Many type 2 diabetic patients could do without medication if they would exercise more and lose weight. Through movement, the body cells can recover their insulin-Capacity (the proportion of external receptors per cell are increased by exercise training), so the body’s own insulin works better again.
The medical therapy, there are different therapeutic approaches (see below).
The better we succeed in normalizing blood glucose levels (before a meal below 120 mg / dl, followed by 180 mg / dL), the lower the risk of complications.
Since almost all type 2 diabetics have high blood pressure and hypertension, the long-term consequences, especially to the eyes, kidneys and major blood vessels that continue to push ahead, it must also be recognized early and treated hypertension.
Also in type 2 diabetics for regular self-monitoring blood glucose levels helps to maintain a healthy diet. The ROSSO study has shown that there is a dramatic reduction in complications and a significant reduction in death rate.
A surgical removal or bypass of the stomach and the upper part of the small intestine (anti-diabetic intestinal bypass, ADIB) may lead to obese type 2 diabetic patients with improved metabolic values. The operation is subject to various risks, the mortality rate is the operation of a percent.
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