Purpose of treatment of type 2 diabetes mellitus

Type 2 diabetes is quite common in Vietnam. Diabetes (diabetes mellitus) is a chronic disorder, consisting of properties of hypertension, metabolism disorders and complications of the kidneys, nerves, eye damage and cardiovascular diseases. However, when treating type 2 diabetes the disease will go into remission, even returning to a level that is almost completely cured.

1. Purpose of treatment of type 2 diabetes

1.1. General purpose of treatment of type 2 diabetes

  • Maintaining blood glucose levels when hungry, postpeaten blood glucose is almost equal to the psychological level, achieving ideal HbA1c levels, in order to reduce the associated complications, reducing the mortality from type 2 diabetes.
  • Lose weight (for overweight, obese people) or maintain a weight that is suitable for your fitness.

1.2. Specific objectives in the treatment of type 2 diabetes

The goal of treating type 2 diabetes is to quickly return the amount of blood glucose to the best management level, reaching the goal of bringing HbA1C to between 6.5 and 7.0% within 3 months. No treatment for type 2 diabetes is applied, but early combination medication is used. Specifically:

  • If HbA1c is above 9.0% simultaneously the amount of plasma glucose when hungry is greater than 13.0 mmol/l can prescribe two combination hypoglycemia tablets.
  • If HbA1C is above 9.0% simultaneously the amount of blood glucose at hunger greater than 15.0 mmol/l can be considered for immediate insulin treatment.
  • Besides regulating blood glucose levels, it is necessary to pay attention to the balance of blood lipid components, the parameters of blood coaulation, maintain blood pressure measurements.

Testing and diagnosis of low blood pressure

Diabetes treatment to maintain stable blood pressure
  • Monitoring and evaluative blood glucose levels including blood glucose levels at hunger, postpeaten blood glucose, especially HbA1c levels – measured every 3 to 6 months.
  • Specialists must master the use of oral hypoglycemia drugs, insulin use, how to coordinate drugs in treatment, and special notes on the patient's condition when treating diabetes mellitus.
  • For medical facilities that do not perform HbA1c testing, an average plasma glucose level should be evaluated.

1.3. Principles of treatment of type 2 diabetes

  • Type 2 diabetes medications must be combined with diet and exercise. This is a trio of effective treatments for the disease.
  • Treatment of hypoglycemia must be coordinated with the adjustment of lipid disorders simultaneously with the maintenance of reasonable blood pressure measurements, prevention and prevention of coaulation disorders.
  • When insulin treatment is required (as in the exacerbation of chronic diseases, infections, myocardial infarction, cancer, surgery).

2. Type 2 diabetes treatment regimen

2.1. Drug selection in the treatment of type 2 diabetes mellitus

Things to pay attention to when choosing type 2 diabetes medications:

  • Adhere to the principles of treatment of the disease.
  • In fact, depending on the condition of each patient, decide on the appropriate type 2 diabetes treatment. In the early days of the disease, type 2 diabetes can be treated without medication; if the treatment objectives are not reached, the use of the drug must be considered.
  • The initial choice drug of mono therapeutic regime should be based on the body mass index (BMI) of each person, if BMI is below 23 it is recommended to choose the sulfonylurea group drug, if the BMI is 23 or higher, it is recommended to choose the metformin group.

Principles for treating type 2 diabetes with insulin when combining insulin and oral hypoglycemia:

  • It should be explained to the patient and assured with type 2 diabetes treatment in combination with insulin, instructing the patient how to self-monitor when using insulin.
  • Choose a syringe or syringe that should be suitable for insulin (1ml = 100 units or 1ml = 40 units; 1ml = 50 insulin units).

When to take hypoth glucose medication?

Diabetes treatment by coordinating prescription medications by your doctor

2.2. Insulin use in dinhning

Insulin therapy may be in place from the first visit if HbA1C levels are above 9.0% where the level of blood glucose is hungry above 15.0 mmol/l.

  • People with type 2 diabetes but suffering from another acute disease such as severe infections, myocardial infarction, stroke …
  • Type 2 diabetics with renal impairment are contrained to take hypoglycemia tablets; patients with liver damage…
  • People with type 2 diabetes who are pregnant or have gestational diabetes mellitus.
  • Patients treating type 2 diabetes with hypoglycemia medications with tablets that do not respond to treatment; people who are allergic to hypoglycemia pills

2.3. Treatment of diabetes mellitus with insulin

Start using insulin: Usually the dose of sulfonylurea is reduced by 50% and taken only in the morning.

  • Insulin doses usually begin with a dose of 0.1 UI/kg of NPH type, pre-bedtime injection, or
  • Two injections a day with mixed insulin (insulin mixt), depending on plasma glucose levels and/or HbA1c.

Insulin dose adjustment:

  • When the dose of sulfonylurea is increased to its maximum or insulin therapy reaches 0.3 UI/kg without lowering blood sugar levels.
  • Adjust insulin levels every 3-4 days or twice a week.

3. Prevention of type 2 diabetes

Type 2 diabetes is a really dangerous disease because it's difficult to detect, so take diabetes precautions as soon as your body is healthy:

  • Lose weight avoid overweight, obesity. According to the results of many studies, type 2 diabetes will develop slowly to make it easier to treat if the patient loses 5-7% of the body's weight. Losing weight and enhancing fitness-appropriate sports activities also help the body to be more likely to produce insulin – the main cause of not having diabetes.

Weight loss

Weight loss helps prevent type 2 diabetes
  • Having the right diet, choosing foods low in fat, sugar and sodium, drinks should choose those that are low in calorie. Replace foods made from white rice with cereals or brown rice, if conditions do not allow, try to eat at a minimum the above substances.
  • Quit smoking and stimulants to create healthy lives to prevent the risk of type 2 diabetes.
  • Check blood pressure, cholesterol and blood regularly. People with type 2 diabetes often have high blood pressure and high cholesterol levels. Therefore, people with type 2 diabetes should maintain blood pressure at less than 130/80mmHg to prevent diseases associated with diabetes.
  • Make a routine check-up every 3-6 months to detect diabetes and other conditions early, treating type 2 diabetes early is always better and easier.

Share99 International Health Hub is one of the hospitals that not only ensures professional quality with a team of leading doctors, modern technology equipment system but also superior with comprehensive and professional medical examination, consultation and treatment services; civilized, polite, safe and sterilized medical examination and treatment space. Customers who choose to perform tests here can be assured of the accuracy of the test results.

Customers can directly go to Share99 Health System nationwide for examination or contact the hotline here for assistance.

Source: Ministry of Health Source: Ministry of Health

SEE MORE:

  • Causes of high cholesterol
  • High blood fat: two drops three increases
  • Why sitting too much is bad for your health?

About: John Smith

b1ffdb54307529964874ff53a5c5de33?s=90&r=gI am the author of Share99.net. I had been working in Vinmec International General Hospital for over 10 years. I dedicate my passion on every post in this site.

RELATED POSTS:

Leave a Comment

0 SHARES
Share
Tweet
Pin