What is Type 2 Diabetes? (How long does it take to reverse type 2 Diabetes) Who is at greater risk of type 2 diabetes?
Everyone, anywhere, at any age can be diagnosed with diabetes.
- People with diabetes in the family,
- Fat people,
- Women who have babies weighing more than 4 kg,
- People living under stress have a higher risk of developing diabetes.
In addition, chronic inflammation of the pancreas, pancreatic tumors and surgeries, and some hormone diseases such as hyperthyroidism, acromegaly can lead to Type 2 diabetes.
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In people with type 2 diabetes and high blood sugar;
- Frequent urination,
- Dry mouth,
- Drinking a lot of water,
- Feeling of hunger,
- Late healing of skin wounds,
- Dry and itchy skin,
- Frequent development of infection,
- There is numbness and tingling in the hands and feet. However, these symptoms gradually develop over time.
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The first step treatment plan includes medical nutrition therapy, regulation of eating habits, changing lifestyle, and implementation of exercise programs. If the blood sugar cannot be kept within normal limits despite the adherence to this treatment plan, the lowering medications taken orally are added to the treatment. However, some people with Type 2 diabetes may need insulin to maintain their blood sugar levels within normal limits. In these cases, treatment is supported by insulin injections at appropriate doses. (how long does it take to reverse type 2 diabetes)
It is very important for people with Type 2 diabetes who take oral sugar-lowering pills or insulin to measure their blood sugar on certain days of the week.
In Which Conditions Is Insulin Treatment Needed in Type 2 Diabetes?
Diabetics with high blood sugar levels despite compliance with the diet plan, exercising and taking medications,
Patients who will have surgery,
During the operation,
Women who are diagnosed with diabetes during pregnancy and whose blood sugar is not controlled during pregnancy,
People who do not recover during a severe infection,
Diabetic patients with foot wounds,
Insulin therapy should be given to people with diabetes where complications related to diabetes begin to develop.
What should be considered in nutrition therapy?
The purpose of regulating dietary habits in diabetes is to create the most ideal nutrition program that the diabetic person can implement throughout his life.
· To keep blood sugar within normal limits,
· Prevent acute complications such as hyperglycemia (hypoglycemia) and hypoglycemia (hypoglycemia),
· To maintain and maintain ideal body weight.
For this, the individual with type 2 diabetes,
· Eat food in sufficient amount and in appropriate time according to individual characteristics,
· Consume sufficient amount of carbohydrates for blood sugar control,
· Ensuring diversity in food consumption,
· Increasing the amount of pulp taken with food,
· It is recommended to consume simple sugars (granulated and sugar cubes, honey, sweet, fruit juice, etc.) under the control of dietitians.
Drugs that are used to control blood sugar in type 2 diabetes and are available in our country can be examined in 3 groups according to their mechanism of action:
Sulfonylureas; They increase insulin secretion from the pancreas and make the body more sensitive to insulin. (Betanorm, Diamicron, Diameprid, Diabinese, Gliben, Glutril, Glucotrol XL, Minidiab, Amaryl are examples of this group of drugs)
Biguanides; In the presence of insulin, they reduce blood sugar by increasing glucose (sugar) entry into the cells, and also reduce the absorption of sugar from the gut (metformin). They are preferred in obese patients. Glucophage, Glifor, Gluformin and Glucophen are among the drugs in our country.
Alpha-Glycosidase inhibitors; This group of drugs, known as Glucobay in our country, slow down the breakdown of carbohydrates in the intestine and reduce blood sugar rise after meals.
Glinides: Nateglinide, Repaglinid (Novonorm, Starlix) drugs known as insulin secreting beta cells in the pancreas by stimulating short-term increase in blood sugar after meals to reduce the increase.
Reduces insulin resistance; Drugs that increase insulin sensitivity: This group of drugs acts differently from metformin, reducing insulin resistance. It may cause slight water retention and an average weight gain of 2-3 pounds.
What is Insulin Insensitivity? - how long does it take to reverse type 2 diabetes
Blood sugar control is provided by the insulin effect released by the pancreas, but sometimes the peripheral tissues resist this secreted insulin and the necessary response to insulin cannot be achieved, how long does it take to reverse type 2 diabetes called insulin insensitivity. Weakening in dietitian control, using drugs that increase insulin sensitivity under doctor control and exercising are important factors that increase insulin sensitivity.
What are the considerations in exercise? - ""color: #990000;""font-family: "georgia" , "times new roman" , serif;""
In the treatment of diabetes, the appropriate exercise type and program should be applied.
When starting exercise, the time should be kept short (starting with 5-10 minutes per day) and gradually increased. Exercise should be done regularly every day, cotton socks should be preferred during exercise. During exercise, insulin should not be applied to the muscles that will actively work and exercise should not be started on an empty stomach.
Care should be taken against blood sugar drops that may occur during exercise and blood sugar should be measured. Despite the risk of hypoglycemia that may occur during exercise, how long does it take to reverse type 2 diabetes foods containing simple sugar; (Cut sugar, sugar tablets or fruit juice, etc.) should be careful.
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Measuring your blood glucose on certain days of the week will tell your doctor whether your blood sugar pattern is going well. Measurements are also important for your dietician to adjust your nutritional therapy and provide you with information about the effect of the food you eat on blood sugar.
People with Type 2 diabetes using insulin should have a blood glucose measurement four times a day, before breakfast, lunch and dinner, and at night, or at different meals on different days before and two hours after a meal with a glucometer (blood glucose meter). Your doctor / dietician determines how many times this measurement should be performed per week.
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People with Type 2 diabetes who do not use insulin usually need to measure their blood sugar twice a day, twice a week. You can get help from your healthcare team in preparing the blood glucose measurement program that best fits your illness and living conditions.
the 1 last update 11 Jul 2020
Who Should Get Professional Help for a Successful Diabetes Treatment?
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The diabetes educator is the healthcare provider who provides diabetes education to people with diabetes. The nurse, nutritionist or general practitioner can be a diabetes educator. Diabetes educators provide information about what to do in case of illness or blood sugar in special cases. In addition, some voluntary organizations, associations and foundations providing education in chronic diseases are other assistants who guide diabetics.
Type 2 diabetes is a type of diabetes usually seen in people over 40 years of age. It is a condition in which the blood sugar increases due to the inability of the pancreas to secrete an adequate amount of insulin, or to the insufficient use of the secreted insulin. This type of diabetic patients may not be clinically symptomatic for many years. An intervening infection, stress, surgery, how long does it take to reverse type 2 diabetes pregnancy or gaining excess weight in later years of life may lead to further decline in the already decreased beta-cell reserve. Type 2 diabetes is more common, with 90% of people with diabetes having Type 2 diabetes.
What is the Difference Between Type 1 and Type 2 Diabetes?
for 1 last update 11 Jul 2020
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Type 1 diabetes is a condition that occurs when the pancreas in our body is damaged by autoimmune events and cannot produce insulin. In type 1 diabetes, insulin therapy is essential from the very beginning and these patients cannot survive unless they use insulin.
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The overweight of type 2 diabetes and the occurrence of the disease in the middle age have led to this being called adult type diabetes in previous years. Type 1 diabetes was called juvenile type because it is a more common form in children. Today, however, we know that Type 1 diabetes can be seen at a later age and Type 2 diabetes can be seen at a very early age. However, their mechanism of formation is very different.
In type 2 diabetic patients, lifestyle changes, nutrition regulation, exercise, and oral antidiabetics are primarily used. However, as a result of the decrease in insulin secretion capacity of Type 2 diabetic patients in later periods, they can progress to the position of insulin-insufficient, similar for 1 last update 11 Jul 2020 to Type 1 diabetics. In addition, insulin may be required in individuals with loss of renal function and liver failure and in special conditions in type 2 diabetics.In type 2 diabetic patients, lifestyle changes, nutrition regulation, exercise, and oral antidiabetics are primarily used. However, as a result of the decrease in insulin secretion capacity of Type 2 diabetic patients in later periods, they can progress to the position of insulin-insufficient, similar to Type 1 diabetics. In addition, insulin may be required in individuals with loss of renal function and liver failure and in special conditions in type 2 diabetics.
In other words, insulin treatment is not the first choice of treatment for patients with type 2 diabetes, but it is a treatment option that patients may need throughout life. In this respect, beyond effective evaluation, it is absolutely important that it is planned effectively.
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