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Thứ Ba, 25 tháng 10, 2016

How to Control Diabetes - Part4 Using Medication

Part4 Using Medication
1 Talk to your doctor before taking any medication for your diabetes. Diabetes is a serious illness which can require special medications to treat. However, if misused, these medications can lead to problems which can be serious in their own right. Before taking any medication for your diabetes, talk to your doctor to develop a plan that takes all treatment options (including diet and exercise) into account. Like all serious medical conditions, a case of diabetes requires the advice of a qualified professional. The information in this section is purely informative and should not be used to pick medications or formulate dosages.
  • Additionally, you won't necessarily want to stop taking any medications you are currently on if you discover you are diabetic. A doctor must evaluate all of the variables at play - including your current medication usage - to develop a plan to treat your diabetes.
  • The effects of using too much or too little diabetes medication can be serious. For instance, an overdose of insulin can result in hypoglycemia, leading to dizziness, fatigue, confusion, and even coma in severe cases.
2 Use insulin to control your blood sugar. Insulin is perhaps the most well-known diabetes medication. The insulin that doctors prescribe to diabetics is a synthetic form of a chemical naturally produced by the pancreas to process sugar in the blood. In healthy individuals, after a meal, when blood sugar levels are high, the body releases insulin to break down the sugar, removing it from the bloodstream and rendering it into a usable form of energy. Administering insulin (via injection) allows the body to process blood sugar properly. Since medicinal insulin comes in several strengths and varieties, it's important to receive a doctor's advice before starting to use insulin.
  • Note that people with Type 1 Diabetes must take insulin. Type 1 diabetes is characterized by the body being completely unable to make insulin, so it must be added by the patient. People with Type 2 Diabetes may or may not take insulin depending upon the severity of their disease.
3 Use oral diabetes medications to control your blood sugar. There are a variety of options when it comes to orally-administered diabetes medications (pills). Often, for people with moderate cases of Type 2 diabetes, doctors will recommend trying these types of medications before using insulin as the latter represents a more drastic, life-affecting treatment option. Because there are are such a wide variety of oral diabetes medications with different mechanisms of action, it's important to talk to a doctor before starting to take any sort of diabetes pills to ensure that the medication is safe for your own personal use. See below for the different types of oral diabetes medications and a brief description of the mechanism of action for each:[35]
  • Sulfonylureas - stimulate the pancreas to release more insulin.
  • Biguanides - lower the amount of glucose produced in the liver and makes muscle tissue more sensitive to insulin.
  • Meglitinides - stimulate the pancreas to release more insulin.
  • Thiazolidinediones - reduce glucose production in liver and increase insulin sensitivity in muscle and fat tissue.
  • DPP-4 inhibitors - prevent the breakdown of normally short-lived chemical mechanisms which regulate the level of blood glucose.
  • SGLT2 Inhibitors - absorbs blood glucose in the kidneys.
  • Alpha-glucosidase inhibitors - lower glucose levels by preventing the breakdown of starches in the intestine. Also slow the breakdown of some sugars.
  • Bile Acid Sequestrants - reduces cholesterol and simultaneously lowers glucose levels. The method for the latter is still not well understood.
4 Consider supplementing your treatment plan with other medications. The medications specifically designed to fight diabetes above are not the only medications prescribed for diabetes. Doctors prescribe a range of medications, from aspirin to flu shots, to help manage diabetes. However, even though these medications are usually not as "serious" or drastic as the diabetes medications described above, it's usually a good idea to consult with your doctor before supplementing your treatment plan with one of these medicines just in case. Just a few supplementary medicines are listed below:
  • Aspirin - sometimes prescribed to reduce the risk of heart attacks for people with diabetes.[36] Mechanism of action is not well-understood but is thought to relate to aspirin's ability to prevent red blood cells from sticking together.
  • Flu shots - since the flu, like many illnesses, can cause blood glucose levels to fluctuate and make diabetes harder to manage, doctors often recommend that patients receive yearly flu shots to reduce their chance of contracting this disease.
  • Herbal supplements - though most "homeopathic" supplements have not definitively been proven effective in a scientific setting, some diabetes patients offer anecdotal testimonies to their effectiveness.

Tips

·         Request remedial assistance the moment you perceive alterations symptoms of high sugar within the body (abnormal indications).
o    Diabetes is a severe trouble with lasting/unrepairable effects, requiring immediate and continuing medical care. Scientists haven't revealed all the causes of its occurrence.
·         Initially, diabetes arises as the beta cell units inside the pancreas which manufacture insulin are damaged. Cells begin also to "resist insulin" and overworks the pancreas. Food we consume converts into sugar, called glucose, serving our body for energy. Once there are no beta cell units to manufacture insulin to move the glucose into the cells (muscle, fat, etc.), then sugar remains within the blood and since the body cannot make correct use of glucose (without sufficient insulin), it is deposited into the urine, damages and will cause kidneys to fail if not controlled, as well as other organs (liver, heart, nerves and eyes are damaged) before it is excreted (urinated out of the body).
·         If you have indications of diabetes visit a medical doctor promptly to be given appropriate analysis. Symptoms which usually occur in type 1 diabetes will also eventually in type 2 as it starts mild and gets worse, if not controlled well. Ordinary indications which show the occurrence of diabetes include:
o    extreme appetite,
o    dehydration,
o    frequent urination,
o    remarkable weight reduction,
o    low energy,
o    dried up skin,
o    injuries fail to heal,
o    constant sickness
o    abdominal troubles,
o    organs begin to weaken and will fail if not controlled...
·         Diabetes where insulin is not produced is not a curable disease, the scientists try to find techniques to treat diabetes, like inducing pancreas growth, islet unit transplantation, pancreas transplantation and genetic treatment. These approaches must pass all the way through a series of trials and analysis such as preventing resistance to insulin, discovering a means to make sufficient amount of insulin units, keeping the pancreas strong and others.
·         If ill with Diabetes, you have 3 choices to avoid many problems:
o    avoid elevated blood sugar,
o    alleviate symptoms and
o    seek care of diabetes. The National Institute of Health (NIH) is a source of information about investigation of caring for category one and category two diabetes.
·         Failure of the pancreas to produce enzymes and hormones including insulin and glucagon, untreated, causes starvation (food is not usable) and will bring death. (People can take granulated [ground and dried] porcine and bovine pancreatic glandular material made from slaughtered animals pancreas and other, refined forms of enzymes and hormones.) The damaged, injured pancreas (pancreatitis) is attacked, then digested, destroyed by its own vital enzymes that are usually only active in the intestines to digest food -- causes include alcohol abuse, genetic disorders, injury, infection from illness (Reye's syndrome, mumps, coxsackie B, mycoplasma pneumonia, and campylobacter), and cancer.[37]

Warnings

  •         Don't try to control your diabetes alone, as it could leave you feeling angry and tired, leading you to give up. Once you get accustomed to your routine, with the help of your medical, "diabetes team," you'll feel better -- and controlling your diabetes will be easier.
  •      Uncontrolled diabetes causes heart trouble, kidney failure, dry skin, nerve damage, loss of sight, lower-extremity infections, amputations and it may lead to death.

Sources and Citations

1    1.      http://www.ndep.nih.gov/i-have-diabetes/
2.     http://www.nlm.nih.gov/medlineplus/ency/article/000305.htm
3.     http://www.joslin.org/info/can_i_treat_diabetes_without_drugs.html
4.     http://www.hormone.org/diseases-and-conditions/diabetes/treatment-options
5.     http://www.diabetes.org/food-and-fitness/fitness/get-started-safely/blood-glucose-control-and-exercise.html
6.     http://www.diabetes.org/food-and-fitness/fitness/get-started-safely/blood-glucose-control-and-exercise.html
7.     http://www.webmd.com/diabetes/features/stress-diabetes
8.     http://www.webmd.com/cold-and-flu/cold-guide/diabetes-colds
9.     http://www.diabetes.co.uk/periods-and-diabetes.html
10.   http://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes/art-20044312
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13.   http://www.diabeteshealth.com/blog/insulin-for-type-2-diabetes-who-when-and-why/
14.   http://www.diabetes.org/living-with-diabetes/treatment-and-care/bariatric-surgery.html
15.   http://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/blood-sugar/art-20046628
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17.   http://diabetes.niddk.nih.gov/dm/pubs/A1CTest/
18.   http://www.mayoclinic.org/diseases-conditions/type-1-diabetes/basics/treatment/con-20019573
19.   http://www.mayoclinic.org/diseases-conditions/type-1-diabetes/basics/treatment/con-20019573
20.   http://www.nei.nih.gov/health/diabetic/retinopathy.asp
21.   http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000082.htm
22.   http://www.mayoclinic.org/diseases-conditions/diabetes/in-depth/diabetes-diet/art-20044295
23.   http://www.diabeticcareservices.com/diabetes-education/diabetes-and-obesity
24.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/understanding-carbohydrates/types-of-carbohydrates.html
25.   http://www.mayoclinic.org/healthy-living/nutrition-and-healthy-eating/in-depth/high-fiber-foods/art-20050948
26.   http://www.webmd.com/fitness-exercise/guide/good-protein-sources
27.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/fats-and-diabetes.html
28.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/fats-and-diabetes.html
29.   http://www.heart.org/HEARTORG/Conditions/Diabetes/WhyDiabetesMatters/Cholesterol-Abnormalities-Diabetes_UCM_313868_Article.jsp
30.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/fats-and-diabetes.html
31.   http://www.mayoclinic.org/diseases-conditions/high-blood-cholesterol/in-depth/cholesterol/art-20045192?pg=2
32.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/alcohol.html
33.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/alcohol.html
34.   http://www.diabetes.org/food-and-fitness/food/what-can-i-eat/making-healthy-food-choices/alcohol.html
35.   http://www.diabetes.org/food-and-fitness/food/planning-meals/create-your-plate/
36.   http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/oral-medications/what-are-my-options.html
37.   http://www.diabetes.org/living-with-diabetes/treatment-and-care/medication/other-treatments/aspirin.html
38.   http://www.nlm.nih.gov/medlineplus/ency/article/000287.htm nlm.NIH.gov, Medlineplus

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