Type 2 diabetes

fer's profile photo   07/23/2013 5:22 a.m.

Type 2 Diabetes
(Diabetes mellitus type 2, insulin resistant diabetes, diabetes, type 2)

Glucose is generated from the decomposition of food.It is the body's energy source.The cells can be absorbed from the blood with the help of a hormone called insulin.Without insulin, glucose accumulates in the blood and causes hyperglycemia.At the same time, body cells need glucose (energy).

The lack of insulin, or the resistance she, causes diabetes.In type 2 diabetes, the body is resistant to high insulin levels.The body contains a large amount of insulin but the cells cannot use it.

High blood sugar levels for a prolonged period can damage vital organs, such as kidneys, eyes and nerves.

Causes
Two conditions contribute hyperglycemia in type 2 diabetes:

Insulin resistance related to excess body fat.
The inability of the body to produce an adequate amount of insulin.

Risk factors
The factors that increase the chances of developing type 2 diabetes include:

Have a family history of type 2 diabetes.
Suffer obesity or overweight.
Have cholesterol problems.
Have high blood pressure.
Have a history of cardiovascular disease.
Have a history of gestational diabetes or have a baby that weighs more than 4 kg (9 pounds)
Have an endocrine disorder (Cushing Syndrome, Hyperthyroidism, Acromegaly, Ovarian Polycion, Pheochromocytoma, Glucagonoma).
Have a condition related to insulin resistance (eg, pigmentary acanthosis).

Symptoms
You may not manifest symptoms for years.Symptoms due to the high content of blood sugar or complications for diabetes may include:

Urine increase
Excessive thirst
Hunger
Fatigue
Blurred vision
Irritability
Recurring or frequent infections
Bad healing wounds
Angina
Painful legs on the legs when walking
Numbness or tingling in the hands or feet
In women: frequent vaginal infections and urinary tract infections
Gum problems
Itch
Impotence

Diagnosis
The diagnosis is based on the results of blood tests.The American Diabetes Association (ADA) established the following guidelines:

Diabetes symptoms and random blood analysis that reveals a level of blood glucose greater than or equal to 200 mg/dl [11.1 mmol/l]
Glycemia analysis after at least eight hours of fasting (fasting glycemia) that reveal levels of blood glucose higher than or equal to 126 mg/dl (7.0 mmol/l) in two different days
Glucose tolerance test that measures blood sugar two hours after consuming glucose with a higher measurement · or equal to 200 mg/dl (11.1 mmol/l)
HBA1C level of 6.5% or higher, which indicates poor blood glucose control during the last 2 to 4 months
mg/l = milligrams per deciliter of blood, mmol/l = millimol per liter of blood

Treatment
The treatment has the objective of:

Keep blood sugar at levels as normal as possible
Prevent or delay complications (habitual medical care is important)
Control other conditions, such as high blood pressure and high cholesterol
Diet
Follow a balanced meal plan.Eat regular amounts · and moderate food at usual schedules.
Wife fruits and peanut butter are a good choice for snacks.These snacks can help reduce the risk of cardiovascular disease for women with diabetes.
Do not skip meals.
Eat a large amount of vegetables and fiber.
Limit fat consumption.
Consume moderate amounts of protein and dairy products with low contentof fat.
Carefully limit foods that contain high levels of concentrated sugar.
Keep a registration of the food you eat.This will help a nutritionist or a doctor to advise him.
Weight loss
If you are overweight, consult the doctor about a reasonable weight target.Develop with the doctor a safe diet program.If you lose weight, the body will respond better to insulin.

Group education can help people recently diagnosed to lower weight to the desired objective.

Physical activity:

It can cause the body to become more sensitive to insulin.
It helps to reach and maintain a healthy weight.
It can reduce blood fat levels.
To improve blood glucose control: aerobic exercises, a good physical condition and resistance training can help improve HBA1C levels.Researchers have also discovered that long -term strength and resistance training can improve HBAIC, even if it is not weight.

Diabetes is a risk factor for heart disease.Exercise can help reduce this risk.

oral medications
Oral medications can be used to reduce blood sugar:

Metformin: A class of medication that reduces body glucose production.It also makes the body more sensitive to insulin.This combination helps maintain blood glucose levels within normal limits.
Medications that stimulate pancreas cells to produce more insulin (eg, sulfonylureas [gliburid, tolezamide], dipeptidyl peptidase IV inhibitors IV [saxagliptin, sitagliptian], rephakard [prandin])
The Directorate of Drugs and Food (FDA) has warned that sigliptin can increase the risk of acute pancreatitis.
Insulin sensitizers: a class of medications that helps the body better use insulin (eg, pioglitazone)
Starch blockers: A class of medications (eg, carebose, miglitol) that reduce the absorption of glucose in the bloodstream
Injectable medications, for example:

Incredine mimetics (eg, exenatida) that stimulate insulin production in the pancreas and reduce appetite, which often derives in a weight loss (injections twice a day)
Amiline analogues (e.g., Pramlintida) that replaces a protein normally produced by the pancreas, scarce in people with type 2 diabetes (an injection before each meal)
See with the doctor about your medication program.

insulin
In some cases, the body does not produce enough insulin.Therefore, it may be necessary to use insulin injections.

They are necessary when blood sugar levels cannot be kept low after trying changes in lifestyle and medications..

Blood sugar measurement
Controlling glycemia levels during the day can help you stay in line.It also helps the doctor to determine if the treatment is working.This measurement is easy to perform with a detector.Keeping a record of blood glucose levels is especially important if it takes insulin.The measurement frequency depends on the result of blood glucose control.

HBA1C can also be controlled in the doctor's office.Doctors advise that HBA1C levels do not exceed 7% (ADA recommendation).This level has been shown to lead to less diabetic complications.

It may not be necessary for people with a condition that remains reasonably under control, even without insulin administration.See with the doctor before interrupting blood sugar control.

fer's profile photo
fer
07/23/2013 5:22 a.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

Hello fer.I am Nieves and I am Type 2 diabetics from 3 years ago and with Patillas
Until February of this year that I put insulin for the reason that
I told you they prescribed pills and metformin I can't take it
with diarrhea and continuous vomit and other treatments as if nothing
I am thin and uncommon and my levels have been very high I had
such a lush that ends at the hospital and I thank you so and you think
I am wrong but it was in the only way that an endrocrino controls me
And thanks to him I have it much better and my almost normal levels of 11hba1c e
passed to 7 hba1c and with this I mean that I do not understand why you have to be
bad so that type 2 diabetics serve us as we need are the
ugly patitos and the forgotten of God or so I have felt,
Today I drag the sequels to leave me so long without the medication I needed
As I think there will be much more people of type 2 than for age and lack of
Specialists can happen to you the forum is my great help and thanks to the information
that reads you are learned more to be appreciated but I would like anyone to be missing
The specialist who shows everything you have to know.

Insulin treatment
4 Apidra units before dinner
16 Lantus units

Greetings Nieves.

DiabetesForo's profile photo
DiabetesForo
07/23/2013 3:36 p.m.
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Hi @nieves, this message had been overlooked, as you say, I think you are all the reason for the world, doctors do not deal with the same rigor the type 2 as type 1, as is slower to evolution and you can"Control" with diet and exercise, the truth is that they do not approach it seriously until something serious happens, it is sad, but it is so.:(

fer's profile photo
fer
04/17/2015 9:28 a.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

Luckily you see it ... you just need the doctors!GRRRR

nina45's profile photo
nina45
04/22/2015 11:03 p.m.

Diabetica tipo II desde Diciembre de 2012 pero descendiente de diabéticos desde nacimiento
Medicacion: metformina de 850 gr mañana, mediodia y noche.
Ultima glicosila 6
Lema: "If you want a positive life, spent time with positive people!"

  

Hello.
Could you help me?You know where I can buy "Nanovit Metabolic"
It is German novelty in the treatment of type 2 diabetes produced by the Institut Für Systemische Biokorrektur but it is not a medicine, it is a “dietary of special medical uses for the treatment of type 2 diabetes.”

Do you know if it is sold in Spain?

I tried it when I was in Berlin and I had incredible effect to normalize the glucose level, you already know how diabetes 2 is, I seek to improve the quality of life.

Now I live in Spain (Madrid), I want to buy Nanovit Metabollic again and I hope here they sell it.

Thank you!I hope someone knows where they sell it.

Maria

DiabetesForo's profile photo
DiabetesForo
05/08/2015 9:35 a.m.
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maria_lopez_com said:
hello.
Could you help me?You know where I can buy "Nanovit Metabolic"
It is German novelty in the treatment of type 2 diabetes produced by the Institut Für Systemische Biokorrektur but it is not a medicine, it is a “dietary of special medical uses for the treatment of type 2 diabetes.”

Do you know if it is sold in Spain?

I tried it when I was in Berlin and I had incredible effect to normalize the glucose level, you already know how diabetes 2 is, I seek to improve the quality of life.

Now I live in Spain (Madrid), I want to buy Nanovit Metabollic again and I hope here they sell it.

Thank you!I hope someone knows where they sell it.

Maria


Link

On this page there is information.If you find out of price and form of purchase/shipping, please inform.Thank you.

Hugo Gonzalez Peiteado's profile photo
Hugo Gonzalez Peiteado
05/08/2015 2:33 p.m.
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Is that product really so good?

Javitus34's profile photo
Javitus34
05/08/2015 10:38 p.m.

Diabético tipo II desde Diciembre 2013
Metformina 850 mg 1-0-1
Última glicosilada: 5,7

  

I wrote a few days ago and confirm that they will begin to market the product in Spain in June/July 2015, and that it will only be sold in pharmacies, do not process orders to individuals online.

We will try it to see how ...

Andrómeda's profile photo
Andrómeda
05/13/2015 12:01 p.m.

DMII desde marzo 2015 Ristfor 50/1000 mañana y noche. Estabilizada. 47 años.

  

Thanks for the information!I will ask in Pharmacy!:))

DiabetesForo's profile photo
DiabetesForo
05/27/2015 8:07 p.m.
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Do you know if it is already available?

fer's profile photo
fer
06/01/2015 5:29 p.m.

@fer - Diabetes Tipo 1 desde 1.998 | FreeStyle Libre 3 | Ypsomed mylife YpsoPump + CamAPS FX | Sin complicaciones. Miembro del equipo de moderación del foro.
Co-Autor de Vivir con Diabetes: El poder de la comunidad online, parte de los ingresos se destinan a financiar el foro de diabetes y mantener la comunidad online activa.

  

Well, in the pharmacy where I asked for it (Nanovit Metabolic) they told me that they will have it in a few days, that they will notify me.It comes in a container of 48 g 90 capsules (for a month approximately).:)

DiabetesForo's profile photo
DiabetesForo
06/19/2015 9:44 a.m.
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Hello, I am new in the forum, although not in diabetes.I've been with type 2 years, 'from 32. 4 years ago I started with metformin and good until last year.They changed me to Icandra and as not low from 7.3 of Hemo, now they have also put me repaygidin and without 2 months under insulin.I am already mentalized to click but it overwhelms me a little, I think it will change my life a lot.I am discouraged because I carry the very strict diet, I go to the gym and weight 51 kg.In the end so much effort for nothing.Thanks for this forum.

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Aislinn
05/12/2018 8:11 a.m.
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