Q

Diabetes

How is diabetes treated?

A Answers (7)

  • A answered
    Who is a candidate for diabetes treatment?
    Diabetes treatment includes more than the supplies from your pharmacist. In this video, Michelle Lalick, RN, BSN, CDE, of Mercy Health, explains that treatment can also include a specific diet and exercise plan.

    Trinity Health recognizes that people seek medical information on a variety of topics for a variety of reasons. Trinity Health does not condone or support all practices covered in this site. As a Catholic health care organization, Trinity Health acts in accordance with the Catholic tradition.

    Please note, the information contained on this website is provided to supplement the care provided by your physician. It is not intended to be a substitute for professional medical advice. Always seek the advice of a qualified health care provider if you have questions regarding your medical condition or before starting any new treatment. In the event of a medical emergency always call 911 or proceed to your nearest emergency care facility.
  • A Internal Medicine, answered on behalf of
    How does diabetes get treated?
    The main treatment for diabetes is referral to a dietitian so patients know what foods to eat, says Karon LoCicero, MD, of Memorial Hospital of Tampa. In this video, she explains that medication is also prescribed to help manage diabetes.
    1 person found this helpful.
  • Treatment options for diabetes vary, depending on the type of diabetes involved. However, the four primary factors in any diabetes treatment are weight management, a healthy diet, exercise, and blood glucose monitoring. Everyone diagnosed with Type 1 diabetes will need to take some form of insulin. But, if you have been diagnosed with other types of diabetes, you will only need to take medications such as insulin if diet and exercise are insufficient.

    If you manage your diabetes effectively, you can have a long, healthy life. The primary goal of diabetes treatment is to stabilize blood glucose levels. The better your blood glucose is managed, the more positive your treatment outcomes.
  • A , Administration, answered
    If you have pre diabetes, it is advisable to eat healthy, nutritious foods and participate in modest physical activity regularly. A loss of just ten to fifteen pounds can delay the onset of diabetes or reduce the amount of medication you may need.

    If you have type 2 diabetes, its progression can often be controlled by diet and exercise. Maintaining fitness and a healthy weight will improve your chances of controlling diabetes. Eat properly before working out, because exercise will lower your blood sugar level.

    If diet and exercise alone do not control the disease, oral medication is usually prescribed. People with type 2 diabetes sometimes need insulin. It is especially important for people with diabetes to reduce other risk factors for a heart attack or stroke, such as high cholesterol and hypertension.

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  • A , Family Medicine, answered

    Most people believe, “you get what you pay for.” During these difficult economic times, it brings a sigh of relief to know that some quality things are still free. The best diabetes medicines don’t cost one dime!

    Diabetes simply means that there is too much sugar in the blood. If the blood sugar is too high, you may experience increased urination, increased thirst, unexplained weight loss, blurred vision, frequent infections, fatigue, or irritability. The body is either not producing enough insulin or the cells are not responding to the insulin that is being produced. In type 2 diabetes, it is the latter. 

    Would you like to reduce your prescription drug cost while controlling your blood sugar? There are therapies guaranteed to be effective in diabetes management that do not require a trip to the pharmacy. 

    Work it out! Movement is the medication of choice to lower blood sugar. Being active improves the body’s use of insulin and sheds excess fat. Both of which help to achieve a fasting blood sugar of less than 100 mg/dl and a hemoglobinA1c of 6.5 which are indicators that the blood sugar is controlled. Commit to thirty minutes of activity at least five days a week. Also, adding thirty minutes of strength training twice weekly does the body good!

    A regular exercise plan along with a balance diet is the ingredients to maintain an ideal body weight which is necessary for optimal blood sugar control. Food choice is the most important medicine in the arsenal to fight against diabetes. Follow the guidelines prescribed by MyPlate, eat plenty of vegetables, fruit (fruit contains sugar so be careful not to overindulge), lean protein, “whole” grains and dairy. In the case of diabetes, you really are what you eat! 

    Relax and breathe. Do not stress out. Stress increases the production of cortisol which causes an increase in the blood sugar. Diabetics do not have enough insulin available to combat this rise in glucose. Be aware of your stressors and identify outlets to relieve them. Personal daily retreats, yoga, meditation, journaling, and knowing when to say “no” are just a few tools to reduce stress.

    Speak with your doctor about lifestyle modifications that can help lower your blood sugar. Until the two of you decide to make changes, continue your medications as prescribed. 

    Exercise, eat and exhale your way to good blood sugar control. Who said the best medicines aren’t free?

  • Treatment for diabetes is a lifelong commitment of monitoring blood sugar, taking insulin if prescribed, maintaining a healthy weight, eating healthy foods, and exercising regularly. The goal is to keep your blood sugar level as close to normal as possible to delay or prevent complications. In fact, tight control of blood sugar levels can reduce the risk of diabetes-related heart attacks and strokes by more than 50%.

    Self-monitoring blood glucose: Checking blood sugar levels frequently, at least before meals and at bedtime, is important in controlling diabetes. Even if the individual takes insulin and eats on a rigid schedule, the amount of sugar in the blood can change unpredictably. Depending on what type of insulin therapy the individual is prescribed, such as single dose injections, multiple dose injections, or an insulin pump, the individual may need to check and record blood sugar levels up to four or more times a day. Careful monitoring is the only way to make sure that the blood sugar level remains within target range. A range of 90-130 milligrams/deciliter before meals is suggested for most individuals with diabetes. A doctor will tell the individual what their target range should be.

    Medications: Many oral or injected medications can be used to treat type 2 diabetes. Some diabetes medications stimulate the pancreas to produce and release more insulin. Others inhibit the production and release of glucose from the liver, which means the individual needs less insulin to transport sugar into the cells. Still others block the action of stomach enzymes that break down carbohydrates or make tissues more sensitive to insulin.

    Insulin: Insulin is a naturally-occurring hormone secreted by the pancreas. Insulin is required by the cells of the body in order for them to remove and use glucose from the blood. Insulin may need to be taken by type 1 and type 2 diabetics. Because stomach enzymes interfere with insulin taken by mouth, insulin must be injected or inhaled. Often, insulin is injected using a fine needle and syringe or an insulin pen injector (a device that looks like an ink pen, except the cartridge is filled with insulin).

    You should read product labels, and discuss all therapies with a qualified healthcare provider. Natural Standard information does not constitute medical advice, diagnosis, or treatment.

  • A , Endocrinology Diabetes & Metabolism, answered

    Diabetes isn’t the problem; it's high blood sugar that's the killer. High sugar turns your blood into battery acid that can rob you of sight, kidneys, limbs, and ultimately of life itself. So all treatments have the goal of reducing blood sugar so that it won’t harm you.

    There are three categories of treatment:

    • Lifestyle

    • Oral meds.

    • Injectable meds.

    In times past doctors focused on lifestyle first, trying to get newly diagnosed diabetics to eat better and exercise more. While lifestyle change works, I’m actually not a fan of the approach, at least not as frontline therapy.

    Frankly put, it’s easier to change your gender than your diet. And that’s if you live in a vacuum. But diabetics have families too, and often families create barriers to significant change.

    I don’t like letting diabetes win. Period. So I prefer to break out the big guns from the get-go. I believe in medicating diabetes into submission first, and then looking at lifestyle changes. Once diabetes is controlled, people generally feel better. That’s a good time to talk about how you could feel even better. Lifestyle changes are best taken on in small bites (pardon the pun). Dramatic, radical changes are hard to maintain. Small, incremental changes are more likely to last for the long haul. Maybe that’s why I feel the need to dip into the medicine cabinet first thing, slow and steady change will take too long if someone’s blood sugar is dangerously high. But we can always back-off of the meds as time goes by and lifestyle improves.

    Oral meds are pills to help reduce blood sugar. There are a wide variety to choose from and they go about lowering blood sugar in different ways. Some increase insulin production. Some reduce insulin resistance. Some affect hormones that control digestion. Many of the pills can be used together to attack the blood sugar from several sides at once.

    Injectable meds include insulin and an array of newer high-tech hormone therapies that are pretty marvelous. Now, I know everyone freaks out at the thought of using a needle. Yikes! But, I gotta tell you from experience, it isn’t as bad as you think it. Really, these new needles we have don’t hurt a bit.

    The last thing I want to cover is the fact that diabetes is progressive. It marches forward all the time. Over time, you move from lifestyle, to pills, to shots.  I just want you to know that it’s normal. No fear. Shots are an evolution, not a failure.
This content reflects information from various individuals and organizations and may offer alternative or opposing points of view. It should not be used for medical advice, diagnosis or treatment. As always, you should consult with your healthcare provider about your specific health needs.
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