Type 2 diabetes mellitus is an endocrine disease in which there is a constant increase in blood glucose.

The disease is characterized by a violation of the susceptibility of cells and tissues to insulin, which is produced by cells of the pancreas. This is the most common type of diabetes.

Reasons for the appearance

Why does type 2 diabetes occur and what is it? The disease manifests itself with insulin resistance (lack of response of the body to insulin). In sick people, the production of insulin continues, but at the same time it does not interact with the cells of the body and does not accelerate the absorption of glucose from the blood.

Doctors have not determined the exact cause of the disease, but according to current research, type 2 diabetes can manifest itself by varying the volume or receptor sensitivity of cells to insulin.

Risk factors for type 2 diabetes are:

1. Irrational nutrition: the presence of refined carbohydrates in food (sweets, chocolate, sweets, waffles, pastries, etc.) and a very low content of fresh plant foods (vegetables, fruits, cereals).
2. Overweight, especially in the visceral type.
3. The presence of diabetes in one or two close relatives.
4. Sedentary lifestyle.
5. High pressure.
6. Ethnicity.

The main factors influencing tissue resistance to insulin include exposure to growth hormones at the time of puberty, race, gender (a greater propensity to develop the disease is observed in women), and obesity.

What happens in diabetes?

After a meal, the blood sugar level rises, and the pancreas cannot produce insulin, which occurs against the background of elevated glucose levels.

As a result, the sensitivity of the cell membrane responsible for hormone recognition decreases. At the same time, even if the hormone penetrates the cell, the natural effect does not occur. This condition is called insulin resistance, when the cell is resistant to the effects of insulin.

Type 2 diabetes symptoms

In most cases, type 2 diabetes mellitus does not have pronounced symptoms and the diagnosis can only be established with a routine fasting laboratory test.

As a rule, the development of type 2 diabetes begins in people after 40 years of age, in those who suffer from obesity, high blood pressure and other manifestations of metabolic syndromes in the body.

Specific Symptoms are expressed as follows:

• thirst and dry mouth;
• polyuria - excessive urination;
• skin itching;
• general and muscle weakness;
• obesity;
• poor wound healing;

The patient may be unaware of his disease for a long time. He feels a slight dryness in the mouth, thirst, skin itching, sometimes the disease can be manifested by the appearance of pustular inflammation on the skin and mucous membranes, thrush, gum disease, tooth loss, decreased vision. This is explained by the fact that sugar that has not entered the cells goes into the walls of blood vessels or through the pores of the skin. Bacteria and fungi thrive on sugar.

What is the danger?

The main danger of type 2 diabetes mellitus is lipid metabolism disorders, which inevitably cause a violation of glucose metabolism. In 80% of cases, against the background of type 2 diabetes, coronary heart disease and other diseases associated with blockage of the lumen of blood vessels by atherosclerotic plaques develop.

In addition, severe type 2 diabetes mellitus contributes to the development of kidney disease, reduced visual acuity, deterioration of the reparative ability of the skin, which significantly reduces the quality of life.

stages

Type 2 diabetes can occur with different severity options:

1. The first is that the patient's condition can be improved by changing the principles of nutrition, or by using a maximum of one capsule of a sugar-reducing agent per day;
2. The second - improvement occurs when using two or three capsules of a sugar-reducing agent per day;
3. The third - in addition to sugar-lowering agents, one has to resort to the introduction of insulin.

If the patient's blood sugar level is slightly higher than normal, but there is no tendency to complications, then this condition is considered compensated, that is, the body can still cope with the carbohydrate metabolism disorder on its own.

Diagnostics

In a healthy person, a normal sugar level is at around 3.5-5.5 mmol / l. 2 hours after eating, it is able to rise to 7-7.8 mmol / l.

To diagnose diabetes, the following tests are performed:

1. Blood glucose test: on an empty stomach, the glucose content in capillary blood (blood from a finger) is determined.
2. Determination of glycosylated hemoglobin: its amount is significantly increased in patients with diabetes mellitus.
3. Glucose tolerance test: on an empty stomach, take about 75 g of glucose dissolved in 1-1.5 glasses of water, then determine the concentration of glucose in the blood after 0.5, 2 hours.
4. Urinalysis for glucose and ketone bodies: The detection of ketone bodies and glucose confirms the diagnosis of diabetes.

Type 2 Diabetes Treatment

Once type 2 diabetes has been diagnosed, treatment begins with diet and moderate exercise. In the initial stages of diabetes, even a slight weight loss helps to normalize the carbohydrate metabolism of the body and reduce the synthesis of glucose in the liver. For the treatment of later stages, various medications are used.

Since the majority of patients with type 2 diabetes are obese, proper nutrition should be aimed at reducing body weight and preventing late complications, primarily atherosclerosis.

A hypocaloric diet is necessary for all patients with excess body weight (BMI 25-29 kg/m2) or obesity (BMI> 30 kg/m2).

Preparations

Drugs that reduce sugar are used to stimulate cells to produce additional insulin, as well as to achieve the required concentration in the blood plasma. The selection of drugs is carried out strictly by a doctor.

The most common antidiabetic drugs are:

1. Metformin is the drug of first choice for antidiabetic therapy in patients with type 2 diabetes mellitus, obesity, and fasting hyperglycemia. This tool promotes the movement and absorption of sugar in muscle tissue and does not release sugar from the liver.
2. Miglitol, Glucobay. These drugs inhibit the absorption of polysaccharides and oligos. As a result, the rise in blood glucose levels slows down.
3. Sulfonylureas group drugs(SM) 2nd generation (chlorpropamide, tolbutamide, glimepiride, glibenclamide, etc.) stimulate insulin secretion in the pancreas and reduce the resistance of peripheral tissues (liver, muscle tissue, adipose tissue) to the hormone.
4. Thiazolidinone derivatives(rosiglitazone, troglitazone) increase the activity of insulin receptors and thereby reduce glucose levels, normalizing the lipid profile.
5. Novonorm, Starlix. They act on the pancreas to stimulate the production of insulin.

Drug treatment begins with monotherapy (taking 1 drug), and then becomes combined, that is, including the simultaneous administration of 2 or more hypoglycemic drugs. If the drugs listed above lose their effectiveness, then you have to switch to the use of insulin agents.

Diet for type 2 diabetes

Treatment for type 2 diabetes begins with a diet based on the following principles:

• proportional nutrition 6 times a day. Food should be taken constantly at the usual time;
• do not exceed caloric content above 1800 kcal;
• overweight requires normalization;
• limiting the intake of saturated fats;
• reducing salt intake;
• reducing the amount of alcohol;
• food with lots of vitamins and minerals.

Products that should be excluded or, if possible, limited:

• containing a large amount of easily digestible carbohydrates: sweets, buns, etc.
• spicy, salty, fried, smoked and spicy dishes.
• butter, margarine, mayonnaise, cooking and meat fats.
• fat sour cream, cream, cheeses, feta cheese, sweet curd cheeses.
• semolina, rice cereal, pasta.
• fatty and strong broths.
• sausages, sausages, sausages, salted or smoked fish, fatty varieties of poultry, fish, meat.

The dose of fiber for diabetics leaves 35-40 g per day, and it is desirable that 51% of dietary fiber consists of vegetables, 40% of cereals and 9% of berries, fruits, mushrooms.

Sample diabetic menu for the day:

1. Breakfast - oatmeal, egg. Bread. Coffee.
2. Snack - natural yogurt with berries.
3. Lunch - vegetable soup, chicken breast with salad (beetroot, onion and olive oil) and stewed cabbage. Bread. Compote.
4. Snack - low-fat cottage cheese. Tea.
5. Dinner - hake baked in sour cream, vegetable salad (cucumbers, tomatoes, greens or any other seasonal vegetable) with vegetable oil. Bread. Cocoa.
6. The second dinner (a few hours before bedtime) is natural yogurt, a baked apple.

Follow simple rules

Basic rules that a diabetic patient should adopt:

• stick to a healthy diet
• do physical activity regularly
• take medication
• check blood sugar levels

In addition, getting rid of extra pounds normalizes the health status of people with type 2 diabetes:

• blood sugar reaches normal
• normalizes blood pressure
• improves cholesterol levels
• a person feels lightness in the body.

You should regularly measure your blood sugar levels yourself. When the level of sugar is known, it is possible to adjust the approach to the treatment of diabetes if blood sugar is not normal.

I propose a review article on the topic of type 2 diabetes mellitus diet and its treatment - I will show the various approaches of doctors who successfully treat non-insulin dependent diabetes. All of them belong to alternative medicine. Methods of conservative treatment of DM2 in official medicine are also described. Compare them, think, choose... There are coordinates of doctors.

This will be especially useful for those who know how to take responsibility for their health. Why such a different approach between traditional doctors and alternative medicine doctors?

In fact, it all starts with seeing different causes of this disease and its interpretation in official and alternative medicine, and hence the different methods of treatment. I hope this article will help you better understand your body and the failure that occurred in it, causing type 2 diabetes, and the lucky ones will be able to recover from it.

Let's consider different points of view on this disease, find out what diabetes is and what is the difference between type 1 and type 2 diabetes, how they differ, and how to treat type 2 diabetes, is it curable, and why some doctors start injecting insulin with insulin independence of the disease.

Jpg" alt="(!LANG:Type 2 diabetes diet and treatment" width="500" height="300" srcset="" data-srcset="https://i0.wp..jpg?w=500&ssl=1 500w, https://i0.wp..jpg?resize=300%2C180&ssl=1 300w" sizes="(max-width: 500px) 100vw, 500px" data-recalc-dims="1"> В статье представлено традиционное видение причин и способов лечения Д2 в официальной медицине и в альтернативной. Альтернативную медицину в статье представляют три доктора:!}

1. Evgeny Bozhev
2. Ludmila Ermolenko
3. Boris Skachko

These professional doctors with medical education approached the problem of diabetes from a completely different angle than official medicine. Let's start to figure it out.

Story

Diabetes has been known for thousands of years. The Egyptians referred to it as a disease with the loss of a significant amount of urine. Greek healers came up with the name "diabetes", which means - I pass through, I flow.

Indian healers called the disease madhumeha (sweet urine), they were the first to divide it into types 1 and 2. At the same time, type 1 was designated as typical for young people, and type 2 for obese people. The concept of "sugar" was added by the British at the end of the 18th century to separate the disease from "diabetes insipidus", which is also characterized by frequent urination.

The diagnosis of pathology was very specific. Hippocrates tasted urine. Indian doctors have noticed that sweet urine attracts ants. And the wise Chinese resorted to the help of flies, if they sat on a container with such urine, then it is sweet, and the person is sick.

Until the beginning of the 20th century, no effective therapy for the disease was found. Only in the 20s of the 20th century Canadians Frederick Banting and Charles Best discovered insulin, and the first injection of the drug to a person was made. Thanks to this drug, diabetes can be kept under control, thereby saving the lives of many hundreds of people.
Pictured is Frederick Banting (right) with his assistant Charles Herbert Best. In 1921, they first received and practically used insulin.
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The Nobel Prize for the discovery of insulin was awarded only to John McLeod (they rented his laboratory) and Banting. With the fact that McLeod received the award, and Best remained out of work, Banting was categorically disagreed. A scandal broke out and subsequently it was divided among four scientists: Banting shared with Best, McLeod with Collip.

Diabetes is a disorder of carbohydrate metabolism, which is reflected in an increase in blood sugar levels, which may be accompanied by the release of excess sugar through the urinary system.

There are two types of diabetes:

• insulin-dependent diabetes or type 1 diabetes (DM1)
• non-insulin-dependent diabetes or type 2 diabetes (DM2)

How do they differ from each other?

In the first case (insulin-dependent diabetes mellitus) in the body not enough insulin, insulin is constantly required from the outside in order for sugar to be absorbed. For type 2 diabetes adequate insulin levels- this type of diabetes is non-insulin dependent - and the problem here is not insulin.

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At the same time, some endocrinologists for the treatment of type 2 diabetes prescribe insulin injections. Why?

If you ask this question to an endocrinologist, he will answer what he was taught:

1. receptors in cells become insensitive to insulin (why then inject insulin additionally?)
2. your insulin in the cells is of poor quality and therefore you need to inject it additionally

Whether this is justified, you will easily understand if you continue reading.

Below I present the vision and approach to SD2 of Dr. Evgeny Bozhev, which has successfully cured many type 2 diabetics - those that doctors have not yet hooked on a diabetic syringe with insulin.

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Mechanism of sugar regulation - how it works

A bit of theory. Let's take a look at how things actually happen. We have a system of carbohydrate metabolism, that is, a system in which carbohydrates or - conditionally - sugars are digested. As soon as we have eaten, saturation occurs: absorption, absorption into the blood of sugars - there is a peak of its content in the blood. We stopped eating - there is a decrease in blood sugar levels, its decline.

The cells of our body require that the level of sugar be within certain limits: not lower than the level at which the cells lack it and not higher than the level when sugar acts toxically on blood vessels and cells. That is, cells need sugar to be within a certain fork.

Most people eat 2-3 times a day, and this peak that occurs when saturated (excess sugar) needs to be somehow removed, and when sugar goes down, it needs to be supplemented from somewhere. This is the system that exists in our body, when excess sugar at the peak is removed by the pancreatic hormone - insulin. It inactivates excess sugar - converts free glucose into a bound form and removes it from the blood - stores it in the liver and muscles.

Remove excess glucose. Gradually, the level of sugar begins to fall, as it is consumed by the cells for their needs. When the level drops below the permissible level, another system turns on, which takes the bound glucose from the warehouse, converts it into a free form and sends it to the blood.

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This is done by a completely different hormone glucagon and Dr. Bozhev claims that it is not synthesized in the pancreas(according to official medicine), and in the liver where it acts by binding to specific glucagon receptors on liver cells.

Glucagon for hepatocytes (liver cells that play an important role in hepatic metabolism) serves as an external signal about the need to release glucose into the blood due to the breakdown of glycogen (glycogenolysis) or the synthesis of glucose from other substances.

Such a system allows sugar to stay within certain limits, regardless of whether we eat or are in a hungry state.
The sugar level is within a certain corridor due to the carbohydrate metabolism system.

What is the difference between type 1 diabetes mellitus and type 2 diabetes mellitus (Dr. Bozhev)

Now, based on the above, it is easy to understand the difference between type 1 and type 2 diabetes. When no insulin and no one to remove excess sugar in the blood and convert it into an inactive form - this is type 1 diabetes - insulin-dependent. And when insulin is injected in this case, it is justified and necessary to normalize blood sugar levels and create a supply of bound sugar in the muscles and liver in order to make up for its lack between meals later.

What is type 2 diabetes? This is an incorrect work or lack of a second hormone - glucagon, which ensures the flow of sugar into the blood when it is lacking there. No one to translate inactive form of glucose into active and deliver to the circulatory system. In such a situation, the bins in the liver and muscles are overflowing with an inactive form of glucose - glycogen, of which there is a lot, but there is no one to pick it up, break it down (glycolysis) and send it to the bloodstream. As a result, insulin cannot remove excess glucose after eating in the depot - the bins are full, there is no place ...

It is now clear that in type 2 diabetes there is no need to inject insulin from the outside - there is no way for your own insulin to perform its function. In such a situation, we artificially add type 1 diabetes to type 2 diabetes, exacerbating the situation for the patient.

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Conclusion on theory and practice doctor of god:

Main difference between CD1 and CD2 that:

• insulin-dependent diabetes (DM1) is a disease of the pancreas that cannot produce enough insulin to meet the peak of blood glucose - and need to treat the pancreas;
• insulin-independent diabetes (DM2) is a liver disease that cannot synthesize glucagon and, with the help of a hormone, release the liver depot and muscle reserves from inactive glucose and transfer it to active during a drop in sugar levels - here need to treat the liver.

As you can see, everything became clear - in which organ the diabetic has a malfunction and what needs to be treated. In fact, these are two different diseases and two different mechanisms for the development of the disease. With the approach of Dr. God, type 2 diabetes mellitus is curable through the normalization of liver function, but with constant monitoring of sugar levels.

Everything that is described in the section on the differences between DM1 and DM2, Dr. Bozhev tells in his video - I just know from experience that it is faster for many to read the text than to watch a video on diabetes.

Clarification for skeptics:

Evgeny Bozhev is a highly qualified doctor, space medicine doctor which has helped a lot of people. Here is his website, where there are many useful and sometimes unexpected recommendations. Below are his contact numbers. The main place for receiving patients is the city of Anapa, Crimea.

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When I prepared this article, I worked through many resources. Moreover, I asked the doctor on YouTube that everywhere it is written about glucagon that it is synthesized in the pancreas, including Wikipedia. And he answered me that practice tells a different story ...

Here is a screenshot from Wikipedia:

Data-lazy-type="image" data-src="https://prozdorovechko.ru/wp-content/uploads/2017/09/Screenshot_2.jpg" alt="(!LANG:Wikipedia about the hormone glucagon" width="640" height="97" srcset="" data-srcset="https://i0.wp..jpg?w=784&ssl=1 784w, https://i0.wp..jpg?resize=300%2C46&ssl=1 300w" sizes="(max-width: 640px) 100vw, 640px" data-recalc-dims="1"> А это ответ доктора на мое замечание, что глюкагон синтезируется в поджелудочной, а не в печени:!}

Data-lazy-type="image" data-src="https://prozdorovechko.ru/wp-content/uploads/2017/09/Screenshot_4.jpg" alt="(!LANG: Doctor Bozhev's answer" width="528" height="99" srcset="" data-srcset="https://i2.wp..jpg?w=528&ssl=1 528w, https://i2.wp..jpg?resize=300%2C56&ssl=1 300w" sizes="(max-width: 528px) 100vw, 528px" data-recalc-dims="1">!}

How to cure type 2 diabetes on your own: 4 simple recommendations from Dr. Bozhev

Dr. Bozhev believes that SD2 heal yourself at home for 2-3 months.

Here are the steps to take:
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1. Restore normal liver function. Surging will help with this and it is needed to remove venous congestion in the liver. A simple pumping or pumping exercise: with both hands, slowly squeeze the ribs on the sides closer to the waist and release sharply. Repeat 30 times (30-40 seconds) 3-4 times a day. As soon as the stagnation is removed, the liver cells regenerate themselves.

2. Add Cr (chromium) to the body. The lack of chromium in the blood causes a lack of glucagon synthesis. It is best to make up for the lack of chromium by using chromium-containing dietary supplements. The use of chromium is carried out along with taking pills prescribed by a doctor, since chromium does not stabilize sugar immediately - this will take 2-3 months.

On the packaging of chromium-containing drugs is always written daily dose for humans and the content of the element in one capsule (tablet) - independently calculate how much you need to take them per day.

I give an approximate daily requirement of chromium for different categories of the population:

• those who lead a sedentary lifestyle need 50 mg of chromium per day
• with active physical exertion, the need increases and amounts to 150–250 mg
• pregnant and lactating women need 100-200 mg of chromium per day
• babies need 10 milligrams of chromium per day
• children from 3 to 11 years old - 15 mg of chromium per day
• 11 to 14 - 25 mg of chromium per day
• 14 to 18 - 35 mg of chromium per day

How long to drink chromium? Until the craving for sweets disappears (several months). If a person has prejudice to dietary supplements, there are products with a high content of chromium. The list below:

Data-lazy-type="image" data-src="https://prozdorovechko.ru/wp-content/uploads/2017/09/hrom-orodukty.jpg" alt="(!LANG:hrom-orodukty" width="199" height="286" data-recalc-dims="1">!} If there is no chromium in the pharmacy, we are looking for it in the online store on Iherb - there are drugs of different prices and contents.

3. Create frequent fractional meals at least 8 times a day (every 3 hours of eating). Such nutrition removes sugar peaks: it reduces the amount of excess sugar, which must go into an inactive form - glycogen.

4. Increase physical activity. The goal is to move as many muscles as possible (dancing, swimming, aerobics). During their work, the muscles use the bound glucose, making room in the depot for a new portion of excess sugars. Intense muscle work releases deposits of inactive sugar. The more muscles are involved, the more bound sugar will be used for their work.

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Such a vision of SD2 at Dr. Bozhev. Now consider SD2 from the point of view Ermolenko Ludmila.

Who is to blame for the occurrence of type 2 diabetes, the reasons, how to get rid of it, personal consultation of Dr. Ermolenko

I want to introduce you to the methodology and vision of SD2 by another doctor - Lyudmila Ermolenko, whom I know personally and have successfully used her recommendations more than once. Here are her words on the cause of type 2 diabetes:

In the development of diabetes, nevertheless, the psycho-emotional state plays a decisive role: a person who is joyful, happy, who loves the whole world does not have diabetes.

Type 2 diabetes mellitus - what is it in simple terms? This is an increase in blood sugar as a result of a violation of carbohydrate metabolism, caused by wrong lifestyle especially malnutrition.

Below is the text written personally by Dr. Lyudmila Ermolenko for this article:
data-lazy-type="image" data-src="https://prozdorovechko.ru/wp-content/uploads/2017/12/ermolenko.jpg" alt="(!LANG: Who is to blame for type 2 diabetes (Dr. Ermolenko)" width="500" height="500" srcset="" data-srcset="https://i1.wp..jpg?w=500&ssl=1 500w, https://i1.wp..jpg?resize=150%2C150&ssl=1 150w, https://i1.wp..jpg?resize=300%2C300&ssl=1 300w" sizes="(max-width: 500px) 100vw, 500px" data-recalc-dims="1">!}

If you have been diagnosed with type 2 diabetes

Endocrinologists immediately "include" a person in a certain order of life, from which he will not be able to "jump off".

Counting calories, counting the amount of carbohydrates consumed, checking glucose levels, taking medications, administering insulin - this is "working for an additional rate."

After all, a person is not relieved of all his daily duties: to be actively included in the family hierarchy and fulfill family obligations as a spouse, parent, and also continue to participate in production processes if the person has not yet reached retirement age.

This lifestyle is an additional stress.

Distress is the main cause of T2DM

The development of the disease itself arose against the background of chronic, long-term distress.

Distress is a particularly destructive form of stress.

The causes of this disorder are long-term emotional stress, the inability to satisfy physical needs, or inadequate living conditions for a person.

But the basis is not so much the external conditions themselves, but how a person perceives them.. You can live in a shack and enjoy life, or you can live in luxurious apartments and constantly gnaw at yourself because your neighbor is better anyway, and that you just can’t keep up with him ...

If a person experiences a range of emotions of distress on a daily basis - everything does not suit him, there is no acceptance of life, there is no joy from it, and he is forced to mentally and psychologically resist negative phenomena all the time, then this condition leads to energy depletion and is the main cause of diabetes.

In the German New Medicine, founded by Reik Gerd Hamer, it is written that the conflict of constant subconscious resistance is the foundation of the development of diabetes.

Since our world as a whole is incorrect, and creates new and new obstacles to the serenity of human existence on Earth, then the reasons for the “resistance” of the individual become more and more.
These are social aspects, and family relations, and partnerships, and features of personal perception of reality.

And the World Health Organization, as a very authoritative body, “adds fuel to the fire”: it regularly gives statistics on how many percent the incidence of diabetes will increase next year or ten years from now.

The prospect is not rosy - as if by nature it was determined that a person, having come into this world, must necessarily suffer from diabetes.

There is such a paradigm that is destructive to human nature: A whole huge industry works for patients with this diagnosis.
And for each patient there is a “fight”.
And the more such patients, the better this industry ...

But we are rational beings. We, and only we, are responsible for our whole life, and for the diseases that we can have, and can successfully avoid them.

Which organ is responsible for type 2 diabetes. The role of the liver

So which organ is to blame for type 2 diabetes? No, not the pancreas, as many doctors of official medicine believe - without guilt, the liver is to blame.

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It is always loaded with all sorts of metabolites from our cells, carcinogens, preservatives, baking powder, dyes that it removes from the body, and then there is also a huge excess of sugar.

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If a person led an active lifestyle: moved more, ate less sweets, he would not have developed type 2 diabetes.

Not the last cause of DM2 is the wrong eating behavior of a person and a sedentary lifestyle. Therefore, there is prevention for type 2 diabetes, unlike type 1 diabetes. Knowing the cause of the occurrence, you can prevent the development of type 2 diabetes.

The Reptilian Brain Controls Blood Sugar Concentration and Insulin Production

And who is in charge of the liver and pancreas? Our entire physical body is controlled by an ancient and ridiculously simplified system - the reptilian brain.
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When the dominant of resistance steadily exists in the subconscious, then resistance itself requires a lot of physical strength- this is how the reptilian brain understands this setting literally. As a result of the signals from the reptilian brain, the hormonal cocktail in the body itself is being restructured.

If you need strength to resist, which means carbohydrates are needed because they provide energy, then in the system, under the influence of signals from the reptilian brain, the quantitative production of insulin decreases. After all, it is insulin that, according to its purpose, regulates the utilization of carbohydrates.

If there are a lot of them with food, then it creates glycogen stores in the liver, or fatty layers in the subcutaneous tissue.

And then, no matter how much we reduce carbohydrates in the diet, sugar will rise. Because the islets of Langengars will be reconfigured to a regime of ever-decreasing insulin release. And, instead of removing the stable paradigm of resistance, we will inject exogenous insulin into the body, which does more harm than good.

A person can be actively and effectively helped with the restructuring of consciousness and subconsciousness. There are special programs of psychotherapeutic work that lead a person to a direct and conscious path of true recovery.

This work involves more than just "managing" diabetes with strict diets, insulin, and carb counting. After all, all this, paradoxically, in itself contributes to the further development and "prosperity" of the disease in the body. It turns out that we devote all our attention, and therefore energy, to the disease, and not to those methods that will lead to health.

It turns out that everything is simple: in order to get rid of DM2, we create conditions for health, i.e. we direct all attention, all actions and energy to gaining health - then the disease leaves such an organism.

Illness is where there is psychological unconsciousness.

If you have the intention to take responsibility for your life and for your illnesses on yourself, and not shift it to those who benefit from your illness, then contact specialists who will help you gain the necessary awareness.

Watch the video where Dr. Ermolenko explains the causes and treatment of type 2 diabetes:

It is very important not to exclude fats in the diet. Especially for breakfast, because thanks to fat, the gallbladder valve will open and morning bile will enter the duodenum, from where it will be brought out along with oxidized cholesterol, carcinogens, dyes, excess sugar and estrogens and other toxins.

From the foregoing, it is clear that in case of diabetes mellitus 2, for its successful cure, you need to rebuild mentally, find the most valuable realizations for yourself at the psychological level. And only then can you confidently move towards real recovery, following the doctor's instructions.

Dr. Boris Skachko has been treating diabetes for over 25 years and has published 5 books on the treatment of this disease. His approach to the treatment of type 1 and type 2 diabetes is similar to that of the doctors I mentioned above.
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Why is diabetes mellitus recognized as an incurable disease in official medicine?

When the level of sugar in the blood rises, the danger increases, since sugar impregnates red blood cells, as a result, blood viscosity increases sharply, and passing through the capillaries, this red blood cell clogs the capillary and the most dangerous complication of diabetes appears - diabetic angiopathy.

Official medicine presses blood sugar, reducing its level. And it doesn’t matter if it’s type 1 diabetes, when there is simply not enough insulin and replacement therapy is in progress, or if it’s type 2 diabetes, when sugar is sent to the cells (and they are not the most powerful consumers of glucose).

In both cases, the level of sugar decreases and with it the risks decrease. Therefore, official medicine has declared both types of diabetes incurable diseases, and accompanies a person, reducing health risks and danger to life today.

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That is, official medicine does not cure the disease - it has one goal - to reduce the danger of high sugar levels for life today.

When synthetic drugs are prescribed for type 2 diabetes, they cannot improve the most important distributor of glucose, the liver. Metabolic control, including carbohydrate metabolism, depends on the liver.
So the main task of the doctor in diabetes is to improve liver function. It takes 2-4-6 months to restore the liver. As a result, 80% of people get out of diabetes, as the liver and carbohydrate metabolism are restored.

DM2 is an indicator of poor liver function, DM1 is an autoimmune disease. What to do?

Dr. Skachko believes that type 2 diabetes is most often not an independent disease, but a symptom complex associated with poor liver function, in which almost always fatty liver and steatohepatitis present(the transitional phase of the disease from steatosis to cirrhosis, the pathology affects the cells of the liver tissue, expressed as an inflammatory process that develops on the basis of fatty degeneration). It is during the treatment of these diseases (phytopreparations, physical activity and diet) that CD2 gradually disappears later.

In type 1 diabetes, Dr. Skachko can also help - this is an autoimmune process that depends on the purity of the blood: dirty blood - there is an autoimmune process, pure blood - the autoimmune process is disappearing somewhere.

Cleansing the blood is a little more difficult than rebuilding the liver. Why? There is no way to control the purity of the blood in real time: the blood is either cleaner or dirtier, so insulin will jump up / down. But the condition will still be better and DM1 will stop at a relatively small dose of insulin.

A direct complication of diabetes is diabetic angiopathy, and the consequence is vascular atherosclerosis. Why? Because the cells, not getting their sugar, switch to fats - atherosclerosis develops in the vessels, which is also easy to prevent by improving liver function.

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Therefore, if you think that you need lifelong treatment, maintenance of diabetes mellitus, you turn to doctors of official medicine, if you want to get out of diabetes, reduce its complications– contact Dr. Skachko Boris directly for a consultation at tel. +38067-9924062 (Kyiv).

Dr. Skachko will teach:

• how to determine if you have diabetes
• What are the 4 things you need to do to avoid diabetes?
• What are the 5 things you should do if you already have diabetes and want to get rid of it?

How to check if you have diabetes at home

Like any disease, diabetes presents with symptoms and signs. There are a number of indicators to pay attention to:

1. Dry mouth is one of the main indicators of diabetes. Sugar loves water very much and the higher the blood sugar, the more water it retains in the bloodstream. A person sweats less in the summer heat - water is not excreted from the body (you overheat more easily).

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Less water is excreted through the respiratory organs, sputum thickens and any respiratory diseases can worsen, starting with banal chronic bronchitis, ending with bronchial asthma or pneumonia.

But still, these same signs may not be associated with an increase in blood sugar - you could just eat something salty, canned, sausage - the symptoms will be similar, but diabetes has nothing to do with it. Maybe they just forgot to drink water.

2. Polyuria- another indicator, later than dryness, when sugar rises more than 10 millimoles / liter (the norm is about 4-4.5 units). Dryness is an earlier indicator, polyuria is a later indicator of the development of the disease.

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There is a renal glucose barrier, and when blood sugar rises above 10 millimoles per liter, it begins to cross the renal barrier and enters the urine, dragging water with it. There is frequent and copious urination, especially at night.

Frequent urination can also be observed during exacerbation of chronic cystitis, prostatitis, urethritis, but in these cases it is not abundant. The irritated system reacts to a few drops of urine as if there is a huge amount of fluid in the bladder.

The described diseases can be differentiated by testing the daily dose of urine for sugar and if sugar is suddenly found in the urine, it means that there were cases when its level exceeded 10 units. Previously, with such a level of sugar, a person was given up as a bad job - the doctors did not know what to do. Today, this is not a fatal diagnosis upon its establishment, but it is very dangerous for its complications.

How to avoid diabetes: control 4 indicators (recommendations of Dr. Skachko)

Dr. Skachko recommends taking control of 4 important indicators that determine whether you will have type 2 diabetes or not.
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What needs to be controlled:

1. emotional stress
2. physical stress
3. food stress
4. know the hereditary power of the liver

Now about each a little more.

As soon as a person gets into a stressful situation, energy is needed to get out of it. The simplest energy is carbohydrates. That is why blood sugar levels rise.
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If in a stressful situation this is a blessing, it saves a person's life, then in the future it is a problem, because the level of glycosylated hemoglobin rises. It affects the patency of blood vessels, metabolism and aging of the body.

The second indicator that grows is the level of cholesterol in the blood. In a stressful situation, this is good, since cholesterol is necessary for the repair of cells, which in such a situation are destroyed more often, but in the future, the threat of the development of atherosclerosis of the vessels is visible on the horizon.

Also, stress usually increases the level of blood pressure, heart rate, respiratory rate, muscle tone, which also leads to certain health problems.

The problem here is in a person's attitude to stressful situations. By changing the attitude towards stress, the risks of the problems listed above are removed, and most importantly, the possibility of such a diagnosis as type 2 diabetes disappears.

Physical stress is the number two factor that needs to be controlled in order not to get into T2D.

If a person does not use his muscles to the full extent and the musculoskeletal system is inactive, then his muscles cannot help control the level of sugar in the bloodstream and reduce it by their work, using the reserves in the liver in the form of glycogen.

An active and mobile lifestyle is an excellent prevention of diabetes.

Only there is physical stress with a “+” sign, when too much load on the body in the form of running, sports equipment, exhausting exercises in the gym - this threatens health. And there is physical stress with a “-” sign, or simply hypodynamia.

Both overload and inactivity cause physical stress.
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The third factor that must be controlled in order to avoid type 2 diabetes is nutrition.

If blood sugar has risen, then a person eats incorrectly.. You can reduce sugar at home and switch to the so-called therapeutic fasting. A day / two and sugar will be normal. The metabolism will pick up this sugar from the bloodstream and use it.

In this situation from food stress overeating a person gets into food stress malnutrition. Many people live in such a swing: they ate - the sugar rose, they were hungry - the sugar fell - and again in a circle. There is a plus in this technique - you yourself and at home have reduced sugar.

But there is a big minus - when raising blood sugar, the level of glycated hemoglobin has risen, and it is not so easy to lower it - it will fall only after three months. And for all three months, hemoglobin will “slip” in the capillaries and slow down the metabolism due to the low speed of moving through them, and - as a result - a lack of oxygen and slow burning of food. This process leads to aging.

Here it is important to understand that both overeating and fasting lead to food stress.
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How to eat right: fractional portions, 5-6 times at regular intervals.

listed above three factors belong to a healthy lifestyle. The last factor is not up to you - it has to do with what kind of metabolic brain you received from your parents.

This factor reflects the lifestyle that your parents led 3-4 months before your conception. If you got a strong liver, then the three factors listed above are not so important.

You have probably met people who lead an active emotional lifestyle, associated with powerful regular stresses against the background of irregular nutrition, against the background of physical inactivity, and their sugar level does not exceed the norm, as well as cholesterol levels. These people were lucky - they received an excellent biochemical brain - the liver. It all depends on how well it works in the body.
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It doesn’t even matter here whether it is absolutely healthy or whether there is a phenomenon of fatty hepatosis or gallbladder dyskinesia - even under these conditions, a good liver will cope with metabolism and sugar levels in the bloodstream will be good.

Often there is a different situation: the liver got weak and the person does not seem to worry about life, and has a nutrition system, and moves actively - and the blood sugar level is elevated, as is the cholesterol level.

What to do, how to cure type 2 diabetes

Many people, fulfilling the three factors listed above, but having a weak liver, have entered into this difficult disease - type 2 diabetes. This is confirmed by tests and the blood sugar content is above 4.5 mmol per liter.
What steps need to be taken to get out, get rid of the disease:

• decide
• audit the power system
• control the duration of the meal
• physical and mental activity
• patience or consistency in following recommendations

Now let's talk about each indicator separately.

The most important factor is to decide to change your lifestyle, to decide to change it or not.
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The test will help you with this - a very simple indicator of the state of the vessels, which you can take right now.

The test for the condition of the vessels is simple: lift the trouser leg on your legs and look at them. If you find chic vegetation there that has not changed throughout your life, and cosmetologists regularly recommend depilation - your blood vessels are in excellent condition and you can just watch your body - everything is in order with it.

If the hair has thinned, this indicates the level of metabolic support. Hair just does not fall out - they do not have enough nutrition, which is associated with the state of blood vessels. The same applies to hair on the head.
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What difference does it make where the hair falls out - on the legs or on the head? This is an indicator that the blood is empty and does not reach the hair in the right amount - that's why they fall out - there is not enough nutrition. Vessels in diabetes or impaired glucose tolerance, when the sugar level has risen above 4.5 units, do not create a cosmetic defect, but a danger to life.

Hair loss is the first stage of vascular damage.. Further - the healing time of ulcers and wounds is lengthened. If nothing is done, they generally stop healing and trophic ulcers and wounds appear. The last stage - gangrene develops(death of tissue).

In diabetes mellitus, gangrene is dry, not wet. Dry gangrene is not life-threatening in itself - ulcers are more dangerous than tissue destruction, since they absorb the destroyed cells into the bloodstream. And this is a blow to the kidneys, which, with diabetes mellitus or impaired glucose tolerance, do not work in the best way - they have the same situation with the vessels, only this is not yet visible.

Therefore, it is so important to make a decision to change your lifestyle and take care of your health.

Conducting an audit of the power system is the second and very important step. The level of sugar in the blood rises from a banal reason - a person simply overate. When the metabolism is compromised, it is necessary to pay attention to the amount and frequency of meals throughout the day - 2-3 times is clearly not enough.

In such a situation, the frequency of meals should be increased to at least 5 times a day: the first meal no later than an hour after bedtime, the last meal - an hour and a half before bedtime.
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With such a nutrition system, the peaks of sugar increase will be much smaller and smoother, it will be easier for the metabolism to control blood sugar levels and not get into complications.

When diabetes is accompanied by a number of diseases of the cardiovascular system: hypertension, vascular atherosclerosis, coronary heart disease, heart defects, vegetative-vascular dystonia, then the number of meals should be increased to 6-8 times.

In this situation, to what extent the sugar level will rise is of secondary importance - of primary importance is the volume and viscosity of the blood, which increase after each meal. The dangers of high blood sugar are still in the future, and the dangers of high blood viscosity are already there.

In addition to increasing the frequency of food intake, it is necessary to control the amount of food taken throughout the day. This is done by reducing the amount of food in the serving that is taken at one time. Volume reduction occurs due to carbohydrate restriction.

There are times when a person ignores the advice to increase the frequency of meals and reduce the amount of food consumed and the metabolism continues to deteriorate.

In this case, a rigid diet looms ahead, which takes into account the glycemic index in food. This is a necessary step to help your metabolism rehabilitate - to the extent that it is possible.

It is necessary to observe how much time has passed from the beginning of the meal to its end. It should take no more than 10 minutes (less possible).
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This is of great importance, since the level of sugar with which you sat down at the table for the first 10 minutes does not change. It may go down a little, but cannot rise- nothing: the food has not yet been digested and has not entered the bloodstream.

At the tenth minute you should start physical activity- small in intensity. In this case, the muscles begin to more actively use the sugar that is already in the blood, and it continues to actively decrease.

As soon as the food is digested and enters the bloodstream - and the muscles are already working - and they do not allow sugar to rise too high in the bloodstream. In this case, after each meal, your sugar will decrease and decrease - no matter how paradoxical it sounds.

You can connect one more component: in addition to light muscle activity, turn on mental work, remembering, for example, the multiplication table or solving simple arithmetic problems. This must be done without a state of stress - easily and with pleasure, connecting a positive emotion, in a calm mode.

In this case, two factors already work to lower blood sugar levels and improve metabolic processes in the body: the muscles help lower sugar levels, and the brain, consuming 20% ​​of the blood.
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A little physical activity not only reduces blood sugar, it improves blood circulation in the body as a whole: and the delivery of nutrients to all cells, including cells of the pancreas, liver. Improves digestion and the general condition of the body - if everything is done correctly.

The duration of the load is 30-40 minutes (less is not worth it, more is possible). With this approach, the main organ, the metabolic brain of the body, the liver, will be restored. Such a nutrition system is suitable for the liver, and such a mild improvement in blood circulation, which will allow it to recover better and participate in metabolic processes.

If you are doing everything right, then your speed towards diabetes has slowed down and you need another important component.

Approximately 4-5 months is necessary for the body to restore the metabolism in the body - or rather, to restore the liver.

Nuance: restoration of the liver (appearance) and restoration of the liver (a characteristic of its participation in the exchange) are two different things.

When they look at the ultrasound of the liver and say that there are such and such changes - these are external indicators, and they are not as important as biochemical indicators that reflect how the body's metabolism (liver function) is regulated - they are more important than appearance liver.

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It is possible to speed up the recovery of the liver with classical hepatoprotectors (seeds of milk thistle, saltwort or preparations based on them. But they have one feature - they are focused on the protein-synthetic function of the liver including, and this is fraught with ...

And this is fraught with an increase in blood viscosity and a load on the heart and blood vessels, which, with prolonged use of drugs (and they need to be taken for months), can seriously disrupt the functioning of the heart and blood vessels. To prevent this from happening it is recommended to improve the functioning of the liver with sets of medicinal plants. Herbal mixtures are individually selected by a phytotherapist, taking into account the initial state of the liver and concomitant diseases.

I suggest watching a video with Dr. Skachko's explanations about diabetes:

Here is an overview of three highly qualified alternative medicine doctors for diabetes.

Personal experience in the prevention of type 2 diabetes

I’ll clarify right away: I don’t have type 2 diabetes, but no one is immune from it, and I do everything so that my endocrine system and liver work normally - after all, I’m already 60 years old.

1. I take dietary supplements. I prophylactically take a number of food supplements from the Ukrainian company Choice. I take it regularly, but they are different. A chromium-containing additive that few people pay attention to is Norm. The name itself speaks of its effect on the metabolism in the body. A good prevention of type 2 diabetes is to take two phytocomplexes: in the morning - Dynamics, in the evening - Balance (anti-stress complex).

The most effective and effective nutraceutical for diabetes is F. Active (Enzyme-Active), thanks to which you can gradually significantly reduce the dosage of insulin (some have completely stopped injecting it).
Prophylactic course of taking every six months - 45 days in the morning and 1 capsule in the evening. Therapeutic intake - 2 capsules before each meal. The main active plant is stevia and. If it is not possible to buy F.Active - follow the link above and read about Jerusalem artichoke - take it as described in the article.

To support the liver, I drink Lifsafe every quarter - in the morning and in the evening, 1 capsule for 30 days. It contains milk thistle along with a set of medicinal herbal mixtures.

Also in spring and late autumn I do it for myself for 7 days - its effect on the body can hardly be overestimated. How to make a decoction - learn from the article about it.

Once every 6 months I clean the blood with the Freelife or Chitosan phytocomplex. It turns out that every month I take at least one drug to avoid DM1 and DM2.

2. Physical exercise I have feasible and regular thanks to the dogs that you want - you don’t want, but you have to walk. Walking three times a day helps to avoid hypodynamia.

3. mental stress also regular - I'm constantly learning something new, I run three sites.

4. Nutrition. This is a little more difficult, but I track the restriction in the consumption of sweets. I eat my main meal in the morning and afternoon. I also try to stick to fractional nutrition (not always possible, to be honest).

Consider the point of view below. official medicine for the treatment of type 2 diabetes.

Official medicine: Type 2 diabetes diet and treatment, what you need to know about diabetes

The following describes the attitude of official medicine to such an insidious disease as type 2 diabetes, the diet and treatment of which worries many, shows the possible causes and symptoms, what are the complications, who is at risk, and also describes several treatment options and diets that you can use. at home.
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What is type 2 diabetes and its possible causes in official medicine

Diabetes mellitus - the Latin name diabetes mellitus - is a chronic, endocrine-metabolic pathology characterized by insulin deficiency. In diabetes, the exchange of water and carbohydrates in the body is disturbed. The pancreas malfunctions. The amount of insulin (pancreatic hormone) decreases, as a result of which the amount of glucose in the blood increases. This condition is called hyperglycemia.

In diabetes, a large amount of glucose circulates in the bloodstream. Normally, the body maintains glucose levels in a narrow range of 3.5 - 5.5 mm / l, depending on food intake and time of day.

With a lack of insulin, which ensures the delivery of glucose to the cells of the body, it settles in the blood, and all systems and organs of the body fail. Cells do not receive the necessary nutrition and energy. The body can not cope with the retention of water in the cells and there is an increased excretion through the kidneys.

The main causes of type 2 diabetes

Type 2 diabetes mellitus often manifests itself in adulthood due to metabolic disorders and chronic pathologies of the pancreas. Currently, the disease is “younger”, and it is often diagnosed in young people and children. It contributes to:

• obesity - the risk increases by 5-6 times
• coronary heart disease increases the risk of the disease by 2 times
• hypertonic disease
• lipid metabolism disorders increase the risk by 2 times
• unbalanced diet
• ethnicity
• sedentary lifestyle, lack of exercise
• burdened by diabetes heredity
• pregnancy
• stress, psycho-emotional stress
• uncontrolled use of drugs (diuretics, corticosteroids, hormones)

These reasons are valid for both adults and children. It should be noted that women get diabetes more often than men. This is due to the hormonal background, monthly cycles and menopause.
Overweight men almost always suffer from type 2 insulin deficiency.

Currently, it is believed that the incidence of diabetes is associated with the specific lifestyle and socio-economic conditions.

Classification of diabetes mellitus, mkb–10

According to the ICD - 10, type 2 diabetes mellitus is classified as class IV - diseases of the endocrine sphere and metabolic disorders, and is coded with the code E 11.

To understand the disease, you need to familiarize yourself with the classification. Since 1989, the following clinical forms of diabetes have been distinguished:

1. insulin dependent or type I- occurs with absolute insulin deficiency, has a genetic predisposition, occurs in children or at a young age up to 30 years
2. non-insulin dependent or type II- resolves with relative deficiency of insulin, more common than the first, begins in adulthood, usually after 40 years
3. secondary or symptomatic- after taking medications, physical activity, congenital genetic defects
4. gestational diabetes(gestational) - requires treatment with a diet, sometimes with insulin, disappears after childbirth

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Differences between diabetes m.1 and type 2, in that in the first episode the pancreas does not produce insulin, and in the second episode it is produced, but its use by the body is impaired.

There are degrees of severity of diabetes:

• prediabetes- characterized by a violation of carbohydrate metabolism, detected only after exercise tests with glucose
• light- fasting glucose level 6.7-7.8 mm / l, eliminated only by diet
• average- fasting glycemia 7.8 - 14 mm / l, eliminated by hypoglycemic drugs
• heavy- fasting glycemia more than 14 mm / l, insulin therapy is required for treatment

The course of the disease with the presence of complications should be classified as severe. If the disease is recognized at an early stage, then it will be possible to cope with diabetes without the use of insulin therapy.

In addition, there are 3 criteria for compensation (treatment) of diabetes diabetes: compensation, subcompensation, decompensation.

Compensation - maintaining the glucose value corresponding to normal values ​​\u200b\u200b(3.5 - 5.5 mm / l). The stage of subcompensation is characterized as an intermediate stage between compensation and decompensation. When glucose levels are above 9.0 mmol/l, decompensation is diagnosed. It threatens the risk of complications.

Disease symptoms and diagnosis

Often for a long time, diabetes does not make itself felt and is detected by chance when visiting a doctor. The figure shows the most common symptoms, and just below there are many more.
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There is a set of signs that you need to focus on in the first place:

• increased thirst and appetite
• efficiency decreases
• worries about severe itching of the skin
• women experience itching in the perineum and genitals
• reduced firmness and elasticity of the skin
• dry skin is noted, the mucous membranes of the lips dry, the tongue is dry
• an unhealthy blush appears on the cheeks, on the forehead
• there is an expansion of the subcutaneous capillary network
• the amount of urine excreted increases up to 3-5 liters per day, its specific gravity increases, urine becomes sticky
• exhaled air acquires the smell of acetone
• pain in various parts of the abdomen
• protein and fat metabolism in the body is disturbed
• at the initial stage, especially in young people, body weight may decrease
• a significant increase in blood glucose
• brown pigmentation appears on the skin of the legs, plaques and scarring are possible
• at the height of the disease, thickening of the foot, ankle joint is possible
• possible risk of subluxations, dislocations, bone deformities
• there is a decrease in sensitivity, muscle strength, reflexes, numbness of the lower extremities, chilliness, atrophy of the calf muscles appear

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The intensity of the severity of symptoms depends on the level of decrease in insulin secretion, the duration of the disease and the subjective characteristics of the person.

Diagnostics

If you regularly notice these two signs of dry mouth and polyuria, what needs to be done to confirm or refute these guesses that have arisen at home? Of course, it is better to take tests and use them to check the real level of glucose in the blood that you have.

When diagnosing sugar pathology, it is important to establish the type and degree of the disease. Assess the general condition and identify associated complications.

During the initial examination, the doctor assesses the general condition of the skin and subcutaneous layer. Evaluates patient complaints.

If type 2 insulin deficiency is suspected, the following examinations and tests are recommended:

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As additional examination methods appoint:

1. general clinical blood test and general urinalysis
2. urinalysis for glucosu, acetone, ketones, glucosuric profile
3. biochemical analysis of blood serum - glucose, lipid spectrum, urea, creatinine, transaminases, total protein
4. fundus examination
5. examination of the lower extremities
6. kidney, pancreas, liver scan

In addition to laboratory research methods, the patient is prescribed a consultation with an ophthalmologist and a neurologist. After the examination and the confirmed diagnosis, the tactics of treatment are determined.

Complications diabetes

The metabolism of not only carbohydrates is disturbed, the metabolism of proteins, fats, vitamins, micro and macro elements flies. It turns out a metabolic failure at the level of the whole organism due to the fact that the main energy substrate for the work of our cells - sugar - is used incorrectly by the cells. In such conditions, the body is forced to reorient energy from environmentally friendly fuel - from carbohydrates, to more dirty - fats or proteins.

In the first case, with the complete combustion of carbohydrates, carbonic acid H2CO3 is formed, which, when it enters the bloodstream, occurs alkalization of the blood. If the energy of the body is reoriented from carbohydrates to fats, ketone bodies enter the blood - aggressive and very toxic substances that are not easy to remove from the body in such quantities.

Energy metabolism should focus more on carbohydrates and to a lesser extent on fats and proteins.

Poorly compensated diabetes mellitus disrupts the state of blood vessels and, as a rule, heart attacks, strokes, diabetic foot, diabetic angiopathy, diabetic retinopathy (tube vision with a viewing angle of 1-2 degrees) - diabetics today die from these diseases.

Type 2 diabetes mellitus without timely, adequate treatment can lead to a number of serious complications that are dangerous to the health and even life of the patient. Complications are associated with metabolic disorders and a decrease in resistance. Likely:

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At children delayed physical and sexual development. Growth retardation is noted. At a young age, pulmonary tuberculosis and tuberculous lymphadenitis are frequent complications.

At women menstrual irregularities occur men there is a decrease in sexual potency. Women are at risk course of pregnancy, there is a risk of spontaneous abortion and premature labor. childbirth may result in coma or be complicated by renal pathology. The fetus may die during childbirth from hypoglycemia (a small amount of glucose in the bloodstream).

Type 2 diabetes diet and treatment, watermelon for diabetes

Finally, we come to the most important thing that a patient needs to know about diabetes mellitus, the diet and treatment of which are aimed at achieving and maintaining stable compensation, maintaining working capacity, maintaining optimal body weight, and preventing complications.

Let's start with the fact that you should not be afraid of the diagnosis - diabetes. With timely diagnosis, compliance with all recommendations, and treatment, you can “agree” with him and live a long life. Truth, you will have to completely change your lifestyle - this is the basis of treatment.

Endocrinologists have developed a peculiar algorithm for the treatment of type 2 insulin deficiency:

1. balanced diet- diet 9, which involves reducing the consumption of simple carbohydrates (sugar, white bread, sweets) and switching to complex carbohydrates (fruits, cereals), table 9 should be low-calorie (1800 calories per day for severe illness, up to 2500 calories for mild and middle form)
2. obligatory physical exercise
3. hypoglycemic agents
4. learning and self-control, you need to learn on your own, measure the level of glucose individually glucometer check the frequency of measurements with a doctor, control weight and diet, find out the features of the manifestation of the disease, familiarize yourself with the correction of sugar-lowering drugs

You will have to completely change the diet for diabetes, this is an important part of therapy. It contributes to a change in metabolism and drug treatment. At the same time, the style of eating is gradually changing, taking into account individual characteristics and preferences.

First of all, you should realize the importance of proper nutrition and your role in maintaining your own health. The basic principle of nutrition: eat often - lose weight slowly be sure to follow this principle.
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You need to eat 4-6 r per day, this allows you to maintain a stable glucose level throughout the day. You can lose weight by 300-400 grams per week, more is undesirable, otherwise protein breakdown occurs. The diet for insulin deficiency is aimed at:

• if you are overweight, limit your calorie intake
• starvation and severe food restriction is contraindicated
• limit salt in the diet
• limit animal fats and sugars as much as possible
• without restrictions, you can consume foods rich in fiber with a high water content (vegetables and fruits), you should only limit the consumption of watermelon (due to the high content of sugars in it), although you should not completely refuse it
• if you can’t do without sweets, moderate consumption of sweeteners is acceptable
• limit alcohol (no more than 30 ml per day), its use increases the possibility of hypoglycemia
• to avoid hypoglycemia, always carry a candy with you, if necessary, you can eat it
• include in the diet dairy and whole grain products, as well as foods rich in mono and polyunsaturated fatty acids (fish of all varieties except fatty, vegetable oils)

Counting "bread units" for patients with type 2 diabetes is not required, just pay attention to the calorie content of foods.

Another important component in the treatment of diabetes is physical activity. You can't underestimate her. Many do not see the need for it and find a lot of reasons not to move. Physical activity:

• improves carbohydrate metabolism
• allows you to reduce and maintain a constant weight
• contributes to the normalization of lipid metabolism
• improves cardiovascular fitness

Loads are selected by the doctor personally, taking into account age, concomitant diseases, the presence of complications. Outdoor activities are recommended. The main thing to remember is that it is not the intensity of the loads that is important, but their regularity.

Drug therapy, general principles

If the problem could not be eliminated by diet and physical activity, drug treatment is prescribed. Drugs are prescribed individually, as well as dosage and frequency of administration. Depending on the degree and severity of the course of the disease, hypoglycemic drugs are prescribed orally or insulin injections.

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The selection of drugs is carried out by a doctor under the control of laboratory examinations. Usually, therapy is started with monotherapy with one drug, with insufficient effectiveness, they switch to combined treatment or insulin.

The choice of sugar-lowering agents in our time is quite wide. Main groups:

1. sulfonylurea derivatives- the most commonly used, stimulate the secretion of insulin, and at the same time reduce resistance (resistance) to it in peripheral tissues, the drugs are well tolerated, their common representatives
   • Glibenclamide(Maninil, Euglucon) - take 1 t (5 mg) in the morning and evening, common in Europe
   • tolbutamide- take up to 3 r per day, short duration of action, popular due to the small number of side effects
   • Chlorpropamide (Diabenez)- a drug with a long duration of action, taken 1 r in the morning, has many side effects, including prolonged, difficult to eliminate hypoglycemia
2. biguanides- their representative Metformin, increases the sensitivity of peripheral tissues to the hormone, against the background of drug therapy, the need for insulin decreases, weight decreases
   • Metformin (Siofor, Diformin, Glucophage)- take 2-3 r. with meals. in a day
3. thiazolidinone derivatives- increases the activity of insulin receptors, reduces glucose and normalizes lipids, representatives - Troglison, Rosiglitazone
4. α inhibitors- glucosidases slow down the absorption of carbohydrates in the digestive tract, reduce the need for insulin, these are Miglitol, Glucobay
5. incretins- a group of new generation products that accelerates the production of natural insulin and promotes the release of glucose from liver cells Januvia, Galvus, Saksagliptin- potent drugs, without contraindications, use 1 time in the morning
6. glycemic regulators
   • Novonorm- a fast-acting remedy with a short-term effect, the insulin response occurs 30 minutes after eating, the drug is not taken without food
   • Nateglinide (Starlix)- take before meals 120 mg three times a day

With combined treatment, 2 or more drugs are used at once. As a result, it is possible to avoid complications and delay the use of insulin injections for a long time. There are many modern combined drugs.

Glucovans one of them. This is a balanced combination of glibenclamide (2.5 or 5 mg) and 500 mg of metformin in one tablet. The drug is characterized by good bioavailability, its intake reduces the amount of glucose more effectively than its components in monotherapy. Glucovans is selected by the endocrinologist personally for each patient.

The drug is prescribed for the ineffectiveness of monotherapy with glibenclamide or metformin. Take it with meals. The initial dose is 1 tablet 500/2.5 mg, followed by adjustment, but not more than 4 tablets per day. This is a modern unique remedy, highly effective in small doses with a convenient reception.

insulin therapy in the treatment of diabetes, it is required when tablet therapy is ineffective - when therapy with a diet and sulfonamides did not lead the glucose level to optimal numbers. According to WHO, after several years of illness, a significant proportion of patients require insulin injections.

The worse the patient controls the disease (does not follow a diet, forgets about physical activity and stress, does not regularly take sugar-lowering drugs), the more likely and faster insulin therapy will be prescribed.

With glycemia ≥15.0 mm / l for a long time, insulin therapy is always prescribed. Begin treatment with small doses of the drug. Insulin has a positive effect on carbohydrate, lipid and protein metabolism. Effectively reduces the concentration of glucose.

The dose is calculated individually. A single dose should not exceed 30 IU. More often, short-acting insulin is prescribed, which is administered several times a day. It is possible to introduce prolonged insulin (long-acting), it is administered 1 time per night. The interval between food intake and injection is no more than 30 minutes.

The injection is made by the diabetic independently, subcutaneously, using a syringe pen. Usually the injection is made in the abdomen or outer thigh.

I suggest watching a video about drug treatment of type 2 diabetes.

Foods for Diabetes: Do's and Don'ts

For diet number 9, a specific low content of fats and simple carbohydrates, with an increased content of proteins. So, the composition of the dishes should contain no more than 400 grams of carbohydrates, which are distributed evenly throughout the day, 70-90 grams of fat, and more than 100 grams of protein. Dishes for table number 9 are steamed or boiled and baked.

Despite the strictness in nutrition, the range of products is diverse. But with certain requirements. For example, bread should be made from whole grains, soups are cooked in vegetable broth. You can use low-fat meat, but the fat skin should be removed from poultry.

The food table for type 2 diabetes clearly represents what you can eat, what you need to limit, and what you can’t categorically:

Green light: use without restrictions: Cucumbers, tomatoes, peppers, carrots All varieties of cabbage, radish, turnip, radish Eggplant, zucchini, green beans Any leafy greens, mushrooms Garlic, various varieties of onions Coffee, unsweetened tea, water

Yellow light: limit the use of: Dairy products with a fat content of less than 1.5% Cereals, corn pasta, bread Potatoes, legumes (lentils, beans, peas) Cheese ≤ 30% fat Cottage cheese ≤ 5% fat, sour cream ≤ 15% Lean meat, fish, poultry, eggs Vegetable oils

Red light: not allowed: Drinking dairy products with a fat content of more than 1.5% Ice cream, chocolate, sweets, pastries, cakes Fatty meat, offal, sausages, sausages, sausages Salo, natural butter Cream, sour cream fatter ≥ 15% Canned food in oil, pates Cheeses with a fat content ≥ 30%, mayonnaise Alcohol, tobacco

In addition, salted and pickled foods, smoked meats, sweet and carbonated foods are not allowed. In small quantities, you can eat honey with caution, it will cover the body's need for useful substances and vitamins. But do not forget at the same time, as with the use of watermelon, to control the amount of glucose in the blood with a glucometer.

The main thing to learn is that everything, including nutrition, needs to be approached individually. What is good for others may harm you, and vice versa.

Fruits in diabetes should also be consumed with caution. Melon, due to its high sugar content, is an undesirable product. Endocrinologists are unanimous in their opinion that grapes and cherries are categorically contraindicated in type 2 diabetes.

Unlimited use of green sweet and sour apples, pears, lemons and grapefruits. They contain a lot of vitamin, vegetable fiber, dietary fiber, micro and macro elements. They have a good effect on the digestive tract and promote weight loss.

You can diversify your menu with vegetables, including tomatoes, both raw and cooked. They are low in calories, low in sugar (only 2 g / 100 g), but rich in vit D, C, B.

Despite the prohibitions, the list of permitted products is quite diverse. And it will not be difficult to make an approximate menu from all this.

First breakfast : porridge from any cereal (buckwheat, oatmeal, wheat), tea without sugar, it can be replaced with a sweetener, but it’s better to just get used to not sweet drinks.

Lunch: boiled beetroot salad, without salt or with a little salt, beetroot can be replaced with an apple.

Dinner : vegetable broth soup with meatballs, a slice of rye bread, buckwheat porridge with olive oil, rosehip broth.

afternoon tea : cottage cheese with sour cream 150 grams or tomato juice, or cheese with bread.

Dinner: boiled fish or fish soup, bread, tea.

Second dinner : low-fat kefir 200 ml.

Meals should be freshly prepared, from good products. Food should not be hot, taken at the same time.

Taking this menu as a basis, you can come up with many recipes to diversify your diet. You adapt very quickly to such a diet, and everything no longer looks so scary.
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It is known that diabetes affects the skin, eyes, oral cavity, lower limbs. So you need to know how to help them.

How to avoid eye problems with diabetes

To avoid the damage that poor eye management (treatment) of diabetes can cause to the eyes, one should:

• regularly measure blood glucose readings, make sure that the results do not exceed the acceptable levels for your condition
• monitor blood pressure (pressure)
• visit an ophthalmologist 2 times a year

Do not wait for a scheduled visit if there are painful sensations and redness in the eyes, if vision has become blurry or double, if there are "flies" before the eyes or flickering dots, with difficulty reading, with loss of peripheral vision.

Don't strain your eyes. Try to watch TV less often, watch the lighting while reading. Timely contact with a specialist will help preserve vision.

oral care

Brush your teeth at least 2 times a day, ideally after each meal, use dental floss. If you wear dentures, carefully monitor their hygiene.

Constantly monitor the condition of the gums, make sure that they do not bleed, are not swollen, there are no ulcers. Visit the dentist twice a year, sanitize the oral cavity in a timely manner.

Skin care

With DM, the skin becomes prone to itching and dryness. Moisturize it so that there are no cracks and no skin infections. Drink enough liquid. Enter into the diet omega-3 and - 6 acids (non-fat varieties of red fish, flax seed, vegetable oil, leafy vegetables, nuts).

Take a warm shower. Make sure that there are no wounds or cuts on the skin. When they appear, immediately treat them with chlorhexidine and apply a sterile bandage. If the size of the affected focus is large, contact a medical facility for help.

Feet care

The legs are the most commonly affected. Wounds do not heal well and often in the absence of timely assistance can lead to amputation. Make it a habit to check your feet daily. Control the sole, feet, interdigital space, nails. Concentrate on blisters, calluses, swelling, red dots.

Wash your feet every day with cool water (up to 37º), with moisturizing soap. Water procedure should not be long. Dry your feet with a soft towel, paying attention to your toes. Use moisturizers, avoiding areas between the fingers.

Watch your nails. To avoid injury, use files, not scissors. Seek medical attention immediately if any wounds appear. Don't try to treat them yourself.

Protect your feet from both heat and cold. Don't heat them up. Wear comfortable, well-fitting shoes made of soft leather. Carefully break in new shoes so as not to injure your feet, avoid blisters.

Wear socks made only from natural fabrics (cotton or wool). Make sure that there are no wrinkles in shoes and socks that can injure your feet. Do not wear open shoes. Once a year visit a specialized office "diabetic foot".

Preventiondiabetes

To avoid the disease, prevention should begin long before you have the first signs. Main measures:

1. control your weight
2. the formation of a proper balanced nutrition system, maintain a normal water balance, be sure to drink at least a glass of clean water before meals
3. make water your main source of fluids
4. Eat a plant-based diet, limit alcohol intake, stop smoking
5. avoid stress, do not communicate with bad-minded people
6. monitor your blood pressure
7. do not forget to move, physical activity will help keep carbohydrate metabolism normal and maintain a normal weight, walk in the fresh air for min 30 minutes a day
8. do not allow deficiency of vit D in the body, it reduces the risk of diabetes by 40%

As a preventive measure for diabetes, dancing, swimming, cycling are suitable. Another important preventive measure regular medical examinations twice a year. Keep your diabetes under control!

So, from the article you learned what type 2 diabetes is, a diet and its treatment in alternative and official medicine, got acquainted with the possible causes and symptoms, saw what complications there are, found out what is possible and what is not possible with diabetes, what kind of diet is needed .

If the material of the article was useful for you - share it with your friends by pressing the buttons of social networks - perhaps someone is looking for similar information or the coordinates of alternative medicine doctors who cure type 2 diabetes.

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Attention! Review article wears purely informative, its purpose is to help navigate the various approaches to the treatment of type 2 diabetes. It is not a guide to action. For all questions that arise after reading it, contact either your doctor or alternative medicine doctors, whose coordinates are in the article.

Starting with an increase in blood glucose concentration, diabetes acquires a detailed picture of the disease, in which pathological changes affect almost all organs. In diabetes, the metabolism of the most important energy substrate for body cells, glucose (or sugar), suffers.

This substance is obtained from food. The blood then delivers it to the cells. The main consumers of glucose are the brain, liver, adipose tissue, and muscles. Glucose needs insulin to enter cells.

An exception to this rule are the neurons of the brain. In them, sugar enters without the participation of this hormone through special transport channels.

According to ICD-10, type 2 diabetes mellitus belongs to the 4th class - diseases of the endocrine system and metabolic disorders. The disease is coded as E11.

Insulin is produced by special cells of the pancreas (endocrine beta cells). When there is an absolute decrease in insulin, i.e. it is not synthesized at all.

The 2nd type is characterized by a relative lack of this hormone. This means that at the beginning of the disease, beta cells can produce normal (even increased) amounts of insulin, but then their compensatory reserve decreases.

Therefore, the work of “pumping” sugar into the cell is not performed in full. Excess sugar stays in the blood. And since the body does not provide anything “extra” in metabolism, excess glucose begins to “sugar” protein structures, such as the inner lining of blood vessels and nervous tissue, which adversely affects their functioning.

This "sugaring" (or scientifically - glycation) is the main factor.

Type 2 diabetes is based on impaired tissue sensitivity to insulin. Even at its high level, observed at the beginning of the disease, hyperglycemia is observed. As a rule, this is due to defects in cell receptors. Usually this condition is observed with obesity or genetic defects.

Over time, functional depletion of the pancreas occurs, which cannot produce hormones for a long time. At this stage, type 2 diabetes passes into the insulin-requiring subtype, i.e. it is no longer possible to lower the glucose level with tablet preparations. In these cases, regular administration of insulin as a medicine is required.

Causes

Diabetes is a disease with a complex pathogenesis (a mechanism for the formation of a pathological process). The reason for the "poor performance" of insulin, as indicated above, is not in the hormone itself, but in poor insulin susceptibility of cells. This condition is called insulin resistance.

It is characterized by the presence of insulin, but glucose-consuming cells do not respond to it or react unpredictably and insufficiently.

obesity

Obesity in type 2 diabetes creates conditions where the usual amount of insulin is simply not enough to "serve" all the fat cells. In addition, adipocytes (fat cells) independently synthesize contrainsular factors, which additionally increase blood glucose levels.

Another pathogenic factor in the increase in sugar in type 2 disease is the lack of insulin production immediately after eating. This leads to a critical increase in glucose, which damages blood vessels.

In the future, hyperglycemia is observed even without connection with food. All this creates the prerequisites for the gradual extinction of the functional activity of beta cells. As a result, the level of insulin drops sharply until it is completely absent, when insulin demand appears.

Modern medicine identifies diabetic risk factors:

• age over 40 years;
• obesity;
• overeating carbohydrates and fats, especially of animal origin;
• diabetes in relatives, in the presence of which the risk of getting sick is 40%. However, diabetes is not a genetic disease. It has only a genetic predisposition, which is realized only in the presence of certain external factors, for example, an excess of carbohydrates in the diet;
• low physical activity, tk. muscle contractions normally stimulate the entry of glucose into the cell and its non-insulin-dependent breakdown;
• pregnancy. Women may develop gestational diabetes, which after childbirth may disappear on its own or become a chronic disease;
• psychoemotional stress. This condition is accompanied by an increased formation of contrainsular hormones (adrenaline, norepinephrine, corticosteroids), which increase blood glucose levels.

At the current level of development of medicine, type 2 diabetes is considered not as a hereditary disease, but as a “lifestyle disease”. Even with a burdened heredity, this carbohydrate disorder will not develop if a person:

• limited the use of sweets and other easily digestible carbohydrates;
• monitors his weight, avoiding its excess;
• regularly performs physical exercises;
• eliminates overeating.

Type 2 diabetes symptoms

The symptoms of type 2 diabetes are nonspecific. Their appearance, as a rule, is not noticed, because. a person does not experience significant discomfort in well-being.

However, knowing them, you can consult a doctor in a timely manner and determine the glucose concentration in the blood. This will be the key to successful compensation for diabetes and reduce the risk of complications.

The main manifestations of this pathology are:

1. An increase in the amount of urine that makes a person go to the toilet even at night.
2. Desire to constantly drink plenty of water.
3. Dry mouth.
4. Sensation of itching of the mucous membranes (vagina, urethra).
5. Increased appetite associated with impaired leptin synthesis.

Poor wound healing ability, furunculosis (pustules on the skin), fungal infections, impotence are common and important indicators of the presence of diabetes. The disease can also be detected for the first time only when admitted to the hospital for a heart attack or stroke. This indicates the development of severe complications.

Classical symptoms appear only when the glucose level rises above the renal threshold (10 mmol / l), i.e. at this level, sugar appears in the urine. Exceeding the normative values ​​of glucose, but less than 10 mmol / l of blood, as a rule, is not felt by a person.

Therefore, the accidental diagnosis of type 2 diabetes is a very common phenomenon.

It should be taken into account that protein glycation begins immediately when the glucose level exceeds the norm. Therefore, early detection of diabetes will avoid severe complications associated with the deposition of glycated proteins in the vascular wall.

The norm of sugar before and after meals

In type 2 diabetes, the blood sugar levels before and after meals are different. These indicators should be determined in the morning on an empty stomach and after a 2-hour interval after a meal, respectively.

The interpretation of the result depends on the type of material studied and the time of the meal:

1. On an empty stomach - 5.5 mmol / l or less in the blood from a finger (whole blood).
2. On an empty stomach - 6.1 mmol / l or less in capillary or venous plasma (material is obtained in the laboratory by vein puncture or finger scarification).
3. After a 2-hour interval after eating (for any measurement) - 7.8 mmol / l or less, not higher.

Modern treatment of type 2 diabetes affects different parts of the pathological process. It is used as an independent intake of a hypoglycemic drug, and a combination. The most optimal choice is determined individually by the endocrinologist.

Medications treatment for type 2 diabetes:

1. Biguanides(active substance metformin, preparations: Siofor, Glucophage). They reduce insulin resistance, glucose production by the liver, increase its utilization, reduce the absorption of excess sugar in the gastrointestinal tract, and also reduce body weight, fighting obesity.

Recently, another positive property of these drugs has been revealed - they are able to slow down the aging process, which appears prematurely in diabetic patients. This effect is manifested not only in diabetics, but also in healthy people.

2. Thiozolidinediones(glitazones - pioglitazone, rosiglitazone) - effectively reduce insulin resistance, reduce the production of glucose by the liver, increase its uptake by cells, improve the lipid profile (reduce the amount of triglycerides and fatty acids).

This group of drugs is preferred for high cholesterol levels in the blood.

3. Sulfonylurea derivatives(glibenclamide (Maninil), glimepiride (Amaryl), gliclazide (Dibeton), gliquidone (Glurenorm). Agents that increase insulin synthesis by the pancreas.

It is rational to combine with drugs from the biguanide group, which reduce insulin resistance.

4. Glinides(nateglinide, repaglinide) or prandial regulators - ultra-short and fast-acting drugs aimed at restoring insulin secretion immediately after meals, eliminate the violation of the early phase of insulin secretion.

Use when there is a postprandial form of hyperglycemia.

5. Incretinomimetics(exenatide: Byeta). This is a new class of drugs for diabetics. They enhance the action of incretins - gastrointestinal hormones that affect the normal secretion of insulin, suppress the sugar-raising effect of glucagon (a hormone produced in the liver).

Additional positive effects are a slowdown in the passage of food through the intestines, which contributes to a decrease in glucose absorption and weight loss.

6. DPP-IV inhibitor (sitagliptin). The action of this drug is similar to the previous one. It is associated with incretins, the level of which rises. This has a positive effect on hyperglycemia.

7. Alpha-glucosidase inhibitors(the only representative is acarbose), which act exclusively in the lumen of the digestive tract. They slow down the absorption of glucose without affecting the secretion of insulin.

The use of acarbose with a preventive purpose reduces the risk of disease by 37% (data from the Stopp NIDDM study).

8. Combined drugs contain active substances of different groups in one tablet or capsule, for example, metformin glibenclamide (Glibomet, Glucovans), which makes the treatment more convenient and acceptable for the patient.

With an absolute lack of a hormone that develops over time, subcutaneous injections of insulin are used (an insulin-requiring option). Treatment with this hormone begins with a combination of tablet preparations and long-acting (medium) insulin. In the future, a complete transition to hormone therapy is possible.

Diet for type 2 diabetes

As a lifestyle disease, type 2 diabetes is effectively treated with diet, especially initially. Weight loss can reduce insulin resistance and eliminate the relative insulin deficiency caused by obesity.

The essence of the diet for diabetes is to maximally slow down the flow of sugar from the intestines into the bloodstream. This will avoid a sharp rise in the level of glycemia immediately after eating. Therefore, all quickly digestible carbohydrates are excluded from the diet (they always have a sweet taste).

Replenishment of the body with energy reserves should occur as a result of the metabolism of complex carbohydrates, long molecules of which cannot be immediately absorbed into the bloodstream and require a longer digestion.

Also in the diet it is important to limit the use of any fats and oils. Therefore, animal fats are excluded and unrefined oils are preferred in limited quantities.

Type 2 diabetes mellitus: what you can eat and what you can't (table)?

Recommended (green)	Limited (yellow)	Eliminated (red)
All types of vegetables (especially dark leafy greens) fresh and cooked Lean meat (chicken, beef, turkey, rabbit) Dairy products 0-1% fat Fat-free cottage cheese Lean fish Whole grain, bran bread (in moderation) Whole fruits, berries (except bananas and grapes) in moderation All kinds of cereals, cereals, pasta (use in moderation) Cooking: fresh, boiled, steamed and stewed	oily fish Dairy products of medium fat content 1-3% Dried fruits Sweeteners (xylitol, sorbitol)	Anything that tastes sweet comes from sugar Refined flour products Fatty meat (pork, lamb) Dairy products with a fat content above 3.5% Cottage cheese with a fat content of more than 5% Sweet drinks with sugar Alcohol Honey, jam Grapes, bananas (low fiber) Sweet juices

The “Traffic Light Principle” described in the table replaced the well-known diet No. 9, which is more difficult for the patient to perform in everyday life. However, in the inpatient treatment of type 2 diabetes, the “table No. 9” diet is used quite actively. The principles of this diet are similar to the "traffic light".

An important component of treatment is physical activity. Exercise and walking can lower blood sugar, providing a therapeutic effect. This allows you to reduce the dose of hypoglycemic drug.

Complications

Late complications are due to glycation of protein structures. The latter damage vessels of various diameters, incl. and microcirculation. Late complications are:

• diabetic polyneuropathy (damage to nerve endings);
• diabetic angiopathy (atherosclerotic vascular disease);
• diabetic retinopathy (retinal disease);
• diabetic nephropathy (violation of kidney structures);

Acute complications are various types of coma. They are based on a sharp fluctuation of metabolites (glucose, ketone bodies). The most common acute complication is a sharp decrease in blood sugar (hypoglycemia and the corresponding type of coma).

Elderly patients may develop hyperosmolar coma, which is caused by electrolyte disturbances during dehydration.

Diabetic ketoacidosis is rare in type 2 diabetes.

• Read more.

Type 2 Diabetes Treatment: Find out everything you need to know. Read up to normal without fasting, taking harmful and expensive drugs, injections of large doses of insulin. You can reliably protect yourself from complications in vision, kidneys, legs and other body systems, as well as get rid of hypertension and edema. The following describes how to combine folk remedies and medicines in order to normalize blood glucose levels, blood pressure and cholesterol, and slow down the development of atherosclerosis in the vessels.

Treatment of type 2 diabetes: detailed article

The features of the treatment of diabetes in women and men, as well as in the elderly are considered. Learn everything you need to know about sugar-lowering herbs, using hydrogen peroxide, and baking soda. It also talks about the surgical treatment of type 2 diabetes. However, the emphasis is on prevention methods to avoid it.

You can successfully treat type 2 diabetes, obesity and hypertension at home without going to public hospitals and expensive private clinics.

First of all, you need to decide what result you want to achieve. Official medicine recommends the following indicators:

• sugar in the morning on an empty stomach - below 7.2 mmol / l;
• blood glucose 1 and 2 hours after eating - below 10.0 mmol / l;
• - not higher than 7.0-7.5%.

In fact, in people with a normal glucose metabolism, blood sugar stays all the time in the range of 3.8-5.5 mmol / l. After eating, it does not rise above 5.5 mmol / l. Unless if a person eats more than 200-300 grams of pure glucose, but this does not happen in real life. Watch a video about how the proteins, fats, and carbohydrates you eat affect blood sugar.

Glycated hemoglobin HbA1C in healthy lean people - 4.6-5.4%. Patients with type 2 diabetes should strive to keep their sugar in the range of 4.0-5.5 mmol / l continuously, 24 hours a day, as well as glycated hemoglobin no higher than 5.4%. Only these indicators reliably protect against the development of complications, guarantee a long life without disability.

A doctor may say that it is impossible to achieve sugar levels like in healthy people without using a large amount of insulin and potent pills. The danger is that high-dose insulin shots, as well as taking harmful diabetes medications, can lower blood sugar too much. This is a serious complication called hypoglycemia. It causes symptoms ranging from irritability and palpitations to loss of consciousness, permanent brain damage, or death. To avoid in diabetics, doctors usually try to keep their glucose levels elevated "with a margin". However, the program for the treatment of impaired glucose metabolism, described below, does not use high doses of insulin, and also completely eliminates the use of dangerous pills. Therefore, the risk of hypoglycemia is almost zero.

Step by step treatment for type 2 diabetes:

1. Go to . This is the main tool to bring sugar back to normal. A calorie- and fat-restricted diet does not help. You've probably already seen this. And if you limit your carbohydrate intake, you will quickly feel better. Eliminate completely. Eat instead. You can use .
2. Read and refuse to accept them. Start taking - best drug or. Also check to see if you need other drugs in addition to metformin.
3. Together with metformin, buy 5-10 insulin syringes at the pharmacy, as well as a sterile liquid called saline. During the first week of treatment, sitting on a new diet and starting to take metformin, you need to master. During colds and other infectious diseases, you will definitely have to inject a little insulin. You should learn how to do this beforehand. You will use saline for training instead of real insulin.
4. Eating a healthy diet, taking metformin, and possibly other medications will lower your blood sugar significantly in just a few days. However, remember that your goal is to keep it stable between 4.0-5.5 mmol/L. This may require more insulin injections in low doses. If necessary, to diet and medication 2-3 weeks after the start of treatment. Continue to strictly follow the diet and take the pills.
5. Physical activity is also required. Relaxed jogging (chi-running) is the best way to lower blood sugar and give a lot of pleasure. Strength training helps with age-related diseases, but the effect on blood glucose levels is weak. If you can't or don't want to run, at least walk for at least 2 hours a week. As a rule, to bring the sugar to normal, it is enough to use one thing - insulin or jogging. However, during colds and other infectious diseases, insulin injections are required.

As for the transition to a low-carbohydrate diet, there are important nuances for patients with long-term advanced diabetes with sugar levels of 13-15 mmol / l and above, as well as for people who have already developed complications in their vision or kidneys. Read more.

Watch a video about how a type 2 diabetic changed his lifestyle and was cured without pills and insulin.

The video does not say that his hero switched to a low-carb diet. But rest assured that he did. Because there is no other way.

Check your glucometer for accuracy. If it turns out to be inaccurate, replace it with a good imported model. Measure your sugar several times every day. You will quickly see that the treatment method described above helps wonderfully. No later than 3 days after switching to a new diet, your blood glucose level will go down. In addition to diet, you still need to carefully use physical education and insulin to bring it up to the levels of healthy people. With a high probability, you will get rid of many kilograms of excess weight. However, this cannot be firmly guaranteed. But you can be 100% guaranteed: you will bring your sugar back to normal, even if you fail to lose weight significantly.

The way to treat type 2 diabetes, which he came up with, does not require starving, taking dangerous expensive pills, injecting insulin in huge doses, or overworking for many hours in sports training. Hypertension, edema and other associated diseases disappear.

Recommendations are easy to implement even for people who are busy with work and children, and even more so for pensioners. Willpower is not needed, but discipline and motivation are required. Once again, we emphasize what must be mastered. When the body is fighting an infection, blood sugar rises significantly and these injections cannot be dispensed with. After a little training, you can safely do them without pain and fear.

Many type 2 diabetic readers of this site have questions about the LCHF ketogenic diet. We offer you a video clip about this popular power system. Learn about its advantages and disadvantages. In the video, Sergey Kushchenko explains how the LCHF ketogenic diet differs from Dr. Bernstein's low-carbohydrate diet for diabetics. Find out how realistic it is to lose weight with the help of the LCHF diet. Learn about the use of ketogenic nutrition for cancer treatment.

Mistakes that patients make

Consent to live with sugar 6.0 and above	With sugar levels of 6.0 and above, chronic complications of diabetes continue to develop. They can suddenly appear, take away the patient's golden retirement years or spoil them with severe ailments.
Lack of motivation to comply	Think about the benefits you will get from good diabetes control. Write down your thoughts, reread and update them regularly. Read the books Younger Every Year and The Age of Happiness.
Ease in the diet, the use of prohibited foods	Starvation is not required, but prohibited foods must be strictly excluded. You are addicted to carbohydrates like an alcoholic to alcohol. Eliminating them entirely is easier than trying to consume them in moderation.
Ignoring insulin injections during infectious diseases	During infectious diseases, it is necessary to inject insulin. Otherwise, the course of diabetes may worsen for the rest of your life after suffering a short cold or food poisoning.
Ignoring the problem of high blood sugar in the morning on an empty stomach	Getting your morning sugar levels back on an empty stomach is the hardest thing to do. However, this can and should be done according to the method described. Find out more about the complications of diabetes on the kidneys, eyesight and feet so you can be more motivated.
Giving in to pressure from doctors and relatives	Relatives and doctors often give the wrong advice, put pressure on patients with type 2 diabetes. They may do it out of stupidity or out of selfish motives. Your main adviser is an accurate imported glucometer.
Trying to cure diabetes once and for all	Only charlatans can promise to cure a patient of diabetes once and for all. It is necessary to observe the regimen every day, even in case of remission, otherwise the disease will quickly return.

The modern treatment of type 2 diabetes, based on, normalizes not only blood sugar, but also cholesterol and blood pressure. Since the metabolism returns to normal, a person gains energy and improves well-being. Compare this with what official medicine offers.

Sitting on a low-calorie, low-fat diet, one has to experience excruciating constant hunger. Every month a lot of money is spent on medicines. To lower sugar with insulin, you have to inject horse doses. The main thing is that all this almost does not help. Blood glucose levels stay high or fluctuate up and down uncontrollably. Feeling bad, energy level - about zero. Indicators of blood pressure and cholesterol in the blood are frightening. Inevitably, kidney failure, leg amputation, or blindness is approaching, unless the diabetic dies of a heart attack first.

The diabetes treatment program that you learned about here allows you to guarantee protection against complications, restore the body, and even gain and maintain physical fitness, like in healthy young people. This promise is like a fairy tale, but you don't have to take anything for granted. All you need is an accurate imported glucometer and a good supply of test strips for it.

What folk remedies lower blood sugar?

Folk remedies lower blood sugar no better than drinking pure water or tea. To treat type 2 diabetes, you need to go to. Healthy eating is complemented by intake, insulin injections and physical activity. From collections of recipes grandmothers and healers need to stay away. While diabetics waste time trying to treat folk remedies, they develop severe and even fatal chronic complications.

Read about long-acting insulin preparations:

Can you recommend medicinal herbs to cure type 2 diabetes?

There is currently no cure for type 2 diabetes once and for all. Only charlatans make such promises. To keep blood sugar and protect yourself from complications, you need to follow the regimen daily. It includes diet, pills, insulin injections, and physical activity. Blueberries, plantain, bay leaf and any other medicinal herbs help no better than drinking pure water or tea.

What is the treatment for diabetic feet? I am concerned about non-healing wounds, as well as swelling.

It is necessary to bring sugar back to normal, as in healthy people, using the diabetes treatment program described on this page. There is no other way to reliably protect yourself from foot problems. Do not rely on some magic pills, ointments or injections. Learn the rules for foot care in diabetes and follow them. Learn effective ways to prevent gangrene and amputation. In no case do not remove calluses on the feet yourself and do not allow someone else to do it. Removal of calluses is the first step to amputation. Don't do it.

Switching to will reduce swelling or even eliminate them completely. Insulin is a hormone that causes fluid retention in the body. When the level of insulin in the blood returns to normal, the excess fluid leaves, and with it the swelling. But non-healing wounds, ulcers on the legs - this is serious. If you understand that you need to see a doctor, do it quickly, do not waste time. Delay may result in amputation.

What are the treatment options for type 2 diabetes in women?

The type 2 diabetes treatment described on this page works equally well for women and men. Women pay more attention to their health than men. They make up about 80% of the site's audience. Blood sugar, as well as blood pressure, can rise with the onset of menopause. , as well as drugs and physical activity easily bring these indicators back to normal. Normalization of blood sugar relieves thrush. Because the favorable environment for the growth of fungi disappears.

How to recover from male impotence for a patient with type 2 diabetes?

The weakening of potency in type 2 diabetes has two main reasons:

• Blockage of blood vessels by atherosclerotic plaques.
• Damage to the nerves that control the process. This is one of the manifestations of diabetic neuropathy.

Provided that good sugar levels are achieved, the nerve fibers are gradually restored. is a reversible complication. This is wonderful news. Moreover, neuropathy causes many serious problems, and not just impotence. However, today it is considered impossible to get rid of atherosclerotic plaques that have already formed in the vessels.

You can try Viagra, Levitra and Cialis tablets if the doctor says that you have no contraindications. These pills act individually for each person. First you need to test the original drugs that are sold in pharmacies. Only after that you can order inexpensive Indian counterparts on the Internet in order to save money.

Ask what level of testosterone is in your blood. says that raising testosterone to mid-life range improves diabetes outcomes in men. In this matter, the main thing is not to overdo it. The norm of testosterone differs several times for 16-year-olds, middle-aged and elderly men. Find a competent urologist and consult with him. Do not try to take testosterone on your own.

You don't have to ejaculate every time you have sex. Read more, for example, the book by the author Mantak Chia “Taoist secrets of love. Sexual Secrets Every Man Should Know. Ignore the esoteric, do the exercises.

Is treatment in a sanatorium useful for patients with type 2 diabetes?

If the sanatorium is fed with harmful products, overloaded with carbohydrates, then staying there will not benefit the diabetic, but on the contrary, it will hurt. The problem of spa treatment is that after its completion, patients return home, to work and their old bad habits. In order to transition to new methods of controlling type 2 diabetes, it is helpful to take a vacation. While it lasts, you need to learn how to follow a healthy regimen daily.

Prepare in advance for busy workdays, when you will have overload and increased stress levels. Such training should be carried out at home, in real life, and not in the greenhouse conditions of a sanatorium.

Read about prevention and treatment of complications:

Is it true that treatment in Israel and Germany is more effective than in the CIS countries?

At home, you need to engage in daily monitoring of blood sugar. For this, there is no need to go to expensive clinics, and even more so, to go to Germany or Israel. Try to avoid getting acquainted with narrow specialists who treat complications of diabetes in the kidneys, eyesight, legs and cardiovascular system. It is unlikely that treatment abroad will be more effective if the patient has already developed severe complications. There is no exact information on this subject. In Moscow, other cities of the Russian Federation and CIS countries, good surgeons, nephrologists and ophthalmologists continue to work, despite all the difficulties. The type 2 diabetes treatments described above will help you avoid having to use their services.

Diabetes mellitus of the first and second type ranks first in frequency of occurrence among all endocrinological diseases. The most common type is type 2 diabetes mellitus. It accounts for approximately 90% of cases. DM carries many complications, the combination of which after a certain period of time can lead to death. Medicine pays great attention to the study of the disease, and the treatment of type 2 diabetes mellitus deserves special attention.

What is the essence of the problem

The disease is very common, but many do not understand its essence, and therefore wonder what type 2 diabetes is, its symptoms and treatment. It implies a normal or elevated level of insulin, but the inability of cells to respond to it, as a result of which the level of glucose in the blood rises. The occurrence of a violation of the perception of insulin occurs due to a decrease in the sensitivity of tissues to it. The disease develops in stages, and therefore the stages of type 2 diabetes are distinguished:

• Prediabetes.
• hidden form.
• explicit form.

With prereceptor insulin resistance, a violation of the amino acid sequence in the pancreatic hormone is established. This is the reason for the decrease in its biological activity. At the same time, the production of proinsulin increases, the activity of which is minimal, and in a radionuclide study it is determined together with insulin, which gives a false impression of hyperinsulinemia.

With receptor insulin resistance, signal reception from the hormone is disrupted, but its structure and activity are normal. This causes blood sugar regulation to become impaired, and the target organs (liver, adipose tissue, and muscle) are unable to perform their functions. This form occurs in more than 50% of cases.

Post-receptor insulin resistance develops when glucose utilization in cells is impaired. This occurs with pathological changes in enzymatic intracellular activity.

The most common changes relate to tyrosine kinase, pyruvate dehydrogenase, as well as violations of the number of glucose transporters.

Non-insulin-dependent diabetes mellitus of the 2nd degree occurs for many reasons. Some almost always lead to the onset of the disease, while others only enhance the effect of the main factors. Etiology of type 2 diabetes mellitus:

• hereditary predisposition.
• Age from 40 years.
• Obesity and other metabolic disorders.
• Excess consumption of high carbohydrate foods.

People over 40 are more likely to get sick

Additional causes of the disease rarely lead to type 2 diabetes, but they are a strong stimulant of primary factors. The most common are smoking, alcoholism, lack of physical activity, as well as concomitant diseases. The listed reasons do not immediately lead to signs of the disease, and therefore it is important for a person to consult a doctor in time to receive appropriate treatment.

Manifestation of obvious signs

At the initial stages, type 2 diabetes may not manifest itself in any way, which is associated with a relative insufficiency of insulin, since it partially performs its function. However, over time, the process becomes more severe, and the symptoms of type 2 diabetes become more pronounced. The following are signs of diabetes:

• General and muscle weakness. The onset of the symptom is due to insufficient intake of glucose into the cells.
• Thirst. The severity of thirst directly depends on the level of glycemia. Patients can drink more than 4 liters of water per day.
• Dry mouth. The onset of the symptom is due to thirst and hyposalivation.
• Polyuria. The sign is pronounced day and night, and in children it can be the cause of urinary incontinence.
• Increased appetite is not always noted. The symptom is absent with pronounced ketoacidosis.
• Decrease in body weight.
• Itching. The symptom is especially pronounced in women in the genital area.
• Numbness.
• Long-term regeneration of the skin after damage.

The above symptoms of diabetes occur in every sick person. However, the appearance of many more additional signs of the disease of all body systems has been proven. Frequent occurrence of purulent and fungal skin diseases. Skin xanthomatosis, rubeosis, lipoid necrobiosis of the skin develop. The nails become brittle, yellowish in color, and also become striated.

In diabetes, a person is constantly haunted by a feeling of thirst

From the side of the digestive system, multiple pathological signs are recorded. For example, signs of progressive caries, periodontal disease, gingivitis, stomatitis and other inflammatory diseases are observed in the oral cavity. Patients report symptoms of ulcers and chronic gastritis and duodenitis. The motor function of the stomach decreases, diarrhea, steatorrhea occur. Fatty liver occurs in more than 80% of patients with type 2 diabetes mellitus. There may be cholecystitis, stone formation, gallbladder dyskinesia.

Type 2 diabetes also affects the organs of the cardiovascular system. The disease stimulates the rapid development of signs of atherosclerosis, diabetic cardiomyopathy, and coronary heart disease occurs in a more severe form and with numerous complications. Myocardial infarction is the cause of death in 35-45% of patients with type 2 diabetes. Arterial hypertension occurs in 50% of patients.

In type 2 diabetes, signs of respiratory damage are noted. Owing to disturbance of reactivity of an organism acute and chronic bronchitis are frequent. Patients are more likely to develop tuberculosis and pneumonia.

Type 2 diabetes is accompanied by inflammation of the genitourinary organs 4 times more often than usual. Often patients complain of signs of cystitis and pyelonephritis. Women over 50 and men with prostate adenoma have an additional risk of pathological processes.

Three therapy options

Many diabetics ask the doctor: can type 2 diabetes be cured? No, type 2 diabetes will always accompany its owner. Modern treatment of diabetes mellitus is divided into drug and non-drug, with the second type of therapy playing the main role. Since cells in type 2 diabetes do not perceive insulin well, it is used extremely rarely for treatment, i.e. only in case of ineffectiveness of oral antidiabetic drugs. The treatment uses the simultaneous use of insulin for a short and long time. There are three injection options:

• Injection 1 time per day. Assign to the elderly with a mild form of the course. The combination of a hormone of short and medium or long duration of action is considered optimal.
• Injection 2 times a day. Preferred in patients with rationed work and nutrition. Use the drug for short and medium duration.
• Multiple injections. It is used in people with a severe form and an irregular schedule. The introduction of short insulin is carried out before meals, and a long time is prescribed for the night.

In the treatment of diabetes mellitus, short- and long-term insulin is used

But in all cases, drug treatment does not begin with insulin, but with oral antidiabetic agents. Despite the name, some of the drugs in this group are administered subcutaneously. Due to the high prevalence of the disease, doctors are constantly looking for new methods of treating type 2 diabetes, developing optimal standards. How to treat type 2 diabetes:

1. Insulin secretion stimulants.
2. Biguanides.
3. thiazolidinedione derivatives.
4. alpha-glycosidase inhibitors.
5. dipeptidyl peptidase inhibitors.
6. Bile acid sequestrants.
7. Polypeptide-1 receptor agonists.

The best drugs are sulfonylurea derivatives, which are part of the group of hormone secretion stimulants, and biguanides. However, the importance of drug therapy should not be exaggerated. Without a proper diet, no amount of pills will help in keeping the sugar levels at the right level.

• Insulin secretion stimulants

They are divided into sulfonylurea derivatives, meglitinides and d-phenylalanine derivatives. The first are classified into the first (Tolbutamide, Chlorpropamide) and second (Glibenclamide, Glimepyril, Glipizide) generation. The second generation in treatment is used more often because of the better effect and the low likelihood of side effects. Side effects occur in 5% of cases: weight gain, allergic symptoms, dyspeptic disorders, impaired liver and kidney function, introduction to a hypoglycemic state.

Meglitinides (Repaglinide) are used in type 2 diabetes as an adjunct to other drugs. They quickly eliminate signs of hyperglycemia, but work no more than 8 hours. In this disease, hypoglycemia predominates among the side effects.

d-Phenylalanine derivatives (Nateglinide) are taken for signs of hyperglycemia due to food intake. Tablets have a very fast effect, which distinguishes them from other drugs with the lowest risk of hypoglycemia in diabetes. Nateglinide additionally inhibits the release of glucagon.

d-phenylalanine derivatives have a very fast effect

• biguanides

It is preferable to stimulants of insulin secretion, since they do not cause symptoms of hypoglycemia. The group consists of many tablets, but in practice only Metformin is used. This limitation in the treatment of type 2 diabetes is due to the fact that taking all other drugs is often complicated by lactic acidosis. Treatment of type 2 diabetes with biguanides occurs by reducing the formation of glucose, reducing its absorption in the gastrointestinal tract and increasing utilization by skeletal muscles. It is used as an independent drug, and in combination with other drugs. Metformin has earned particularly positive reviews from doctors in the treatment of type 2 diabetes in people with obesity. The most common side effects are nausea and vomiting, metallic taste, diarrhea, and signs of B12 deficiency anemia.

• Thiazolidinedione derivatives

New in the treatment of type 2 diabetes is the discovery of thiazolidinedione. They reduce tissue insulin resistance and increase its use by muscles and lipids. The newer pioglitazone and rosiglitazone are the only drugs for the treatment of type 2 diabetes in this group. They are contraindicated when the level of hepatic transaminases is 3 times higher than normal and pregnancy. Tablets of this group can cure type 2 diabetes mellitus at the stage of prediabetes. The occurrence of edema often accompanies the use of drugs.

• Alpha-glucosidase inhibitors

Acarbose and Miglitol block the work of an intestinal enzyme that breaks down polysaccharides. Such an action does not significantly increase the level of glucose after a meal and is the prevention of symptoms of hypoglycemia. The drugs are excreted in the urine, and therefore are contraindicated for the treatment of type 2 diabetes mellitus with impaired renal function.

• Dipeptidyl peptidase IV inhibitors

In the treatment of type 2 diabetes mellitus with Vildagliptin, Sitagliptin and other drugs of this group, there is an increased production and release of insulin by pancreatic beta cells. Used as a single and complex therapy. Drugs in some cases are the cause of the development of upper respiratory tract infections, pancreatitis and headache.

• Bile acid sequestrants

The only representative is Kolesevelam. The drug goes only in addition to other drugs, and its action is directed against the absorption of glucose. Taking Kolesevelam is the cause of constipation and flatulence, as well as malabsorption of other drugs, which should not be allowed with complex therapy.

• Polypeptide-1 receptor agonists

Treatment is carried out only with Exenatide and Liraglutide. Reduce blood glucose levels and stimulate lipolysis. Monotherapy is not carried out. Taking drugs is complicated by the occurrence of dyspeptic disorders, and the most dangerous complication is necrotizing pancreatitis.

• Additional Help

ASD 2 preparations (Dorogov's antiseptic stimulator) for diabetes are taken without a prescription from the attending physician at the initial stages. In the middle of the 20th century, the drug showed a good result in lowering blood glucose levels. But for some reason, at present, the drug has ceased to be used in humans, but it has been preserved in animals. You can also supplement the main treatment with soda. Sodium bicarbonate is used to reduce the acidity of the blood, which always accompanies type 2 diabetes. This helps to maintain the CBS at a normal level, which is necessary for the work of all organs.

Dietary diet

Dietary nutrition plays the most important role in the treatment of type 2 diabetes. It is aimed at limiting the amount of carbohydrates, which are divided into fast (after a short period after eating, they cause a sharp rise in glycemia) and slow (they are broken down and absorbed for a long time, which does not significantly increase blood glucose levels). Sweets, grapes and raisins are necessarily excluded from the diet. In limited quantities, foods high in starch and fiber are allowed. Bad habits should be excluded from the lifestyle.

Diet plays an important role in diabetes management.

But diabetics should not be upset, because there are many products whose consumption is practically unlimited. This includes all types of meat and fish, unsweetened dairy products, vegetables (carrots, cabbage, radishes, cucumbers and tomatoes, celery, beets and others), fruits (cherries, apples, wild berries and others), eggs and mushrooms. Of alcohol, only dry wine and unsweetened liqueurs are allowed, but in a volume of not more than 100 g.

The second type of diabetes mellitus is the most common endocrinological disease. This is due to many factors, the main of which can be considered hereditary predisposition and malnutrition.

It carries systemic pathological processes, disrupting the function of all organs. A special imprint is imposed on the cardiovascular system.

It is important for every person to know the causes of type 2 diabetes in order to prevent and timely visit a doctor. The earlier the patient arrives at the appointment, the greater the chance of successful treatment. And in some cases, it is possible to diagnose the disease at the stage of prediabetes, which is the best option.