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By the way, doctor: Diabetes treatment.

Publication: Harvard Health Letter
Publication Date: 01-MAY-09 		Format: Online
Delivery: Immediate Online Access

Article Excerpt
By the way, doctor

Diabetes treatment

Q. I've had type 2 diabetes for 12 years; I'm now 81. I take metformin plus Januvia. My doctor has never suggested that I monitor myself on a daily basis with a meter. My hemoglobin A1c has been creeping up and is now at 7. Should I be getting more aggressive in my treatment?

A. You have type 2 diabetes, which used to be called adult-onset diabetes. This type of diabetes is caused mainly by insulin resistance. Normally, insulin helps usher blood sugar (which is the same thing as glucose) out of the bloodstream and into cells where it is used for energy. When people develop insulin resistance, cells turn away insulin,...

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