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Showing posts with the label diabetes mellitus

Diabetes mellitus(DM): Treatments

The treatment of DM depends on the type of DM. In the case of DM type I, insulin deficiency arising from the destruction of B cells due to autoimmunity is a direct problem. On the other hand, DM type II does not regulate blood glucose by insulin resistance. Therefore, treatment should be different according to etiology. Treatment of DM type I is aimed at lowering blood glucose by injecting insufficient insulin from the outside. Insulin is an injectable drug, and it is the most definitive hypoglycemic agent. However, there are problems such as hypoglycemia and weight gain. Human insulin and insulin analogue are present as insulin types. Regular insulin, which has a short duration in human insulin, can be expected to lower the blood sugar level for one meal because it takes about 1-2 hours. The human insulin intermediate type NPH insulin is available and has a working time of 12 hours. Insulin analogues include insulin lipro, insulin aspart, insulin glulisine, insulin detemir, and susta...

Diabetes mellitus(DM): Symptoms & Diagnosis

Diabetes mellitus is one of the most common diseases in our society. The American Diabetes Association (ADA) recommends that one of the following four tests be used to diagnose DM: glycated hemoglobin (A1C), fasting plasma glucose (FPG), random elevated glucose with symptoms, or abnormal oral glucose Tolerance test. In addition, people with impaired fasting glucose or impaired glucose tolerance are known to have a high rate of progression to DM and should receive periodic diagnostic tests. Symptoms Clinical symptoms are known to vary according to the type of DM. In general, DM type II is the most common type of DM occurring in adults (> 90%), which can be expressed by hyperglycemia and insulin resistance. The most typical clinical symptoms are asymptomatic and hyperglycemia. Many patients do not have any special symptoms, but hyperglycemia is often seen in screening tests such as health screenings. Asymptomatic patients have more than 126 mg / dL of fasting plasma glucose (FPG), ...