diabetes mellitus is a never ending saga and has no confirmed therapy as such. However, there are well established treatment options that prevent or delay the onset of the disease and its high risk symptoms. Some treatments can in fact prevent most of the consequences of the disease. The treatment of diabetes mellitus type 2 has two objectives. One is reduction of advancement of the disease and second is to enhance the quality of life. The first objective is achieved through strict blood glucose control (near normal levels) and while doing so automatically the severity of the diabetic side effects diminishes. This has been well established and there is no disagreement on it. In both the cases the help and support of the health care professionals is important.
In case of obese patients there are a lot of adjustments with diet and daily routine that is essential. Obese patients first need to loose weight and lead an active life that involves exercises. It has been seen that when a diabetic patient starts to do both the above mentioned things, a substantial reduction in blood glucose level and increased sensitivity to insulin is observed. In some cases glycemic levels come to normal with an effective diet regime. Other treatment objectives are reduction in blood pressure level, blood lipid level and elimination of long term effects of diabetes.
Self monitoring of blood glucose levels also improves the treatment outcome in most cases. Generally this is the case with non-insulin dependent diabetic patients. Where patients need insulin to bring their blood glucose down or to control it, it is well worth the effort and money as in the long run the patient benefits from fewer side effects. However, it is heartening to note that a significant improvement in blood glucose level can be achieved with diet control itself. Diet control also helps in weight loss. Thus education and awareness is an important part of diabetes management. Conventionally information regarding diabetes is obtained from the primary health care provider or family physician. However, with the availability and easy accessibility of internet many people are able to tutor themselves on diabetes. There are numerous websites and other resources that patient and their families can access to learn about diabetes.
It has been found from the several studies undertaken by dialectologists around the world that aerobic and weight training or resistance training alone can have a considerable effect on the glycemic levels. When done together there is a substantial control achieved on blood glucose levels. The exercise need not be strenuous and even a 45 minute workout every day can do the needful. The exercise routine can include a brisk walk or jog and some weight training. When a diabetic person exercises glucose is drawn from the blood into the cells and used as energy thus reducing the blood glucose level.
Treatment of diabetes mellitus type 2 also involves several drugs. There are various classes of drugs that are available and they are not interchangeable. However, all are prescription drugs. The most widely used drug to treat diabetes today is biguanide metformin. This drug’s primary function is to control the release of blood glucose from the liver and the secondary function is to increase the uptake of glucose in the body tissues. Sulfonylurea is another class of drug that is currently used. It enables the pancreas to secrete more insulin and also reduces insulin resistance.
To begin treatment of diabetes mellitus type 2 first consult your primary health care provider or personal physician. No two patients are the same and diet, drug, exercise recommendations will vary considerably depending on age, sex, weight, and blood glucose levels, not to mention other medical conditions.