Although diabetes cannot be cured, early detection allows the blood sugar levels of diabetics can be controlled. This was done in order to keep blood sugar levels within the normal range and its symptoms can be controlled to prevent the complication that may occur.
The doctor will explain this disease in detail, helping you to understand the treatment process, as well as monitor other disease that can happen to you. The goal of diabetes treatment is to preserve the balance of blood sugar levels and minimize the risk of complications.
Type 2 diabetics are recommended to always keep health carefully. But you should not feel discouraged because the doctor could help you in the process of treatment that you can undertake. Do not hesitate to ask for help at family or friends.
Start a Healthy Lifestyle
Early handling is generally applied to type 2 diabetics is to change lifestyle. For example, a healthy diet, regular exercise, and losing weight for experiencing overweight or obese (weight index of 30 or more).
This initial step will be very effective for sufferers of type 2 diabetes at an early stage and can help the treatment process if done with discipline and scrutiny.
Medications to Lower Blood Sugar Levels
Type 2 diabetes in a progressive disease which generally can grow severe. Maintain a regular diet and exercise alone may not be enough to control blood sugar levels sufferer completely.
This type of diabetes sufferers in time will need drugs to lower blood sugar levels are high. The treatment process generally begins with the drugs in tablet form and sometimes with a combination of more than one on type of tablets. This way followed by insulin or other medications given via injection.
Monitoring Blood Sugar Level
HbA1c test livePeople with diabetes are encouraged to undergo the examination of blood sugar concentration on every 2-3 months. This examination will show the level of blood sugar levels in recent months, as well as the effectiveness of your treatment.
When the body is processing sugar, sugar in the blood will automatically attach them to the hemoglobin. The higher the levels of sugar in the blood, the more hemoglobin associated with the sugar and this is called hemoglobin HbA1c. HbA1c test measures the amount of hemoglobin containing glucose.
If you have high blood sugar levels during the last 2-3 months, the HbA1c test result would show high number as indications. Because that's the kind of treatment you do may need to be modified. Normal reference values for HbA1c tests diabetics is below 6.5%.
How do I monitor our own blood sugar levels?
Healthy diet, exercise, and drink drugs or undergoing insulin therapy will help you to balance blood sugar levels. But other disease and stress can also be influential. Other factors which may have an impact on your blood sugar levels are:
- Consumption of liquor.
- Drinking of other drugs.
- Hormonal changes in the menstrual cycle.
Examination at home can be done with the tool test blood sugar levels are small. This tol can be used to detect the ups and downs in blood sugar levels.
Blood sugar levels usually are not always the same throughout the day and can be affected by the treatment process that you went through it. Then you are encouraged to review it several times a day. Routine monitoring will help you to keep your balance.
The unit of measure for blood sugar levels that are used in General in United States is milligrams/deciliter or commonly abbreviated as mg/dL. You should ensure teh unit fisrts when buyinh blood sugar test kits.
Blood sugar levels in each person vary, but normally the reference is:
- 72/108 mg/dL before meals.
- 180 mg/dL two hours after a meal.
The Right Medicine to Address Type 2 Diabetes
Balance blood sugar levels in diabetes sometimes cannot be maintained with good only through the application of a pattern of healthy eating and regular exercise. You may also need medication to handle it.There are several types of medications (usually in tablet form) that can be used for type 2 diabetes. You may also be given a combination of two or more types of drugs to control your blood sugar levels.
Metformin to reduce blood sugar levels
Metformin works by reducing sugar levels transmitted to the heart blood flow and make the body more responsive to insulin. This is the first drug that is often recommended for patients with type 2 diabetes.
Unlike the other medicines, metformin does not cause weight gain. Therefore the drugs is usually given to sufferers who experience excess weight.
But metformin can sometimes cause mild side effects, such as nause and diarrhea. The doctor also will not recommended this drug for diabetics who experience kidney problems.
Sulfonylurea for increasing the production of insulin in the pancreas
Sulfonylurea function enhances insulin production in the pancreas. Diabetics who can't drink the metfrormin or not overweight may be given this medication. If metformin was less effective in controlling your blood sugar levels, the doctor will probably combine it with sulfonylurea. Example of these drugs include:
- Glimepiride
- Glibenclamide
- Glipizide
- Gliclazide
- Gliquidone
- Weight gain
- Nausea and vomiting
- Diarrhea
Glitazone (thiazolidinedione) as a trigger to insulin
Glitazone (e.g. pioglitazone) is usually combined with metformin, sulfonylurea, or both. This remedy serves to make cells more sensitive to insulin so that more sugar that is transferred from the blood.
These drugs can cause weight gain and swelling in the ankle. You are not recommended to drink the pioglatizone if ever experienced heart failure or risk exposed fractures.
In some countries, rosiglitazone which is one of the types of drugs had been stripped from the glitazone market because it is proven to increase the risk of heart disease such as heart attacks and heart failure. If consumption, consult the potential side effect your doctor.
Gliptin (However, peptidase-4 inhibitor) as a preventive solution of GLP-1
Gliptin or barrier to the DPP-4 prevents the breakdown of the hormone GLP-1 (glucagon-like peptides-1). GLP-1 is a hormone that plays a role in the production of insulin when blood sugar levels are high. Thus, the gliptin helped raise insulin levels when sugar levels to rise.
Gliptin (for example, sitagliptin, saxagliptin, linagliptin, and vildagliptin) can inhibit the increase in high blood sugar levels without causing hypoglycemia. This medicine does not weight gain and is usually given if sufferers could not drink sulfonilurea or glitazone, or combined with both.
Agonist GLP-1 as a trigger of insulin without the risk of hypoglycemi
Exenatide is agonist GLP-1 with performance similar to a natural hormone GLP-1. This medicine is given through injections twice a day. Exenatide triggers insulin production can occur when blood sugar levels without increasing the risk of hypoglycemia.
Most diabetics who take exenatide may also experience weight loss. The drugs is generally given to diabetics who take metformin as well as sulfonylurea and ore obese.
Types of agonist GLP-1 liraglutide are an injected one a day. Research proves that this drugs can also lose weight. Liraglutide also generally given to diabetics who take metformin as well as sulfonylurea and are obese.
Acarbose to slow down the digestion of carbohydrates
Acarbose slows the digestion of carbohydrotes into sugars in the body. These drugs prevent increased levels of blood sugar that is too quickly after eating diabetics.
This medicine can cause side effects or diarrhea and flatulence so rarely used to treat type 2 diabetes. But doctors still will give it if the sufferer is not suitable to drink other medications.
Nateglinide and repaglinide to release insulin into the bloodstream
Both of these drugs will stimulate the pancreas t release more insulin into the bloodstream. Nateglinide and repaglinide function cannot survive long, but effective when taken before a meal. So even though it is rarely used, both of which are recommended if the sufferer has a schedule packed on the hours are not uncommon.
All drugs have side effects, including nateglinide and repaglinide. The side effect of these two durgs it is hypoglycemia and weight gain.
Insulin therapy as a complementary medicine more
Medicines in tablet form can be less effective for treating diabetes so you need insulin therapy. this therapy can be given in place of or in conjunction with the above medications, but depending on the dosage and mode of use. There are several types of insulin that can be used. Of which:
- Insulin work quickly which does not last long, but reacting quickly.
- Insulin short work that last a maximum of eight hours.
- Insulin that can withstand long work one day.
Do insulin injections for yourself
Administering insulin via insulin injections because it generally will be digested in the stomach and could not enter the blood if taken in tablet from.
The doctor will explain when you need insulin usage. In the early stages of usage, the doctor will usually help you to inject insulin. Next you are being taught how to inject and store insulin as well as dispose of needles safely.
There are two methods commonly used to inject insulin, namely through needles and syringes or pens. Diabetics generally require 2-4 injections a day. Your doctor or nurse will also be taught hpw to use on your close friends or your family.
Overcoming hypoglycemia (blood sugar levels that are too low)
Type 2 diabetes generally use insulin or certain types of tablets to control blood sugar levels. The treatment method has risk to cause hypoglycemia.
When your blood sugar levels are too low, you may experience hypoglycemia. Its symptoms include a sense of weakness, trembling, and hungry. This condition can be overcome by consuming food or beverage sweet.
Initial handling for diabetics who experience Hypoglycemia is by taking a source of carbohydrates (glucose tablets or sugared beverages) that can be absorbed quickly. After that the sufferer may be consuming a carbohydrate source that can last much longer as a piece of wafer sandwiches, piece, r a single fruit.
The steps above are generally able to increase blood sugar levels in order to return to normal. But this process can take several hours.
Severe hypoglycemia results in diabetics felt dazed, sleepy, even loos of consciousness. If you have this condition, diabetics should be given an injection of glucagon (a hormone that can increase blood sugar levels quickly) directly on the muscle or vein. The doctor can teach you how injecting on family or friends near you.
Alternate in doing the treatment of type 2 diabetics
Type 2 diabetics have a higher risk for experiencing complications (heart disease, stroke, or kidney disease). Therefore the physician will usually recommended the following medications to reduce the risk of complications, including:
- Statins (e.g. simvastatin) to reduce high levels of cholesterol.
- High blood pressure-lowering Drugs.
- ACE inhibitors, Drugs like lisinopril, enalapril, ramipril, or if there are indications of diabetic kidney disease. The progression of the disease that is characterized by the presence of the protein albumin in urine is curable if promptly treated.
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