Take Charge of Your Diabetes by Sarfraz Zaidi

Author:Sarfraz Zaidi [ZAIDI, SARFRAZ]
Language: eng
Format: epub
ISBN: 9780738211787
Publisher: Da Capo Press
Published: 2011-12-27T00:00:00+00:00

This is how I cover all three sides of the treatment triangle to tame the beast of diabetes in these patients. With severe diabetes, I start out with three to four drugs and gradually step down to two drugs within 6–12 months.

After about six months, I am able to either stop or substantially reduce the dose of the Starlix, Prandin, or sulfonylurea drug. By then, Actos or Avandia is having its maximum effect in lowering insulin resistance. Pancreatic function to produce insulin has also significantly improved by this time due to the decrease of glucose toxicity and lipotoxicity.

In clinical studies, TZD drugs have been shown to rejuvenate beta cells in the pancreas.3 I see this pancreas-salvaging effect of TZD drugs (Actos, Avandia) in my diabetic patients.

By the end of a year, most of my patients are on Actos or Avandia and metformin and they continue to have good control of their diabetes.

By using this treatment triangle approach, I achieve excellent, long-lasting control in a majority of severe cases of diabetes. Also, I must emphasize that my approach to diet, exercise, vitamins, and stress management helps my patients tremendously in treating insulin resistance and controlling their diabetes. Drugs alone would not achieve these kinds of results. Remember, you have to address the five causes of insulin resistance with the corresponding five pillars of treatment in order to achieve these positive results.

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