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How Type 2 Diabetes Can Be Managed?

Managing Type 2

Managing Type 2

In type 2 diabetes, your pancreas is still working but not as effectively as it needs to. This means your body is building insulin resistance and is unable to effectively convert glucose into energy leaving too much glucose in the blood. Type 2 diabetes can sometimes initially be managed through lifestyle modification including a healthy diet, regular exercise and monitoring your blood glucose levels. Eating well helps manage your blood glucose levels and your body weight Exercising helps the insulin work more effectively, lowers your blood pressure and reduces the risk of heart disease. Regular blood glucose monitoring tests whether the treatment being followed is adequately controlling blood glucose levels or whether you need to adjust your treatment. The aim of diabetes management is to keep blood glucose levels as close to the target range between 4 to 6 mmol/L (fasting), this will help prevent both short-term and long-term complications. Your healthcare team including your doctor, specialist, dietician and Credential Diabetes Educator, can help you with blood glucose monitoring, healthy eating and physical activity. However, sometimes healthy eating and exercise is not enough to keep the blood glucose levels down. Type 2 diabetes is a progressive condition. As time progresses, the insulin becomes more resistant and the pancreas is less effective converting glucose into energy. To help the pancreas convert glucose into energy, people with type 2 diabetes are often prescribed tablets to control their blood glucose levels. Eventually it may be necessary to start taking insulin to control blood glucose levels. This is when your body is no longer producing enough insulin of its own. Sometimes tablets may be continued in addition to insulin. If you require medication as Continue reading >>

Type 2 Diabetes Faqs

Type 2 Diabetes Faqs

Common questions about type 2 diabetes: How do you treat type 2 diabetes? When you have type 2 diabetes, you first need to eat a healthy diet, stay physically active and lose any extra weight. If these lifestyle changes cannot control your blood sugar, you also may need to take pills and other injected medication, including insulin. Eating a healthy diet, being physically active, and losing any extra weight is the first line of therapy. “Diet and exercise“ is the foundation of all diabetes management because it makes your body’s cells respond better to insulin (in other words, it decreases insulin resistance) and lowers blood sugar levels. If you cannot normalize or control the blood sugars with diet, weight loss and exercise, the next treatment phase is taking medicine either orally or by injection. Diabetes pills work in different ways – some lower insulin resistance, others slow the digestion of food or increase insulin levels in the blood stream. The non-insulin injected medications for type 2 diabetes have a complicated action but basically lower blood glucose after eating. Insulin therapy simply increases insulin in the circulation. Don’t be surprised if you have to use multiple medications to control the blood sugar. Multiple medications, also known as combination therapy is common in the treatment of diabetes! If one medication is not enough, you medical provider may give you two or three or more different types of pills. Insulin or other injected medications also may be prescribed. Or, depending on your medical condition, you may be treated only with insulin or injected medication therapy. Many people with type 2 diabetes have elevated blood fats (high triglycerides and cholesterol) and blood pressure, so you may be given medications for these problem Continue reading >>

4 Steps To Manage Your Diabetes For Life

4 Steps To Manage Your Diabetes For Life

This publication has been reviewed by NDEP for plain language principles. Learn more about our review process. Actions you can take The marks in this booklet show actions you can take to manage your diabetes. Help your health care team make a diabetes care plan that will work for you. Learn to make wise choices for your diabetes care each day. Step 1: Learn about diabetes. What is diabetes? There are three main types of diabetes: Type 1 diabetes – Your body does not make insulin. This is a problem because you need insulin to take the sugar (glucose) from the foods you eat and turn it into energy for your body. You need to take insulin every day to live. Type 2 diabetes – Your body does not make or use insulin well. You may need to take pills or insulin to help control your diabetes. Type 2 is the most common type of diabetes. Gestational (jest-TAY-shun-al) diabetes – Some women get this kind of diabetes when they are pregnant. Most of the time, it goes away after the baby is born. But even if it goes away, these women and their children have a greater chance of getting diabetes later in life. You are the most important member of your health care team. You are the one who manages your diabetes day by day. Talk to your doctor about how you can best care for your diabetes to stay healthy. Some others who can help are: dentist diabetes doctor diabetes educator dietitian eye doctor foot doctor friends and family mental health counselor nurse nurse practitioner pharmacist social worker How to learn more about diabetes. Take classes to learn more about living with diabetes. To find a class, check with your health care team, hospital, or area health clinic. You can also search online. Join a support group — in-person or online — to get peer support with managing your Continue reading >>

Type 2 Diabetes And Diet: What You Should Know

Type 2 Diabetes And Diet: What You Should Know

Why does my diet matter? It’s no secret that diet is essential to managing type 2 diabetes. Although there isn’t a one-size-fits-all diet for diabetes management, certain dietary choices should act as the foundation for your individual diet plan. Your diet plan should work with your body — not against it — so it’s important that the food you eat won’t spike your blood sugar levels to high. According to the American Diabetes Association, the normal blood sugar range for people with diabetes is between 80 to 130 mg/dL before meals. It should be less than 180 mg/dL about two hours after you begin eating. Your doctor will provide you with personalized target blood sugar values. Keep reading to learn more about how what you eat can affect your blood sugar, as well as which foods you may want to pick up at the grocery store or toss out of your pantry. Check out: Type 1 diabetes diet » When someone with diabetes has low blood sugar (hypoglycemia), a spoonful of sugar or honey can help raise glucose levels. However, sugar is often considered the nemesis of diabetes because of how quickly it can spike blood glucose levels when eaten alone. If you have diabetes, you should closely monitor your consumption of foods with a high glycemic index (GI). The GI measures how quickly a particular food raises blood sugar. Those foods with a high GI can cause unwanted spikes. This is especially true of refined sugar and other forms of simple carbohydrates like white rice, bread, and pasta. Make sure that most of your carb choices are whole-grain, high-fiber options. For example, if you’d like to have a piece of chocolate cake with frosting, eat it immediately after eating a balanced meal with lean protein, healthy fats, vegetables, and high-fiber carb options such as beans. Ea Continue reading >>

6 Ways To Control Type 2 Diabetes

6 Ways To Control Type 2 Diabetes

Last year during a physical, Lauren Crim of Richwood, TX, got a diagnosis she wasn’t expecting: type 2 diabetes. She had no symptoms, so the news threw her for a loop. “I was devastated,” she says. “My grandmother had diabetes, and I saw her go through major health struggles because of it.” After seeking support from loved ones -- and shedding a few tears -- Crim got to work. With help from her health care team, she changed the way she ate and started exercising. Now, a year later, she’s 22 pounds lighter, and her blood sugar is normal. “My advice to anyone else facing type 2 diabetes is to stick to a plan, stay positive, and put your health first,” she says. A diabetes diagnosis might feel overwhelming, but living well with the condition doesn’t have to be. If you’re ready to take control of your blood sugar levels and get on the path to better health, here’s how to start. “It takes a village to manage diabetes,” says Linda Siminerio, RN, PhD, chair of the National Diabetes Education Program. Along with your doctor or nurse practitioner, you can get help from: Diabetes educators Dietitians or nutritionists Pharmacists Endocrinologists Podiatrists Dentists Psychologists or Therapists Their services are often covered by insurance. Having a health care team is key, but you're the most important member of it. “We want you to be informed and empowered,” Siminerio says. Take an active role in your care. Ask questions. Learn what your medications do and how to take them properly. Practice any other healthy habits your doctor recommends. And know what your A1c levels are and what they mean. “Being overweight is one of the major drivers of the epidemic of diabetes,” says Vivian Fonseca, MD, a professor of medicine and pharmacology at Tulane Uni Continue reading >>

Type 2 Diabetes: How Is It Treated?

Type 2 Diabetes: How Is It Treated?

KidsHealth / For Teens / Type 2 Diabetes: How Is It Treated? en espaolDiabetes tipo 2: Cul es el tratamiento? Has your teacher ever assigned you a huge paper or project due at the end of the semester or term? If so, you probably know the value of a plan. Making a plan that tells you when you'll research and write your material or conduct your experiments is important so you don't spend the last week before the deadline worrying about how you'll get it all done. People with type 2 diabetes need to follow a different type of plan. A treatment plan, also called a diabetes management plan, helps them manage their diabetes and stay healthy and active. Treatment plans are based on a person's individual health needs and the suggestions of the diabetes health care team . The first thing to understand when it comes to treating diabetes is your blood glucose level, which is just what it sounds like the amount of glucose in the blood. Glucose isa sugar that comes from the foods we eat and also is formed and stored inside the body. It's the main source of energy for the cells of the body, and is carried to each cell through the blood. Glucose gets into the cells with the help of the hormone insulin . So how do blood glucose levels relate to type 2 diabetes? People with type 2 diabetes don't respond normally to insulin anymore, so glucose stays in the bloodstream and doesn't get into the cells. This causes blood glucose levels to go too high. High blood sugar levels can make teens with type 2 diabetes feel sick, so their treatment plan involves keeping their blood sugar levels within a healthy range while making sure they grow and develop normally. To do that, they need to: eat a healthy, balanced diet and follow a meal plan The good news is that sticking to the plan can help peopl Continue reading >>

How To Beat Type 2 Diabetes With Diet And Lifestyle Changes

How To Beat Type 2 Diabetes With Diet And Lifestyle Changes

It's no secret that type 2 diabetes is on the rise in the United States and around the world. But if you've been diagnosed with diabetes, there's a lot you can do to improve your health — and the best place to start is likely by making some changes to your lifestyle. “Basic principles of good health like eating right, exercising regularly, and maintaining a healthy weight can be as effective as medicine in the management of type 2 diabetes for most people,” says Sue McLaughlin, RD, CDE, lead medical nutrition therapist at Nebraska Medicine in Omaha. That's backed up by the Look AHEAD study, a large clinical trial funded by the National Institutes of Health and the Centers for Disease Control and Prevention (CDC). The researchers found that over a four-year period, changes like eating a healthier diet and getting more exercise led to weight loss and improved diabetes control in 5,000 overweight or obese participants with type 2 diabetes. A December 2016 review in Diabetologia similarly found through 28 studies that participants who were able to achieve about 150 minutes per week of moderate activity lowered their risk of type 2 diabetes by 26 percent compared with nonactive participants. If you're ready to make positive changes to help control diabetes, here's how to get started. Improve Your Diet to Help You Treat Type 2 Diabetes Naturally Keeping close tabs on your diet is a major way to help manage type 2 diabetes. A healthy diet for people with type 2 diabetes includes fresh or frozen fruit and vegetables, whole grains, beans, lean meats, and low-fat or fat-free dairy. Focus on eating fruit and non-starchy vegetables, like broccoli, carrots, and lettuce, and having smaller portions of starchy foods, meats, and dairy products. Be especially careful about loading Continue reading >>

Type 2 Diabetes

Type 2 Diabetes

More than 30 million Americans have diabetes (about 1 in 10), and 90% to 95% of them have type 2 diabetes. Type 2 diabetes most often develops in people over age 45, but more and more children, teens, and young adults are also developing it. Causes Insulin is a hormone made by your pancreas that acts like a key to let blood sugar into the cells in your body for use as energy. If you have type 2 diabetes, cells don’t respond normally to insulin; this is called insulin resistance. Your pancreas makes more insulin to try to get cells to respond. Eventually your pancreas can’t keep up, and your blood sugar rises, setting the stage for prediabetes and type 2 diabetes. High blood sugar is damaging to the body and can cause other serious health problems, such as heart disease, vision loss, and kidney disease. Symptoms & Risk Factors Type 2 diabetes symptoms often develop over several years and can go on for a long time without being noticed (sometimes there aren’t any noticeable symptoms at all). Because symptoms can be hard to spot, it’s important to know the risk factors for type 2 diabetes and to see your doctor to get your blood sugar tested if you have any of them. Getting Tested A simple blood test will let you know if you have diabetes. If you’ve gotten your blood sugar tested at a health fair or pharmacy, follow up at a clinic or doctor’s office to make sure the results are accurate. Management Unlike many health conditions, diabetes is managed mostly by you, with support from your health care team (including your primary care doctor, foot doctor, dentist, eye doctor, registered dietitian nutritionist, diabetes educator, and pharmacist), family, and other important people in your life. Managing diabetes can be challenging, but everything you do to improve y Continue reading >>

Type 2 Diabetes - Understanding Medication - Nhs.uk

Type 2 Diabetes - Understanding Medication - Nhs.uk

Most people need medicine to control their type 2 diabetes. Medicine helps keep your blood sugar level as normal as possible to prevent health problems. You'll have to take it for the rest of your life. Diabetes usually gets worse over time, so your medicine or dose may need to change. Adjusting your diet and being active is also necessary to keep your blood sugar level down. Diabetes medicines help lower the amount of sugar in your blood. There are many types of medicine for type 2 diabetes. It can take time to find a medicine and dose that's right for you. You'll usually be offered a medicine called metformin first. If your blood sugar levels aren't lower within 3 months, you may need another medicine. Over time, you may need a combination of medicines. Your GP or diabetes nurse will recommend the medicines most suitable for you. Insulin isn't often used for type 2 diabetes in the early years. It's only needed when other medicines no longer work. Diabetes UK has more information about taking medicines for type 2 diabetes . Your GP or diabetes nurse will explain how to take your medicine and how to store it. If you need to inject insulin or medicine called gliptins, they'll show you how. Your diabetes medicine may cause side effects. These can include: If you feel unwell after taking medicine or notice any side effects, speak to your GP or diabetes nurse. Don't stop taking medication without getting advice. How to get free prescriptions for diabetes medication You're entitled to free prescriptions for your diabetes medication. To claim your free prescriptions, you'll need to apply for an exemption certificate. To do this: you should get the certificate in the post about a week later it will last for 5 years take it to your pharmacy with your prescriptions Save your re Continue reading >>

Type 2 Diabetes Diabetes New Zealand

Type 2 Diabetes Diabetes New Zealand

Who is most likely to develop type 2 diabetes? Some groups of people are more likely to develop type 2 diabetes: Diabetes in your family (grandparents, parents, brothers or sisters) Maori, Asian, Middle Eastern or Pacific Island descent aged 30 years or older Overweight (especially if you carry most of your weight around your waist) Diagnosed as having pre-diabetes (also known as impaired glucose tolerance) this occurs when the glucose (sugar) in your blood is higher than normal, but not high enough to be called diabetes You may have had type 2 diabetes for many years without realising it. Not everyone has symptoms. Symptoms may include: If you have any of the above symptoms, discuss these with your doctor. Diabetes is diagnosed by blood tests which can be organised through your doctor. If you are very unwell you should seek medical assistance If you have a blood relative with type 2 diabetes you are more likely to develop type 2 diabetes yourself. However type 2 diabetes sometimes occurs in people who have no one in their family with the condition. In people with type 2 diabetes, glucose builds up in the blood. But with good management, your blood glucose levels may go down to normal again. But this does not mean you are cured. Instead, a blood glucose level in your target range shows that your treatment plan is working and that you are taking care of your diabetes. How do I start treating and managing my type 2 diabetes? In a nutshell: some people with type 2 diabetes may be able to manage their diabetes through diet and exercise, or by taking tablet medication. However, eventually many people with type 2 will manage their diabetes with insulin as well. Your doctor will advise you on what treatment is best for you, but whatever this may be, healthy food choices and s Continue reading >>

Control Or Reverse Diabetes Naturally

Control Or Reverse Diabetes Naturally

Can you control diabetes? Reverse it? Absolutely. We can beat diabetes. The disease process associated with diabetes (which leads to heart attacks, strokes, and other crippling illnesses) can be slowed and even partially reversed by controlling blood glucose and other cardiovascular disease risk factors. Diabetes is a disease in which the body does not produce and/or properly use insulin, a hormone made by the pancreas. When there are troubles with insulin, glucose builds up in the blood. A fasting glucose level below 100 is considered normal. A fasting glucose between 100 and 125 signals pre-diabetes. A fasting glucose of 126 or higher means you have diabetes. Though “silent,” at least at first, diabetes can turn into a horrible disease. It can greatly increase our risk of heart attacks, strokes, peripheral arterial disease, erectile dysfunction, blindness, diabetes neuropathy, poor wound healing, and kidney failure. There are two main types of diabetes – Type 1 and Type 2. At least 90% of diabetics in America have Type 2 diabetes. Studying the evolution and lifestyle habits of humankind, we can confidently assert that Type 2 diabetes is virtually entirely preventable. Worldwide, many populations are now suffering epidemic rates of Type 2 diabetes because many populations live in a “food toxic” environment and exercise little or not at all. All this suffering, all this early death, is preventable. It is the direct result of the way we live – by our sedentary habits and our Western-style diets, bereft of whole, fiber-rich foods and full of fast foods and other calorie-dense junk. Type 2 diabetes usually starts after the age of 40. But because of America’s childhood obesity epidemic, more and more of our youth are being diagnosed with the disease, including Continue reading >>

Managing My Type 2 Diabetes Without Medications

Managing My Type 2 Diabetes Without Medications

If you have type 2 diabetes, you can manage it well without any drugs — without any oral medications and without insulin. If you have type 1 diabetes, you will always have to take insulin injections, but you can likely use less than you do now. To manage diabetes well means keeping your blood sugar level down in the same range as that of people who don’t have diabetes. The way we check this level is the A1C (sometimes called glycated hemoglobin, hemoglobin A1c, or HbA1c). This test tells you what your average blood sugar level was during the previous two or three months by using a drop of blood about as small as that you use on your regular fingerstick tests that tells you what your level is right then. When you manage your diabetes well, it is well controlled. It is normal. We know that the normal A1C level is 6.0 or below. See “The Normal A1C Level.” An A1C level of 6.0 or below means that your diabetes is in remission. It does not mean that you have cured it. If you relax your vigilance, your A1C level will go above 6.0 again, and you will again put yourself at risk of the terrible complications of uncontrolled diabetes. You can use drugs to bring your A1C level down to normal. That’s a good thing. But this strategy does have its costs, and those costs aren’t just money out of your pocket or your checkbook. The worst of those costs are the potential side effects of the drugs. All drugs can have side effects. The systems and the organs of our bodies are so interconnected that no drug can target just one part of it without having some effect elsewhere. Sometimes we find that the side effects are helpful, but we can also find that they are harmful. Sometimes they are subtle and affect only a few people, but sometimes they are serious. All of the drugs that w Continue reading >>

Diabetes

Diabetes

What are the types of diabetes? What are the scope and impact of diabetes? Almost everyone knows someone who has diabetes. An estimated 18.2 million people in the United States-6.3 percent of the population-have diabetes, a serious, lifelong condition. Of those, 13 million have been diagnosed, and about 5.2 million people have not yet been diagnosed. Each year, about 1.3 million people aged 20 or older are diagnosed with diabetes. Diabetes is a disorder of metabolism-the way our bodies use digested food for growth and energy. Most of the food we eat is broken down into glucose, the form of sugar in the blood. Glucose is the main source of fuel for the body. After digestion, glucose passes into the bloodstream, where it is used by cells for growth and energy. For glucose to get into cells, insulin must be present. Insulin is a hormone produced by the pancreas, a large gland behind the stomach. When we eat, the pancreas automatically produces the right amount of insulin to move glucose from blood into our cells. In people with diabetes, however, the pancreas either produces little or no insulin, or the cells do not respond appropriately to the insulin that is produced. Glucose builds up in the blood, overflows into the urine, and passes out of the body. Thus, the body loses its main source of fuel even though the blood contains large amounts of glucose. Type 2 Diabetes Diagnosis, Treatment, Medication What are the types of diabetes? The three main types of diabetes are Type 1 Diabetes Type 1 diabetes is an autoimmune disease. An autoimmune disease results when the body's system for fighting infection (the immune system) turns against a part of the body. In diabetes, the immune system attacks the insulin-producing beta cells in the pancreas and destroys them. The pancreas Continue reading >>

Managing Type 2 Without Meds: 3 Stories

Managing Type 2 Without Meds: 3 Stories

My goal is to be as healthy as I can. If something happens and one day I'm back on medication, my goal is still to be healthy. It had been about a year since Akua Jitahadi felt like herself. But she was 51 and expected menopause to kick in soon. Plus, she and her daughter had just moved to oppressively hot Arizona. So she brushed off the tired, sluggish feeling as a side effect of being a middle-aged woman adjusting to sweltering temps. And then, overnight, her vision dimmed. Something was most definitely wrong. The verdict from her doctor: type 2 diabetes and high blood pressure. "Of course, I broke down in tears," Jitahadi, now 55, says. "I wasn't ready to hear this. I always associated diabetes with 'Oh no, it's really bad.' " After Jitahadi spent a few weeks on medication, her vision cleared and she began to feel better. It didn't last long. "I hated metformin . I had all the colon and digestive issues on it," she says. "I never knew if I would be OK on it or if I'd be nauseous. I'd question whether I wanted to go out with my friends." When she asked for an alternative medication, her doctor said metformin was the best drug for the job, so Jitahadi stuck it out for a year. After that, she decided to make major lifestyle changes in hopes of quitting her medications. That proved more difficult than she had imagined. She hadn't seen a diabetes educator. The only dietitian covered by her insurer was too far away. And her doctor's sole advice was for Jitahadi to watch what she ate. "I was scared in the beginning," says Jitahadi. "It was through friends and starting to read [about diabetes] that I knew I could do this. I could get through this." Jitahadi bought books on diabetes, nutrition, the glycemic index, and diabetes-friendly meals. Instead of slightly modifying he Continue reading >>

Type 2 Diabetes

Type 2 Diabetes

What is type 2 diabetes? In type 2 diabetes a person’s pancreas doesn’t produce enough insulin, or their body doesn't react properly to insulin, called insulin resistance. Type 2 diabetes is the most common type of diabetes, with around 3.6 million people in the UK diagnosed with the condition, according to Diabetes UK. Insulin is used by the body to manage glucose (sugar) levels in the blood and helps the body use glucose for energy. For some people, type 2 diabetes may be managed through diet and exercise. Other people may also need medication, and sometimes insulin, to manage blood sugar. Risk factors for type 2 diabetes include being over 40, having a family history of diabetes, being of South Asian, African-Caribbean or Middle Eastern origin or being overweight or obese. How type 2 diabetes affects the body When glucose builds up in the blood instead of going into cells, the cells are not able to function properly. Other problems associated with the build-up of glucose in the blood include: Dehydration. The build-up of sugar in the blood leads to excess glucose in the urine because the kidneys can’t deal with the high sugar levels. The sugar in the urine draws water with it, causing an increase in urination. When the kidneys lose the glucose through the urine, a large amount of water is also lost, causing dehydration. Diabetic coma (hyperosmolar hyperglycaemic non-ketotic syndrome). When a person with type 2 diabetes becomes severely dehydrated and is not able to drink enough fluids to make up for the fluid losses, they may develop this life-threatening complication. Damage to the body. Over time, the high glucose levels in the blood may damage the nerves and predispose a person to atherosclerosis (narrowing) of the arteries that can cause heart attack and st Continue reading >>

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