Diabetes Treatment

Diabetes treatment is the management of diabetes to control blood sugar, increase energy and prevent complications. This treatment involves everything that is done to manage diabetes. It includes medication management, diet, exercise, blood glucose monitoring and diabetic foot care.

Diabetes education is very important in the treatment of diabetes. This is because diabetic management happens 24 hours a day and seven days a week. This makes it impossible for someone with diabetes to depend on another person for the around the clock control and still remain active. The diabetic person has to learn to control and manage diabetes. There are many professionals who provide diabetes education and guide the person through self-management of diabetes.

Diet Management

When a person is diagnosed with diabetes, one of the first things the doctor does is to refer the person to a dietician. This is because diet control is very important in diabetes control and management. The dietician teaches the person how to choose the right food and can guide the person through the American Diabetes Associations Exchange list. The dietician also guides the person on how to space meal times and eat smaller frequent portions instead of one large meal.

A poor diabetic may have difficulty obtaining the right diabetic foods or supplies

Blood Glucose Control

Blood glucose control is an important part of diabetes treatment. The nurse usually teaches the diabetic person how to use glucometer or blood glucose machine to monitor the blood sugar levels. It is one of the diabetes tracking tools used by the patient and physician to track blood sugar levels. This is usually done by using a small needle called lancet, which is placed in a lacing device. A push of the button on the lancing device pierces the finger slightly. You can push a little blood from the puncture site. The blood is now guided into a blood glucose strip or glucometer strip. The glucometer reads out the number and/or displays the number on a screen from which it can be read.

As part of diabetes treatment, finger stick blood sugar should be checked often. This helps the person to keep a close watch on his blood sugar levels. The frequency of the finger stick will depend on how well the blood glucose is under control. There certain situations where it is important to check the blood sugar about 4 times daily, for instance:

  • When a person is newly diagnosed.
  • If the blood sugar is difficult to control or labile blood sugar.
  • At the beginning of new diabetic treatment regimen.
  • When treatment regimen is being changed
  • During sickness or infection

Blood sugar checks are routinely done before meals and at bed time. According to the NIH, normal blood sugar should be between 70mg/dl and 130mg/dl before meals and lower than 180mg/dl two hours after meals or post prandial. Blood sugar check is very important in diabetes control, because it is a feedback that tells you if you need to change some things around until you are back in control.

A1C blood work should be done 2 to 4 times a year as part of the diabetes management. Glucose A1C test, tells how well controlled the blood sugar had been in the previous 3 months.

Weight Control for Diabetes Treatment

Weight control is important in order to maintain a healthy weight and control diabetes. A healthy weight chart or BMI chart is used to find out the ideal weight for a person.

In order to maintain a healthy weight, a person needs to control diet and exercise and increase activity generally

Medicines for Diabetes Treatment

Sometimes eating the right diabetic diet and doing the right diabetic exercise may be all you need to control diabetes. When diet and exercise are not enough for the diabetes treatment, your doctor may prescribe diabetes medications which can be taken by mouth as part of the diabetes treatment plan. The doctor may also prescribe insulin. In type 1 diabetes and gestational diabetes, the doctor usually prescribes insulin. This is because type 1 diabetes does not respond to the treatment with the oral medicines, because the body lacks insulin and just needs insulin replaced.

Type 1 diabetes treatment is done by the use of insulin. There different types for insulin. Some insulin preparations are for immediate use by the body or short acting insulin, like Humalog insulin. Some are delayed or long acting insulin like Lantus.

Gestational diabetes treatment is done by use of insulin. Oral diabetes medicines can control the blood sugar, but because the effects of these medicines on the fetus are not known, the doctors find it safer to use insulin. Most type 2 diabetes medication treatment usually start with oral medications. One of the most popular is metformin. This is because metformin works by improving sensitivities of the insulin receptors and control unnecessary release of sugar from the glycogen stores in the liver.

There are different types of medicines that can be taken by mouth for diabetes treatment:

  • Diabetes medications that reduce the resistance of the body to insulin and prevent the liver from releasing too much sugar into the blood, like metformin.
  • Diabetic medicine that help the insulin to move glucose into the muscle and fat cells and also prevent the liver from releasing unneeded sugar, like Actos.
  • Diabetes Medication that cause the pancreas to produce more insulin, like glipizide.
  • Diabetic medicine that cause insulin release from the pancreas only when the blood sugar rises, like Prandin.
  • Diabetes drugs that both cause the pancreas to release insulin and also prevent the liver from releasing sugar, like Januvia.
  • Diabetic medicine that slow the digestion of starch and reduce the sugar that enters the blood from the digestive system, like acarbose.

Diabetic Exercise

Exercise is part of diabetic treatment. During exercise, the body converts more blood sugar into energy. The muscles pick up much sugar from the blood in order to contract.

The energy need during exercise results in so much break down of sugar from the blood. The breakdown of blood sugar is so much that the oxygen that the person breathes cannot keep up with it. As a result, the muscle starts to break down sugar without out oxygen. This is called anaerobic break down of sugar. When muscles break down glucose without oxygen, the energy the muscle gets out of the sugar is small. The low yield of oxygen from anaerobic break down of sugar results in the muscle breaking down so much sugar, to get the needed energy.

When a person exercises, the muscle tone improves and basal metabolic rate increases. These improve blood sugar. Basal metabolic rate is how much energy the body uses when it is at rest. When the basal metabolic rate is high, the body breaks down more sugar or energy, even when the person is resting or sleeping. This helps to improve the person’s blood sugar. This is why exercise is an important part of diabetes treatment.

Diabetic Foot Care

Diabetic foot care is an important part of diabetic treatment. Performing daily diabetic foot care helps to keep the diabetic person healthy. Diabetic foot care can help prevent infection that can lead to amputation. The person with own legs are more likely to be active than someone who has lost a leg or two. This will in turn result in better blood glucose levels and better diabetes management outcomes. Keep your legs.

Perform daily diabetic foot care as part of diabetes treatment regimen. Diabetic foot care is better done at the end of the day. First, inspect your feet to make sure there are no cracks. Then wash your feet thoroughly with soap and water. Wipe the feet dry, paying attention to dry thoroughly the space in between toes. Now apply a moisturizer on both feet, taking care not to get the moisturizer in between toes. The space in between toes must be kept dry.

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