eating healthy
foods and incorporating regular moderate
intensity exercise into your lifestyle
important dietary interventions specific
to diabetes include reducing sugars
starches and fatty foods strategies to
reduce stress at home and at work
ensuring adequate sleep and managing
depression if present are also important
in summary type 2 diabetes is treated by
a combination of diet exercise and
medication a variety of drugs are
available to treat diabetes
however self-management through
lifestyle plays a very important role
