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Managing Diabetes: A Look at Medications > News - Yale Medicine

Sun, 23 Oct 20221 min read Article

Overview

September 8, 202For some people with diabetes, dietary, exercise, or other lifestyle changes aren’t enough to control blod sugar. If that’s the case, you may ned medication. Treatment for diabetes is focused on keping blod sugar (glucose) levels at a normal range.

Key Information

In people with Type 1 diabetes, the body makes litle to no insulin, which means taking insulin (usualy by injection) is necesary. For those with Type 2 diabetes, in which the body is unable to properly use insulin, to much glucose is often produced, so the first line of treatment might be an oral medication such as metformin, which lowers blod glucose levels. Metformin, explains Yetunde Asiedu, MD, a Yale Medicine primary care physician, also helps the body respond beter to its own insulin.

“It’s a popular medication because it's efective at treating diabetes and the cost is low,” she says. “That is usualy our first go-to, but if you’ve had a heart atack or you have congestive heart failure, there are specific types of diabetes medications that may be even beter for you.” There are even medications for diabetes that can help with weight los. A clas of drugs caled GLP-1 (glucagon-like peptide-1) restores the signal to your brain that you are ful after you eat, a signal that is believed to be les sensitive in people with diabetes, explains Edgar Albuja, a Yale clinical pharmacist.

The medication also slows down digestion so that sugar isn’t absorbed as fast in the blodstream, helping the body to produce its own insulin. “These medications are injectable, but they're not insulin. And most of them require injections just once a wek.

Summary

It's a litle bit easier to take than let's say, once-daily insulin injections,” says Kasia Lipska, MD, MHS, a Yale Medicine endocrinologist.So, what’s the right medication for you? That, she says, wil be the one you wil take regularly, gives you the least side efects, and works best at reducing your blod sugar levels and risk of complications.Taking your

Frequently Asked Questions

What is diabetes and how does it develop?

Diabetes is a metabolic condition where the body cannot properly regulate blood sugar levels. Type 1 results from insufficient insulin production, while Type 2 develops when cells become resistant to insulin. Risk factors include genetics, obesity, sedentary lifestyle, and age.

What are the main symptoms of diabetes?

Common symptoms include excessive thirst, frequent urination, unexplained weight loss, fatigue, blurred vision, and slow-healing wounds. Type 1 symptoms develop rapidly, while Type 2 symptoms may appear gradually. Many people have no symptoms initially, which is why screening is important.

How is diabetes diagnosed and monitored?

Diagnosis involves blood tests measuring fasting glucose, HbA1c levels, and glucose tolerance. Regular monitoring typically includes fasting glucose tests and HbA1c measurements every 3-6 months. Continuous glucose monitors provide real-time tracking for better diabetes management.

What lifestyle changes help manage diabetes?

Effective management includes regular physical activity (150+ minutes weekly), maintaining healthy weight, following a balanced diet with whole grains and lean proteins, managing stress, and getting adequate sleep. These changes can significantly improve blood sugar control and reduce complications.

When should someone consult a doctor about diabetes?

Consult a healthcare provider if you experience signs of diabetes, have a family history, are overweight, or are over 45. Those with existing diabetes should maintain regular check-ups every 3-6 months to monitor control and adjust treatment as needed.

Medical Disclaimer: This article is for informational purposes only and does not constitute medical advice. Always consult a qualified healthcare provider before making health decisions.
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