Diabetes type 2 is metabolic disorder, which is caused by lack of insulin or insulin resistance. That means that there is normal secretion of insulin in your organism and it is not enough to reduce the glucose in plasma or it is not able to reduce it. The treatment of diabetes type 2 is separated according to the stage of disorder. If the diabetes is at early stages of the usage of oral anti-diabetic drugs obligatory. Besides this bariatric surgery is something that may help. At the advanced stages of diabetes type 2 the usage of insulin is needed.
Oral anti-diabetic drugs are not containing insulin. These drugs are divided in three groups according to their effect. The drugs from the first group are stimulating the insulin secretion of pancreas. Those drugs are quite useful when there is a reduction in the insulin secretion. The second group is reducing the insulin resistance. These drugs are stimulating the effect of the insulin- to reduce the amount of glucose in plasma by putting it in the cells. The last group is composed of drugs which are reducing the amount of glucose which is entering in the organism from the gastrointestinal system. Those drugs are blocking the channels thru which the glucose enters the blood stream.
In addition, there are drugs which are having more than one effect. For example some drugs are reducing the insulin resistance and at the same time they are stimulating the insulin secretion.
Bariatric surgery is focused on reducing the volume of stomach. With this operation it is reduced the surface thru which glucose enters the blood stream. This is leading to lower amount of glucose and lower blood sugar. This kind of therapy is useful remedy at the early stages of diabetes type 2.
The usage of insulin is observed in the advanced stages of diabetes type 2. Because of the continuous beta cells destruction at some point all the beta cells are gone. That means that there is no insulin secretion and the only way to provide insulin for the body is by injecting it.
Dr.Alba
