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R9BNE21uBYo Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes that is characterized by high blood sugar, insulin resistance, and relative ...

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You may need insulin if you have uncontrolled diabetes despite trying treatment with other types of agents, Dungan says, or if you have severely elevated glucose levels. You may especially need insulin if you are are symptomatic or need to lower your glucose levels quickly.

Some people will need to take one or two doses of long-acting insulin per day, such as Lantus (insulin glargine) or Levemir (insulin detemir), and others will need to take long-acting insulin with rapid-acting insulin, such as Humalog (insulin lispro) or Novolog (insulin aspart) before meals.

“Most patients with type 2 diabetes who require insulin start with a single injection of long-acting (Basal) insulin given once daily,” Dungan says. Short-acting insulin may be added later on to further help get glucose levels under control. That short-acting insulin, Dungan explains, is generally started with the largest meal of the day, and coverage of additional meals are added as needed.

RELATED: 8 Ways to Optimize Your Insulin Treatment

How Nutrition Therapy Can Help Treat Type 2 Diabetes

If you have diabetes, you should have an individualized meal plan that not only helps to manage blood sugar levels but also helps to manage your blood cholesterol and blood pressure, as well as any other medical conditions.

It''s important to get your doctor''s still important for people who once had type 2 diabetes to be monitored for its recurrence.

Why Building a Diabetes Care Team Is Critical for Effective Treatment

Your first resource for managing your type 2 diabetes should be your primary care provider: Dungan notes that most patients with type 2 diabetes can be managed by their primary care provider. But it’s important for people with type 2 diabetes to also stay up to date on diet and treatment recommendations by coordinating with a qualified diabetes educator, such as a dietitian, nurse, or pharmacist, Dungan says. That education should occur at the time of diagnosis and periodically over time, such as after the start of insulin therapy, Dungan explains.

As for other healthcare professionals, Dungan notes that many diabetes clinics have dietitians, pharmacists, social workers, and mental health specialists on staff, all of whom can contribute to your diabetes management programs.

RELATED: How to Become the Leader of Your Type 2 Diabetes Care

“Each patient’s needs will differ slightly,” Dungan says. For instance, if you can’t control your blood sugar with standard treatments or if you have frequent or severe hypoglycemia, you should consider seeing an endocrinologist, she says. If you develop complications, like heart the 1 last update 2020/07/03 disease, kidney disease, or foot ulcers, you may need to see specialists who can help manage that condition.“Each patient’s needs will differ slightly,” Dungan says. For instance, if you can’t control your blood sugar with standard treatments or if you have frequent or severe hypoglycemia, you should consider seeing an endocrinologist, she says. If you develop complications, like heart disease, kidney disease, or foot ulcers, you may need to see specialists who can help manage that condition.

Everyone with diabetes should see an eye care professional who has experience treating patients with diabetes, on an annual basis, Dungan says.

Mental Health Is Another Key Area to Address in Your Diabetes Treatment Plan

“When depression, anxiety, or other mental health problems occur, they often interfere with a patient’s ability to deal with diabetes,” Dungan says. “Therefore, it is important to recognize these disorders and treat them effectively.”

Your doctor or diabetes educator can help, Dungan says. Even if you do not have mental health problems, you could still talk to these professionals about diabetes-related distress or stressors, and learn about key resources or relaxation techniques that could help you manage the disease.

Self-Care Tips to Keep in Mind When Managing Diabetes

It’s also important to practice certain habits of self-care. The American Diabetes Association lists a number of important aspects of self-care, including:

Taking Care of Your Oral Hygiene People with diabetes are at a higher risk for gum problems, the ADA says, and this is made more likely by poor glucose control. (13)

Checking Your Blood Sugar Regularly Managing your blood sugar well can help prevent complications down the line, the ADA says. (14)

Making Preparations When You Travel See a doctor before you go and make preparations for an emergency, the ADA says. (15)

Be sure to talk with your doctor about what you can do on a daily basis to improve disease management.

Additional reporting contributed by Stephanie Bucklin

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Editorial Sources and Fact-Checking

  1. The A1C Test and Diabetes. National Institute of Diabetes and Digestive and Kidney Diseases. September 2014.
  2. Alpha-Glucosidase Inhibitors. Diabetes Self-Management. November 20, 2014.
  3. Alpha Glucosidase Inhibitors. Diabetes: The Global Diabetes community.
  4. Thiazolidinediones. American Diabetes Association. January 29, 2006.
  5. Walter H, Lubben G. Potential Role of Oral Thiazolidinedione Therapy in Preserving Beta-Cell Function in Type 2 Diabetes Mellitus. Drugs. 2005.
  6. Isley WL. Hepatotoxicity of Thiazolidinediones. Expert Opinion on Drug Safety. November 2003.
  7. Ahren B. DPP-4 Inhibitors. Best Practices and Research. Clinical Endocrinology & MetabolismDecember 21, 2007.
  8. Monami M, Lamanna C, Desideri CM, Mannucci E. DPP-4 Inhibitors and Lipids: Systematic Review and Meta-Analysis. Advances in Therapy. January 29, 2012.
  9. Wilding JPH. The Importance of Weight Management in Type 2 Diabetes Mellitus. International Journal of Clinical Practice. February 18, 2014.
  10. What We Recommend. American Diabetes Association. May 19, 2015.
  11. American Diabetes Association Issues New Recommendations on Physical Activity and Exercise for People with Diabetes. American Diabetes Association. October 25, 2016.
  12. Bariatric Surgery for Type 2 Diabetes Reversal: The Risks. Diabetes Care. May 2011.
  13. Oral Health and Hygiene. American Diabetes Association.
  14. Blood Glucose Testing. American Diabetes Association.
  15. When you Travel. American Diabetes Association. January 2, 2014.

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