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    American Diabetes Services

    Diabetes

    All you need to know to control diabetes with a healthy diet, regular exercise, blood glucose monitoring, medications, education and support.

    DIET

      A good diet plan is about having a budget of calories, carbs, protein and fats that you must eat during the day.
    • 1st you need to calculate your caloric level.
    • Plan your menus for breakfast, lunch and dinner with the healthy meals

    EXERCISE

    If you want to lose weight,
    • reduce 500 calories from the daily caloric requirement you need to remain at your current weight.
    • maintain your current weight, you need to consume the same amount shown in the result.
    • gain weight, add 500 calories to the daily caloric requirement you need to remain at your current weight.

    You must next calculate a 40-50% of those total calories as carbs, 30% of healthy fats, and 20-30% of lean protein.

    Monitoring

    Diabetes self management is checking your glucose.

    Medications

    Currently there are five classes of oral diabetes medications, all of which help in lowering blood glucose levels. These different classes of diabetes medications can be used in combination or with insulin to achieve control the blood sugar.

    Classes and actions of medications:

    • Sulfonylureas stimulate the pancreas to make more insulin. The second- and third-generation ones are the best.
    • Biguanides shut off the liver's excess glucose production 
    • Alpha-Glucosidase Inhibitors slow absorption of carbs in the intestine
    • Thiazolidinediones increase the body's sensitivity to insulin
    • Meglitinides stimulate the pancreas to make more insulin
    Class Generic Name Brand Name Comments How
    Sulfonylureas Chlorpropamide
    first-generation
    Diabinese Use with caution in the elderly.May cause lows With meal
    Tolazamide
    first-generation
    Tolinase May cause lows With meal
    Glyburide
    second-
    generation
    Micronase
    Diabeta
    Glynase Pres Tab
    Take 1 to 2 times a day.
    May cause lows
    With meal
    Glipizide
    second-
    generation
    Glucotrol
    Glucotrol XL
    Take 2 times a day or once with (XL).May cause lows 30 minutes before a meal
    Glimepiride
    third-generation
    Amaryl Take 1 time a day. May cause lows With meal
    Biguanides Metformin Glucophage Not used with congestive heart, renal or liver problems. Check creatinine clearance if over 65 years of age. With meal
    Alpha-Glucosidase Inhibitors Acarbose
    Miglitol
    Precose
    Glyset
    May have side effects in the gastrointestinal
    tract.
    With first bite of food
    Thiazolidinediones Rosiglitazone
    Pioglitazone
    Avandia
    Actos
    May reduce effectiveness of birth control pills.
    Check liver enzymes as directed.
    Take at same time each day
    Meglitinides Repaglinide Prandin Take with each meal. May cause lows Before meals

    These medications along with a balanced diet and exercise plan help control blood glucose levels. Medications should be taken at the same time each day or as directed by a health care provider.

    Education


    National Diabetes Education Program

    Support


    Diabetes Help

    Get free diabetes supplies. We do all the paperwork!

    American Diabetes Association | Managing your type 2 diabetes



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