If the doctor diagnosed "prediabetes", it is not necessary to panic especially, this condition is reversible. Fulfillment of certain requirements will help to normalize the pancreas and restore blood to normal.
In this case, the treatment of pre-diabetes involves not only taking medications that help reduce blood sugar, but also some changes in the lifestyle of a person. He will have to give up such bad habits as smoking, drinking, overeating.
If there is excess weight (or even obesity), he will also have to fight. This will not be so difficult if you consider that diet and regular physical exercise (active walking in the air, doing exercises, working in the garden, etc.) for at least half an hour, which help control the sugar content and cholesterol in the blood. Active physical loads stimulate the processing of glucose into energy, and proper nutrition facilitates the work of the pancreas responsible for the production of insulin involved in the metabolism of glucose.
Why is it important to get rid of fat stores? No wonder they say that overweight is one of the risk factors for the development of prediabetes. The thing is that fat cells that do not need energy from glucose make it difficult for them to access muscle tissue, which energy is simply necessary. Glucose enters the body, but is not consumed in full. Its excess is subsequently found in the blood, which as a result becomes denser.
If the blood pressure is increased, you need to take measures to normalize it. This may be the taking of special medications (Enalapril, Fenigidin, etc.) as prescribed by the doctor or using products and herbs that bring the pressure back to normal.
Physiotherapeutic and surgical treatment for prediabetes is not relevant.
Correction of blood sugar level with drugs
To medical treatment of pre-diabetes doctors do not use so often. Indication for the use of this method of treatment is the lack of positive results of therapy with diet and a specially developed system of exercise.
Most often, patients with prediabetes at the advanced stage are prescribed antidiabetic drug "Metformin", which improves the susceptibility of the body's tissues to insulin, inhibits the absorption of glucose in the intestine, reduces the secretion of glucose by the liver and stimulates the utilization of its surplus, lowers cholesterol.
"Metformin" with pre-diabetes is prescribed by the attending physician individually in dosage, depending on the severity of the pathological process.
Contraindications to the use of the drug are:
- insufficiency or impaired renal function (increased level of creatinine),
- conditions that negatively affect the functioning of the kidneys (dehydration of the body, severe course of infectious processes, shock, intravascular injection of contrast solutions containing iodine, etc.)
- pathologies leading to oxygen starvation of tissues (heart failure, severe diseases of the respiratory system, recent myocardial infarction),
- insufficiency of liver function,
- alcohol abuse,
- period of pregnancy and on the eve of conception,
- hypersensitivity to metformin and other components of the drug.
The drug is not used in pediatrics.
Side effects. Most often, patients taking metformin-based medications complain of nausea, vomiting, worsening of appetite, diarrhea, epigastric pain, and metal taste in the mouth. Symptoms such as erythema, lactatacidosis (accumulation of lactic acid in the blood) appear less frequently, and the absorption of vitamin B12 deteriorates.
Precautionary measures. The drug can be used as a part of monotherapy, and in combination with other sugar reducing agents, that in the absence of control over the composition of blood can lead to the development of hypoglycemia, which in turn leads to a violation of concentration and inability to perform works that require concentration.
During treatment with the drug, it is necessary to monitor the work of the kidneys, especially if the patient takes medications for some of the indications to reduce blood pressure, diuretics (diuretics) or NSAIDs.
During therapy with the drug, you should stop using alcohol-containing beverages and alcohol-based drugs that enhance the side effects of the drug.
When preparing for an operation that requires anesthesia, the drug is canceled two days before the operation.
Analogue of the drug "Metformin" is the anti-diabetic remedy of the same biguanide class "Siofor", which is prescribed with prediabetes for the same indications. Preference is given to the drug with a lower dosage of "Siofor 500".
Method of administration and dose. The initial daily dose of the drug is 2-3 tablets. You need to take them one at a time or after a meal. After 1.5-2 weeks, the dose is adjusted depending on the results of the blood test for sugar. The maximum dose is 6 tablets per day.
Contraindications. The same as the drug "Metformin".
Side effects. Identical to what is observed during the reception of Metformin.
The above preparations with pre-diabetes can be used in combination with sugar-reducing drugs, such as "Maninil 5", "Amaryl" and others.
The peroral hypoglycemic drug "Maninil 5" belongs to sulfonamides, derivatives of urea. The active substance of the drug is glibenclamide, stimulating beta cells of the pancreas and thereby increasing the secretion of insulin.
The drug is used both for the treatment of patients with diabetes mellitus, and for the correction of the level of sugar in pre-diabetes.
Selection of an effective dose is performed by a doctor, based on the individual characteristics of the patient's body and body weight. Begin treatment with minimal doses of the drug: 0.5-1 tablets per day. Further, the dose is adjusted depending on the patient's well-being and blood counts.
Take the drug before meals. The tablets are swallowed whole and washed down with water. Take the drug at the same time every day. The course of treatment is adjusted depending on the patient's condition.
Contraindications. The drug is not intended for the treatment of type 1 diabetes. It is not used at a high probability of development of acidosis, after resection of the pancreas, with severe pathologies of the kidneys and liver. Do not undergo treatment with the drug during pregnancy and lactation. Not used in pediatrics.
Do not prescribe medicine for hypersensitivity to its components, with increased sensitivity to sulfonamides and sulfanylurea preparations.
Side effects. As a result of taking the drug may develop hypoglycemia, increase body weight, disturb digestive disorders. At the beginning of therapy, individual patients experienced short-term visual and accommodation discomforts, itching, rashes on the skin, and increased photosensitivity. Severe reactions are extremely rare.
"Amaryl" is a sugar-reducing drug of the same class as "Maninil 5". The active substance of the drug is glimepiride.
Method of administration and dose. The initial dose of the drug is 1 mg. If it turns out to be insufficient, the doctor reviews the appointments in the direction of increasing the dosage or changing the drug.
With pre-diabetes, the drug is usually prescribed in case of ineffectiveness of Metformin therapy.
Contraindications. The drug is not recommended for the treatment of children, pregnant women, nursing mothers.
Do not prescribe the drug to patients with impaired liver and kidney function, as well as those who have increased sensitivity to the constituents of the drug and sulfonamides.
Side effects are identical to the drug "Maninil 5".
Taking the above and similar preparations, it is necessary to take into account that without following the requirements of a low-carbohydrate diet, it is simply impossible to improve the situation. Medication therapy makes sense only in combination with proper nutrition and exercise.
Stay active and receive all the necessary substances to help the body take vitamins and vitamin-mineral complexes.
Prediabetes is a condition that requires special attention to one's health and rejection of bad habits, which means that alcohol and cigarettes should at least temporarily be forgotten. Moreover, taking antidiabetic drugs and alcoholic beverages in many cases can result in unpleasant consequences.
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Since medication is not the basis of pre-diabetes therapy, and diet and exercise are preferred, the use of alternative methods of treating glucose tolerance disorders should be discussed with the attending physician. If he considers this treatment expedient, alternative medicine prescriptions can be used to improve the pancreas, reduce glucose uptake in the intestine, and optimize metabolism.
- For 3 weeks before each meal, drink a quarter cup of a mixture of fresh beet juice and cabbage brine (take in equal amounts). After a week, the course can be repeated. If the patient is diagnosed with pancreatitis, the possibility of using such a "medicine" should be discussed with a gastroenterologist.
- In the morning, grind 2 tablespoons. Buckwheat and pour a glass of low-fat kefir, eat 30 minutes before dinner. The same thing done at night, and in the morning before breakfast.
- Medicinal salad: one large onion and a good pinch of dill and parsley mixture chop and season with olive oil. The onion should be doused with boiling water. Eat salad every day.
- Positive effect on digestion and metabolism is caused by decoction of flaxseed (1 tablespoon per glass of water). Take it in the morning on an empty stomach.
Treatment of prediabetes with herbs is the use of useful and tasty broths based on the root of elecampane, the leaves of blueberries and strawberries, hips, yarrow herbs, currant shoots.
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Since many of the symptoms of prediabetes resemble manifestations of type 2 diabetes, the homeopathic treatment of this condition can also be carried out with the same drugs that are used for obvious diabetes. But in any case, before starting treatment with homeopathy, you need to consult with a doctor in this regard.
The first drug, which should pay attention to a person with high blood sugar, is considered to be Natrium phosphoricum. It is prescribed when there are initial symptoms of developing type 2 diabetes. The concentration of phosphorus salts is selected individually according to the level of glucose in the blood.
As a preventive measure of diabetes mellitus, when symptoms of prediabetes appear, you can use such homeopathic medicines as Arsenika, Grafitis, Sekale kornutum. Contraindications to such drugs may be individual intolerance of components or alcohol abuse (in the case of the appointment of alcohol tinctures).
It is important to pay attention to the fact that homeopathic remedies operate according to the "wedge knocked out wedge" principle, which means that at the initial stage of therapy, the patient's condition may worsen, which does not indicate ineffectiveness or danger of therapy. Another thing is if the drug does not show any results for a long time (more than 2 months). Then it should be replaced or revised dosage.