CEU 2024: Patient POV: Shared Decision Making in the Management of T2DM with Comorbidities-Resource: T2D with Comorbidities

Resource: T2D with Comorbidities

Pdf Summary

This comprehensive guide addresses the management and treatment of Type 2 Diabetes (T2D) and its associated risks and complications. T2D occurs when your body’s cells don’t respond to insulin, causing elevated glucose levels in the blood. Common symptoms include frequent urination, excessive thirst, hunger, fatigue, blurry vision, slow healing of cuts/bruises, and tingling/pain/numbness in extremities.<br /><br />Management of T2D involves regular monitoring of blood glucose, blood pressure, cholesterol, and weight. Associated health risks include increased chances of stroke (brain), diabetic retinopathy (eyes), hypertension and cardiovascular diseases (heart), kidney damage, and circulation issues that could lead to amputation (feet).<br /><br />Medications play a critical role in T2D management and include:<br />- **Metformin:** Reduces glucose production in the liver.<br />- **Thiazolidinediones:** Improve insulin function.<br />- **SGLT2 Inhibitors:** Aid in glucose elimination via urine.<br />- **Sulfonylureas and Glinides:** Stimulate insulin production.<br />- **DPP-4 Inhibitors:** Help improve A1C levels.<br />- **GLP-1 receptor agonists:** Aid in blood glucose management.<br />- **Insulin Therapy:** May be necessary if other treatments are insufficient.<br /><br />Lifestyle changes such as healthier eating, increased physical activity, and weight loss are foundational in T2D management. It's essential to have regular consultations with healthcare providers, including dietitians, podiatrists, and eye doctors.<br /><br />Important questions to discuss with your doctor include setting specific goals for A1C, blood pressure, cholesterol, and understanding which medications will aid in achieving these targets and discussing strategies for managing side effects.<br /><br />Support groups and resources are vital in providing additional information and emotional support. Notable websites include the Diabetes Patient Advocate Coalition, Diabetes Advocacy Alliance, and DiaTribe.<br /><br />Maintaining a personalized treatment plan and tracking symptoms regularly between visits can help in effective management of T2D. Always consult your doctor for tailored advice and treatment plans.

Keywords

Type 2 Diabetes

T2D management

insulin resistance

blood glucose monitoring

diabetic complications

T2D medications

lifestyle changes

healthcare consultations

support groups

personalized treatment


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