Treatment FAQ

what is the treatment plan for type 2 diabetes

by Genoveva Vandervort Published 2 years ago Updated 2 years ago
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Medication

  • Glitazones are associated with fluid retention, increased CHF rates, and, possibly, increased rates of cardiovascular events compared with sulfonylureas and metformin.
  • The FDA and the Canadian government have issued warnings about CHF and cardiovascular events with rosiglitazone.
  • Metformin should be the first-line drug for managing type 2 diabetes. ...

More items...

Nutrition

Medications used to treat type 2 diabetes include: Metformin. Insulin releasing pills. Starch blockers. Amylin analogs. Use this table to look up the different medications that can be used to treat type 2 diabetes. Use the links below to find medications within the table quickly, or click the name of the drug to link to expanded information ...

What is the initial treatment for type 2 diabetes?

Along with these symptoms he listed the other key signs as:

  • Extreme hunger
  • Unexplained weight loss
  • Fatigue
  • Irritability

What medications are used for type 2 diabetes?

Overcoming Type 2 Diabetes Naturally with Diet

  • Protein, Healthy Fats, and Fiber. Proteins and healthy fats play a key role in stabilizing your blood sugar all day. ...
  • Bulk Up. Foods that are high in fiber also slow down sugar’s release into the bloodstream. ...
  • Avoid Flour and Limit Grains. White flour is heavily processed – and it breaks down fast into the bloodstream. ...
  • Try Nut Milk Products. ...

What is the typical diet for type 2 diabetes patients?

How to treat type 2 diabetes naturally?

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What is the most common treatment for type 2 diabetes?

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 the two main treatments for type 2 diabetes?

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.

What is a diabetes treatment plan?

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.

What are the 3 foundations of type 2 diabetes treatment?

Healthy lifestyle choices — including diet, exercise and weight control — provide the foundation for managing type 2 diabetes. However, you may need medications to achieve target blood sugar (glucose) levels. Sometimes a single medication is effective.

What is the most common treatment for diabetes?

Insulin is the most common type of medication used in type 1 diabetes treatment. If you have type 1 diabetes, your body can't make its own insulin. The goal of treatment is to replace the insulin that your body can't make. Insulin is also used in type 2 diabetes treatment.

When do you start treating type 2 diabetes?

For most patients presenting with A1C at or above target level (ie, >7.5 to 8 percent), pharmacologic therapy should be initiated at the time of type 2 diabetes diagnosis (with lifestyle modification).

What is the therapeutic principle for type 2 diabetes?

Loss of excess body weight and maintaining regular physical activity and exercise reduce insulin resistance and beta-cell workload and also benefit cardiovascular health and are thus the cornerstones of therapy of diabetes.

What is the best and safest medication for type 2 diabetes?

Most experts consider metformin to be the safest medicine for type 2 diabetes because it has been used for many decades, is effective, affordable, and safe. Metformin is recommended as a first-line treatment for type 2 diabetes by the American Diabetes Association (ADA).

How can type 2 diabetes be improved?

Treatment for type 2 diabeteseating foods rich in fiber and healthy carbohydrates — eating fruits, vegetables, and whole grains can help keep your blood glucose levels steady.eating at regular intervals.learning to listen to your body and learn to stop eating when you're full.More items...

What is normal sugar level by age?

Normal Sugar Level By AgeAge RangeBlood Glucose Levels (mg/dl)0 to 5 years100 to 1806 to 9 years80 to 14010 years and more70 to 120May 22, 2022

What are the best ways to manage type 2 diabetes?

Healthy lifestyle choices — including diet, exercise and weight control — provide the foundation for managing type 2 diabetes. However, you may need medications to achieve target blood sugar (glucose) levels. Sometimes a single medication is effective. In other cases, a combination of medications works better.

How does diabetes medicine work?

Each class of medicine works in different ways to lower blood sugar. A drug may work by: Stimulating the pancreas to produce and release more insulin. Inhibiting the production and release of glucose from the liver.

Is diabetes a single treatment?

No single diabetes treatment is best for everyone, and what works for one person may not work for another. Your doctor can determine how a specific medication or multiple medications may fit into your overall diabetes treatment plan and help you understand the advantages and disadvantages of specific diabetes drugs. Oct. 24, 2020.

Is it better to take a single medication or a combination?

Sometimes a single medication is effective. In other cases, a combination of medications works better. The list of medications for type 2 diabetes is long and potentially confusing. Learning about these drugs — how they're taken, what they do and what side effects they may cause — will help you discuss treatment options with your doctor.

Does lowering cholesterol help with diabetes?

Lower cholesterol and have a very modest effect in lowering blood glucose when used in combination with other diabetes medications

What is type 2 diabetes care plan?

A type 2 diabetes care plan is an essential tool for understanding and managing the condition. An individual and a healthcare team work together to create a plan that is tailored to the person’s needs. The plan enables them to better manage their diabetes and therefore take care of their health.

Why are treatment goals at the center of a diabetes type 2 care plan?

Treatment goals are at the center of a diabetes type 2 care plan, because they dictate what the care plan must include.

Why do people with type 2 diabetes need to manage their blood sugar levels?

People with type 2 diabetes need to manage their blood sugar levels in order to stay as healthy as possible. A care plan can outline the steps a person needs to take to reach their health goals.

What is a care plan for diabetes?

The care plan will outline treatment according to someone’s blood glucose levels. This includes cases of low or high blood sugar.

What to do if someone already has a care plan?

If someone already has a care plan and feels it no longer suits their needs, they can bring the plan to the appointment and discuss potential modifications. For instance, if their lifestyle has changed or if they have trouble meeting blood sugar targets, a doctor will want to know.

What information do you need to bring to a diabetic?

The person may need to bring with them some information, such as the type of medication they have used or dietary changes they have made so far to manage diabetes.

How many people have type 2 diabetes?

Globally, around 462 million people live with type 2 diabetes. Optimal condition management is key to improving a person’s quality of life.

How does self management affect diabetes?

People with diabetes who honed their self-management skills — the ability to carry out day-to-day lifestyle habits that help control blood sugar, as well as being informed and part of the decision-making process — had a more marked decrease in A1C levels compared with control groups, according to a review of 118 interventions published in June 2016 in the journal Patient Education and Counseling.

What to do if your A1C isn't controlled?

If your blood sugar isn’t as well controlled as it once was or you haven’t reached your target A1C despite treatment, your doctor may suggest making an adjustment to your type 2 diabetes treatment plan. Every person with diabetes is unique, so each treatment plan is individualized — what’s best for one person may not be ideal for another.

What if you have anxiety about needles and your provider prescribes an injectable medication?

What if you have anxiety about needles and your provider prescribes an injectable medication? Rather than dismissing that fear, your provider should take it seriously, dig into it more, and help you come up with a plan that accommodates your needs. The ideal plan should allow for adjustments, made by working with your doctor, that incorporate changes that make it okay for you, says Reynolds.

Is weight loss a part of diabetes management?

Weight loss can be an important part of a type 2 diabetes management plan, but if you’ve heard a blanket recommendation to lose weight without any instruction on how to get there or a sole focus on weight loss, then you should think about if that’s working for you.

Is diabetes one size fits all?

Every person with diabetes is unique, so each treatment plan is individualized — what’s best for one person may not be ideal for another. “Nothing about diabetes is one size fits all,” says Chauntae Reynolds, PharmD, CDCES, a spokesperson for the Association of Diabetes Care & Education Specialists based in Indianapolis.

When to put on medication for type 2 diabetes?

You may be put onto medication as soon you are diagnosed with type 2 diabetes or sometime after if your blood glucose levels become too high. You can be moved onto stronger medication if your blood glucose levels remain too high, while you can also be moved onto less strong medication if your blood glucose levels improve. ...

What type of medication is needed for diabetes?

Medication for type 2 diabetes includes tablets and/or injectable medication.

What is the most well known type of injectable medication for diabetes?

Insulin is the most well-known type of injectable medication for diabetes. Insulin is the hormone which helps to move sugar out of the blood and into cells to be used as energy or to be stored as fat.

Why do you need to monitor blood glucose levels?

If you are on insulin you may need to regularly test your blood glucose levels to help prevent blood glucose levels from going too low. Blood glucose monitoring is highly valued by some people with diabetes and has helped people achieve excellent control.

What is the Low Carb Program?

Diabetes.co.uk’s Low Carb Program, an education program which won the Positive Social Impact Award at the Lloyds Bank National Business Awards UK 2016, can help people with type 2 diabetes achieve better blood glucose levels, enable weight loss and reduce dependency on medication.

What is a GP responsible for?

Your GP will also be responsible for monitoring your health and ensuring you undergo a number of important diabetes health checks each year. These will include your blood glucose control, blood pressure and cholesterol, amongst others.

What is a GP?

Your GP is an important part of your healthcare and will be able to advise you treating your diabetes, refer you to diabetes education and lifestyle courses and medical specialists, where appropriate, and prescribe medication.

How to treat Type 2 diabetes?

Type 2 diabetes is usually initially treated by following a healthy diet, losing weight if you are overweight, and having regular physical activity. If lifestyle advice does not control your blood glucose levels then medicines are used to help lower these levels.

How does a syringe lower blood glucose?

It lowers blood glucose mainly by decreasing the amount of glucose that your liver releases into the bloodstream. It also increases the sensitivity of your body's cells to insulin. This means more glucose is taken into cells with the same amount of insulin in the bloodstream.

What is a glitazone?

Pioglitazone. Pioglitazone is a thiazolidinedione (sometimes called a glitazone). Pioglitazone lowers blood glucose by increasing the sensitivity of your body's cells to insulin (so more glucose is taken into cells for the same amount of insulin in the bloodstream).

What is the name of the medication that is given as an injection?

Exenatide, dulaglutide, lixisenatide , liraglutide and semaglutide are glucagon-like peptide-1 (GLP-1) mimetics which are treatments given as an injection. They work in a similar way to the action of the naturally occurring hormone glucagon-like peptide 1.

What is the best medication for weight loss?

For people where weight loss or avoiding weight gain is important - SGLT-2 inhibitor or GLP-1 mimetic ( or DPP-4 inhibitor if neither of these is suitable).

Why is it important to control blood sugar?

Keeping your blood sugar (glucose) well controlled is key to reducing your risk of long-term complications such as heart, kidney or eye problems. Regardless of whether you need medication or which medication you are taking, diet and lifestyle play a key part in preventing long-term complications. You can find out more about how you can improve your ...

Can you take insulin with type 2 diabetes?

However, some people with type 2 diabetes need insulin injections to help control blood sugar (glucose) levels. Some people gain a great deal of benefit from insulin injections and these are sometimes used fairly soon after the diagnosis of type 2 diabetes has been made. Insulin injections can be used in combination with other medicines to further improve glucose control.

What type of medication is prescribed for type 2 diabetes?

Depending on your health history and needs, your doctor might prescribe one or more of the following: other injectable drugs, such as a GLP-1 receptor agonist or amylin analogue.

What is type 2 diabetes?

Overview. Type 2 diabetes is a chronic condition in which the body doesn’t use insulin properly. This causes blood sugar levels to rise, which can lead to other health problems. If you have type 2 diabetes, your doctor may prescribe one or more treatments to help manage your blood sugar levels and reduce your risk of complications.

What is the goal of blood work for diabetes?

Blood sugar testing. The main goal of diabetes treatment is to keep your blood sugar levels in target range. If your blood sugar falls too low or rises too high, it can cause health problems. To help monitor your blood sugar levels, your doctor will order blood work on a regular basis.

How to get a diabetic to exercise?

According to the ADA, most adults with type 2 diabetes should: 1 get at least 150 minutes of moderate to vigorous intensity aerobic exercise per week, spread over multiple days 2 complete two to three sessions of resistance exercise or strength training per week, spread over non-consecutive days 3 try to limit the amount of time you spend engaging in sedentary behaviors 4 try not to go more than two days in a row without physical activity

What is the best diet for diabetics?

In general, the American Diabetes Association (ADA) recommends: eating a wide variety of nutrient-rich foods, such as whole grains, legumes, vegetables, fruits, lean proteins, and healthy fats. evenly spacing your meals throughout the day.

Is type 2 diabetes overweight?

Many people who are newly diagnosed with type 2 diabetes are overweight. When that’s the case, a doctor will usually recommend weight loss as one aspect of an overall treatment plan.

Is it healthy to eat with type 2 diabetes?

Eating a well-balanced diet is also important for your overall health. There’s no one-size-fits-all approach to healthy eating with type 2 diabetes. In general, the American Diabetes Association (ADA) recommends:

How can parents help prevent diabetes?

Parents can help prevent or delay type 2 diabetes by developing a plan for the whole family: Drinking more water and fewer sugary drinks. Eating more fruits and vegetables. Making favorite foods healthier. Making physical activity more fun.

Who manages diabetes?

Unlike many health conditions, diabetes is managed mostly by you, with support from your health care team (including your primary care doctor, foot doctor, dentist, eye doctor, registered dietitian nutritionist, diabetes educator, and pharmacist), family, and other important people in your life. Managing diabetes can be challenging, but everything you do to improve your health is worth it!

What Causes Type 2 Diabetes?

Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. If you have type 2 diabetes, cells don’t respond normally to insulin; this is called insulin resistance. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can’t keep up, and your blood sugar rises, setting the stage for prediabetes and type 2 diabetes. High blood sugar is damaging to the body and can cause other serious health problems, such as heart disease , vision loss, and kidney disease.

How long does it take for Type 2 diabetes to show up?

Type 2 diabetes symptoms often develop over several years and can go on for a long time without being noticed (sometimes there aren’t any noticeable symptoms at all). Because symptoms can be hard to spot, it’s important to know the risk factors and to see your doctor to get your blood sugar tested if you have any of them.

How does diabetes affect children?

Childhood obesity rates are rising, and so are the rates of type 2 diabetes in youth. More than 75% of children with type 2 diabetes have a close relative who has it, too. But it’s not always because family members are related; it can also be because they share certain habits that can increase their risk. Parents can help prevent or delay type 2 diabetes by developing a plan for the whole family: 1 Drinking more water and fewer sugary drinks 2 Eating more fruits and vegetables 3 Making favorite foods healthier 4 Making physical activity more fun

How many children with diabetes have a close relative?

More than 75% of children with type 2 diabetes have a close relative who has it, too. But it’s not always because family members are related; it can also be because they share certain habits that can increase their risk. Parents can help prevent or delay type 2 diabetes by developing a plan for the whole family:

Can you take insulin if you have diabetes?

You may be able to manage your diabetes with healthy eating and being active, or your doctor may prescribe insulin, other injectable medications, or oral diabetes medicines to help manage your blood sugar and avoid complications. You’ll still need to eat healthy and be active if you take insulin or other medicines. It’s also important to keep your blood pressure and cholesterol close to the targets your doctor sets for you and get necessary screening tests.

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Diagnosis

Clinical Trials

Lifestyle and Home Remedies

Alternative Medicine

Medically reviewed by
Dr. Karthikeya T M
Your provider will work with you to develop a care plan that may include one or more of these treatment options.
There are no medications that can cure Type 2 diabetes. Healthy diet and exercise are the first steps in controlling the blood sugar level. Medications are available to help manage the disease condition. Medications may work in different ways. A few may increase the production of insulin while others may improve insulin resistance.
Medication

Biguanide: Improves sensitivity of the body tissues to insulin.

Metformin


Sulphonylureas: Helps the body produce more insulin.

Glibenclamide . Gliclazide . Glipizide . Glimepiride . Tolbutamide


Alpha glucosidase inhibitor: Delay the absorption of carbohydrates.

Acarbose


Thiazolidinediones: Increases sensitivity to insulin. Since this is associated with many side effects, it is prescribed only if it is necessary.

Rosiglitazone . Pioglitazone


DPP-4 inhibitors: Helps reduce blood sugar levels, without much of side effects.

Sitagliptin . Saxagliptin . Linagliptin


SGLT2 inhibitors: Prevent kidneys from absorbing excess glucose. Excess sugar is excreted in urine. This might include side effects of repeated urinary infections, increased urination.

Canagliflozin . Dapagliflozin


Insulin injection: This helps manage the sugar level efficiently, usually, prescribed for long standing or very high sugar levels. There are many types of Insulin.

Insulin glulisine . Insulin lispro . Insulin aspart . Insulin glargine . Insulin detemir . Insulin isophane

Nutrition

Foods to eat:

  • Healthy carbohydrate foods
  • Vegetables
  • Fruits
  • Legumes, such as beans
  • Whole grains
  • Omega- 3 fatty acid rich foods
  • Tuna
  • Sardines
  • Salmon
  • Mackerel
  • Halibut
  • Cod
  • Monounsaturated and polyunsaturated foods
  • Olive oil
  • Canola oil
  • Peanut oil
  • Almonds
  • Pecans
  • Walnuts
  • Avocados

Foods to avoid:

  • Foods heavy in saturated fats
  • Foods heavy in trans fats
  • Beef
  • Processed meats
  • Sugary drinks
  • High-fat dairy products
  • Salty foods
  • Fried foods

Stop smoking: Smoking increases the level of blood sugar level.

Specialist to consult

Endocrinologist
Specializes in the function and disorders of the endocrine system of the body.

Coping and Support

  • Type 2 diabetes is usually diagnosed using the glycated hemoglobin (A1C) test. This blood test indicates your average blood sugar level for the past two to three months. Results are interpreted as follows: 1. Below 5.7% is normal. 2. 5.7% to 6.4% is diagnosed as prediabetes. 3. 6.5% or high…
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Preparing For Your Appointment

  • Explore Mayo Clinic studiestesting new treatments, interventions and tests as a means to prevent, detect, treat or manage this condition.
See more on mayoclinic.org

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