Endocrine and Therapeutic Basis of Diabetes Mellitus Therapy

M. Kulshreshtha, Pragati Srivastava, D. Panjwani
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Abstract

This review article describes the role of hormones, microvascular complications, pharmacological and non-pharmacological treatments and precautions of diabetes therapy. Diabetes mellitus (DM) is a chronic, lifelong condition that affects ability to use the energy found in food. According to World Health Organization (WHO), it is estimated 422 million adults are suffered with DM up to latest 2016 data.  It occurs throughout the world but is more common in the more developed countries. Increase in prevalence is occurring in low- and middle-income countries including in Asia and Africa, where most patients will probably be found by 2030. The WHO estimates that diabetes resulted in 1.5 million deaths in 2012, making it the 8th leading cause of death. We summarized the published scientific data and new development in the field of diabetes with a search of PubMed, Google scholar, med know and other online resources.  Various hormones play an important role in which insulin has a more importance in DM. Pharmacological treatment included various side effects while herbal drugs are found to be safe. Diet and exercise are the excellent key points to cure the disease. Avoid high sugar diet and various foods whose sugar levels are high should be avoided at the age 40.  Overall, better knowledge, balanced life style, and daily exercise are the excellent treatment of diabetes and effective glucose control.   
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糖尿病治疗的内分泌与治疗基础
本文综述了激素的作用、微血管并发症、药物和非药物治疗以及糖尿病治疗的注意事项。糖尿病(DM)是一种慢性的、终生的疾病,它会影响人体利用食物中的能量的能力。根据世界卫生组织(世卫组织)的数据,截至2016年的最新数据,估计有4.22亿成年人患有糖尿病。它发生在世界各地,但在较发达的国家更为常见。包括亚洲和非洲在内的低收入和中等收入国家的患病率正在上升,到2030年可能会在这些国家发现大多数患者。世界卫生组织估计,2012年糖尿病导致150万人死亡,使其成为第八大死因。我们通过检索PubMed、Google scholar、med know等在线资源,总结了糖尿病领域已发表的科学数据和最新进展。多种激素在糖尿病中起着重要作用,其中胰岛素的作用更为重要。药物治疗存在各种副作用,而草药治疗是安全的。饮食和运动是治疗此病的极好要点。避免高糖饮食和各种含糖量高的食物应在40岁时避免。总的来说,更好的知识、平衡的生活方式和日常锻炼是治疗糖尿病和有效控制血糖的最佳方法。
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