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Diabetes Management: Treatment, Procedure, Cost and Side Effects

What is the treatment? How is the treatment done? Who is eligible for the treatment? (When is the treatment done?) Who is not eligible for the treatment? Are there any side effects? What are the post-treatment guidelines? How long does it take to recover? What is the price of the treatment in India? Are the results of the treatment permanent? What are the alternatives to the treatment?

What is the treatment?

Diabetes is a disease when a person blood sugar levels or blood glucose levels are much higher than normal. This is a condition when the body does not produce enough insulin or does not use the insulin properly. Insulin is a hormone that allows for the proper metabolism of glucose and ensures that it reaches the cells. A person may suffer from a number of health problems if there is too much glucose in his/her body. There is, however, no permanent treatment for diabetes. It can only be managed.

There are different types of diabetes. A person suffering from Type 1 diabetes has to take insulin everyday as his/her body stops synthesizing the hormone. This is because the nervous system attacks the pancreas and destroys the cells that manufacture insulin. In Type 2 diabetes, the body does not produce the required amount of insulin or it does not use it well. This results in excess blood glucose in the blood.

Managing diabetes involves primarily managing the ABCs of diabetes: A for A1C test, B for blood pressure, C for cholesterol and s for smoking. Insulin, which is essential for treating both Type 1 and Type 2 diabetes can be taken in the form of shots, jet injector, pump, inhaler and pen. People suffering from Type 2 diabetes are generally recommended metformin pills. When medications and other treatments fail, bariatric surgery may be recommended for both Type 1 and Type 2 diabetes while an artificial pancreas and pancreatic islet transplantation may be recommended for Type 1 diabetics.

How is the treatment done?

Managing diabetes means managing the blood glucose levels. It also means managing blood pressure and cholesterol to keep various health problems at bay. The different methods that can be used to manage diabetes are managing the diabetes ABCs, regularly monitoring the blood glucose levels, following the diabetes meal plan, exercising regularly, taking regular medications and adopting other healthy means. The A1C test shows a person blood glucose levels over the last 3 months. For many people, the A1C goal is below 7 percent. The blood goal is generally 140/90 mm Hg.

Type 1 diabetes occurs when a person’s pancreas does not produce insulin. So, people with Type 1 diabetes have to take insulin regularly to reduce the level of glucose in blood. Thus Type 1 diabetes can be managed by taking insulin in the form of injections or pumps regularly, monitoring the blood glucose levels regularly, exercising and eating healthy. Management of diabetes involve keeping the blood glucose levels as close as possible to the target range of between 4-6 mmol/L.

For people with Type 2 diabetes, the pancreas is working but not producing the desired results. Initially Type 2 diabetes can be managed by through lifestyle modifications like eating healthy, exercising and regularly checking blood sugar levels. However, this condition is often a progressive one and may require medications when the pancreas becomes less effective in converting glucose to energy. A person may also need to start taking insulin. Sometimes,a person suffering from diabetes may need to consult with a range of different doctors to manage his/her condition.

Who is eligible for the treatment? (When is the treatment done?)

The symptoms of diabetes are increased thirst and urination, increased hunger, blurred vision, fatigue, numbness or tingling in the hands and feet, unexplained weight loss and sores that do not heal. The symptoms of Type 1 diabetes develop quickly while Type 2 diabetes may develop slowly over the years without manifesting any apparent symptoms. A medical practitioner may take the help of tests like A1C, fasting plasma glucose test and random plasma glucose test to understand whether a person is suffering from diabetes or not. A person who has shown some symptoms and has been diagnosed by a doctor is eligible for treatment.

Who is not eligible for the treatment?

A person who does not exhibit any symptoms and whose blood glucose levels are normal are not eligible for treatment. A person is not eligible if a doctor does not diagnose him as suffering from diabetes after he/she has undergone relevant tests.

Are there any side effects?

People suffering from Type 2 diabetes are generally given metformin tablets. However, the serious side-effects of this medication include low blood pressure and lactic acidosis. The manifestations of lactic acidosis include tiredness, weakness, trouble in breathing, muscle pain, nausea and stomach pain. Low bllod pressure can cause headache, confusion, weakness, dizziness, drowsiness, irritability and a shaking or jittery feeling. Injection of insulin may result in hunger, weakness, headache, sweating tremors, irritability, fainting, fast breathing, rapid breathing and seizures.

What are the post-treatment guidelines?

Diabetes is a condition which has no permanent cure. What a person can do at the most is manage the symptoms. A person suffering from Type 1 diabetes has to take insulin throughout his/her life. On the other hand, Type 2 diabetes is a progressive condition and a person will have to undergo the treatment to keep blood sugar levels in check. So, a person has to lead a healthy lifestyle and undertake regular check-ups throughout his/her life to manage diabetes.

How long does it take to recover?

Diabetes cannot be completely treated but it can be managed. However, people can manage their blood sugar levels within a few days by reverting to a healthy lifestyle and also by taking insulin. Rapid acting injectable insulin takes effect within a few minutes and helps to bring down the blood glucose levels. However, this is not a permanent solution. So there is no such recovery time for a person suffering from diabetes. A person needs to create a self-care plan and take care of himself/herself everyday to deal with diabetes and lead a good life.

What is the price of the treatment in India?

A person suffering from Type 1 diabetes will have to spend something around Rs 8000 – Rs 10000 per month. 1 box of Minimed Silhouette costs around Rs 3800. These are used by people who are lean or lead an active life. 1 box of Minimed Reservoir costs about Rs 1500. A person will have to pay Rs 1600 for 2 boxes of Accu-check Perfoma test strips which contain 200 strips. 2 10ml vials of Sanofi Apidra Insulin cost around Rs 2000. A patient suffering from diabetes will have to go for regular check-ups. The cost of seeing the doctor varies from one institution to another and also depends on the doctor himself/herself. The cheapest insulin injections are available within a price range of Rs 140 -210 in India.

Are the results of the treatment permanent?

A healthy lifestyle including a healthy diet, regular exercise and medications help to keep the blood sugar levels in check. However, the results are not permanent. A person suffering from diabetes will have to take medications (including insulin) throughout his/her life. That person will have to lead a healthy and active lifestyle throughout. As otherwise, the blood sugar levels will shoot up and cause a lot of health problems.

What are the alternatives to the treatment?

Soaking 10-15 tender mango leaves in a glass of water for a night and consuming the water in the morning helps to regulate blood glucose levels. Bitter gourd or bitter melon helps to manage diabetes by influencing glucose metabolism all over the body. Powdered cinnamon also helps to deal with diabetes as it contains bioactive components. Other foods that help to deal with diabetes are fenugreek, Indian gooseberry, black plum, curry leaves and aloe vera.

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Popular Questions & Answers

I am suffering from Diabetes and I have not tested the after food diabetes but my before food diabetes says 218 so can you please give me a diet plan as well as requirements of food and exercise?

MBBS Bachelor of Medicine and Bachelor of Surgery, Certificate Course In Evidence Based Diabetes Management, Certificate Course In Gestational Diabetes Mellitus
Diabetologist, Sri Ganganagar
Hi sir At this level of blood sugar, medicine and insulin is to be given to bring the sugar levels near normal. A good suggestion can be given in detail after you texted me the blood sugar levels of fasting and pp at least 6-7 readings. Get checke...
2 people found this helpful

I have random sugar levels 210. I am on medication, still not in control. Can I get any diet plan?

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopathy Doctor, Hyderabad
Choose high-fiber, slow-release carbs. Carbohydrates have a big impact on your blood sugar levels—more so than fats and proteins—so you need to be smart about what types of carbs you eat. Limit refined carbohydrates like white bread, pasta, and ri...
3 people found this helpful

My mother has diabetes and she is taking medicine to control it. Kindly let me know what food she should eat, what not to eat, any exercises to be done to control diabetes and reduce tablets.

Diploma In Gastroenterology, Diploma In Dermatology, BHMS
Homeopathy Doctor, Hyderabad
food to avoid: Know What to Avoid. ... Sugary Foods. ... Fruit Juice. ... Dried Fruit. ... White Rice, Bread, and Flour. ... Full-Fat Dairy. . Fatty Cuts of Meat. ... Packaged Snacks and Baked Goods. Exercises: Swimming is another aerobic exercise...
1 person found this helpful

I am 39 years old working woman. I am taking medicine of diabetes twice a day since two months. But side effects are there, constipation, headache. Should I stop medicine and remain on just diet control only.

MD - Homeopathy, BHMS
Homeopath, Vadodara
No it is not possible to stop medicine... Better take homoeopathic treatment and it will help to reduce the side effects and will also help to improve health.

I am at the age of 20 and I have heard that 30-40 age is most prone to diabetes and even people are suffering from diabetes what can I do to avoid diabetes.

MBBS, MD
Endocrinologist, Delhi
Follow a healthy lifestyle. Take normal balanced diet. Avoid excess of junk food soft drinks sweets. Take lots of vegetables and salad. Exercise regularly. Maintain ideal bodyweight. If you have family history of diabetes get your blood sugar chec...
1 person found this helpful

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