Management Of Coronary Heart Disease
There is contradictory epidemiologic evidence as to whether diabetes is in fact a CHD risk equivalent. For the present, however, that is the position adopted by most groups, such as the National Cholesterol Education Program and the ADA.
Although the risk for CHD is 2-4 times greater in patients with diabetes than it is in individuals without diabetes, control of conventional risk factors is probably more important in event reduction than is glycemic control. Control of hypertension, aspirin therapy, and lowering of LDL cholesterol levels are vitally important in reducing CHD risk.
Before Using Ozempic Tell Your Health Care Provider If You Have Any Other Medical Conditions Including If You:
- have or have had problems with your pancreas or kidneys.
- have a history of diabetic retinopathy.
- are pregnant or breastfeeding or plan to become pregnant or breastfeed. It is not known if Ozempic® will harm your unborn baby or passes into your breast milk. You should stop using Ozempic® 2 months before you plan to become pregnant.
Tell your health care provider about all the medicines you take, including prescription and over-the-counter medicines, vitamins, herbal supplements, and other medicines to treat diabetes, including insulin or sulfonylureas.
Key Points To Remember
- The goal in treating type 2 diabetes is to keep blood sugar under control. When you control your blood sugar, you decrease your risk for other health problems caused by diabetes, such as eye problems, kidney disease, and nerve damage.
- Losing weight and increasing activity, along with taking diabetes medicine other than insulin, may be enough to keep blood sugar under control. Controlling blood sugar means staying in your target range.
- If your disease gets worse and your blood sugar can’t be controlled, your doctor will likely suggest that you take insulin.
- Insulin is the most effective medicine for lowering blood sugar levels to meet target ranges and A1c goals.
- If you decide to use insulin, you’ll learn what type is best for you and how much you’ll need to take. And you’ll need to know the signs of low blood sugar and what to do if you have a low blood sugar emergency.
- Starting insulin doesn’t mean that you’ve failed to control diabetes. Type 2 diabetes is often a disease that gets worse over time. Insulin can help people with type 2 diabetes keep their blood sugar under control.
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Other Medications That Lower The Risk Of Cardiovascular Disease
Type 2 diabetes increases the risk of cardiovascular disease. People with diabetes often have other risk factors as well, like high blood pressure. It is then quite likely that treating those other factors with medication may lower the risk of a heart attack or stroke more effectively than keeping blood sugar levels down. The main types of medication are:
- Blood-pressure-lowering drugs
- Statins for lowering
All of these medications can have side effects and also interact with other medications. So it’s important to talk to your doctor before taking any of them. This is also true for any over-the-counter medicine that you take.
Questions To Ask About Your Diabetes Medicines
Understanding what your medicines are for and how to take them helps ensure you get the most benefit from them. Here are some questions that you might ask your doctor, pharmacist or nurse:
- What is the name of my medicine and what does it do?
- What is the strength ?
- How much should I take for each dose?
- At what times of day should I take my medicine?
- Am I supposed to take it with something to eat?
- What should I do if I forget to take a dose?
- What should I do if I miss a meal?
- Are there any side effects to watch out for?
- When should I expect the medicine to start working, and how will I know if it is?
- Can my diabetes medicine cause low blood glucose?
- What should I do if my blood glucose is too low?
- What should I do if I feel better and don’t want to keep taking it?
- Is it okay to take with other medicines, alcohol or natural remedies?
- What should I do if it doesn’t seem to work?
- What should I do if Í am having an operation?
Get The Support You Need
Diabetes Canada is here to help provide information and support so that you can live a healthy life. A positive and realistic attitude toward your diabetes can help you manage it. Talking to other people with type 2 diabetes is a great way to learn, and to feel less alone.
Your health-care team is there to help you. Depending on your needs and the resources available in your community, your team may include a family doctor, diabetes educator , endocrinologist, pharmacist, social worker, exercise physiologist, psychologist, foot-care specialist, eye-care specialist. They can answer your questions about how to manage diabetes and work with you to adjust your food plan, activity and medications
One Of The Best Cures For Diabetes
What if I told you that something as simple as flexing a group of your muscles and holding them flexed can cure type 2 diabetes?
You might be shaking your head.
But its true: isometric contractions, which involves contracting your muscles without moving them, are one of the simplest ways to make your body more receptive to removing sugar from the bloodstream.
This is because exercise has the same effect on cells as insulin .
Insulin, as we talked about earlier, pulls molecules of sugar out blood and brings them toward cells for absorption.
But with type 2 diabetes, cells resist the insulin, refusing to open up and receive the sugar.
Heres the cool thing: exercise stimulates something called the GLUT4 transporter which signals cells to open and receive energy, just like insulin, allowing sugar to be shuttled inside.
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The United Kingdom Prospective Diabetes Study
The care of patients with type 2 diabetes mellitus has been profoundly shaped by the results of the United Kingdom Prospective Diabetes Study . This landmark study confirmed the importance of glycemic control in reducing the risk for microvascular complications and refuted previous data suggesting that treatment with sulfonylureas or insulin increased the risk of macrovascular disease. Major findings of the UKPDS are displayed in the images below.
Significant implications of the UKPDS findings include the following:
Microvascular complications are reduced by 25% when mean HbA1c is 7%, compared with 7.9%
A continuous relationship exists between glycemia and microvascular complications, with a 35% reduction in risk for each 1% decrement in HbA1c a glycemic threshold below which risk for microvascular disease is eliminated does not appear to exist
Glycemic control has minimal effect on macrovascular disease risk excess macrovascular risk appears to be related to conventional risk factors such as dyslipidemia and hypertension
Sulfonylureas and insulin therapy do not increase macrovascular disease risk
Metformin reduces macrovascular risk in patients who are obese
Vigorous blood pressure control reduces microvascular and macrovascular events beta blockers and angiotensin-converting enzyme inhibitors appear to be equally effective in this regard
Most Diabetes Medications Effectively Lower Blood Sugar
The blood sugar goal for most adults with diabetes is an A1C of below 7%. In many people, diet and exercise are not enough to reach this goal, and one or more medications may be needed. Metformin is a tried and tested medicine that has been used for many decades to treat type 2 diabetes, and is recommended by most experts as first-line therapy. It is affordable, safe, effective, and well tolerated by most people.
When metformin does not adequately control blood sugar, another medication must be added. It is at this point that doctors and patients must choose among the many drugs and drugs classes available to treat type 2 diabetes. In general, for people who are at low risk of heart disease or have no history of diabetic kidney disease, most diabetes medications that are added to metformin effectively reduce blood sugars and can lower A1C to under 7%.
So, how to choose a medication? Each person with diabetes has their own goals, needs, and preferences. Before choosing a medicine, it is important to ask some relevant questions: Is my blood sugar at goal? Is this medicine affordable? Do I have heart or kidney disease? What are the side effects? Is it a pill or injection, and how often is it taken?
Regardless of which treatment is selected, the American Diabetes Association Standards of Care recommends reassessment of diabetes control every three to six months, followed by modifications to treatment if needed.
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How Is Insulin Used
Most people use insulin as an injection, or shot. It is given into the fatty tissue just under the skin. Learning how to give yourself insulin may take some time. You’ll also need to pay more attention to your blood sugar levels than you may be used to. But with practice, monitoring your levels and using insulin correctly can become a routine part of your day.
Two Of The Best Natural Cures For Diabetes Type 2
The amount of conflicting information surrounding type 2 diabetes can be overwhelming especially if youve just been diagnosed.
Which medication is best? Will you be on medications for the rest of your life? What about side effects?
These are all valid questions, but before we get into all that, lets answer the answer that will change your life: type 2 diabetes is a completely reversible condition .
This fact may come as a shock, especially most mainstream medical doctors usually recommended an endless array of medications to manage the condition.
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Management Of Diabetic Neuropathy
Peripheral neuropathy is the most common complication observed in patients with type 2 diabetes in outpatient clinics. Patients may have paresthesias, numbness, or pain. The feet are involved more often than the hands.
Improved glycemic control early may alleviate some of the symptoms, although sometimes symptoms actually worsen with lowering of blood glucose levels. Later symptomatic therapy largely is empirical and may include the following:
Low-dose tricyclic antidepressants
Various pain medications, including nonsteroidal anti-inflammatory drugs
Protection of the feet by applying lubricating agents and wearing appropriate footwear is important. Daily inspection of the feet after bathing is mandatory. In patients with advanced neuropathy, water temperature must be checked by a companion or with a thermometer. Soaking the feet generally is not recommended and may be harmful.
Gastroparesis is usually less of a problem in patients with type 2 diabetes mellitus than in those with type 1. Improved glycemic control, discontinuation of medications that slow gastric motility, and the use of metoclopramide may be helpful. Metoclopramide use preferably should be limited to a few days at a time, as long-term use has been linked to tardive dyskinesia.
Autonomic neuropathy may manifest as orthostatic hypotension. Such patients may require volume expanders or adrenergic agents. Patients with cystopathy may benefit from cholinergic agents.
Healthy Kitchen Healthy Body
Now that you have an idea of what foods to include in your diet, its important to keep your kitchen filled with these while also removing tempting treats that will wreak havoc on your blood sugar.
If youre craving something sweet, look into creating healthy alternatives at home using a natural sweetener. Stevia has no glycemic index and works well in baked goods, coffee, and teas.
Also, consider using a nut flour, such as almond flour, to bake high protein, low-sugar muffins or cookies.
When youre on the hunt for a quick fix, stick to two squares of very dark chocolate.
With that being said, its a good idea to prepare meals ahead of time, especially if youre busy and tend to grab food on the go. This will ensure you stick to whole foods and kick excuses to the curb.
A good plan is to choose a day on the weekend to prep your meals and snacks for the week ahead.
Apple Cider Vinegar
Apple cider vinegar is an inexpensive, accessible product that has a myriad of benefits from supporting weight loss to lowering cholesterol and reducing inflammation.
Another key benefit is that it reduces the glycemic load of foods. Remember that the glycemic index measures the spike in blood sugar a particular food causes, which is normally high in starchy carb and sugar foods.
ACV helps to blunt this spike. Try consuming a couple teaspoons in a glass of water before your meals or try this soda recipe of mine.
Raw Potato Starch
Carrot Cake Smoothie via Yuri Elkaim
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Best Medication For Type 2 Diabetes
Type 2 diabetes formerly known as adult-onset or non-insulin diabetes is different from type 1 diabetes. Instead of not being able to produce insulin, which plays an important role in glucose metabolism), at all, the body of someone with type 2 diabetes is unable to use the insulin that it does produce efficiently. Unless treated properly, type 2 diabetes leads to high blood sugar levels.
If you have been diagnosed with type 2 diabetes or prediabetes, your doctor may first encourage you to make lifestyle changes change your diet, eat healthy, exercise regularly, and try to keep your weight within the healthy range. If these changes cannot get your blood sugar levels under control, your doctor’s next step would be to prescribe medication for type 2 diabetes. You may be given one medication, or be prescribed several at once.
Some of the medications prescribed for people who have type 2 diabetes come in the form of tablets taken orally, and others must be injected. These medications can work in three ways they can stimulate the production of insulin in the pancreas, inhibit the production and release of glucose from the liver , or the drugs may increase tissue sensitivity to insulin.
Type 2 Diabetes Medications That Can Help You Lose Weight
Did you know that some of the diabetes medications you take can cause you to gain weight or lose weight? Yes, this is been scientifically proven. This weight effect is something we doctors consider when deciding which medications to prescribe to our patients. In this article, Ill give you a quick introduction to type 2 diabetes medications, and point out which are the ones that can cause weight changes.
For anyone who is living with diabetes, we are in relatively exciting times. Back about 10 15 years ago, there were only a small handful of medications for diabetes insulin, metformin, sulphonylureas. Today, we have better understanding of the various mechanisms that lead to diabetes and this has resulted in an explosion of new medications at least 10 different classes, each of them targeting a different mechanism of action and organ in our body that contributes to high blood glucose levels.
With so many options of therapy available, there is no longer an excuse for a person with diabetes not to have their glycated haemoglobin at acceptable levels.
Heres a short list of type 2 diabetes medications, in rough order of newness:
- SGLT-2 Inhibitors
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Aggregate Measures Of Quantitative Versus Qualitative Factors
The aggregate mean scores of quantitative items were compared with aggregate mean scores for qualitative items . In this exploratory analysis, the qualitative criteria were given greater overall consideration than the quantitative criteria . Qualitative criteria were given an aggregate weight of 7.2 by academic generalists vs. 7.3 by specialists and quantitative criteria 6.6 vs. 7.1 by academic generalists and specialists, respectively, P< 0.001.
Type 2 Diabetes Treatment: Types Benefits And Side Effects
Canva Everyday Health
Treatment of type 2 diabetes is not just limited to the occasional doctors visit: It includes important types of self-care in addition to regular medical care from doctors and other healthcare providers, such as dietitians or mental health professionals.
- Lifestyle measures to manage stress and other issues
- Specialist care to prevent and treat complications
- Bariatric surgery
The cornerstone for all diabetes treatment is a healthy lifestyle that includes diet and exercise, says Kathleen Dungan, MD, an endocrinologist at the Ohio State University Wexner Medical Center in Columbus. However, diabetes is a progressive disease, which means that even if you are doing well with a particular treatment, it usually fails over time.
The latest updates about care for type 2 diabetes can be found in the American Diabetes Associations 2021 Standards of Medical Care, which lists updates related to diabetes, complications, new technology, and more.
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Advanced Glycation End Products
Food-derived, pro-oxidant, advanced glycation end products may contribute to insulin resistance in clinical type 2 diabetes mellitus and may suppress protective mechanisms. Advanced glycation end-product restriction may preserve native defenses and insulin sensitivity by maintaining a lower basal oxidative state.
Your Cells Vs Insulin
The problem with mainstream doctors and pharmaceuticals is that they prescribe more insulin to deal with the issue.
This doesnt take it account the fact its actually the cells that are refusing entry to the sugar molecules.
Cells begin to behave this way when theyve been repeatedly exposed to massive amounts of sugar entering the blood stream from processed foods.
Eventually, due to the damaging effects of all that sugar and the fact that theres more sugar in the bloodstream than the cell would ever need cells begin to bar the entry of sugar molecules.
So how can we reverse this effect and get our cells responding again?
Read on to discover natural remedies for curing diabetes.
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What It Means To Have Type 2 Diabetes
A diagnosis of type 2 diabetes simply means theres too much sugar floating in your bloodstream, and the built-in mechanism for removing it isnt working properly.
Normally during the digestive process, the food you eat is broken down into sugar molecules that end up in your bloodstream. Once that sugar enters the blood, your body sends the hormone insulin to pull the sugar molecules out of your blood and into your cells to be used or stored as energy.
But with type 2 diabetes, sugar cant enter the cells due to an effect called insulin resistance, which is brought on by a high-sugar diet that keeps dumping sugar into the bloodstream.
This leads to chronically high blood sugar levels, which of course then leads to the type 2 diagnosis.