Diabetes Mellitus has become worlds leading metabolic disorder affecting all age groups. It is estimated to affect 366 million people by 2030 and estimated to be worlds leading disease in ages to come. Diabetes Mellitus is caused due to insulin insufficiency or resistance to insulin due to various factors contributing to high blood sugar, which disrupts normal organ metabolism of vital organs. Due to chronic hyperglycemia (high blood sugars) there is organ dysfunction causing the organ to die permanently and later leading to chronic complications that are irreversible.
Diabetes is Dis-Ease of the body and can be controlled by proper medications and prompt treatment. The primary treatment being modification of life style including sedentary lifestyle and control of obesity. The studies have proved that reduction in weight can lead to favorable control of blood sugar and the demand of insulin requirement and resistance are directly related to obesity. Other drug primarily used in diabetes is insulin sensitizer and insulin secretors. These drugs primarily increase insulin secretion and sensitize the organs to utilize insulin.
Insulin can be artificially produced by DNA technology and are now widely used to treat diabetes. There are many myths about insulin, which makes one resistant to initiate insulin therapy. The truth about insulin therapy is far more unreached especially in lower economical society, which makes treatment difficult and leads to irreversible complications and ultimately death. “An insulin a day can keep Diabetes away “ is the latest guideline for treatment of Diabetes. The sooner the better since micro vascular complications are avoidable leading to preventable cause of death in diabetic patients.
Many might think is there a way out without insulin therapy, the answer is individualized from person to person. As ages go by the secretion of insulin decrease everyday leading to no sufficient insulin produced for daily metabolic needs of the body which produces increased blood sugars. The ultimate solution is supplementation of insulin by daily injections because when there is no insulin, usage of insulin secretors and sensitizer are not of any benefit. Insulin is easier to administer and latest technologies have made it more convenient and pain free to patients.
Bottom line, Initiating insulin therapy at the earliest in-patient who has uncontrolled sugars in spite of maximum oral therapyis the best choice. Complication of diabetes know to us is just a drop in the ocean,to swim across the sea of sugars all you need is determination and appropriate on time treatment.
