Drug therapy

 

There are many drugs that are now used to treat diabetes.  Quite a change from the "old days" (that is, about ten years ago!) when we had but a few.  Some of these drugs are used exclusively in people with Type 2 diabetes, but many are used for both Type 1 and Type 2 diabetes.  Some of the drugs that are used can be classified as follows:

 

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Oral hypoglycemic agents (that is, pills to lower blood sugar levels).

 

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Cholesterol lowering medicines (that is, pills to lower the bad [LDL] cholesterol; but, more accurately, we should call these drugs 'lipid adjusters' because sometimes we use them to raise the good [HDL] cholesterol or to lower what are called triglycerides).

 

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Anti-hypertensive medicines (that is, pills to lower blood pressure; but once again, to be accurate I would note that often we use "blood pressure" drugs such as Altace to lessen the risk of certain complications - heart attacks and strokes for example - even if one's blood pressure is perfectly normal).

 

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Aspirin (ASA) (given for its heart protective, not its analgesic properties).

 

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Insulin (of which there is quite some number available).  I remember one colourful speaker calling insulin "the Viagra of the cell."   Sounds like something Yogi Berra would have said, eh?

 

The good news: these medicines are proven to protect the organs and prolong life.

The bad news: doctors like me keep asking people with diabetes like you to take more and more pills (and often for problems that aren't even making you feel sick!).

Click on one of the drug groups above to go to a further discussion on these different medicines.

Other therapies:

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Complementary & Alternative Medicines

 

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Glucagon: Glucagon can be considered an antidote to insulin and can be given (by injection into a muscle) to raise the blood glucose level.  It is typically not given by the patient (if you are awake enough to give it to yourself, you don't likely need it), but rather is given by a companion to a person with diabetes having a severe insulin reaction (i.e., extremely low blood glucose to the point of unresponsiveness or extreme confusion).  It is a stop-gap measure until the patient is awake enough to eat something, or, more commonly, until an ambulance arrives.  It's most valuable use is to treat a severe episode of hypoglycemia occurring when emergency services are not readily available (such as if one if one treks off into the bush).

 

© Ian Blumer, M.D.