Ask Drs. Oz and Roizen: Being smart with your diabetes medication

King Features SydicateJuly 13, 2013 

Q: I've just been diagnosed with type 2 diabetes, and I'm confused about the treatment options. Can you explain?

MARIANNE S., BROWNSVILLE, TEXAS

A: We're sorry you were diagnosed, but glad you're aware of it, since it's estimated that more than 7 million Americans with type 2 don't know they have the condition. You now can avoid complications.

First, it's important to follow your doctor's advice. Oral diabetes medications are generally prescribed and metformin is usually the first choice. You may add insulin for better glucose control or, if your weight is heading up instead of down, your doctor may talk to you about adding one of the drugs that increase insulin secretion, such as exenatide (Byetta) or sitagliptin (Januvia). However, recent information indicates that these two may increase your risk for pancreatitis and pancreatic cancer.

But our goal is to help you be part of the 16 percent of folks with type 2 who don't take medication or even to see you get rid of your diagnosis altogether, by showing you how to control glucose levels through diet, exercise and stress management. Try these steps:

Æ Step One: Get steppin'. After every meal, go for a 15-minute stroll around the block or the parking lot at work. That's a way to keep blood sugar from spiking in the hour after you eat. It's also protective for anyone who's pre-diabetic.

Æ Step Two: Step it up. You're heading for a walking routine that totals 10,000 steps a day.

Æ Step Three: Cool it. Meditation for 12 minutes a day can reduce stress and help you stay with your new healthy routine.

Æ Step Four: Get cookin'. Your mantra: Avoid the Five Food Felons (added sugars and sugar syrups, any grain that isn't 100 percent whole, and saturated and trans fats) as if they were poison.

Mehmet Oz, M.D., is host of "The Dr. Oz Show," and Mike Roizen, M.D., is chief medical officer at the Cleveland Clinic Wellness Institute. To live your healthiest, visit sharecare.com. Distributed by King Features Syndicate, Inc.

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