Type II Diabetes– In type 2 diabetes, the pancreas usually produces some insulin. But either the amount produced is not enough for the body’s needs, or the body’s cells are resistant to it. Insulin resistance, or lack of sensitivity to insulin, happens primarily in fat, liver, and muscle cells.

Management of type 2 diabetes includes: It is a choice that a doctor makes based on the blood sugar levels and the status of the patient. The first line treatment includes Life style modifications Below are a few recommendations-

  1. Eat healthy :

-This is crucial when you have diabetes, because what you eat affects your blood sugar

-Foods to avoid are those rich in trans fats (also called hydrogenated fat), saturated fat, and sugar.

  1. Exercise :

-An active lifestyle helps you control your diabetes by bringing down your blood sugar.

-Your goal should be 30 minutes of activity 4-5 days a week, that makes you sweat and breathe a little harder

  1. Manage stress:

-When you’re stressed, your blood sugar levels go up.

-Find ways to relieve stress — through deep breathing, yoga, or hobbies that relax you.

  1. Stop smoking:

Diabetes puts one at a higher risk of getting heart diseases, eye diseases, kidney, vessel and nerve damage and smoking multiplies the risk.

-talking to one’s doctor for help to quit smoking is highly advisable.

  1. Watch your alcohol

– Alcohol can make your blood sugar go too high or too low.

-It may be easier to control your blood sugar if you don’t get too much beer, wine, and liquor.

-If in spite of following the above lifestyle modification, the blood sugar levels do not come under control, your doctor may have to start medicine for diabetes. A few tips that will help you to achieve good control over blood sugars when you are put on medicine for diabetes-

  1. Stick to your medication plan – Take the medicines as and when advised by your doctor.
  2. Eat on schedule – Plan on your meal timings in coordination with the medicine.
  3. Test your blood sugar – Testing with a glucometer is the only way to know how your body responds to the medicine.
  4. Stay consistent- Taking your prescribed medicine consistently can help with more stable blood sugar readings.
  5. Use a pill box- using a pill box is one of the best ways to take your medications correctly. Not only does it help you remember to take your meds, but it can help tell you when you’re missing your medications and prevent re-dosing

TYPE I DIABETES MELLITUS – People with type 1 diabetes don’t produce insulin due to damage of insulin producing cells by the body’s own immune system therefore, treatment for type 1 diabetes involves taking insulin. Along with Insulin injections, people with Type 1 Diabetes Mellitus also need to follow all the lifestyle changes mentioned above, ust as people with Type 2 Diabetes need to follow.

Insulin needs to be injected through the skin into the fatty tissue below.

The methods of injecting insulin include:

  • Syringes
  • Insulin pens that use pre-filled cartridges and a fine needle
  • Jet injectors that use high pressure air to send a spray of insulin through the skin.
  • Insulin pumps that dispense insulin through flexible tubing to a catheter under the skin of the abdomen.








– Dr. Afroze

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