Treatment FAQ

what is diabetes mellitus treatment

by Dr. Melvin Lebsack Published 3 years ago Updated 2 years 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...

How to get diabetes under control naturally?

This involves five key steps:

  • Eating a healthy diet
  • Getting regular, moderate exercise
  • Managing your weight gain
  • Knowing your blood sugar level and keeping it under control
  • Taking insulin, if needed

What are the best medications for diabetes?

To treat diabetes, there are eight main categories of drugs used.These categories include: metformin (usually the most common diabetes medications), sulfonylureas, meglitinides, thiazolidinediones, DPP-4 inhibitors, alpha-glucosidase inhibitors, SGLT2 inhibitors, or bile acid sequestrates.

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. ...

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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 is diabetes mellitus and how can it be treated?

Diabetes mellitus, commonly known as diabetes, is a metabolic disease that causes high blood sugar. The hormone insulin moves sugar from the blood into your cells to be stored or used for energy. With diabetes, your body either doesn't make enough insulin or can't effectively use the insulin it does make.

What is diabetes mellitus type 2 & treatment?

There's no cure for type 2 diabetes, but losing weight, eating well and exercising can help you manage the disease. If diet and exercise aren't enough to manage your blood sugar, you may also need diabetes medications or insulin therapy.

Can diabetes mellitus be cured?

According to recent research, type 2 diabetes cannot be cured, but individuals can have glucose levels that return to non-diabetes range, (complete remission) or pre-diabetes glucose level (partial remission) The primary means by which people with type 2 diabetes achieve remission is by losing significant amounts of ...

What mellitus means?

: a variable disorder of carbohydrate metabolism caused by a combination of hereditary and environmental factors and usually characterized by inadequate secretion or utilization of insulin, by excessive urine production, by excessive amounts of sugar in the blood and urine, and by thirst, hunger, and loss of weight — ...

What is the difference between diabetes and diabetes mellitus?

Diabetes mellitus is more commonly known simply as diabetes. It's when your pancreas doesn't produce enough insulin to control the amount of glucose, or sugar, in your blood.

What causes diabetes mellitus?

It's clear that certain factors increase the risk, however, including:Weight. The more fatty tissue you have, the more resistant your cells become to insulin.Inactivity. ... Family history. ... Race or ethnicity. ... Age. ... Gestational diabetes. ... Polycystic ovary syndrome. ... High blood pressure.More items...•

What are the 3 types of diabetes mellitus?

There are three main types of diabetes: type 1, type 2, and gestational diabetes (diabetes while pregnant).Type 1 Diabetes. Type 1 diabetes is thought to be caused by an autoimmune reaction (the body attacks itself by mistake) that stops your body from making insulin. ... Type 2 Diabetes. ... Gestational Diabetes.

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 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 do a glucose challenge?

You'll begin the glucose challenge test by drinking a syrupy glucose solution. One hour later, you'll have a blood test to measure your blood sugar level. A blood sugar level below 140 mg/dL (7.8 mmol/L) is usually considered normal on a glucose challenge test, although this may vary at specific clinics or labs.

How to control blood sugar in a newborn?

In addition to maintaining a healthy diet and exercising, your treatment plan may include monitoring your blood sugar and, in some cases, using insulin or oral medications .

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.

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.

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.

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.

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 is diabetes mellitus?

Diabetes mellitus, disorder of carbohydrate metabolism characterized by impaired ability of the body to produce or respond to insulin and thereby maintain proper levels of sugar ( glucose) in the blood.

What is the role of beta cells in diabetes?

Beta cells secrete insulin, a well-characterized hormone that plays an important role in regulating glucose metabolism. There are two major forms of the disease. Type 1 diabetes, formerly referred to as insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes, usually arises in childhood.

How does insulin affect the body?

Insulin’s role in the body is to trigger cells to take up glucose so that the cells can use this energy-yielding sugar . Patients with diabetes may have dysfunctional beta cells, resulting in decreased insulin secretion, or their muscle and adipose cells may be resistant to the effects of insulin, resulting in a decreased ability of these cells to take up and metabolize glucose. In both cases, the levels of glucose in the blood increase, causing hyperglycemia (high blood sugar). As glucose accumulates in the blood, excess levels of this sugar are excreted in the urine. Because of greater amounts of glucose in the urine, more water is excreted with it, causing an increase in urinary volume and frequency of urination as well as thirst. (The name diabetes mellitus refers to these symptoms: diabetes, from the Greek diabainein, meaning “to pass through,” describes the copious urination, and mellitus, from the Latin meaning “sweetened with honey,” refers to sugar in the urine.) Other symptoms of diabetes include itching, hunger, weight loss, and weakness.

What are the symptoms of diabetes?

Other symptoms of diabetes include itching, hunger, weight loss, and weakness. The islets of Langerhans are responsible for the endocrine function of the pancreas. Each islet contains beta, alpha, and delta cells that are responsible for the secretion of pancreatic hormones.

What percentage of people with diabetes are adults?

Type 1 diabetes accounts for about 5 to 10 percent of cases of diabetes. Most cases of type 1 diabetes develop in children or adolescents, but about 20 percent of new patients are adults.

Is type 2 diabetes asymptomatic?

Many patients with type 2 diabetes are asymptomatic, and they are often diagnosed with type 2 diabetes when routine measurements reveal high blood glucose concentrations. In some patients the presence of one or more symptoms associated with the long-term complications of diabetes leads to a diagnosis of type 2 diabetes.

Is diabetes a cause of death?

Diabetes is a major cause of morbidity and mortality, though these outcomes are not due to the immediate effects of the disorder. They are instead related to the diseases that develop as a result of chronic diabetes mellitus. These include diseases of large blood vessels (macrovascular disease, including coronary heart disease ...

How to prevent diabetes?

If you’ve been diagnosed with prediabetes, here are a few things you can do to delay or prevent type 2 diabetes: Get at least 150 minutes per week of aerobic exercise, such as walking or cycling.

How to lose weight with type 2 diabetes?

Type 2 diabetes. Eating the right types of foods can both control your blood sugar and help you lose any excess weight. Carb counting is an important part of eating for type 2 diabetes. A dietitian can help you figure out how many grams of carbohydrates to eat at each meal.

What is the name of the disease that causes high blood sugar?

Diabetes mellitus, commonly known as diabetes , is a metabolic disease that causes high blood sugar. The hormone insulin moves sugar from the blood into your cells to be stored or used for energy. With diabetes, your body either doesn’t make enough insulin or can’t effectively use the insulin it does make.

When is gestational diabetes detected?

The condition is often detected during a routine blood sugar test or oral glucose tolerance test that is usually performed between the 24th and 28th weeks of gestation.

Why isn't diabetes preventable?

Type 1 diabetes isn’t preventable because it’s caused by a problem with the immune system. Some causes of type 2 diabetes, such as your genes or age, aren’t under your control either.

What are the complications of diabetes?

The higher your blood sugar is and the longer you live with it, the greater your risk for complications. Complications associated with diabetes include: heart disease, heart attack, and stroke. neuropathy.

When does diabetes start?

The autoimmune form of diabetes often starts in childhood. One of the main symptoms is increased urination. Kids with type 1 diabetes may start wetting the bed after they’ve been toilet trained.

What Is Diabetes Mellitus or Diabetes?

Diabetes mellitus commonly known as diabetes is a disease in which your body cannot absorb the energy from the food you eat. Your body does not make insulin or your body cells can’t use it properly. In diabetes mellitus, your blood sugar level is abnormally elevated.

A Word From Mantra Care

If you are looking for more information on this topic or on Diabetes treatment, Online Therapy, Hypertension, PCOS treatment, Weight Loss, and Physiotherapy, please visit mantracare.org or feel free to reach out to us at +91-9711118331 or email at [email protected]. You can also download our free Android App or IOS app.

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What Is It?

Symptoms

Diagnosis

  • Diabetes is diagnosed through blood tests that detect the level of glucose in the blood. 1. 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). Diabetes is diagnosed if the fasting blood sugar level is 126 mg/dL or higher. 2. Oral glucose tolerance tes…
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Expected Duration

  • Type 1 diabetes is a lifelong illness. Usually, type 2 diabetes is also life-long. However, people with type 2 diabetes can sometimes restore their blood sugar levels to normal just by eating a healthy diet, exercising regularly, and losing weight. Gestational diabetes usually goes away after childbirth. However, women with gestational diabetes are at high risk for developing type 2 diab…
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Prevention

  • Type 1 diabetes cannot be prevented. You can decrease your risk of developing type 2 diabetes. If a close relative—particularly, a parent or sibling—has type 2 diabetes, or if your blood glucose test shows "pre-diabetes" (defined as blood glucose levels between 100 and 125 mg/dL), you are at increased risk for developing type 2 diabetes. You can help to prevent type 2 diabetes by 1. main…
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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

  • If you have diabetes, see your doctor regularly. People with high blood sugar levels have a higher risk of dehydration. Contact your doctor immediately if you develop vomiting or diarrhea and are not able to drink enough fluids. Monitor your blood sugar as advised by your health care team. Report any significant deviations in blood sugar levels.
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Prognosis

  • The prognosis in people with diabetes varies. It depends on how well an individual modifies his or her risk of complications. If blood sugar is not well controlled, it can increase a person's risk of heart attack, stroke, and kidney disease, which can result in premature death. Disability due to blindness, amputation, heart disease, stroke, and nerve damage may occur. Some people with di…
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Additional Info

  • American Diabetes Association www.diabetes.org/ Academy of Nutrition and Dietetics www.eatright.org Diabetes Health Information National Institute of Diabetes and Digestive and Kidney Diseases http://diabetes.niddk.nih.gov/
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Further Information

  • Always consult your healthcare provider to ensure the information displayed on this page applies to your personal circumstances. Medical Disclaimer
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Diagnosis

  • Symptoms of type 1 diabetes often appear suddenly and are often the reason for checking blood sugar levels. Because symptoms of other types of diabetes and prediabetes come on more gradually or may not be evident, the American Diabetes Association (ADA) has recommended screening guidelines. The ADArecommends that the following people be screened for diabetes: …
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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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