Treatment of Type II Diabetes is a comprehensive program. It involves a lot of things besides medications. Though it is not fully curable, it could be managed in such a way that patients could lead a normal healthy life. Type II Diabetes generally becomes worse with time. Initially diet control and exercises help a lot to control type II Diabetes, but in long run patients need medication to control blood glucose levels. They may be prescribed with medicines to control high levels of blood sugar. Some patients may even need insulin injections. Patients need to follow a comprehensive program for treatment, which asks for the following procedures:

Blood Sugar Monitoring

Blood sugar monitoring on regular intervals helps to check the body’s response to different things such as food, physical activity, medicines or any other thing. It also helps to prepare a proper diet or exercise plan for better management of Type II Diabetes. Doctors may prescribe checking of blood sugar level once a day or several times a week, depending upon the patient’s need. There is several glucose monitoring devises. Patients may pick one, which is most convenient to them. Regular monitoring helps to keep a check on body’s reaction to food, exercise, medicines, alcohol, stress, illness and hormonal fluctuations.

Healthy Eating

Healthy eating is a key to good management of type II Diabetes. Diabetic patients should be careful about how many carbohydrates they eat and when they eat. Patients should have complex carbohydrate in their diet instead of simple carbohydrates. Complex carbohydrates take time to break down into sugar, thus they do not raise sugar level suddenly, whereas simple carbohydrates easily breakdown into sugar and there is a sudden upsurge in sugar level. Thus eating complex carbohydrates help to maintain normal sugar level. Having whole grain foods, fruits and leafy vegetables is also helpful in managing Type II Diabetes. They provide required nutrition without raising the sugar level to alarming points. Diabetes Type II patients should avoid or restrict intake of sweets and alcohol. They can easily raise the sugar level and create complications. Patients of Type II Diabetes should not skip any meal. Having regular and proper meals help to maintain metabolic activities and healthy sugar levels. They should also maintain a healthy weight to avoid any diabetic complication.

Physical Activity

Regular aerobic exercise is quite helpful for patients of Type II Diabetes. Exercises such as walking, jogging, swimming or biking help to maintain proper metabolism and normal sugar level. Patients are advised to regularly check sugar level before or after exercising to avoid sudden low blood sugar. Patients of Type II Diabetes should take special care before, during and after severe physical activity or exercise.

Medicines

Patients with Type II Diabetes may need proper medication to maintain their normal blood sugar level. They may also need medicines to treat other diabetic complications. Doctor may even prescribe a combination of different medicines for proper treatment of Type II Diabetes and related conditions. Some patients may even need insulin injections.

Patients who are obese need to reduce their weight. If their body mass index or BMI is higher than 35, they may even need bariatric surgery for weight loss. Maintaining a healthy weight is prerequisite of proper management of Type II Diabetes. Women patients with Type II Diabetes need to change their treatment during pregnancy. Some patients may need to have blood pressure and cholesterol-lowering medications to maintain blood pressure and cholesterol, which act as triggering factor of high blood sugar level.

Treatment of Other Related Conditions

Patients of Type II Diabetes may also require to get treated for High blood sugar (hyperglycemia), increased ketones in urine (diabetic ketoacidosis), Hyperosmolar hyperglycemic nonketotic syndrome, Low blood sugar (hypoglycemia), high blood pressure, high cholesterol or triglycerides. All these medical conditions tend to worsen Diabetes Type II. Hence patients may need treatment for these conditions to check their diabetes.

Preventing Complications

Patients may need to take proper care of other diabetic complications. Doctor may prescribe medications for treatments of other diabetic conditions. There should be proper care to avoid eye disease, kidney disease, and other diabetic conditions.

Continuous Care

Patients may need to get tested for Glycosylated hemoglobin or HbA1c (three-month average of blood glucose), Blood pressure check, Foot and skin examination, Ophthalmoscopy examination, Neurological examination, Random microalbumin (urine test for protein), BUN and serum creatinine, Serum cholesterol, HDL, triglycerides, ECG and Dilated retinal exam. These tests help to maintain proper blood sugar level and avoid diabetic complications.
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