Management control of h m

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Management control of h m

Diabetic diet For Type 1 diabetics there will always be a need for insulin injections throughout their life. However, both Type 1 and Type 2 diabetics can see dramatic effects on their blood sugars through controlling their diet, and some Type 2 diabetics can fully control the disease by dietary modification.

As diabetes can lead to many other complications it is critical to maintain blood sugars as close to normal as possible and diet is the leading factor in this level of control.

Recent research shows that the first step in Diabetes management should be for patients to be put on a low carb diet. Patients that are put on a high carb diet find it very difficult to maintain normal blood glucose levels. Patients that are put on a low carb or restricted carbohydrate diet, manage to maintain near normal blood glucose levels and A1cs.

Anti-diabetic drug Currently, one goal for diabetics is to avoid or minimize chronic diabetic complications, as well as to avoid acute problems of hyperglycemia or hypoglycemia. Adequate control of diabetes leads to lower risk of complications associated with unmonitored diabetes including kidney failure requiring dialysis or transplantblindness, heart disease and limb amputation.

There is emerging evidence that full-blown diabetes mellitus type 2 can be evaded in those with only mildly impaired glucose tolerance. As ofthere is no other clinically available form of insulin administration other than injection for patients with type 1: Non-injective methods of insulin administration have been unattainable as the insulin protein breaks down in the digestive tract.

There are several insulin application mechanisms under experimental development as ofincluding a capsule that passes to the liver and delivers insulin into the bloodstream. For type 2 diabetics, diabetic management consists of a combination of dietexercise, and weight lossin any achievable combination depending on the patient.

Obesity is very common in type 2 diabetes and contributes greatly to insulin resistance. Weight reduction and exercise improve tissue sensitivity to insulin and allow its proper use by target tissues.

Management control of h m

Some Type 2 diabetics eventually fail to respond to these and must proceed to insulin therapy. A study conducted in found that increasingly complex and costly diabetes treatments are being applied to an increasing population with type 2 diabetes.

Data from to was analyzed and it was found that the mean number of diabetes medications per treated patient increased from 1.

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Improper use of medications and insulin can be very dangerous causing hypo- or hyper-glycemic episodes. Insulin therapy Insulin pen used to administer insulin Insulin therapy requires close monitoring and a great deal of patient education, as improper administration is quite dangerous.

For example, when food intake is reduced, less insulin is required. A previously satisfactory dosing may be too much if less food is consumed causing a hypoglycemic reaction if not intelligently adjusted. Exercise decreases insulin requirements as exercise increases glucose uptake by body cells whose glucose uptake is controlled by insulin, and vice versa.

In addition, there are several types of insulin with varying times of onset and duration of action. Several companies are currently working to develop a non-invasive version of insulin, so that injections can be avoided.

Mannkind has developed an inhalable version, while companies like Novo NordiskOramed and BioLingus have efforts undergoing for an oral product. Also oral combination products of insulin and a GLP-1 agonist are being developed.

Insulin therapy creates risk because of the inability to continuously know a person's blood glucose level and adjust insulin infusion appropriately. New advances in technology have overcome much of this problem.

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Small, portable insulin infusion pumps are available from several manufacturers. They allow a continuous infusion of small amounts of insulin to be delivered through the skin around the clock, plus the ability to give bolus doses when a person eats or has elevated blood glucose levels.

This is very similar to how the pancreas works, but these pumps lack a continuous "feed-back" mechanism. Thus, the user is still at risk of giving too much or too little insulin unless blood glucose measurements are made.

A further danger of insulin treatment is that while diabetic microangiopathy is usually explained as the result of hyperglycemia, studies in rats indicate that the higher than normal level of insulin diabetics inject to control their hyperglycemia may itself promote small blood vessel disease.

He was not injured, but required emergency intravenous glucose. Studies conducted in the United States [43] and Europe [44] showed that drivers with type 1 diabetes had twice as many collisions as their non-diabetic spouses, demonstrating the increased risk of driving collisions in the type 1 diabetes population.

Diabetes can compromise driving safety in several ways. First, long-term complications of diabetes can interfere with the safe operation of a vehicle. Studies have demonstrated that the effects of neuroglycopenia impair driving ability. Additionally, individuals with a history of hypoglycemia-related driving mishaps appear to use sugar at a faster rate [49] and are relatively slower at processing information.

Studies funded by the National Institutes of Health NIH have demonstrated that face-to-face training programs designed to help individuals with type 1 diabetes better anticipate, detect, and prevent extreme BG can reduce the occurrence of future hypoglycemia-related driving mishaps.

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Management control of h m

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