Treatment FAQ

what are the treatment of diabetes mellitus

by Prof. Dangelo Rowe III Published 2 years ago Updated 1 year ago
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Treatment for type 1 diabetes involves insulin injections or the use of an insulin pump, frequent blood sugar checks, and carbohydrate counting. Treatment of type 2 diabetes primarily involves lifestyle changes, monitoring of your blood sugar, along with diabetes medications, insulin or both.Oct 30, 2020

What is the best diet to cure diabetes?

To reverse or prevent type 2 diabetes, add the following foods into your diet:

  • Foods high in fiber: Research shows that 90 percent of the U.S. ...
  • Foods high in chromium: Chromium is a nutrient that’s involved in normal carbohydrate and lipid metabolism. ...
  • Magnesium-rich foods: Magnesium can help regulate blood sugar levels because it plays a role in glucose metabolism. ...

More items...

What is the most common treatment for diabetes?

Medications for type 2 diabetes

  • Alpha-glucosidase inhibitors. ...
  • Biguanides. ...
  • Dopamine agonist. ...
  • Dipeptidyl peptidase-4 (DPP-4) inhibitors. ...
  • Glucagon-like peptide-1 receptor agonists (GLP-1 receptor agonists) These drugs are similar to the natural hormone called incretin. ...
  • Meglitinides. ...
  • Sodium-glucose transporter (SGLT) 2 inhibitors. ...
  • Sulfonylureas. ...
  • Thiazolidinediones. ...

How can diabetes be cured permanently?

Managing type 1 diabetes

  • Insulin treatments. Insulin injections are the most common treatment for type 1 diabetes. ...
  • Use of verapamil. A 2018 clinical trial on humans found that an existing blood pressure drug called verapamil may be helpful for people with diabetes.
  • Implantable devices. ...

How to cure diabetes?

Diabetes Canada said there are more than four ... Canadian women are facing huge delays to diagnose and treat endometriosis, an often painful and debilitating disorder that affects an estimated ...

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What is the best treatment for diabetes mellitus?

Metformin (Fortamet, Glumetza, others) is generally the first medication prescribed for type 2 diabetes. It works primarily by lowering glucose production in the liver and improving your body's sensitivity to insulin so that your body uses insulin more effectively.

What are 5 treatments for diabetes?

Diabetes treatmentsThere are a number of treatments available to help you manage and treat your diabetes. Everyone is different, so treatment will vary depending on your own individual needs. ... Insulin pumps. ... Islet cell transplant. ... Tablets and medication. ... Weight loss surgery. ... Diet and exercise. ... Insulin. ... Emotional support.

What is treatment of diabetes mellitus protocol?

TREATMENT PROTOCOL FOR TYPE 2 DIABETES MELLITUS.Start T. Metformin 500mg OD or BD.Intensify T. Metformin 1000mg BD.Add T. Glimepiride 1 mg OD.Intensify T.Glimepiride 1 mg BD up. to 2mg BID.Add T.Pioglitazone 7.5 mg OD.Start Insulin.If plasma glucose not under control.More items...

What is the name of diabetes treatment?

Insulin. Insulin is the most common type of medication used in type 1 diabetes treatment.

What is the latest treatment for type 2 diabetes?

Today, the U.S. Food and Drug Administration approved Mounjaro (tirzepatide) injection to improve blood sugar control in adults with type 2 diabetes, as an addition to diet and exercise.

What are the treatment options for type 2 diabetes?

Medications are often the first kind of medicine people with type 2 diabetes try when diet and exercise alone aren't enough to keep their blood sugar in a healthy range....You can take insulin in one of several ways:Injections with a needle and syringe. ... Insulin pump. ... Insulin pen. ... Inhaler. ... Injection port. ... Jet injector.

What is the most common medication for diabetes?

Metformin (Fortamet, Glucophage) is a biguanide and it is often the first drug doctors prescribe for prediabetes or type 2 diabetes.

What are the 5 types of insulin?

The 5 types of insulin are: rapid-acting insulin. short-acting insulin. intermediate-acting insulin....Rapid-acting insulinFiasp and NovoRapid® (insulin aspart)Humalog® (insulin lispro)Apidra® (insulin glulisine).

Why treatment of diabetes mellitus is via injection?

Sometimes, people with type 2 diabetes or gestational diabetes need insulin therapy if other treatments haven't been able to keep blood glucose levels within the desired range. Insulin therapy helps prevent diabetes complications by keeping your blood sugar within your target range.

What is the therapeutic focus of diabetes mellitus?

In patients diagnosed with diabetes mellitus (DM), the therapeutic focus is on preventing complications caused by hyperglycemia. In the United States, 57.9% of patients with diabetes have 1 or more diabetes-related complications and 14.3% have 3 or more. 1 Strict control of glycemia within the established recommended values is the primary method for reducing the development and progression of many complications associated with microvascular effects of diabetes (eg, retinopathy, nephropathy, and neuropathy). Aggressive treatment of dyslipidemia and hypertension focuses on decreasing the cardiovascular complications associated with macrovascular effects. The positive outcomes from adequate glycemic control on microvascular and macrovascular complications have been established in large well-controlled trials. 2-5 See the chapter on diabetes: Macro- and microvascular effects.

What is the best way to reduce glycemic load?

Insulin sensiti zers reduce glycemic load primarily by improving insulin actions in peripheral tissues. Two classes of these oral hypoglycemic drugs are available: biguanides and thiazolidinediones. They have been shown in clinical use to have positive, durable effects in the treatment of diabetes.

Why is glycemic control important?

Glycemic control is crucial for preventing microvascular and macrovascular complications of diabetes. Type 2 DM is a progressive disease and requires therapy intensification with time. Insulin sensitizers and incretin-based therapy should be used early in the course of type 2 DM.

What is SMBG used for?

Use of SMBG is an effective method to evaluate short-term glycemic control by providing real-time measure of blood glucose. It helps patients and physicians assess the effects of food, medications, stress, and activity on blood glucose levels and make appropriate adjustments.

How does sulfonylurea affect glucose?

Sulfonylureas lower fasting and postprandial glucose levels. Many products are available, both first generation and second generation. The main adverse effects are weight gain (about 2 kg a few months after initiation) and hypoglycemia. Some hypoglycemia episodes can be significant, leading to a need for medical care, coma, or seizure, and occur more often in the elderly. Benefits include a 25% reduction in microvascular complications with or without insulin, as noted in the United Kingdom Prospective Diabetes Study (UKPDS). 3 Dosing is typically once or twice daily. Caution should be used in patients with liver or kidney dysfunction or in those who often skip meals.

How much weight gain can occur after insulin initiation?

Weight gain can occur after therapy initiation and is typically about 2 to 4 kg. 8, 14.

What are the side effects of glucosidase inhibitors?

They primarily target postprandial hyperglycemia but do it without causing hypoglycemia. GI complaints, such as bloating, abdominal cramps, flatulence, and diarrhea, are the main side effects. Use should be avoided in patients with severe hepatic or renal impairment. Dosing must occur before carbohydrate-containing meals. Two drug products are marketed, and both are available in generics.

What are the best ways to treat diabetes?

Treatment. Depending on what type of diabetes you have, blood sugar monitoring, insulin and oral medications may play a role in your treatment. Eating a healthy diet, maintaining a healthy weight and participating in regular activity also are important factors in managing diabetes.

How to treat type 1 diabetes?

Treatment for type 1 diabetes involves insulin injections or the use of an insulin pump, frequent blood sugar checks, and carbohydrate counting. Treatment of type 2 diabetes primarily involves lifestyle changes, monitoring of your blood sugar, along with diabetes medications, insulin or both.

How to prevent prediabetes?

Make physical activity part of your daily routine. Regular exercise can help prevent prediabetes and type 2 diabetes, and it can help those who already have diabetes to maintain better blood sugar control. A minimum of 30 minutes of moderate exercise — such as brisk walking — most days of the week is recommended.

What is the best diet for diabetics?

Contrary to popular perception, there's no specific diabetes diet. You'll need to center your diet on more fruits, vegetables, lean proteins and whole grains — foods that are high in nutrition and fiber and low in fat and calories — and cut down on saturated fats, refined carbohydrates and sweets.

What blood test is used to determine blood sugar levels?

Tests for type 1 and type 2 diabetes and prediabetes. Glycated hemoglobin (A1C) test. This blood test, which doesn't require fasting, indicates your average blood sugar level for the past two to three months. It measures the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells.

What is the blood sugar level of a diabetic?

Regardless of when you last ate, a blood sugar level of 200 milligrams per deciliter (mg/dL) — 11.1 millimoles per liter (mmol/L) — or higher suggests diabetes. Fasting blood sugar test. A blood sample will be taken after an overnight fast.

Where to go if you have diabetes?

You're likely to start by seeing your primary care doctor if you're having diabetes symptoms. If your child is having diabetes symptoms, you might see your child's pediatrician. If blood sugar levels are extremely high, you'll likely be sent to the emergency room.

How to treat type 2 diabetes?

In most cases, type 2 diabetes treatment begins with weight reduction through diet and exercise. A healthy diet for a person with diabetes is low in total calories, free of trans fats and nutritionally balanced, with abundant amounts of whole grains, fruits and vegetables, and monounsaturated fats.

What is diabetes mellitus?

Diabetes mellitus is a condition defined by persistently high levels of sugar (glucose) in the blood. There are several types of diabetes. The two most common are called type 1 diabetes and type 2 diabetes. During digestion, food is broken down into its basic components.

How is diabetes diagnosed?

Diabetes is diagnosed through blood tests that detect the level of glucose in the blood. Fasting plasma glucose (FPG) test. A blood sample is taken in the morning after you fast overnight. A normal fasting blood sugar level is between 70 and 100 milligrams per deciliter (mg/dL).

What is the blood sugar level of a diabetic?

Diabetes is diagnosed if the blood sugar level is 200 mg /dL or higher. Random blood glucose test. A blood sugar of 200 mg/dL or greater at any time of day, combined with symptoms of diabetes, is sufficient to make the diagnosis. Hemoglobin A1c (glycohemoglobin).

What are the symptoms of diabetes?

The symptoms of these complications include confused thinking, weakness, nausea, vomiting, and even seizures and coma. In some cases, diabetic ketoacidosis or hyperosmolar syndrome is the first sign that a person has diabetes. The treatment of diabetes also can produce symptoms.

How to control blood sugar levels?

However, it is possible to achieve normal blood sugar levels with weight loss, a healthy diet and regular exercise. Even if medications are required, diet and exercise remain important for controlling diabetes. The medications used for type 2 diabetes include pills and injections. They work in many different ways.

Does gestational diabetes go away?

In gestational diabetes, the body does not respond well to insulin, unless insulin can be produced or provided in larger amounts. In most women, the disorder goes away when the pregnancy ends, but women who have had gestational diabetes are at increased risk of developing type 2 diabetes later.

What is the best treatment for diabetes mellitus?

While diet and exercise are certainly beneficial, many patients with diabetes mellitus will need to take medication to lower their blood sugar to suitable levels. Oral medications are a common first line of treatment. Alpha-glucosidase inhibitors, SGLT2 inhibitors, sulfonylureas, biguanides, and meglitinides are some examples of the types of oral medicines generally used. Some patients may need to use several of these medicines together to control their symptoms. Side effects of these types of medications are typically mild and include diarrhea, constipation, and nausea.

How to control blood sugar with diabetes?

Diabetes mellitus patients who choose to exercise regularly have a lower risk of cardiovascular disease and can better control their blood glucose and blood pressure naturally and with less medication. Regular physical activity helps the body become more responsive to insulin, and this lowers blood glucose and A1C numbers (a measure of long-term blood glucose). Experts recommend at least 150 minutes of moderate or vigorous activity a week, and diabetes mellitus patients should aim to do more if possible. Examples of beneficial exercises for patients are swimming, ballroom dancing, strength training, brisk walking, jogging, and yoga. In addition to better blood glucose control, regular exercise helps patients lose weight, sleep more soundly, relieve stress, increase energy levels and circulation, and prevent falls.

What are some examples of oral medicines?

Alpha-glucosidase inhibitors, SGLT2 inhibitors, sulfonylureas, biguanides, and meglitinides are some examples of the types of oral medicines generally used. Some patients may need to use several of these medicines together to control their symptoms.

What are some good foods to lower cholesterol?

Healthy fats such as the kind found in avocados and other vegetables help lower cholesterol levels and are a much better choice than fat from meat. When planning their diet, patients may wish to keep a food diary and take blood sugar readings before and after meals to determine how certain foods affect their levels.

What is the best diet for diabetics?

The healthiest, most balanced diet for patients to adopt is one rich in fruits, vegetables, and complex carbohydrates and low in refined sugar, saturated fats, and processed foods.

How many cases of diabetes are diagnosed each year?

Each year, more than one million new cases of Type 2 diabetes are diagnosed. Some diabetes mellitus patients may not know they have it because it sometimes produces no symptoms. When symptoms are present, they generally include frequent urination, thirst, fatigue, weight loss, and blurry vision.

What is the most common form of diabetes mellitus?

Other forms include gestational diabetes, which occurs during pregnancy, and prediabetes, which involves higher than normal blood glucose readings that are not yet high enough to be classified as Type 2 diabetes, which is the most common form of diabetes mellitus and affects more than twenty-nine million Americans.

Why is it important to take a drug for diabetes mellitus?

Because people with diabetes mellitus are at risk of complications, such as heart attacks and strokes, it is important that people take drugs to prevent or treat these complications. Unless there is a reason people cannot take one of these drugs (for example, an allergy to the drug), they may be given the following:

Why does the body produce antibodies to insulin?

In very rare cases, the body produces antibodies to injected insulin because injected insulin is not exactly like the insulin the body manufactures. Although this reaction is less common with newer insulin preparations, these antibodies may interfere with insulin’s activity, requiring very large doses.

Can insulin injections cause swelling?

Insulin injections can affect the skin and underlying tissues. An allergic reaction, which occurs rarely, causes pain and burning, followed by redness, itchiness, and swelling around the injection site for several hours. Very rarely, a person may have an anaphylactic reaction after injection of insulin.

Can antihyperglycemic drugs lower blood glucose levels?

Oral antihyperglycemic drugs can often lower blood glucose levels adequately in people with type 2 diabetes. However, they are not effective in type 1 diabetes. There are several types, but oral antihyperglycemic drugs work in four major ways:

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Diagnosis

Treatment

  • Depending on what type of diabetes you have, blood sugar monitoring, insulin and oral medications may play a role in your treatment. Eating a healthy diet, maintaining a healthy weight and participating in regular activity also are important factors in managing diabetes.
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Clinical Trials

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
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Lifestyle and Home Remedies

  • Diabetes is a serious disease. Following your diabetes treatment plan takes round-the-clock commitment. Careful management of diabetes can reduce your risk of serious — even life-threatening — complications. 1. Make a commitment to managing your diabetes.Learn all you can about diabetes. Establish a relationship with a diabetes educator, and ask your diabetes treatme…
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Alternative Medicine

  • Numerous substances have been shown to improve insulin sensitivity in some studies, while other studies fail to find any benefit for blood sugar control or in lowering A1C levels. Because of the conflicting findings, there aren't any alternative therapies that are currently recommended to help everyone with blood sugar management. If you decide to try any type of alternative therapy, don'…
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Coping and Support

  • Living with diabetes can be difficult and frustrating. Sometimes, even when you've done everything right, your blood sugar levels may rise. But stick with your diabetes management plan, and you'll likely see a positive difference in your A1C when you visit your doctor. Because good diabetes management can be time-consuming, and sometimes overwhelming, some people fin…
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Preparing For Your Appointment

  • You're likely to start by seeing your primary care doctor if you're having diabetes symptoms. If your child is having diabetes symptoms, you might see your child's pediatrician. If blood sugar levels are extremely high, you'll likely be sent to the emergency room. If blood sugar levels aren't high enough to put you or your child immediately at risk, you may be referred to a doctor who speciali…
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What Is It?

Symptoms

Diagnosis

Expected Duration

Prevention

Treatment

  • Type 1 diabetes is always treated with insulin injections. In most cases, type 2 diabetes treatment begins with weight reduction through diet and exercise. A healthy diet for a person with diabetes is low in total calories, free of trans fats and nutritionally balanced, with abundant amounts of whole grains, fruits and vegetables, and monounsaturat...
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When to Call A Professional

Prognosis

Additional Info

Further Information

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