{"id":1609,"date":"2025-11-26T08:35:13","date_gmt":"2025-11-26T08:35:13","guid":{"rendered":"https:\/\/charis.com.vn\/?p=1609"},"modified":"2025-11-26T08:59:06","modified_gmt":"2025-11-26T08:59:06","slug":"1609-2","status":"publish","type":"post","link":"https:\/\/charis.com.vn\/en\/1609-2\/","title":{"rendered":"TYPE 2 DIABETES TREATMENT \u2013 BLOOD SUGAR CONTROL JOURNEY"},"content":{"rendered":"<ol>\n<li><strong>Understanding the disease correctly: When the body &quot;resists&quot; insulin<\/strong><\/li>\n<\/ol>\n<p>Type 2 diabetes is a chronic disorder that disrupts the way your body uses and stores sugar (glucose) and other forms of energy.<\/p>\n<ul>\n<li><strong>Sugar (Glucose)<\/strong>is the primary fuel for every cell.<\/li>\n<li><strong>Insulin<\/strong>is the \u201ckey\u201d produced by the pancreas, which helps bring sugar from the blood into the cells.<\/li>\n<li>In type 2 diabetes, your body becomes\u00a0<strong>insulin resistance<\/strong>(the cells don&#039;t respond well), and over time, the pancreas doesn&#039;t produce enough insulin. As a result, sugar builds up in the blood, causing\u00a0<strong>hyperglycemia<\/strong>.<\/li>\n<\/ul>\n<p>Being overweight, especially fat stored in the abdomen and liver, increases the body&#039;s need for insulin, making the condition worse. If left untreated, prolonged high blood sugar can lead to many dangerous complications.<\/p>\n<ol start=\"2\">\n<li><strong> Treatment goals: What should you aim for?<\/strong><\/li>\n<\/ol>\n<p>The main goal is to keep your blood sugar within target range and manage comorbidities (such as high blood pressure, high cholesterol) to minimize the risk of complications.<\/p>\n<ul>\n<li><strong>Blood sugar control: The key to preventing complications<\/strong><br \/>\nThis helps prevent long-term damage to the eyes, kidneys, nerves, and heart.<\/p>\n<ul>\n<li><strong>Blood sugar monitoring at home:<\/strong>Your doctor may ask you to check yourself, especially if you take insulin or other medications that put you at risk for hypoglycemia.<\/li>\n<li><strong>HbA1c test \u2013 \u201cMeasurement\u201d of average blood sugar:<\/strong>This is a blood test that reflects your average blood sugar level over 2-3 months.<\/li>\n<li>The general HbA1c target is\u00a0<strong>&lt;7%<\/strong>, but will be\u00a0<strong>thorough personalization<\/strong>based on your age, disease duration, comorbidities, and risk of hypoglycemia. Some people may aim for &lt;6.5%, while others (such as older adults) may aim for &lt;8.0%. Your doctor will help you determine the safest and most appropriate target.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Protect your heart: Reduce the risk of cardiovascular complications<\/strong><br \/>\nCardiovascular complications (such as heart attack and stroke) are the most common and serious problem. You can significantly reduce your risk by:<\/p>\n<ul>\n<li><strong>Stop smoking.<\/strong><\/li>\n<li><strong>Good control of blood pressure and blood lipids<\/strong>through diet, exercise and medication.<\/li>\n<li><strong>Use low-dose aspirin<\/strong>if recommended by a doctor.<\/li>\n<\/ul>\n<\/li>\n<\/ul>\n<ol start=\"3\">\n<li><strong> The Golden Rule: Are Lifestyle Changes Really Important?<\/strong><\/li>\n<\/ol>\n<p><strong>HAVE.<\/strong>\u00a0Diet and exercise are the cornerstones of managing type 2 diabetes.<\/p>\n<ul>\n<li><strong>Smart Nutrition:<\/strong>Dietary changes help control weight, blood pressure, and improve insulin response.\n<ul>\n<li><strong>The most important thing:<\/strong><strong>Should be avoided completely.<\/strong>\u00a0added sugars in soft drinks, canned fruit juices, and candies. At the same time,\u00a0<strong>strictly limited<\/strong>\u00a0Refined starches like white rice, white bread, noodles, pho\u2026 and replace with whole grains when possible.<\/li>\n<li><strong>Portion control<\/strong>and choose healthy foods.<\/li>\n<\/ul>\n<\/li>\n<li><strong>Regular exercise:<\/strong>Exercise helps lower blood sugar by improving insulin sensitivity, even if you don&#039;t lose weight.<\/li>\n<\/ul>\n<ol start=\"4\">\n<li><strong> Medication Groups: Which Is Right for You?<\/strong><\/li>\n<\/ol>\n<p>When lifestyle changes are not enough, medications can be a powerful aid.<\/p>\n<ul>\n<li><strong>Metformin \u2013 First choice:<\/strong>Most newly diagnosed people will start with Metformin. It helps your body respond better to insulin.\n<ul>\n<li><em>Side effects:<\/em>Nausea, diarrhea, and bloating may occur, but these usually subside when taken with meals.<\/li>\n<li>Gastrointestinal side effects usually subside. If you experience them, you can ask your doctor about\u00a0<strong>Metformin extended-release (XR\/ER)<\/strong>, causing fewer digestive side effects.<\/li>\n<\/ul>\n<\/li>\n<li><strong>When a second dose is needed:<\/strong>If your blood sugar and HbA1c are not at your target after 2-3 months, your doctor may recommend adding another medication. The choice will depend on your weight, your risk of hypoglycemia, your medical conditions, and cost.<\/li>\n<\/ul>\n<p>Below are some common drug groups:<\/p>\n<ul>\n<li><strong>Sulfonylurea group (Eg: Glipizide, Glimepiride):<\/strong>Stimulates the pancreas to produce insulin. Caution is advised as it may cause\u00a0<strong>hypoglycemia<\/strong>\u00a0and gain weight.<\/li>\n<li><strong>DPP-4 Inhibitors (Eg: Sitagliptin, Linagliptin):<\/strong>Increases insulin secretion when eating, rarely causes hypoglycemia and does not affect weight.<\/li>\n<li><strong>SGLT2 Inhibitors (Eg: Empagliflozin, Dapagliflozin):<\/strong>Helps eliminate sugar through urine. Very beneficial for patients with chronic heart or kidney disease. Possible side effects: urinary or genital infections.<\/li>\n<li><strong>GLP-1 Agonists (Eg. Liraglutide, Dulaglutide, Semaglutide):<\/strong>The injection helps increase insulin secretion, reduce appetite and effectively support weight loss. Beneficial for the cardiovascular system. Common side effects are nausea.<\/li>\n<li><strong>Insulin:<\/strong>Prescribed when oral medications are not effective enough, or initially if blood sugar is too high. Close monitoring is required to avoid hypoglycemia.<\/li>\n<\/ul>\n<p><em>Note: All medications and regimens should be prescribed and monitored by a medical specialist.<\/em><\/p>\n<ol start=\"5\">\n<li><strong> Living with the disease: How to no longer be a burden?<\/strong><\/li>\n<\/ol>\n<p>Living with type 2 diabetes can be stressful and anxiety-provoking at times. Monitoring your blood sugar, eating right, exercising, and taking medication every day is a big responsibility.<\/p>\n<ul>\n<li><strong>You are not alone.<\/strong>Please share with family and friends for support and encouragement.<\/li>\n<li><strong>Don&#039;t hesitate to talk to your doctor<\/strong>or your healthcare provider if you feel overwhelmed, discouraged, or have any questions about your treatment plan.<\/li>\n<li><strong>Seek psychological support<\/strong>from counselors or social workers when needed. Taking care of your mental health is just as important as controlling your blood sugar.<\/li>\n<\/ul>\n<p>&nbsp;<\/p>","protected":false},"excerpt":{"rendered":"<p>Hi\u1ec3u \u0111\u00fang v\u1ec1 b\u1ec7nh: Khi c\u01a1 th\u1ec3 &#8220;kh\u00e1ng c\u1ef1&#8221; l\u1ea1i Insulin B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n m\u00e3n t\u00ednh, l\u00e0m gi\u00e1n \u0111o\u1ea1n c\u00e1ch c\u01a1 th\u1ec3 b\u1ea1n s\u1eed d\u1ee5ng v\u00e0 d\u1ef1 tr\u1eef \u0111\u01b0\u1eddng (glucose) c\u00f9ng c\u00e1c d\u1ea1ng n\u0103ng l\u01b0\u1ee3ng kh\u00e1c. \u0110\u01b0\u1eddng (Glucose)l\u00e0 nhi\u00ean li\u1ec7u ch\u00ednh cho m\u1ecdi t\u1ebf b\u00e0o. Insulinl\u00e0 &#8220;ch\u00eca kh\u00f3a&#8221; do [&hellip;]<\/p>","protected":false},"author":3,"featured_media":1610,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[7],"tags":[],"class_list":["post-1609","post","type-post","status-publish","format-standard","has-post-thumbnail","hentry","category-news"],"yoast_head":"<!-- This site is optimized with the Yoast SEO plugin v26.3 - https:\/\/yoast.com\/wordpress\/plugins\/seo\/ -->\n<title>\u0110I\u1ec0U TR\u1eca B\u1ec6NH TI\u1ec2U \u0110\u01af\u1edcNG TU\u00ddP 2 - H\u00c0NH TR\u00ccNH KI\u1ec2M SO\u00c1T \u0110\u01af\u1edcNG HUY\u1ebeT - Charis Healthcare<\/title>\n<meta name=\"robots\" content=\"index, follow, max-snippet:-1, max-image-preview:large, max-video-preview:-1\" \/>\n<link rel=\"canonical\" href=\"https:\/\/charis.com.vn\/en\/1609-2\/\" \/>\n<meta property=\"og:locale\" content=\"en_US\" \/>\n<meta property=\"og:type\" content=\"article\" \/>\n<meta property=\"og:title\" content=\"\u0110I\u1ec0U TR\u1eca B\u1ec6NH TI\u1ec2U \u0110\u01af\u1edcNG TU\u00ddP 2 - H\u00c0NH TR\u00ccNH KI\u1ec2M SO\u00c1T \u0110\u01af\u1edcNG HUY\u1ebeT - Charis Healthcare\" \/>\n<meta property=\"og:description\" content=\"Hi\u1ec3u \u0111\u00fang v\u1ec1 b\u1ec7nh: Khi c\u01a1 th\u1ec3 &#8220;kh\u00e1ng c\u1ef1&#8221; l\u1ea1i Insulin B\u1ec7nh ti\u1ec3u \u0111\u01b0\u1eddng tu\u00fdp 2 l\u00e0 m\u1ed9t r\u1ed1i lo\u1ea1n m\u00e3n t\u00ednh, l\u00e0m gi\u00e1n \u0111o\u1ea1n c\u00e1ch c\u01a1 th\u1ec3 b\u1ea1n s\u1eed d\u1ee5ng v\u00e0 d\u1ef1 tr\u1eef \u0111\u01b0\u1eddng (glucose) c\u00f9ng c\u00e1c d\u1ea1ng n\u0103ng l\u01b0\u1ee3ng kh\u00e1c. \u0110\u01b0\u1eddng (Glucose)l\u00e0 nhi\u00ean li\u1ec7u ch\u00ednh cho m\u1ecdi t\u1ebf b\u00e0o. 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