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Treatment of diabetes

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New Treatments for Diabetes:American Family Physician:"The goal of diabetes treatment is to keep your blood sugar level as close to normal as possible. The first step is to eat a healthy diet and exercise. This may mean you'll need to change your diet and exercise habits. You'll also have to watch your weight, or even lose weight, to keep your blood sugar level as normal as possible. Your doctor will talk to you about the foods you should eat and the exercise you'll need every week. Sometimes diet and exercise alone can't keep your blood sugar levels normal. Then your doctor will talk to you about other treatments. Many people with diabetes monitor their own blood sugar level at home using a special device. It's a fairly easy way to help you watch your blood sugar level. Your doctor can use the results to see how your treatment is working"
http://www.findarticles.com/cf_dls/m3225/10_59/54594156/p1/article.jhtml

Glycosylated hemoglobin test used to monitor the effectiveness of diabetes treatment.:Gale Encyclopedia of Medicine:"The Diabetes Control and Complications Trial (DCCT) demonstrated that persons with diabetes who maintained blood glucose (sugar) and total fasting hemoglobin levels at or close to a normal range decreased their risk of complications by 50-75%. Based on results of this study, the American Diabetes Association (ADA) recommends routine glycosylated hemoglobin testing to measure long-term control of blood sugar. Glycosylated hemoglobin measures the percentage of hemoglobin bound to glucose. Hemoglobin is a protein found in every red blood cell. As hemoglobin and glucose are together in the red blood cell, the glucose gradually binds to the A1c form of hemoglobin in a process called glycosylation. The amount bound reflects how much glucose has been in the blood during the past average 120-day lifespan of red cells. Several methods are used to measure the amount of bound hemoglobin and glucose. They are electrophoresis, chromatography, and immunoassay. All are based on the separation of hemoglobin bound to glucose from that without glucose"
http://www.findarticles.com/cf_dls/g2601/0005/2601000599/p1/article.jhtml

Goals of treatment of diabetes:diabetesspecialist:"Diet alone is not an effective treatment as has been shown in a landmark study known as UKPDS (United Kingdom Prospective Diabetes Study). A common error is that a patient is diagnosed with Type 2 diabetes and is instructed to "control it with diet alone." In my practice, I have seen numerous patients with serious complications of diabetes who were initially told by their physicians that they should control their diabetes with diet alone. Diabetes is an aggressive disease and requires an aggressive approach right from the beginning in order to avoid it's complications"
http://www.diabetesspecialist.com/1_dia/dm04_treatment.htm

What is the treatment for diabetes?:cdc.gov:"Management strategies should be planned along with a qualified health care team. The following information on treatments for diabetes is from the National Diabetes Fact Sheet: National estimates and general information on diabetes in the United States (Centers for Disease Control and Prevention. Atlanta, GA: US Department of Health and Human Services, 1997): Diabetes knowledge, treatment, and prevention strategies advance daily. Treatment is aimed at keeping blood glucose near normal levels at all times. Training in self-management is integral to the treatment of diabetes. Treatment must be individualized and must address medical, psychosocial, and lifestyle issues"
http://www.cdc.gov/diabetes/faqs.htm#treatment

Implantable pump therapy as treatment for diabetes:cebmh.warne.ox.ac.uk:"An insulin pump consists of a pump reservoir filled with insulin, a small battery operated pump, and a computer chip that allows the user to control exactly how much insulin the pump delivers. The entire apparatus is contained in a plastic case which is about the size of a beeper (approximately 8 x 2cm.) The pump reservoir delivers insulin to the body by an infusion set which can be lengthened and has a needle at the end, through which the insulin passes. The needle is inserted under the skin, usually on the abdomen. The process of putting the infusion set in place is very much like giving a standard insulin injection. The infusion set is changed approximately every two to three days. The pump is intended to be used continuously and delivers insulin 24 hours a day according to a programmed plan which is unique to each patient. A small amount of insulin is given continually. This insulin keeps blood glucose in the desired range between meals and over night. When food is eaten, the user programs the pump to deliver a bolus dose of insulin, matched to the amount of food that will be consumed"
http://cebmh.warne.ox.ac.uk/diabetes/professional/therapy/type1/new/pump.html

Diabetes Treatment Center:Raleigh Community Hospital :"The Diabetes Treatment Center at Raleigh Community Hospital is a comprehensive service providing diabetes self-management education to individuals with diabetes. Our team of certified diabetes educators works with the patient's physician on plans to improve and maintain blood glucose control. A series of group classes, individual consultations and support groups are designed to integrate medication management, diet, exercise and stress management into the patient's lifestyle. The DTC opened its doors at RCH in August 1988 and is the only ADA certified diabetes outpatient program in Wake County. The Center is staffed with Registered Nurses (RNs) and Registered Dieticians (RDs) who are all certified diabetes educators. Our staff stays up-to-date on the latest in diabetes treatments and equipment. We were the first in the area to institute an insulin pump program"
http://www.rch-hospital.org/service_lines/diabetes_cntr/

Treatment of Diabetes Mellitus:abbott.com:"Diabetes management plans should be discussed with a qualified health care team. As the primary goal of diabetes treatment is to control high blood sugar levels, training in self-management is essential. There are a number of ways to help manage and control your diabetes. These include: -Eating a healthy diet-Getting regular physical activity-Taking medicine for your diabetes, if your doctor orders it-Having regular foot and eye exams-Testing your blood sugar. Treatment of Type 1 diabetes: Lack of insulin production by the pancreas makes Type 1 diabetes especially challenging to control. Proper treatment requires a strict regimen that includes a carefully chosen diet, planned physical activity, multiple daily insulin injections and home blood glucose testing several times per day. Treatment of Type 2 diabetes: Treatment typically includes meal planning, exercise, home blood glucose testing and, in some cases, oral medications and insulin. Approximately 40% of people with Type 2 diabetes require insulin injections."
http://abbott.com/diabetes/diabetes_bottom.html#Treatment%20of%20Diabetes%20Mellitus

The Diabetes Guide-Treatment:bbc.co.uk:"There are 2 main aims of diabetes treatment. These are to: eliminate any symptoms of diabetes; and prevent the possible complications it can cause. Diabetes cannot be cured, but it can be managed and kept under control. Both Type 1 and Type 2 can cause serious health problems such as heart disease, stroke, blindness, kidney damage and nerve damage if they are not treated well. Tight control of the blood sugar level helps reduce the chance of these problems arising"
http://www.bbc.co.uk/health/diabetes/treatment.shtml

See also: Breakthrough in diabetes treatment
TREATMENT TESTED FOR DIABETES:stanford.edu:"potential treatment for juvenile-onset diabetes that could eliminate the need for insulin shots is under study at Stanford. “If the treatment works, it will spare patients not only from the inconvenience of insulin injections but also - and maybe more important - the harmful effects of sharp ups and downs in their blood sugar levels,” said Dr. Donald Dafoe, senior researcher on the project and director of Stanford’s Multi-Organ Transplant Center. The treatment, which stems from research on rats, including a study led by surgical resident Dr. Gregg A. Adams, is based on implanting fetal pancreas tissue into the patient’s forearm. It would provide an internal, self-regulating insulin source, but patients would need lifelong treatment with immunosuppressive drugs to prevent them from rejecting the implanted tissue."
http://www.stanford.edu/dept/news/stanfordtoday/ed/9609/9609smf301.shtml



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Last updated by Andrew Lopez, RN on Wednesday, September 29, 2010


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