Metformin should be the first-line drug for managing type 2 diabetes. Insulin and sulfonylureas should be second line, and glitazones should be reserved for third line. Metformin is the only drug for type 2 diabetes that does not cause weight gain, which is an important advantage.
Can you be cured of type 2 diabetes?
Treatment for type 2 diabetes includes monitoring your blood sugar levels and using medications or insulin when needed. Doctors also recommend losing weight through diet and exercise. However, there are less drastic ways that you can lose weight and reduce your symptoms.
3 tips to lower your blood sugar fast
- Hydrate. The more water you drink, the better.
- Exercise. Exercise is a good way to get better blood sugar control and keep your blood sugar levels in a healthy range as a part of your routine diabetes management.
- Eat a protein-packed snack.
The American Diabetes Association recommends aiming for a blood sugar level between 70 to 130 mg/dl before meals and less than 180 mg/dl one to two hours after a meal.
Foods to eat for a type 2 diabetic diet include complex carbohydrates such as brown rice, whole wheat, quinoa, oatmeal, fruits, vegetables, beans, and lentils. Foods to avoid include simple carbohydrates, which are processed, such as sugar, pasta, white bread, flour, and cookies, pastries.
There are three second-generation drugs: glipizide. It lowers blood glucose by helping the pancreas make more insulin and by helping the body better use the insulin it makes. Belongs to the class of medicines called sulfonylureas.
If you have a family history of type 2 diabetes, it may be difficult to figure out whether your diabetes is due to lifestyle factors or genetic susceptibility. Most likely it is due to both. However, don't lose heart. Studies show that it is possible to delay or prevent type 2 diabetes by exercising and losing weight.
Here are 15 easy ways to lower blood sugar levels naturally:
- Exercise Regularly.
- Control Your Carb Intake.
- Increase Your Fiber Intake.
- Drink Water and Stay Hydrated.
- Implement Portion Control.
- Choose Foods With a Low Glycemic Index.
- Control Stress Levels.
- Monitor Your Blood Sugar Levels.
Plant-based therapies that have been shown in some studies to have anti-diabetic properties include:
- Aloe vera.
- Bilberry extract.
- Bitter melon.
DPP-4 inhibitors include medications with:
- Alogliptin (Nesina)
- Alogliptin and metformin (Kazano)
- Alogliptin and pioglitazone (Oseni)
- Linagliptin (Jentadueto)
- Linagliptin and metformin (Tradjenta)
- Saxagliptin (Ongylza)
- Saxagliptin and metformin (Kombiglyze)
- Sitagliptin (Januvia)
The following are some of the diabetes drugs available in the U.S.:
- Nateglinide (Starlix)
- Pioglitazone (Actos)
- Repaglinide (Prandin)
- Rosiglitazone Avandia)
- Rosiglitazone and glimepiride (Avandaryl)
- Rosiglitazone and metformin (Avandamet)
- Saxagliptin (Onglyza)
- Sitagliptin (Januvia)
Type 2 diabetes has several causes: genetics and lifestyle are the most important ones. A combination of these factors can cause insulin resistance, when your body doesn't use insulin as well as it should. Insulin resistance is the most common cause of type 2 diabetes. Type 2 diabetes can be hereditary.
At the time that type 1 diabetes is diagnosed, most patients still are producing some insulin. Patients diagnosed with type 2 diabetes may discover that if they are overweight at diagnosis and then lose weight and begin regular physical activity, their blood glucose returns to normal.
For someone without diabetes, a fasting blood sugar on awakening should be under 100 mg/dl. Before-meal normal sugars are 70–99 mg/dl. “Postprandial” sugars taken two hours after meals should be less than 140 mg/dl.
Type 2 diabetes develops when the body becomes resistant to insulin or when the pancreas stops producing enough insulin. Exactly why this happens is unknown, although genetics and environmental factors, such as excess weight and inactivity, seem to be contributing factors.
Treatment for type 2 diabetes includes monitoring your blood sugar levels and using medications or insulin when needed. Doctors also recommend losing weight through diet and exercise. If you start eating healthier, get more exercise, and lose weight, you can reduce your symptoms.
While diabetes cannot technically be cured, it can go into remission. Medically speaking, there is no cure for diabetes but it can go into "remission." Diabetes in remission simply means the body does not show any signs of diabetes. However, the disease is technically still there.
Other signs and symptoms of ketoacidosis occur as the condition progresses:
- Fatigue, which can be severe.
- Nausea and/or vomiting.
- Abdominal pain.
- Flushing of the skin.
- Dry skin.
- Fruity odor to the breath, caused by ketones.
- Difficulty breathing.
- Mental status changes, including confusion or problems with concentration.
Diabetes medications and insulin therapy
- Metformin (Glucophage, Glumetza, others). Generally, metformin is the first medication prescribed for type 2 diabetes.
- DPP-4 inhibitors.
- GLP-1 receptor agonists.
- SGLT2 inhibitors.
- Insulin therapy.
Jan. 10, 2012 -- Two drugs approved to treat type 2 diabetes may also aid weight loss in overweight people with or without diabetes, a new study shows. The drugs Byetta and Victoza mimic gut hormones that decrease appetite. They are typically prescribed when patients need medication to help control their blood sugar.
Endocrinologists have the training to diagnose and treat hormone imbalances and problems by helping to restore the normal balance of hormones in the body. The common diseases and disorders of the endocrine system that endocrinologists deal with include diabetes mellitus and thyroid disorders.
Diabetes is a problem with your body that causes blood glucose (sugar) levels to rise higher than normal. This is also called hyperglycemia. Type 2 diabetes is the most common form of diabetes. If you have type 2 diabetes your body does not use insulin properly. This is called insulin resistance.