Diabetes threatens our lives with many different complications, shortens the expected life expectancy and causes premature stillbirths.

• Diabetes threatens our lives with many different complications, shortens the expected life expectancy and causes premature stillbirths.
• Type 2 diabetes occurs suddenly after a long period of undetected silence.
• Diabetes-related complications unfortunately occurred at the time of diagnosis.
• In a comprehensive study conducted, 7.6% of the patients diagnosed with diabetes had eye damage (retinopathy), 48.1% had numbness in the feet (due to nerve damage), 17.2% had kidney damage, 13.3% had a previous heart attack, 39.5% had ischemic heart disease and vascular occlusion was detected in 10.6% of them.
• It has been shown that eye damage begins an average of 12 years before the diagnosis of diabetes.
• Cholesterol and high blood pressure can be controlled without medication when diabetes is brought under control in the early period.

If lifestyle changes and diet do not prevent high sugar levels, oral diabetes medications should be started without waiting too long. The first choice in treatment is usually the drug called “metformin”, but it should be determined that there is no problem in the kidneys. In addition, this drug can cause serious gas in the intestines and the dose should be adjusted. Other first-choice drugs are “sulfonuria” if the first group cannot be used. The patient should be observed for 3 months, it should be seen that the sugar levels of the single drug are controlled. If “metformin” is not sufficient, additional “sulfonuria” group drugs should be started. If high blood sugar cannot be controlled despite this treatment, an additional basal dose of “insulin” or a third sugar pill of a different group should be started.

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The starting dose of insulin is between 30-100 units and these doses are quite safe. The aim of insulin therapy is to keep fasting blood sugar below 115.

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