As previously mentioned, there are 2 major types of treatment protocol for diabetes, a.) Standard Western medicine and b.) Alternative medicine. Type 1 diabetes is normally managed by insulin. For this article, we will lightly touch on some aspects of conventional or Standard Western medicine as the primary approach to diabetes treatment.
I. Type 1 Diabetes and Insulin
Determining the type of insulin that is best for you and your diabetes will depend on several factors such as:
1. Your age – Insulin treatment may vary from person to person basing on the diabetic’s self-help capabilities.
2. Your body’s specific and individualized response to insulin.
3. Your lifestyle – For instance, how much exercise you get, the type of food you eat, how much alcohol you drink. These factors should be taken into consideration since it influences your body’s processing of insulin.
4. The number of injections you are willing to do in a day.
5. How frequent you are willing to check your blood sugar levels.
Guidelines will be provided by your health care provider on when to take your insulin for your diabetes and these should be followed religiously. Generally, insulin injections should be coordinated with meal times. This timing is essential to maintain stable blood sugar levels and avoid low blood sugar levels, which is equally dangerous. Different types of insulin are:
Rapid-acting insulin provides insulin needs for meals eaten at the same time as the injection. Generally, this type of insulin is used with longer-acting insulin and has an onset of 15-30 minutes and may last for 1-5 hours.
Short-acting insulin provides insulin needs for meals eaten within 30-60 minutes and generally has an onset of 30 minutes to 1 hour and may last from 2-8 hours.
Intermediate-acting insulin provides insulin needs for about half the day or overnight, has an onset of 1-2½ hours and has a duration of 18-24 hours. This type of insulin is often combined with rapid- or short-acting insulin.
Long-acting insulin covers insulin needs for about one full day, has an onset of 30 minutes to 3 hours and has a duration of 20 – 36 hours. This type of insulin is often combined, when needed, with rapid- or short-acting insulin.
Premixed insulin are a combination of specific proportions of intermediate-acting and short-acting insulin in one preparation or insulin bottle, has an onset of 15-30 minutes and may last from 14 to 24 hours.
Diabetes Management Program
It Is Important to Control Diabetes. It is a fact that Diabetes affects almost every part of the body, therefore anyone afflicted with diabetes should be seen by an endocrinologist at least once every six months and periodically by other members of the health care team. This will help you lower your chances of getting complications such as:
· Heart disease
· Retinopathy – eye disease that can lead to a loss of vision or even blindness
· Neuropathy – nerve damage that may cause a loss of feeling or pain in the hands, feet, legs, or other parts of the body and lead to problems such as lower limb amputation
· Sexual dysfunction
· Kidney failure
· Gum diseases and loss of teeth
Controlling diabetes using the 7 Principles
Although treatment plan for diabetics greatly vary, observing these 7 basic principles will provide you a general guideline on how to help manage and control diabetes.
#1 Principle- Know More About Diabetes
There is no such thing as mild diabetes. Diabetes is always a serious disease and never to be taken lightly. Knowledge is power and the more you know about diabetes, the better you can work with your health care team to manage your disease and reduce your risk for problems.
#2 Principle – See Your Health Care Provider Regularly
It is important to see your health care team regularly and ensure that your treatment plan is working and that you are achieving the targeted results. If it isn’t, talk it out with with your health care team, and make to necessary changes.
#3 Principle- Participate Actively In The Treatment Plan
Ask yourself, “How active am I in controlling my Diabetes?”. Make a checklist of the things that would allow you for self-assessment on following a treatment plan. If not, get help from your health care team to come up with a more achievable treatment plan.
#4 Principle – Taking Care of Your ABCs in Diabetes
ABC stands for A1c, Blood pressure, and Cholesterol. Maintaining normal levels for your blood sugar, blood pressure and cholesterol levels is very important in diabetics in order to prevent further complications.
Hemoglobin A1c is a test to measure glucose concentration over a period of time. For Hemoglobin A1c or A1c , he target is less than 7. The target blood pressure for most people with diabetes should be 130/80 and for LDL cholesterol, the target for most people with diabetes ishould be less than 100.
# 5 Principle – Monitoring Your ABCs in Diabetes
Keeping a record of your laboratory results allows you keep track of your diabetes ABCs and help you reach your targets. It also alerts you and your health care provider when you need to take extra action.
#6 Principle – Preventing Long-Term Diabetes Problems Thru Self-care
Diabetes is a chronice and life-long cImplement self-care activities to help you manage your diabetes and live a long and healthy life. Take medicines as prescribed, follow your diabetes meal plan,be active, check your feet and mouth daily
#7Principle – Checking for Diabetes Complications and Long-Term Problems
Along with the regular checking of your A1c, blood pressure, and cholesterol , some tests that needs to be done on a regular basis are Triglycerides, eye exam, complete foot exam to check for circulation, loss of feeling, etc., urine test, and dental exams.