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Metformin: Oral Glucose Tolerance Test

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Question:

Discuss about the Metformin for Oral Glucose Tolerance Test.

 

Answer:

Diagnosis

Oral glucose tolerance test

In this test a person is asked not to take anything for the entire evening or night and the blood glucose/sugar is measured. Afterwards, they will recommend you to take sugary fluids and then after that, they take a sample of the person blood and test for some several hours (8). If the level of the blood sugar is below 139 mg/dl (7.7 mmol/L) is considered to average. If the measurement comes beyond 141 and 198 mg/dl (7.9 mmol/L and 11.1 mmol/L) shows that there is a sign of prediabetes and if it measurement is seen to gone beyond 201 mg/dl (11.2 mmol/L) or after three hours it shows that the person has diabetes (4).

Random blood sugar test

In this, the blood will be taken randomly during any time of day. Even if  the person took his or her  last food or drink the blood sugar if it reads beyond 201mg/dl (11.2 mmol/L) it clearly show that the individual has diabetes and if the person has been claiming that he or she are always thirsted and urinating often than usual it a clear signs of diabetes (1).

Fasting blood sugar test

The medical personnel will acquire some amount of the person’s blood and test it after the person was recommended to not take any meal or drinks over the evening (2). If the result shows the person blood sugar reads below the 101 mg/dl (5.7mmol/L) is steady or ok. If it measures between 101 to 126mg/dl (5.7 to 7.0 mmol/L) is show signs of the person getting diabetes but if it reads at 127 mg/dl (7.1mmol/L) or even beyond on two different tests it shows that the person has diabetes (7). 

 

Treatment

Controlling of diabetes type two

  • Blood sugar medication
  • Often exercise
  • Eating healthy

The following methods keep the person blood glucose or sugar high closer to that of a normal person (3). 

  • Eating healthy

      It is very important for the person to focus their diet and to consume foods that are not starch (low fat) and instead on food with fiber e.g. vegetables and fruits (5).

  • Frequent exercise/Often exercise

Practical everyone is required to exercise at least every day and the people with diabetes type two have no choice but to do so for their own benefit but before you get to exercise consult the doctor for yes if it fine for you to do so.

  • Monitoring of blood sugar (sulfonylurea or meglitinides drugs)

            It is important for the person to watch his or her blood sugars state quite often and if the person is recommended to take insulin at least three times a day and get information from the doctor on how often it should be observed (6).

Side Effects

The side effects usually occur when the person is introduced to metformin and with time it goes away.

  • Alpha-glucosidase inhibitors:- bloating, gas and excessive diarrhea
  • Meglitinides:- the person gain’s weight and his or her blood glucose will be low
  • Sulfonylureas:-the person will have stomach pains, gaining of weight and he/she will be scratching

Policies  

  1. To come up with health agency and assign a person with diabetes as a proposed governance council
  2. To ensure that the basic effectual hindrance of diabetes type two is concentrated on the social facts of health.
  3. To have a national plan for diabetes type two workforce developments to be improve and to implement the medication.
 

References

  1. Adlina, J. (2009). A randomized controlled trial comparing the effective dose of metformin in the treatment of anovulation in polycystic ovarian syndrome: A comparison between metformin 500 mg TDS and Metformin SR 850 mg BD.
  2. Acton, Q. A. (2012). Type 2 diabetes: New insights for the healthcare professional: 2011 edition.
  3. Bernstein, R. K. (2005). The diabetes diet: Dr. Bernstein's low-carbohydrate solution.
  4. Codario, R. A. (2011). Type 2 Diabetes, Pre-Diabetes, and the Metabolic Syndrome [recurso electrónico]. Estados Unidos: Humana Press.
  5. Edelman, S. V., & Henry, R. R. (2011). Diagnosis and management of type 2 diabetes. West Islip, N.Y: Professional Communications.
  6. Flaws, B., Kuchinski, L. M., & Casan?as, R. (2002). The treatment of diabetes mellitus with Chinese medicine: A textbook & clinical manual. Boulder, CO: Blue Poppy Press
  7. Gerstein, H. C., & Haynes, R. B. (2001). Evidence-based diabetes care. Hamilton, Ont: BC Decker.
  8. Watson, R. R., & Preedy, V. R. (2013). Bioactive food as dietary interventions for diabetes.
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