The goals of diabetes treatment and prevention are to eliminate hyperglycemia symptoms, reduce microvascular and macrovascular complications, and allow patients to live a normal lifestyle. The healthcare team includes primary care providers, endocrinologists, certified diabetes educators, and nutritionists. Treatment involves glycemic control through medication, diet, exercise, diabetes education, and monitoring of blood glucose and medical complications. New technologies aim to further improve diabetes treatment through islet cell transplantation, gene therapy, vaccines, wound healing products, and artificial pancreases.

1. DIABETES TREATMENT AND PREVENTION LAVANYA.K ROLL NO.39

13. INSULIN REGIMENS

19. INSULIN SYRINGE

20. ROTATION SITES

27. Treatment of type 2 diabetes mellitus Oral Biguanides Metformin Alpha glucosidase inhibitors Acarbose , meglitol DPP 4 inhibtors sitagliptin Insulin secretagogues sulfonyl ureas first generation chlorpropamide,tolbutamide second generation Glimepiride , glipizide non sulfonyl ureas Repaglinide , nateglinide – Thiazolidinedidones roseglitazone, pioglitazone

28. Parenteral Insulin GLP1 agonist exenatide Amylin agonist pramlintide

31. drugs advantages Disadvantages biguanides Weight loss Lactic acidosis,GI dysfunctions Alpha glucosidase inhibitor Reduce postprandial glycaemia Liver & GI dysfunctions DPP4 inhibitors No hypoglcaemia --- sulfonylureas Lowers fasting blood glucose Weight gain,hypoglyacemia Nonsulfonylureas thiazolidinediones Shorter onset of action Lowers postprandial glycaemia Lowera insulin requirements Hypoglycaemia CHF,weight gain ,fractures

32. Glycaemic management of type 2 diabetes mellitus patient with type 2 diabetes medical, nutrition therapy,increased physical Activity and weight loss + metformin Reasses A1C Combination therapy metformin+second agent Reasses A1C Combination therapy metformin+2 agents metformin +insuln

43. Thank you