Diabetes Treatment without insulin medicine
Diabetes is a disease . By excessive amount of blood glucose or blood sugar This is due to a lack of the hormone insulin into the body , or because the insulin is present in the body, is not absorbed by the body
If you think a diabetes medication, you probably think of insulin. In many cases, the treatment of type 2 diabetes can never include insulin replacement. Although type 2 diabetes is to make by a failure of the body or correct its own insulin, a hormone that causes required for glycemic control, there are many treatment plans for type 2 diabetes without insulin replacement.
“You could say that everyone will eventually need insulin with type 2 diabetes if they lived long enough,” said Kevin M. Pantalone, DO, an endocrinologist and diabetes expert at the Cleveland Clinic in Ohio. “But in reality, only about 20 to 30 percent of people with type 2 diabetes need at all. We have many other options that we can use for the first time.”
First line options: diet, exercise, and metformin
“Diet and exercise alone were once the standard diabetes therapies for early type 2 diabetes, but this has changed in recent years,” says Dr. Pantalone. “The American Diabetes Association (ADA) recommends that the diabetes medication metformin now start early. Today, only a minority of people are diet and exercise for diabetes prescribed alone.”
Was published after a review of type 2 diabetes management plans in the journal Clinical Diabetes in 2012, metformin should be used as initial therapy for type 2 diabetes, because it will reduce A1C 1-2 percent.
A1C is a blood test that measures your average blood sugar over the past two to three months. The goal is an A1C of 7 percent or less. Doctors use this measurement on treatment options for lifestyle changes and oral medications, insulin replacement decide.
Here’s more on the first-line treatment of diabetes:
A diabetic diet. A healthy diet is important for the control of blood glucose, a healthy body weight, and reduces the risk of other health conditions, including heart disease. “For most people, a diabetic diet means sticking to a healthy diet of 1800 calories per day,” says Pantalone. “People with type 2 diabetes need to learn to count calories and how to spread their carbs throughout the day.” Work with a certified diabetes educator and dietitian can help you improve your diet to manage diabetes.
Exercise for diabetes. Exercise can slow down and make it easier to manage the progression of diabetes. In addition helps in losing weight and improving overall health, exercise has a direct effect on blood sugar. The ADA recommends that people get with type 2 diabetes at least 150 minutes of exercise per week or 30 minutes per day, five days a week. People with diabetes who need to lose weight should try 15 to 20 percent of their body weight lose, advises Pantalone.
Metformin. Metformin works by decreasing hepatic production of glucose (sugar) and increasing the body’s sensitivity to insulin. “Most people start metformin in one or two times a day and the dose gradually increased to prevent side effects such as nausea and diarrhea,” Pantalone says. Metformin is usually used along with diet and exercise for three months. If an A1C of less than 7 percent is not reached by then, another diabetes medications may be added.
Type 2 diabetes treatment metformin after
If metformin and lifestyle changes are not enough to control blood sugar, your doctor will adjust your treatment plan. Pantalone “If metformin fails, the treatment more complicated,” says. “We now have many oral diabetes medications as well as non-insulin injectable medications called Options.” However, he notes that it must be so treated by metformin no set guidelines for what to try to be individualized for each person.
Here are common classes of diabetes medications, the 2 diabetes treatment plan can be added to your type:
Sulfonylureas. These diabetes drugs have been around since the 1950s. They work by increasing the body’s insulin production. The reason why it is not as frontline treatment that they sometimes cause blood sugar is too low (hypoglycemia) dip and can cause weight gain.
Meglitinide. This diabetes medications are short acting, so they must be taken three times a day before meals. They work by cells in the pancreas to secrete more insulin.They’re less likely to cause hypoglycemia, but they are usually lower A1C by 1 percent or less of it.
Thiazolidinediones. These drugs work by reducing insulin resistance. They do not cause hypoglycemia, but they are only lower A1C by up to 1.5 percent. Recent evidence suggests that while thiazolidinediones “good” HDL cholesterol may increase, they may increase the risk of heart failure, so that they will not be used by people with congestive heart failure, and people taking these drugs should be monitored for possible heart problems. You may also want to gain weight.
Alpha-glucosidase inhibitors. These diabetes medications slow the rise in blood sugar by stopping the breakdown of starch in foods such as bread and potatoes as they digested. If the drug is taken just before eating, it slows the rise in blood sugar after eating. Their use is limited because they are not as effective as other types of diabetes and drug side effects often cause flatulence and diarrhea.
Incretin agents. This includes the drugs GLP-1 and DPP-4 inhibitors. GLP-1 works by stimulating insulin secretion and slows digestion. It can lower A1C and can promote weight loss. DPP-4 inhibitors help your body to use their own compound that lowers blood sugar.
Non-insulin injectable drugs. Exenatide is an injectable diabetes drug that increases insulin secretion, but it can cause nausea. An extended-release version of the drug can be injected as a single week. Liraglutide, which is injected once daily, stimulates insulin production and can help with weight loss. However, the FDA is investigating a possible link to thyroid cancer.