Insulin for Type 2 Diabetes. Intensive Management of Type 2 Diabetes
Intensive diabetes management is a much better choice for a person with Type 2 sugar diabetes that traditional treatment approach with oral diabetes medication. Diabetes is a progressive disease and recent study demonstrated that over time person’s glycemic control worsens no matter what kind of oral diabetes medication is used or what treatment regimen applied. Of the more than five thousand individuals who participated in the United Kingdom Prospective Diabetes Study, only 9 percent were able to maintain an A1C less than 7 percent after 9 years with lifestyle improvement and diabetes diet compared with 12 percent of the metformin and 17 percent of the sulfonylurea individuals. With time insulin resistance becomes more severe and nearly all patients with Type 2 diabetes will eventually require insulin injections to achieve targeted A1C level of less than 7 percent.
Intensive diabetes management is much more beneficial than standard practice. Improving glycemic control will help delay or prevent diabetes-related complications. Intensive management of Type 2 diabetes mellitus means substitute metformin or sulfonylurea regimen for 3 or 4 insulin injections per day. It is true that despite being the drug of choice for most people with sugar diabetes, insulin has a bad reputation with many individuals and even some doctors are reluctant to prescribe insulin regimen for Type 2 diabets management plan. Insulin is often viewed as the drug of last resort. But in reality insulin is what the body really needs! Whole point of successful diabetes management is to mimic natural insulin supply as close as possible.
Oral diabetes medications lower A1C levels by only 1 to 2 percent. If the person with Type 2 sugar diabetes have A1C higher than 9 percent, there is very little chance that metformin, or sulfonylurea, or even combination of oral diabetes agents will move the A1C into the target range of less than 7 percent. If the person with Type 2 diabetes have A1C levele more than 9 percent, it is strongly advised to switch to intensive diabetes management using insulin injections. People with Type 2 diabetes may be able to achieve the targeted A1C with one or two injections of premixed analogue insulin daily. You may also consider use of insulin pump therapy. In the Diabetes Control and Complication Trial, insulin pump users had the lowest overall A1C levels. Pumping insulin allows for greater lifestyle flexibility than multiple daily insulin injections. Other good option is to combine insulin regimen with metformin oral agent regimen. Metformin may minimize the weight gain associated with exogenous insulin therapy.
Intensive diabetes management using pen injector to inject instead of syringe and vials can be way easier than complex oral diabetes agents regimen with different times of taking different pills. Teaching how to use a pen injector require less than 3 minutes of person training. Pen injector users have lower A1C levels than those using syringes and vials. In fact they have A1C levels lower for almost 1 percent. Insulin pen injectors can improve metabolic control and quality of life for person with Type 2 sugar diabetes. Use pen injectors whenever possible.
Diabetes is a chronic disease and very costly. The annual cost of managing a person with diabetes is around $13,000. reducing the A1C levels from 10 percent to 7 percent decreases the cost of diabetic management by whopping 75 percent. Is intensive diabetes management of Type 2 diabetes cost effective? Consider this: the simultaneous use of three different oral agents may cost the preson with Type 2 diabetes more than $350 per month, whereas a single dose of basal insulin plus a sulfonylurea (Amaryl, Glucotrol, Diabeta, or Glynase brand) will cost about $90 a month. Do the math!