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Created: August the 1 last update 27 May 2020 27, 2008; Last Update: January 11, 2018; Next update: 2021.Created: August 27, 2008; Last Update: January 11, 2018; Next update: 2021.
People with type 2 diabetes have an increased risk of various medical conditions, including heart attacks and strokes. Depending on their age and lifestyle, different people may have different treatment goals and use different medications. These will also depend on whether they have any other health problems.
reverses diabetes type 2 physiology (👍 with chronic kidney disease) | reverses diabetes type 2 pillshow to reverses diabetes type 2 for Since high blood sugar levels (hyperglycemia) are the main sign of type 2 diabetes, it seems logical to use blood-sugar-lowering medication. But that isn’t always necessary. Medication is only needed if blood sugar levels can’t be regulated any other way, for example by changing your diet, losing weight or exercising more.
Constantly high blood sugar levels can cause damage to blood vessels and nerves. This can lead to medical problems affecting the kidneys, feet and retina (the lining of the back of the eye). The risk of stroke or heart attack may also increase. But this depends on things like the age at which type 2 diabetes starts. In many older people with type 2 diabetes, the increased blood sugar levels don’t cause any problems. Other conditions like high blood pressure are often more of a problem for them.
If you’re diagnosed with type 2 diabetes at about the age of 40, you will probably live with the condition for quite a long time. But if younger people develop type 2 diabetes, even slightly too high blood sugar levels can lead to other problems over a long period of time. It is therefore very important for them to keep their blood sugar levels down.
Type 2 diabetes increases the risk of cardiovascular (heart and blood vessel) disease. People with diabetes often have other risk factors as well, like high blood pressure. It is then quite likely that treating those other factors with medication may lower the risk of a heart attack or stroke more effectively than keeping blood sugar levels down. The main types of medication are:
All of these medications can have side effects. It is important to consult your doctor before taking any of them. This is also for 1 last update 27 May 2020 true if the medications are available without a prescription, like Aspirin.All of these medications can have side effects. It is important to consult your doctor before taking any of them. This is also true if the medications are available without a prescription, like Aspirin.
People who have one or more of the complications of type 2 diabetes, such as retina damage, might need medications for those problems too.
Most people with type 2 diabetes don’t have to inject insulin. If they can’t lower their blood sugar by changing their lifestyle, they can take tablets known as antidiabetics. If one type of medication isn’t enough, it can be combined with other blood-sugar-lowering tablets.
Research has shown that keeping blood sugar levels down reduces the risk of damage to small blood vessels, particularly in the eye. But it isn’t clear how well antidiabetics help to prevent complications such as heart attacks and strokes. There are hardly any long-term studies in this area. There also isn’t enough research on how the different medications compare.
All antidiabetics can cause blood sugar levels to drop too low sometimes. Too-low blood sugar is known as hypoglycemia.
The most established medications for treating type 2 diabetes are:
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