Treatment FAQ

what is the usual treatment fr type 2 diabetes

by Prof. Bethel Pacocha Published 3 years ago Updated 2 years ago
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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.Jan 20, 2021

Medication

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 ...

Nutrition

Type 2 diabetes

  • Diagnosis. Type 2 diabetes is usually diagnosed using the glycated hemoglobin (A1C) test. ...
  • Treatment. These steps will help keep your blood sugar level closer to normal, which can delay or prevent complications.
  • Clinical trials. ...
  • Lifestyle and home remedies. ...
  • Alternative medicine. ...
  • Coping and support. ...
  • Preparing for your appointment. ...

What type of medication is used for type 2 diabetes?

What Are the Best Drugs to Treat Diabetes?

  1. Insulin (long- and rapid-acting)
  2. Metformin (biguanide class)
  3. Glipizide (sulfonylurea class)
  4. Glimepiride (sulfonylurea class)
  5. Invokana (sodium glucose cotransporter 2 inhibitor class)
  6. Jardiance (SGLT2 class)
  7. Januvia (dipeptidyl peptidase 4 inhibitor)
  8. Pioglitazone (thiazolidinediones)
  9. Victoza (glucagon-like peptide 1 agonist)

More items...

What is the cure for diabetes type 2?

To reverse diabetes naturally, the first step is to remove these foods from your diet: Refined sugar: Refined sugar rapidly spikes blood glucose, and soda, fruit juice and other sugary beverages are the worst culprits. These forms of sugar enter the bloodstream rapidly and can cause extreme elevations in blood glucose.

What are the best drugs to treat diabetes?

How to reverse diabetes naturally?

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How would type 2 diabetes be treated?

If you have type 2 diabetes you may need medication to help manage your blood sugar levels. The most common tablet is metformin, but there are lots of different types. Some medication stimulates the pancreas to produce insulin, such as sulphonylureas. Others may be prescribed to help you lose weight, if you need to.

What is the most common treatment for diabetes?

Insulin. 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.

At what point do Type 2 diabetics need insulin?

Insulin for Short-Term Blood Sugar Control "The American Association of Clinical Endocrinologists recommends starting a person with type 2 diabetes on insulin if their A1C is above 9 percent and they have symptoms," said Mazhari. Symptoms of type 2 diabetes include thirst, hunger, frequent urination, and weight loss.

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 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.

What is the name of the drug that reduces blood glucose levels?

Canagliflozin, dapagliflozin, empagliflozin and ertugliflozin are sodium-glucose co-transporter-2 (SGLT-2) inhibitors. These increase the amount of glucose you pass out of your body in your urine and so reduce blood glucose levels. These medicines can be used on their own or with other medicines to help control blood glucose for people with type 2 diabetes.

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).

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.

How does tolbutamide work?

Tolbutamide. They work by increasing the amount of insulin that your pancreas makes. (If you have type 2 diabetes, you still make insulin in your pancreas. However, you do not make enough to keep your blood glucose level normal.) If you are prescribed a sulfonylurea, usually a low dose is started.

How does acarbose help with glucose?

Acarbose. Acarbose works by delaying the absorption of carbohydrates (which are broken down into glucose) from the gut. Therefore, it can reduce the peaks of blood glucose which may occur after meals. It is an option if you are unable to use other tablets to keep your blood glucose level down.

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.

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 name of the drug that mimics the action of glucagon?

Incretin mimetics are medications which mimic the action of a hormone called glucagon-like-peptide-1. This hormone plays a number of roles in response to digestion such as increasing the amount of insulin released and decreasing the amount of glucagon (a hormone that helps raise blood sugar) released. A group of tablet medications, known as DPP-4 inhibitors, work in a similar way to incretin mimetics.

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.

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.

How does exercise help with glucose?

After the exercise, the body will start replenishing its stores of glucose by steadily taking in available glucose from the blood.

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.

When does Type 2 diabetes start?

Type 2 diabetes most often develops in people over age 45, but more and more children, teens, and young adults are also developing it.

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 is it called when your pancreas doesn't respond to insulin?

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.

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:

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.

How to check blood sugar?

Recognize the signs of high or low blood sugar and what to do about it. If needed, give yourself insulin by syringe, pen, or pump. Monitor your feet, skin, and eyes to catch problems early. Buy diabetes supplies and store them properly.

How to treat type 2 diabetes?

Doctors often begin treatment of type 2 diabetes by recommending changes to what you eat, a focus on exercise, and safe ways to lose weight and increase fitness. For some people, these changes are enough to get the condition under control without taking diabetes medication.

Why is metformin used for diabetes?

Metformin makes the cells in your muscles, fat, and liver react to insulin more efficiently so they can better absorb glucose from your blood. There are a few reasons why metformin is the typical first choice for diabetes treatment. It’s unlikely to make your blood sugar dip too low the way other medicines can.

What does SGLT2 stand for?

Mute. 00:00. Fullscreen. SGLT2 stands for sodium glucose co-transporter 2 , a part of kidney cells that help them take in glucose. SGLT2 inhibitors block those parts and keep your kidneys from absorbing glucose from your urine back into your blood. Instead, the extra glucose goes out of your body in your urine.

How does metformin work?

They make your body react better and more quickly to insulin. They help your fat, liver, and muscles take in more glucose. Your liver also puts out less glucose into your bloodstream when you take them. That leads to lower blood sugar levels.

What is the name of the tablet that lowers blood sugar levels?

0:42. Mute. 00:00. Fullscreen. If you have type 2 diabetes, you’ve probably heard of metformin. It’s the medication doctors typically prescribe first when you’re diagnosed. Metformin is a tablet that lowers blood sugar levels by keeping your liver from releasing too much sugar, also called glucose, into your blood.

Does SGLT2 leave the body?

As your kidneys filter your blood to clean it, SGLT2 proteins transport sugar back into your bloodstream, so it doesn't leave the body through your urine. But if you have type 2 diabetes, there's too much sugar in your blood.

Does metformin help with weight loss?

Some people even lose a little bit of weight when they take metformin. Doctors prescribe this medicine when a healthy diet and exercise routine aren’t doing enough to keep blood sugar levels under control. It may be the only medication you take for diabetes, or you may need others, too.

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 are the drugs used to treat diabetes type 2?

Select drug class All drug classes minerals and electrolytes (3) sulfonylureas (11) non-sulfonylureas (3) insulin (48) alpha-glucosidase inhibitors (3) bile acid sequestrants (2) thiazolidinediones (4) ...

Why is type 2 diabetes more prevalent in younger people?

In the past two decades, the condition has become more prevalent in younger people, including children, mainly because of the rising rates of obesity in children. People who do little exercise or of certain ethnicities (such as Native Americans, African-Americans, and Hispanics) are also at higher risk of developing type 2 diabetes.

How do you know if you have type 2 diabetes?

Symptoms of type 2 Diabetes usually come on gradually and may be so subtle that many people do not realize they have the condition. Symptoms may include: Always feeling thirsty. Feeling hungry, even though you eat regularly. Going to the toilet (urinating) often. Getting sick frequently, or frequent skin infections, ...

What is the most common type of diabetes?

Type 2 diabetes is the most common type of diabetes and is characterized by high levels of glucose (sugar) in the blood. Although some symptoms may be similar, it is a different condition to type 1 diabetes .

Can diabetes be screened for pregnancy?

Some doctors screen for diabetes in people of a certain age and it is usually always screened for in pregnant women. If you or your doctor suspects you have type 2 diabetes then they may perform a blood test on the spot that tests for blood sugar levels using a fingerprick or order a blood test that tests for blood sugar levels in ...

Can type 2 diabetes produce insulin?

Unlike people with type 1 diabetes, most people with type 2 diabetes still produce insulin. However, it is either not enough to deal with all the glucose that is in their blood or their cells are unable to recognize the insulin and use it properly (this is called insulin resistance). Type 2 diabetes usually affects people who are middle-aged ...

Can diabetes cause heart problems?

Even though symptoms of type 2 diabetes are barely noticeable in some people, constantly high blood sugar levels cause permanent damage to all the blood vessels and nerves in the body. Untreated diabetes can lead to an increased risk of heart attack and stroke, erectile dysfunction, foot problems, gum disease, eye and kidney disease, ...

What is the best medication for type 2 diabetes?

semaglutide (Ozempic) — also available in tablet form (Rybelsus) Pramlintide (Symlin) is another injectable drug approved for treatment of type 2 diabetes. It’s used in conjunction with mealtime insulin shots. Though less commonly used, it works similarly to GLP-1 RAs.

What is the name of the drug that is used to treat type 2 diabetes?

Currently, there are several GLP-1 RAs on the market that differ by dosing schedule and duration of action. They include: semaglutide (Ozempic) — also available in tablet form (Rybelsus) Pramlintide (S ymlin) is another injectable drug approved for treatment of type 2 diabetes.

What is the best treatment for obesity?

exercise. use of other medications. Because of this, GLP-1 RAs are well suited for people who are overweight or have obesity. They’re often used in combination with other drugs or insulin to mitigate weight gain.

What is the diabetes plate method?

The diabetes plate method is commonly used for providing basic meal planning guidance and for its visual help. Seeing a registered dietitian may also help lead you to a healthier diet. A dietitian can recommend an individualized nutrition plan that accounts for your specific factors and preferences.

Can exenatide cause hypoglycemia?

Some people using exenatide (Bydureon, Byetta) have reported this side effect. Hypoglycemia rarely occurs with GLP-1 RAs when used alone. However, adding them to insulin-based therapies can increase risk. In rodent studies, there was an increase in medullary thyroid tumors.

What is the best way to treat low blood sugar?

Make sure your family members, friends, and caregivers know your signs of low blood sugar so they can help treat it if needed. Injectable glucagon is the best way to treat severely low blood sugar. A glucagon kit is available by prescription. Speak with your doctor to see if you should have a kit.

What to do if you think you have low blood sugar?

If you think you have low blood sugar, check it. If you aren’t able to check it, go ahead and treat it. Untreated low blood sugar can be dangerous, so it’s important to know what to do about it and to treat it immediately.

How to treat high blood sugar after eating?

1 tablespoon of sugar, honey, or syrup. Hard candies, jellybeans, or gumdrops (see food label for how much to eat). 3-4 glucose tablets (follow instructions). 1 dose of glucose gel (usually 1 tube; follow instructions). Tips to keep in mind: It takes time for blood sugar to rise after eating. Give some time for treatment to work.

How to raise blood sugar to 55?

If it’s still below your target range, have another serving. Repeat these steps until it’s in your target range. Once it’s in range, eat a nutritious meal or snack to ensure it doesn’t get too low again.

How long does it take for low blood sugar to go away?

After you have low blood sugar, your early symptoms for low blood sugar are less noticeable for 48 to 72 hours.

What to do if you have a low on glucagon?

If you used glucagon because of a severe low (54 mg/dL or below), immediately call your doctor for emergency medical treatment. If you have had lows several times close together (even if they’re not severe), you should also tell you doctor. They may want to change your diabetes plan.

Is it good to keep your blood sugar low?

Keeping your blood sugar levels on target as much as possible can help prevent or delay long-term, serious health problems. While this is important, closely managing your blood sugar levels also increases your chance for low blood sugar (hypoglycemia). Blood sugar below 70 mg/dL is considered low. If you think you have low blood sugar, check it.

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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…
See more on mayoclinic.org

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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