Now we’re going to talk about the treatment for non insulin-dependent diabetes mellitus or type two diabetes mellitus the most important treatment for type two is diet control decreasing the amount of carbohydrates and sugars in the diet is the main treatment for type 2 followed by exercise diet control and exercise can actually keep the patient’s sugar under enough
Control to keep the onset of diabetes from occurring if that does not work the next addition as oral hypoglycemics and in some cases insulin usually type 2 diabetics only use insulin in the case of illness surgery or hospitalization oral hypoglycemics are medications to help decrease the blood glucose there are many different kinds so faunal ureas are class that
Help insulin receptors function and increase the insulin secretion from the pancreas metformin is an example of a biguanide it increases the muscle uptake of glucose and it decreases liver production of glucose the mcglinn tides caused short bursts of insulin from the pancreas and the absorption inhibitors decrease glucose absorption from the gut so fonder ureas
Such as glue control diabaté amarelle and diabetes increased insulin secretion from the pancreas and more importantly helped insulin receptor function other oral agents include glucophage actos and avandia and these affect insulin release and use pre coast and gliss it help prevent absorption of glucose from the gut why the patient asks am i on for drugs for my
Sugar insulin glyburide metformin and pre coase it just seems like too many medications it’s important for us to educate our patients about the reasons for the different kinds of medication so we need to teach that insulin is required for glucose or sugar use glyburide helps the cells use insulin better and helps the body produce more insulin and metformin helps
Your muscles use more glucose and prevents your liver from making more glucose pre coase finally prevents glucose absorption from your food warning metformin can cause lactic acidosis it is important to check kidney function in those on metformin this can be done by checking a creatinine serum level also metformin should be stopped temporarily of kidney function
May be affected by surgery or iv radiologic contrast studies metformin should only be resumed once kidney function has been rechecked
Transcribed from video
Treatment Type 2 Diabetes Mellitus By MauiMaryRN
