Type II Diabetes Mellitus

This is a condition whereby there is increased blood sugar level as a result of the body’s resistance to insulin action, inadequate insulin secretion, and/or increased glucagon secretion.

Symptoms

  • Excessive thirst
  • Excessive Urination
  • Excessive Hunger
  • Blurred vision
  • Weight loss
  • Yeast infections

Diagnosis

The following test are used in the diagnosis of Type II DM

  • HbA1c (Glycosylated Haemoglobin)
  • Fasting blood sugar test
  • Random blood sugar tests
  • 2 hours Post- Prandial suagr tests

How is type II DM Managed

Treatment modalities usually involves lifestyle modifications, controlled diet, self-monitoring of blood glucose levels (SMBG) and exercise with or without medications.

Medications

Any or a combination of the medications are used in the management of type II Diabetes Mellitus

  • Biguanides – Metformin (Glucophage, Diabetmin)
  • Sulfonylureas – Glibenclamide (Glanil, Daonil, Clamide), Glimepiride (Amaryl, Mepiryl, Getryl)
  • DPP4- Inhibitors – Vidagliptin (Galvus), Linagliptin (Trajenta)
  • Premixed Insulin – Humulin 70/30, Novomix
  • Long Acting Insulin – Lantus, Levemir

Prevention of Type II Diabetes Mellitus

Type II DM can be prevented with a combination of the following measures

  • Eating a healthy diet rich in fibres and Vegetables, whole grains and protein
  • Regular exercise
  • Avoiding late night meals
  • Portion control

Do not take any of the drugs listed here without the advice of your healthcare provider

Learn more about Type II Diabetes Mellitus at emedicine.medscape.com/article/117853-overview

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