Verify your email address to receive email notifications.

Verification sent. Please check your inbox to verify your address.

Unable to send verification. Please try again later.

Advertisement
  • Q&A with Australian Health Practitioners

    What is the treatment for type 2 diabetes?

  • Find a professional to answer your question

  • 2

    Thanks

    Diabetes Australia is the national peak body for diabetes in Australia providing a single, powerful, collective voice for people living with diabetes, their families and ... View Profile

    While there is currently no cure for type 2 diabetes, the disease can be managed through lifestyle modifications and medication.

    Type 2 diabetes can sometimes initially be managed through lifestyle modification including a healthy diet and regular exercise. However, as the disease progresses, people with type 2 diabetes are often prescribed tablets to control their blood glucose levels. These tablets are intended to be used in conjunction with healthy eating and regular physical activity, not as a substitute. Diabetes tablets are not an oral form of insulin and they require insulin to be present in the body to be effective.

    Eventually it may be necessary to start taking insulin to control blood glucose levels, when your body is no longer producing enough insulin of its own. Sometimes tablets may be continued in addition to insulin.

    The aim of diabetes management is to keep blood glucose levels as close to ‘normal' as possible, that is between 4 to 6 mmol/L (fasting), as this will help prevent both short-term and long-term complications.

    Regular blood glucose monitoring is necessary to see if the treatment being followed is adequately controlling blood glucose levels.

  • Advertisement
  • Claire Kerslake

    Diabetes Educator

    1

    Thanks

    Claire Kerslake is a Credentialed Diabetes Educator, Registered Nurse and Health Coach based in Deniliquin in country New South Wales.  Claire is the founder of ... View Profile

    In addition to the comprehensive answer above, if someone with type 2 diabetes is overweight, a slow, gradual weight loss is very effective in managing the condition.  

    It can be very helpful to consult with your dietitian and diabetes educator to develop a plan that is going to work with your lifestyle.

  • Mr Dean Spilias

    Upper GI Surgeon (Abdominal)

    Dean graduated from the University of Melbourne in 1997 and went on to surgical training at the Royal Melbourne Hospital. During his residency he had ... View Profile

    Weight loss is an important aspect of type 2 diabetes management.

    70-80% of people with recently-diagnosed type 2 diabetes and obesity are able to achieve normal blood glucose levels if they lose a significant amount of weight. Unfortunately weight loss is more difficult for people with type 2 diabetes, and is more difficult for those who have been diabetic for several years. Weight loss surgery has now been shown to be more a more effective treatment for diabetes than diet, exercise and medications (for people with recently-diagnosed type 2 diabetes who are also obese). 

    Some academic articles going into the nitty-gritty details: 
    An overview:
    http://link.springer.com/article/10.1007/s00268-009-0062-y?LI=true#page-1
    A randomised controlled trial showing remission of diabetes in 73% of patients treated with gastric banding surgery, compared to 13% treated with medications, diet and exercise: 
    http://jama.jamanetwork.com/article.aspx?articleid=1149302

    Weight loss is the closest thing we have to a cure for diabetes; “remission” is a better term, because the effects only last while the weight is kept off. 

    Dean Spilias
    http://www.uppergi.net

  • Dr Richard Beatty

    GP (General Practitioner)

    1

    Thanks

    Brisbane GP With Special interest in Complex Medical, Men's health, antenatal, paediatrics. Skin Cancer Clinic Designated Aviation Medical Examiner Specific interests in Vasectomy, Dermatology & ... View Profile

    Diabetes is harder to control with time, and almost everybody will need medication eventually. There is, nowadays, a wide range of medications available and each of them have their own place. This is a rapidly changing & exciting field, and the last few years has seen a huge increase of options available - all great news for people with diabetes. Medicines vary in their side effect profile, efficiency with which they improve diabetes control, whether they cause weight gain, and whether they can cause low sugars (hypos). Also, some tablets are once daily. The large choice of medications can be confusing. Every medication has a chemical name and a brand name; chemical names are in “small print” on the box but will not vary over time (different manufacturers call them different names) and so are used here

    The main tablets are: Metformin: Usually the first-line. Reduces insulin resistance & good long term record; abdominal side effects usually wear off after a few weeks of gradually increasing dose. Weight neutral, no hypo risk. Sulphonylureas (ending in “ide” eg. gliclazide) increases production of insulin. It's an actively glucose-lowering agent, so it's important to know how to test for and anticipate low blood glucose (uncommon). Acarbose: reduces digestion of carbohydrates and can be useful for high sugars after meals. Weight neutral, no hypo risk. Glitazones: reduce insulin resistance. Hypo risk low. Weight neutral, no hypo risk. Gliptins: enhances insulin secretion, reduce glucagon (works the opposite way to insulin) and reduce stomach emptying (and so can help reduce food intake). Weight neutral, no hypo risk (medicare PBS restrictions mean that metformin & a sulphonylureas need to be tried first)

    The main injections are: Ending in “tide” eg. exenatide, liraglutide. These injections are taken daily and now a weekly version has come out. Insulin - last but not least! Most people don't want to go onto insulin because of fears over hypos and weight gain. However, it is important to start insulin when the time is right and most people do feel better as well as improving control of the diabetes.

  • Kirsty Woods

    Exercise Physiologist

    Hi I’m Kirsty Woods,I would like to use my experience, expertise and passion to help you reach your weight, energy and health goalsI have been ... View Profile

    Nutrtional therapy is also an option. You may find this recent post and video by Jason Fung of interest:) 

    https://intensivedietarymanagement.com/reverse-type-2-diabetes-the-quick-start-guide/

    https://intensivedietarymanagement.com/reverse-diabetes-naturally/

  • Dr Jason Wong

    Bariatric (Obesity) Surgeon, General Surgeon, Laparoscopic Surgeon, Upper GI Surgeon (Abdominal)

    Jason Wong is a Laparoscopic GI Surgeon with expertise in gallbladder, hernia, endoscopic pilonidal, bariatric, antireflux and emergency general surgery. NO GAP for major health ... View Profile
    • Redcliffe, QLD (07) 3062 7716
    • Everton Park, QLD (07) 3485 0829

    Type 2 Diabetes can be treated in a number of ways.  The underlying aspect of insulin resistance, which can be related to obesity must be recognised.

    Initially, Type 2 Diabetes may be able to be managed through diet and exercise alone, with significant weight loss potentially rendering a patient with Type 2 Diabetes with a normal range HbA1C.

    If lifestyle management is insufficient, medications such as metformin, oral hypoglycaemics or insulin may be prescribed to control blood sugar levels.

    In patients with Type 2 Diabetes, with Obesity, who are unable to lose weight through lifestyle changes alone - serious consideration should be given to WEIGHT-LOSS SURGERY.  Weight-loss surgery, in particular Gastric Bypass Surgery is particularly effective at causing remission of Type 2 Diabetes and is clearly superior to medical treatment alone, as demonstrated in the STAMPEDE trial.

    Bariatric Surgery versus Intensive Medical Therapy for Diabetes — 5-Year Outcomes http://www.nejm.org/doi/full/10.1056/NEJMoa1600869

    Dr Jason Wong

    www.lapsurgerybrisbane.com.au

You may also like these related questions

answer this question

You must be a Healthshare member to answer this question. Log in or Sign up .

Ask a health question
Community Contributor

Empowering Australians to make better health choices