How to cure Diabetes?

People with type 1 diabetes require daily insulin treatment, regular blood glucose monitoring and a healthy
lifestyle to control their diabetes condition. Treatment for diabetes includes:

• Taking insulin
• Carbohydrate, fat and protein counting
• Frequent blood sugar monitoring
• Eating healthy foods
• Exercising regularly and maintaining a healthy weight
• Use of prescribed medications

The treatment goal is to keep blood sugar level as normal as possible to avoid complications. The daytime blood
sugar levels before meals should be between 80 and 130 mg/dL (4.44 to 7.2 mmol/L) and after-meal should not
higher than 180 mg/dL (10 mmol/L).

Insulin

Insulin is necessary and must for all the people with type 1 diabetes to control their blood glucose levels. There are
different types of insulin depending on how quickly they work and how long they last. Insulin is commonly taken by
syringe or insulin pen or insulin pump.

Types of insulin are:

• Rapid-acting insulin: usually taken just before or with a meal. These insulins work rapidly to control the
  blood sugar after eating. Rapid-acting insulins include Novolog, Asparat, Humalog, Glulisine.
• Short-acting insulin: usually taken before meals. These insulins are also known as regular insulins. These
  insulins do not work as quickly as rapid-acting insulins and therefore may be more appropriate in certain
  people. Short-acting insulin example are Humulin, Novolin, Insuman.
• Intermediate-acting insulin: often taken together with a short-acting insulin. Intermediate-acting insulins
  start to work within the first hour of injection and last up to 7 hours. Intermediate acting insulins include
  Humulin NPH, Novolin N, Protaphane, Insulatard.
• Long-acting insulin: insulins that are released and work in the body for up to 24 hours. It is advisable to
  take this long acting insulin in the morning or evening, before going to bed. Long-acting insulins include
  Lantus, Tresiba and Levemir.

Self-monitoring

Self-monitoring of blood glucose level is very important. Self-monitoring of blood glucose level by people at home,
office or elsewhere helps people and doctors to understand how their blood glucose level fluctuate during the day
so that their treatment can be given accordingly. People with diabetes who require insulin need to check their
blood glucose levels regularly to manage insulin dosage. You should to check and record your blood sugar
level at least four times a day.

Physical activity: You should follow all advises that given above in section How to Lower Blood Sugar Levels.
Everyone needs to follow daily routine of exercise like aerobic, walking or swimming. Remember that physical
activity lowers blood sugar level.
Pancreas transplant: Successful transplant of pancreas in diabetic person will no longer need insulin. But pancreas
transplants aren't always successful. Pancreas transplant is required for those with very difficult to manage
diabetes, or for people who also need a kidney transplant.
Diabetic Ketoacidosis: You should always be attentive if you have a blood sugar reading above 240 mg/dL (13.3
mmol/L). If it is so then you should consult your doctor for urine test for ketones. High amounts of ketones in urine
is an emergency situation. It is called Diabetic Ketoacidosis and is a life-threatening emergency. Drink extra fluids
to flush out the ketones.

Lifestyle and Home Remedies

Please follow these advises to reduce your risk of serious or life-threatening complications of type 1 diabetes:

• You should be more attentive and committed to control your diabetes. Always take your medications as
  recommended by doctor.
• Have healthy food and physical activity part of your daily routine.
• Keep a glucagon kit with you in case of low blood sugar emergency and make sure your family members
  or friends or people around you know how to use it.
• You should visit your doctor for yearly physical exam and regular eye exams. During this doctor will check
  for any diabetes related complications or any other health problems along with signs of retinal damage,
  cataracts and glaucoma.
• You should more careful about your feet. It should be washed daily in lukewarm water and moisturized
  with lotion. Consult your doctor if you have any cut or wound or any other foot problem that is not
  healing.
• Keep your blood pressure and cholesterol under control.
• Do not drink alcohol, smoke or use tobacco in any form. Smoking increases the risk of complications of
  diabetes including heart attack, stroke, nerve damage and kidney disease. Talk to your doctor about ways
  to stop alcohol and quit smoking or use of tobacco.

Other Medications

Your doctor might prescribe some medicines from different classes to control your blood sugar. Some additional
medications may be prescribed to people with diabetes, such as:
High blood pressure medications: Your doctor may prescribe Angiotensin-Converting Enzyme (ACE) inhibitors or
Angiotensin II Receptor Blockers (ARBs) to keep your kidneys healthy. These medicines is prescribed to people with
diabetes who have blood pressures above 140/90 millimeters of mercury (mm Hg).
Metformin: is the most common medicine prescribed for type 2 diabetes. It reduces glucose production in the liver
and improve body's sensitivity to insulin so that your body uses insulin more effectively.
Sulfonylureas: These medications help your body to release more insulin. Examples-Glimepiride (Amaryl),
Glyburide (DiaBeta, Glynase) and glipizide.

Meglitinides: These medications such as Repaglinide (Prandin) and Nateglinide (Starlix) helps pancreas to release
insulin.
Thiazolidinediones: Like metformin, these medications including Pioglitazone (Actos) reduces glucose in your liver.
Dipeptidyl peptidase-4 (DPP-4) inhibitors: These medications includes Sitagliptin (Januvia), Saxagliptin (Onglyza)
and Linagliptin (Tradjenta) and Sitagliptin-Metformin (Janumet and Janumet XR)-helps the body to make insulin.
They work by reducing blood sugar without causining low blood sugar levels.
GLP-1 receptor agonists: These injectable medications like Victoza and Ozempic, slow down the digestion and help
lower blood sugar levels.
Sodium-glucose transporter (SGLT) 2 inhibitors: This kind me medicines prevent the kidneys from reabsorbing
sugar into the blood and through it out by the urine. Examples- Canagliflozin (Invokana), Dapagliflozin (Farxiga) and
Empagliflozin (Jardiance).