Type 2 diabetes mellitus an evidence-based approach to practical management
Common Questions and Answers about Type 2 diabetes mellitus an evidence-based approach to practical management
diabetes
　　As Americans' waistlines continue to expand, contributing to a burgeoning epidemic of type 2 diabetes, the scientific jury is in and the verdict is clear: weight loss and increased physical activity is directly related to improved diabetes control.
Hello Candikane,
Your doctor's advice is surprising to me, also. I'm guessing that s/he is not a diabetes specialist and that's the type of physician who should be guiding your diabetes care. Specialists might be called endocrinologist or diabetologist.
None of us here is a physician, but we're long-time diabetics or care-givers for diabetic children.
You didn't mention if you've been diagnosed with Type 1 or Type 2, and the treatment options vary for these types.
Also Glucophage affects the action of insulin and is useful in reducing a number of the symptoms and complications of PCOS and also useful in the management of irregular periods, ovulation induction, weight loss, prevention of type 2 diabetes, and prevention of gestational diabetes mellitus in women with PCOS. You can discuss about this drug with your gynecologist.
Below is the FDA information released by Astra Zeneca regarding this very issue
Patients with risk factors for diabetes mellitus (eg, obesity, family history of diabetes) who are starting treatment with atypical antipsychotics should undergo fasting blood glucose testing at the beginning of treatment. Any patient treated with atypical antipsychotics should be monitored for symptoms of hyperglycemia including polydipsia, polyuria, polyphagia, and weakness.
Between December 2002 and October 2005, 189 non-diabetic patients were treated with Peg-IFN-alpha/Riba, of whom five developed type 1 DM (2.6%), three type 2 DM (1.6%) and one an indeterminate type of DM. Classical symptoms of DM were present in three patients who developed DM shortly after cessation of Peg-IFN-alpha/Riba. In the other patients, symptoms of DM were either indistinguishable from side effects caused by Peg-IFN-alpha/Riba or absent.
I also noted the JAMA reminder/caution that food does not cause Type 1 diabetes. Type 1 diabetes is an autoimmune disease. This study and others looked at the impact of specific foods/timing of introduction in at-risk children.
Please know that Type 2 is a completely different disease than Type 1. Type 1 is autoimmune, and researchers are striving to find out what triggers (or doesn't) trigger the disease. Type 2 has completely different origins.
Chronic infection with HCV is associated with insulin resistance, metabolic syndrome, and type 2 diabetes [61]. The prevalence of type 2 diabetes has been reported to be 14–50% in patients with chronic HCV infection [62]. HCV-associated diabetes is characterized by insulin resistance and does not appear to be associated with antibodies directed towards the beta cells in the islets of Langerhans [63].
Numbness of the penis can occur from long term pressure of the penis against the bones of the pelvis such as occurs with a racing type of bicycle seat. Peripheral neuropathies such as that related to diabetes mellitus can also be a cause as can nerve compression of a spinal nerve. In an otherwise healthy male I would investigate the possibility of an emotional cause for this symptom.
//my.clevelandclinic.org/health/diseases/7104-diabetes-mellitus-an-overview/diagnosis-and-tests
https://www.diabetes.org/a1c/diagnosis
Perhaps your A1C levels were at pre-diabetic levels, but your blood glucose levels were higher. It sounds like you've been doing really well, though, but you should talk to your doctor, though, because since it's already been high, you need to keep on top of it.
this damage is enhanced in the presence of hypertension. An overall approach to the understanding and treatment of diabetes mellitus and its complications will be to elucidate the mechanisms of vascular disease and endothelial cell dysfunction that occur in the setting of hypertension and diabetes".
Hope this provides some insight and a perspective that may help explain the possibilities. Also, there are unexplained causation for hypertension.
Excessive body weight is associated with various diseases, particularly cardiovascular diseases, diabetes mellitus type 2, obstructive sleep apnea, certain types of cancer, and osteoarthritis.
http://en.wikipedia.org/wiki/Obesity#Management
The main treatment for obesity consists of eating less and exercising more.Medications may also be used. There are two commonly prescribed medications for obesity.
I fear I will have the same problem with my 2 year old. How old was your kid when he started talking? Mine barely talks. I've had his hearing checked, but he hears fine. I fear my son may have a form of autism, have you ever checked into that? From what I hear, there are very many forms of it. Everyone tells me you can't diagnose until 4 years old. I try to get my son checked and they say he's too young to tell. I hope your endeavors with your child work out.
Frequent urination can be due to many reasons which can be physiological or disease-related, and include excessive intake of liquids, diuretic substances (including tea, caffeine, alcohol, certain drugs), anxiety, exposure to cold, diabetes mellitus, diabetes insipidus (central or nephrogenic), urinary tract infections or obstruction, etc to name a few more common ones.
I hope it helps.
Testing for type of diabetes becomes relevant when it comes to insurance coverage (type 1 tend to get broader coverage than type 2 - unfair as this may seem).
When you see an endocrinologist you should be tested for type 1. This will include antibody panel, testing for c-peptide etc.
You may find eating low carb diet will be beneficial to assisting managment. You will have a steep learning curve ahead, but you can do this.
m wondering if the OP meant when should a diabetic begin using meds to manage blood sugar? If so, some people are able to manage Type 2 diabetes with just diet and exercise and this should always be the first approach. If you are able to maintain target range blood sugars this way, great! Just continue testing periodically to make sure it is still working, and to see how certain foods affect your blood sugar.
Sliding scale is quite an old approach to dosing insulin. Another approach is to dose insulin based on the amount of carbs, protein, and fat in any single meal. This gives a much more accurate dosing (and control of blood sugars) than sliding scale.
Your requirements are individual - please talk to your doctor as well.
However, do be careful about how much carbs they recommend you to eat. The traditional approach is to ask diabetic patients to eat a high carb diet, but truely this can make it much harder to control your blood sugars.
A diet focusing on lower carb foods (with plenty of veges and minimally processed foods) is really the way to go.
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