Aims for treating diabetes type 2:
Relieve symptoms;Relieve symptoms; Easy to see if one has logical mind, these aims never will be achieved. Why? Show me, how?
Deliver total health care;
Achieve and maintain normal normal body weight;
Aim for normoglycaemia and if appropriate and the likely benefits outweigh the possible hazards;
Treat existing complications;
Do more good than harm.
Care for diabetes type 2 patients
by Robert Tattersall
page 90
Recent trends in management of diabetes mellitus
eddited by N.Sakamoto
International Congress Series
Excerpta Medica 1987
At first symptoms relieve, how? Does not matter how hard we try to reduce temperature of body, if infection still not treated it takes over, and finally patient gone. True? False? Easy to say, fle can be treated without any medicine and it is gone within one week without treatment. Why? Because of immune system fight virus. But what if immune system is not strong to fight? Patient will lost fight. This is why diabetics more prone to infections than any non diabetic healthy person.
Why amputations are most common complication of diabetes? Because of heart failure and kidney failure is complications of diabetes. These failures lead to edema, and edema lead to gangrene. Proper and timely treatment will reduce risk of amputations. Treatment with diuretics lead to heart failure, so, edema would be worsened, lost limbs are not avoidable.
This is only one reason how symptoms cannot be revealed without proper treatment.Does not matter how hard diabetic try to avoid meal consumption and how long diabetic take Starvation diet, this therapy never work, never will, and eventually diabetic die due to high blood sugar, heart failre, or any other cause of death, Starvation including.
Deliver total health care; Really what does it mean? How total health can be delivered to diabetic without proper diabetes treatment? Regardless what medicine we use to decrease High blood pressure or high cholesterol, kidney problems or what size of glasses we do use, still, there is no improvement in diabetes control, so the total health dramatically decline.
Achieve and maintain normal normal body weight; So, according to this statement all people with excess of weight are ill or diabetics, and all people with normal weight are healthy? Please, get real! So, if everyone do know that this is not true then why weight is above glycemic control? There is no one evidence that diabetes caused by obesity or overweight. The matter of fact, 80% of obese and overweight people are not diabetics. Also it is fact that food process is abnormal in diabetic patient, so why it is surprise that diabetics do have abnormally high or low body weight? Diabetics are ill people. There are a lot of abnormal tests in our body system. At first it is level of sugar, which is always abnormal without proper treatment regardless of food we eat.
Aim for normoglycaemia and if appropriate and the likely benefits outweigh the possible hazards; This is finally really important aim in diabetes type 2 treatment. Do not try to find out how to finally achieve the good blood sugar control. No one MD will say you so. Every one of them do know very well what to eat, when to eat, and how many babied diabetic woman may have. Still, no one of them really helpful to treat diabetes. They do know only how many grapes will control level of sugar in blood. If control with grapes was not achieved than diabetic ate wrong grapes, or ate them in wrong way.
Treat existing complications; In stead to treat complications why do not try to prevent these complications? It is the fact that many medical conditions come with deeper development of diabetes type 2, when blood sugar getting higher. Then higher blood sugar then more complications diabetic type 2 do develop. So, if blood sugar is lower then the risk of diabetes complications is decreases, right? Now all what we have to do just decrease blood sugar level and reduce it as low as normal level of sugar in healthy individuals. How to do so?
To achieve the final aim is best way to take a look at the available medicine for diabetics, the same as type 2 such type 1. Then take good study, when blood sugar increased with treatment and when blood sugar level decreased with treatment. If sugar in blood slow getting down, then stick with this medicine and take it as carefully as it is possible. Keep good eye on blood sugar level. Do not rush it to go down as soon as possible. There is no rush in diabetes treatment. Then higher blood sugar level then longer way to reduce this level down to the normal healthy level. In some diabetics this strategy takes at least 5 years to achieve proper aim.
Do more good than harm. This is important aim. Insulin is good for any diabetic, any type of diabetes. At least it is no one other medicine in present time as good as insulin in injections. SU are bad for any diabetic any type of diabetes. At first glance it looks like it is good, it is natural insulin secreted by diabetic's pancreas. But upon second thoughts, it is far away from being natural. At first, it is ill pancreas which forced to secret more insulin. With time the ability of pancreas to secret insulin decline and finally stopped. Second, insulin secreted by ill pancreas under power of SU secreted without any need in it. As a result the beta cells decline needlessly. Third, the secretion of insulin under power of SU is uncontrollable. The amount of medicine is all the time the same, but the need in insulin is all the time is different. When it is sunny day, there is less insulin is needed. When it is Flu season, then the demand in insulin is high. So, diabetic swing on high-low swings, down to super low blood sugar and up to high. Do not say, it is no harm in this medicine.
via Ravenvoron
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