Diagnosing the disease as early as possible is very important in terms of the patient's future life expectancy, personal and social
lifestyle, and quality of life. Today, although very important and positive progress has been made in the treatment of diabetes
we still cannot talk about cure
. In other words, there is no definitive cure for diabetes. For today
our treatment goal is to keep the patient's blood sugar at as normal a level as possible
to correct the symptoms of the disease, to prevent complications and to minimize the health problems he/p>
will experience. If you are diagnosed with diabetes, the first thing you should do is to see a physician who you believe is an expert on this subject. You should have a “diabetes team” that will support you under the leadership of your doctor. Your diabetes team includes all medical experts as needed.
. First of all, a dietitian, nurse, general surgeon, ophthalmologist, dermatologist, orthopedist and other specialists will assist you according to your doctor's guidance.
I wrote that diabetes is divided into two types: type II and type I diabetes. Regarding the treatment, I will first write about the treatment of adult type II diabetes.
. In the first-line treatment of diabetes, regulating the patient's lifestyle according to his/her disease and adhering to the recommended diet may be sufficient to control the symptoms.
However, in order to keep the progressive disease under control.
Medications will be needed over time. If you have diabetes, in order to keep your disease under control, you need to pay close attention to the following:
-Be aware of your disease and the negativities it may cause.
-Follow your diet well but very well.
-If you are fat, lose weight.
-Exercise regularly. Don't stay away from your daily activity.
-See your doctor regularly, every two to six weeks.
- Hemoglobin A1c (HbA) gives the best information about the sugar pattern of the last 12 weeks. 1c)
Interpret the level well. Hemoglobin is the chemical that carries oxygen in red blood cells. This
molecule also carries sugar. Since the normal lifespan of red blood cells is 120 days, measuring your hemoglobin
A1c level means that you will have information about your sugar pattern for the last 12 weeks, that is, 3 months.
-Any disease, physical or mental trauma (stress), alcohol, diseases other than diabetes that persist despite your regular lifestyle, regular diet and use of appropriate medications.
Medicines taken for menstrual bleeding and menstrual regulating hormones for women may negatively affect blood sugar.
-Get a glucometer (device that measures blood sugar). Measuring your blood sugar regularly will benefit you in every way.
Although these measures are sometimes sufficient, drug treatment may be required. Drug treatment of type II diabetes is primarily done with pills. If sugar regulation cannot be maintained with diet and the above recommendations, pills are needed.
One type of pill is often enough, but sometimes a combination with more than one pill can be made.
Apart from pills, if needed, insulin injections or GLP-1 analogue drugs can also be used in the treatment of type II diabetes. I would like to give brief information about sugar pills, dear readers:
-Metformin group drugs: Reduces the amount of sugar released from the liver into the blood.
It makes the body's cells sensitive to insulin secreted from the pancreas. It does not cause weight gain
.
-Sulphonylurea group drugs: Increases the production of insulin hormone from the pancreas.
-Glitazone (thiazolidinedione) group drugs: They make body cells sensitive to insulin
. In this way, more insulin is withdrawn from the blood and used. It is usually used together with metformin or sulfonylurea group drugs. It is not preferred in those with heart failure. Rosiglitazone, one of this group of drugs, was withdrawn from use in the United States because it caused cardiovascular diseases such as heart attack and heart failure.
-Gliptin group drugs: This group of drugs prevent the breakdown of the natural hormone called GLP-1 (glucagon-like peptide). . GLP-1 helps the body produce insulin. Therefore, gliptins also play a supporting role in preventing insulin levels from falling.
-Acarbose: Reduces the absorption of sugar from the digestive system.
-Nateglinide and repaglinide: They increase insulin release from the pancreas.
The drugs I listed above or many other drugs that I cannot include on this page may have their own side effects and complications. Many conditions such as nausea, diarrhea, intestinal gas, kidney and liver problems,
cardiovascular diseases, pregnancy, etc. are important when determining the treatment and monitoring the patient.
Your doctor will take side effects and complications into consideration when prescribing medication.
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