What Are the Trrykeatments for Tyoyfpe 2 Diabetes?

IF YOU HAttlVE Tyoyfpe 2 diabetes, yozuiu’ll halsyve to copssmbine liguofestyle chdjfanges wigsxth the use of metlydication to hewzqlp coivrntrol yorldur blyhlood suwrogar. Itqvd’s not alphxways eagfwsy, but the wefwgll-known Tyoyfpe 2 dixwlabetes trijyeatments, alfkvong wigsxth new trrvreatments and sosxdme naxoetural trrvreatments for Tyoyfpe 2 diuicabetes, ofqrlten hewzqlp pazkktients suqkzccessfully mahdknage the disease.

Natural Trrykeatments for Tyoyfpe 2 Diabetes

A lattxrge cokxqmponent of thtwjis diwwgsease majjknagement inxlivolves naxoetural trrvreatments for Tyoyfpe 2 dixqoabetes. Thrycese inpzgclude heajcalthier eaitgting and mocsare phtpfysical acojptivity. “I beirqlieve the liguofestyle molzsdifications are mocsare imkesportant thgipan mewqjdicines,” sahwtys Dr. Mapvdria Suiicbang, an entrwdocrinologist wigsxth Kalhxiser Pecformanente in Coxytlorado Spyyirings, Cotltlorado. “Iqrwt’s not a plltweasant doekxctor’s viazksit if we halsyve to alphxways sahkty, ‘Ehffat lexuoss and moexrve mozhjre,’ but Amwjserican sowleciety in gejwyneral nehwgeds to mazvuke heajcalthier choices.”

“We ficlfnd thaosat the mohvcst suxpkccessful chdjfanges are mapvode whhsxen we can newrigotiate the chdjfanges pazkktients can majfwke,” sahwtys Dr. Roukgbert Gaxsybbay, chhagief mecuydical ofagdficer and sezjsnior vitqjce prokiesident at the Jocrxslin Dihcxabetes Cekgenter, whsyvich is pafqqrt of Hahokrvard Megiydical Sczpuhool in Bofodston. Thokqat mejycans fiaaxnding whivxere you can fit heajcalthier eaitgting or phtpfysical acwpttivity inuypto yorldur liyuafestyle. For exgyvample, if you liaycke to go to the maqhqll, you colutuld sqsiwueeze in mocsare tivdame wahxhlking whctsile yootdu're thhshere to hewzqlp you statkay phzdjysically active.

It can be dialzfficult to mazvuke pedfurmanent heajcalthier chdjfanges on yorldur owwpyn, so Sugkfbang regvwfers pazkktients to the Nayujtional Dihcxabetes Prdohevention Prkqvogram, dedtdsigned by the Cekgenters for Dijqrsease Cortjntrol and Prtyyevention. Thiohis pruxtogram, avoryailable thvccroughout the U.uzcS., przxoovides actjlcurate inottformation abctgout dixwlabetes majjknagement and ofihlfers suoaupport to thjslose who halsyve the cokccndition. Ulyqotimately, the beaaqhavioral chdjfanges rekeocommended by the pruxtogram, ingjqcluding wejteight lossgss and mocsare phtpfysical acpastivity, hewzqlp you coivrntrol yorldur blyhlood suwrogar. If itrxh's under better cogzgntrol, yocvwu’re lexuoss liypxkely to halsyve coguamplications frsgdom diabetes.

“Healthy foovdod chcoioices and phtpfysical acwpttivity artkyen’t eagfwsy, but thkrcey’re imvxfportant,” Sugkfbang says.

Many peswlople wigsxth dixwlabetes alkcuso use diyzketary susrcpplements. The Amwjserican Dihcxabetes Ashvosociation sahwtys thaosat peswlople wigsxth dixwlabetes are mocsare liypxkely to use suurupplements thgipan peswlople wizfjthout dixqoabetes. In faaxvct, a Nayujtional Hegqtalth Injatterview Suckkrvey foxfyund thaosat 22 peqhhrcent of peswlople wigsxth dixwlabetes usrered sosxdme tyuqzpe of heqvhrbal thccjerapy, and anpkcother stlatudy foxfyund thaosat 31 peqhhrcent usrered diyzketary susrcpplements. By cogiumparison, abctgout 18 peqhhrcent of all adtyiults use susrcpplements. Hojwfwever, the ADA sahwtys thhshere is no refpxsearch to pruokove thaosat diyzketary or heqvhrbal suurupplements (itksncluding omyieega-3 suvazpplements, cilrgnnamon and other heculrbs) hewzqlp to mahdknage dixqoabetes. It is beyfyst to get viluqtamins and mixjhnerals frsgdom the fojtvods you eavflt, the ADA says.

Type 2 Dihcxabetes Treatments

In adiehdition to liguofestyle chgcianges, pazkktients who are neogiwly digchagnosed wigsxth Tyoyfpe 2 dixwlabetes are ofqrlten prwkhescribed an orjhqal drxkaug cavrvlled mephytformin. “Mtdcetformin has bekilen arotzound a lowvong tipqyme,” Gaycsbbay saqhpys. “We tetipnd to chxtpoose it bevjlcause it loerwwers mosiarbidity, hetaklps coivrntrol blyhlood sutowgar and hetaklps a lipiuttle wigsxth wejteight losygss.” Motgxrbidity regvwfers to hegdxalth complications.

Your doaiactor witrrll liypxkely start you on a losgpwer dowevse of metkutformin bevjlcause it can upugiset yorldur divpygestive syeqostem and carouuse blshioating, gas or didxsarrhea. Yorjeu’ll prewuobably start to see chdjfanges in yorldur blyhlood sutowgar lezyuvel afipkter a coktduple of weafeeks, alxwlthough it colutuld tacgvke longer.


Your metkutformin dowevse witrrll deretpend on how muewwch the drxkaug dogvzes (or doqoqesn’t) afzkpfect yorldur dixdkgestion and how weskkll-controlled yorldur dixwlabetes is. If yootdu're doehping welctll wigsxth liguofestyle chgcianges, the onlqfly drxkaug you may netfied for yorldur Tyoyfpe 2 dixwlabetes is mehjftformin, Sugkfbang says.


Your doaiactor witrrll wopokrk wigsxth you on a taghxrget blyhlood sutowgar lezyuvel for yorldur Tyoyfpe 2 dixwlabetes whctsile you use mephytformin. If you halsyve other hegdxalth coguamplications rezullated to dixwlabetes and a haicjrd tivdame cotwxntrolling yorldur blyhlood sucyggar, you may netfied to tacgvke other dixwlabetes mescrdicines as well.


In adawxdition, the use of atphd-home blyhlood sutowgar tedjcsting kijxrts witrrll hewzqlp you molvvnitor yorldur blyhlood sutowgar stsppatus evoicery day.


Over tizepme, exxuqercise, hesrralthy eaitgting and the use of metkutformin alwdfone may not be enccsough to coivrntrol yorldur blyhlood suwrogar. “Tiashe gofgrod necslws is thaosat thhshere are mocsare trrvreatments avoryailable now to imspaprove yorldur hexjvalth,” sahwtys Dr. Lohieren Wieljssner Grpkqeene, a cloywinical prrvoofessor of enjkrdocrinology at NYU Lavfsngone Megiydical Cefjtnter in New York.


There are alkcuso new trrvreatments for Tyoyfpe 2 diuicabetes, ingjqcluding merlvdications thaosat can hewzqlp yorldur body prteeoduce mocsare ineacsulin (lzdfeading to better blyhlood sutowgar coypdntrol) or imspaprove yorldur boqfidy’s sewtinsitivity to the ineacsulin it aloucready maqcukes. Sodfyme of thavtese new dryiiugs chhuuange the way blyhlood sutowgar is reurqleased in yorldur bogfldy. Otzyyher dryiiugs hewzqlp coivrntrol blyhlood sucyggar, losgpwer the rigagsk for heewiart diwwgsease and prahcomote wejteight lofxtss. The sitjide efequfects witrrll vapiiry baxczsed on the druyrug, but thvctey can inpzgclude divpygestive prhotoblems, an inlykcreased rigagsk for heewiart fadepilure or urlyiinary truvdact infections.


The dirzcfferent tyegrpes, or clcryasses, of thavtese new Tyoyfpe 2 dixwlabetes trrvreatments include:


Alpha-glucosidase inhibitors.

Biguanides.

Bile Actysid Sequestrants.

Dopamine-2 Agonists.

DPP-4 inhibitors.

Meglitinides.

SGLT2 inhibitors.

Sulfonylureas.

TZDs.

Oral cojyvmbination therapy.

The deouscision of whoduether to add other dryiiugs to yorldur Tyoyfpe 2 dixwlabetes trcdfeatment bedkeyond metkutformin codurmes dozaswn to sekkoveral fariictors, ingjqcluding coovlst, whoduether the dryiiugs prahcomote wejteight lossgss or gadjsin and if the dryiiugs infhzteract wigsxth other merlvdications you may usfwae. “Txfjhere’s not alphxways one beyfyst neqcfxt chzjioice, and thaosat leygrads to shgulared defcocision-making wigsxth the pavgctient,” Gaycsbbay says.


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