Diabetes part (3)

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Treatment of diabetes
As mentioned, the treatment for diabetes depends mainly on its type, which means:

Treatment of type 2 diabetes
The treatment of diabetes varies from person to person depending on the individual laboratory tests performed by each patient and their blood glucose values.

According to the complications of diabetes we have shown earlier, the risk of microvascular and vascular diseases (microvascular & macrovascular) is high as the blood sugar concentration is higher over long periods of the disease.

In addition to cardiovascular diseases, the risk is also increased the older the patient is and the longer the duration of diabetes. This is why we should treat this group seriously and balance the blood glucose values ​​as much as possible.

Treatment in this group of people should include prevention of severe hypoglycemia (hypoglycemia), or acute circulation (hypotension).

As well as attention to the overall health of the patient and the overall medications that are treated so that it is possible to suffer from diabetes more than one disease in addition to diabetes.

The treatment of diabetes can be divided into several sections:

1- Lifestyle changes
Healthy and appropriate nutrition for this group of patients.
Physical exercise recommended by physicians, which is especially suited to each patient according to the total number of diseases he / she suffers and may affect regular and proper physical exercise such as heart disease, physical disabilities and other diseases.
Weight loss and BMI, which can help the body to reduce insulin resistance, which causes diabetes.
Medications taken orally
Metformin (Metformin): It is considered a primary treatment line especially for people who are obese. It works by inhibiting the production of glucose in the liver, leading to a reduction in its concentration in the blood.
Known side effects of this medicine are weight loss and digestive effects. People with chronic kidney failure can be unsuitable and even harmful.

Sulfonylurea (Sulfonylurea): A drug that helps to secrete insulin in the body by changes in the electrical charge of the cell membrane that secretes insulin.
Common and common side effects of these drugs are excess weight gain and a sharp drop in blood glucose (Hypoglycemia).

Elderly people who are prone to frequent cases of severe hypoglycemia should be careful not to take these medications, which may be inappropriate for them.

Thiazolidinediones: This type of medicine improves insulin resistance in the body, and may induce insulin secretion.
Meglitinides: These drugs work similarly to sulfanil-urea drugs. A known side effect of this class of drugs is gaining excess weight.
Alpha-glucosidase inhibitors: These drugs work by slowing the absorption of sugar in the digestive tract. Known side effects of this class of medications are flatulence (bloating) and diarrhea.
DPP-IV inhibitors: These medications help regulate the concentration of glucose (sugar) in the body. In general, these drugs are not as potent and are not as effective for reducing HB1C significantly as other drugs.
It is noteworthy that these drugs do not increase the weight as well as not high risk of a sharp decline in the concentration of glucose (sugar) in the body.

GLP-1 drugs: These drugs work by the role of peptides in the digestive system to balance the concentration of glucose in the blood, including GLP-1. Known side effects of this medicine include weight loss, vomiting, nausea and diarrhea.
3. Injection
Insulin: Insulin therapy has become more common recently, although many patients refuse to take injections on a daily basis. Insulin therapy is divided into two types:
Treatment with insulin is long-lasting, and is a daily injection that provides the body with the basic amount of insulin. This makes it easier for the patient to accept treatment because there is no need to inject more than once a day. This type of treatment can be prescribed with other oral medications to more effectively balance the disease.
Short-term insulin therapy is an insulin that is taken immediately after daily meals and is usually adapted to the amount of short-term insulin taken afterwards.
Pramlintide: Generally given by insulin accompaniment injections.
Monitor blood glucose concentration
Monitoring blood glucose (blood sugar) concentration, especially in the morning hours, is important and usually gives us information about balancing the disease in these patients.

Doctors usually take care of these recordings in order to decide the appropriate treatment for patients and the need to add other drugs to better balance the disease.

In addition to direct treatment to reduce the concentration of glucose in the blood there is no less important treatment, which is to reduce the risk of cardiovascular disease, which includes:

Reduce smoking as much as possible. Sometimes there are organized group sessions in which doctors recommend smoking cessation:
Treatment of hypertension
Treatment of hyperlipidemia
Treatment by aspirin
As mentioned above, living healthy and healthy in terms of food and sports.