Health; Treating Type II Diabetes.

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There have not been nearly as many advances in the treatment of the more common Type II diabetes. As noted, the problem here is not the inability of the pancreas to produce any insulin at all. It is the inability of the pancreas to keep up with the body’s escalating need for insulin, usually worsened by excess weight.

Though pills are widely used, these serve to push the pancreas to put out more insulin. But there is a limit to how much you can ‘whip a tired horse,’ in this case, a tired pancreas. A good diet that reduces weight and cuts down on the simple sugars, accompanied by sensible exercise, may be more useful.

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If diet, exercise, and abstention from sweets do not lower blood-sugar levels enough, then pills may be prescribed. Here, opinions differ. Some doctors prefer to use insulin injections rather than pills even in Type II diabetics. There may be side effects to the pills, and there is some question as to whether they really help prevent long-term complications.

In each case, all factors need to be weighed by competent doctors before treatment is recommended. And the diabetic must weigh the recommendations and make the final decision as to what he will do.

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