What type 2 diabetes treats?

Diabetes type 2 dietary treatment has two main purposes, one is to control postprandial blood glucose, the other is to control weight. Postprandial blood glucose is often a common manifestation of type 2 diabetes, and for several hours can not be restored to normal levels. In addition, type 2 diabetes is often associated with obesity and overweight. Total control, structured diet therapy may play a positive role in improving insulin resistance.

Type 2 diabetes treatment
Type 2 diabetes more common in the elderly, due to long-term genetic and environmental factors in the joint action, the complications are more prominent, prevention and treatment of complications is even more difficult. The total treatment can be divided into two aspects: basic treatment, drug therapy.
⑴, basic treatment
Including changes in diet, lifestyle changes, from a static way of life to change the combination of lifestyle, increase physical activity.
Diet intake of total calories should not only take into account the burden of reducing islet B cells, but also to ensure the normal needs of the body, so that weight back to close to the standard weight. Obesity, total calorie intake should be reduced, thinner to increase.
The structure of the diet is more carbohydrates (complex carbohydrates), lower fats, medium protein. The so-called high-quality protein, refers to the animal protein, such as eggs, dairy products, fish, beef and mutton, poultry and so on. China uses more plant protein, the relative reduction in spending. Diabetic patients may be associated with hypertension. Should be low-salt diet. Should quit smoking, avoid alcoholism.
Eating method: should eat less meals, not less than 3 meals a day, can be arranged in the afternoon, snacks, both to ensure absorption, but also reduce the burden of islet B cells.
Physical activity to increase the movement with the diet control, can be 2 type obese diabetic patients with rapid decline in body weight, exercise according to the patient's lifestyle, cardiopulmonary status, renal pathology and physical activity and other factors to consider, to develop acceptable The amount of exercise and movement. Exercise should be enough, and can not, can not be reluctantly, but also persevere, to cooperate with the doctor to feel slightly sweating, body relaxed, loss of appetite is not appropriate.
Type 2 diabetes patients by the basic diet and physical activity, change the way of life, blood glucose is still significantly increased, should consider the drug treatment.
⑵, drug treatment
Including oral hypoglycemic agents and / or insulin therapy.
There are three main types of oral hypoglycemic agents for type 2 diabetes: sulfonylureas, biguanes, α-glucosidase inhibitors. These three types of drugs have different mechanisms of action, can be used alone, can also be used in combination, thereby enhancing the hypoglycemic effect.
①, sulfonylureas
Sulfonylurea hypoglycemic drugs for clinical for half a century, taking care to note: 15 to 30 minutes before meals medication. Should start from a small dose. Start the use of drugs with shorter duration of action. Elderly need to reduce the dose, to avoid hypoglycemia.
②, biguanide class
Since the late 50s began to be used in clinical, the main use of metformin (Gehua only), have enhanced the role of insulin. The use of metformin reduces body weight and is therefore particularly appropriate for type 2 obese patients with diabetes. If you have gastrointestinal discomfort after taking, can be taken in the meal or after meals. The use of hypoglycemia does not generally occur.
③ α-glucosidase inhibitor
In the early 90s into the market use, can delay or inhibit the absorption of glucose in the intestine, thereby effectively reducing postprandial hyperglycemia. This type of drug mainly worship sugar level, times Yan. Taking the first meal with the need to eat with food. Renal insufficiency can also be used. Adverse reactions are mainly flatulence, generally self-mitigation.
⑶, trypsin treatment
Such as type 2 diabetes patients oral hypoglycemic agents have been the largest dose, but the blood glucose control is still not satisfied, you can try insulin 6 to 12 weeks to observe the effect of insulin to improve blood sugar. After 6 to 12 weeks of treatment, some patients can disable insulin, back with oral hypoglycemic drug therapy, may have a better effect. If necessary, re-use of insulin treatment. Type 2 diabetes patients with acute or chronic complications, but also according to blood glucose levels with insulin treatment. Insulin treatment to prevent the occurrence of hypoglycemia, especially the elderly should pay attention to, rather blood sugar control in the middle level, low blood sugar. Therefore, for patients who have just started using insulin therapy, it is best to be hospitalized and learn to inject insulin.

In short, diabetes is not only a common disease, but also a lifelong disease, is still not cure, the patient under the guidance of medical staff, adhere to long-term treatment. Life should be regular, quit smoking, do not drink, pay attention to personal hygiene, prevention of various infections