Management of Type II Diabetes Mellitus by Life Style Modification

Title: Management of Type II Diabetes Mellitus by Life Style Modification

 

Introduction: Diabetic mellitus is a chronic disease of carbohydrate, fat, and protein metabolism. About 135 million people worldwide are affected with type II diabetes mellitus. By maintaining a healthy diet and adequate exercise, a person with type 2 diabetes may be able to maintain blood sugar in the normal non-diabetic range without medication. Weight reduction, exercise, and dietary modification decrease insulin resistance and correct the hyperglycemia. Method: We are presenting a case study of a 44-year-old male with type II diabetes. His fasting blood sugar was 180mg/dl; triglyceride level was 243/dl; hemoglobin A1c was 9.7.After a six month of regular walk of 4 miles/day and regulating the carbohydrate in the diet, he was rechecked by the physician with the laboratory report. It became 94mg/dl fasting blood sugar, hemoglobin A1c 5.6, and triglyceride of 149mg/dl.  Discussion: In recent years there has been a steady increase in the number of diabetic patients even in the younger individuals due to obesity. The exact mechanism that link obesity with insulin resistance is not known. In type II diabetes mellitus there is compensatory hyperinsulinemia associated with diminished sensitivity of target tissues to the metabolic effects of insulin called as insulin resistance. Learning objectives: 1.To elucidates the mechanism of insulin resistance and to 2. Establish awareness tools to control type II diabetes mellitus Conclusion: Type II diabetes is a preventable metabolic syndrome. A patient with diabetes mellitus may regulate blood glucose se level without medication for many years.

Key Words: Type II Diabetes Mellitus, Obesity, Insulin Resistance, Diet, and Exercise