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See references at the end of description: ඉන්සියුලින් ගැනීමට පෙර මේ ටික කරලා බලන්න මෙට්ෆෝමින්: බොහෝ විට දෙවන වර්ගයේ දියවැඩියාව සඳහා නියම කරන ලද පළමු ඖෂධය. එය අක්මාව තුළ ග්ලූකෝස් නිෂ්පාදනය අඩු කිරීමට සහ ඉන්සියුලින් සඳහා ශරීරයේ සංවේදීතාව වැඩි දියුණු කිරීමට උපකාරී වේ. Sulfonylureas: මේවා අග්න්යාශය වැඩි ඉන්සියුලින් මුදා හැරීමට උත්තේජනය කරයි (උදා: glipizide, glyburide). මෙග්ලිටිනයිඩ්: සල්ෆොනිලියුරියා වලට සමාන, ඒවා ඉන්සියුලින් මුදා හැරීම උත්තේජනය කරන නමුත් කෙටි ක්රියාකාරී වේ (උදා: රෙපග්ලිනයිඩ්, නැටෙග්ලිනයිඩ්). Thiazolidinediones: ඉන්සියුලින් සංවේදීතාව වැඩි දියුණු කිරීම (උදා: pioglitazone, rosiglitazone). SGLT2 නිෂේධක: රුධිර ප්රවාහයෙන් ග්ලූකෝස් ඉවත් කිරීමට වකුගඩු වලට උදව් කරන්න (උදා: canagliflozin, dapagliflozin). ඇල්ෆා-ග්ලූකෝසයිඩේස් නිෂේධක: බඩවැල්වල කාබෝහයිඩ්රේට බිඳවැටීම මන්දගාමී වේ (උදා: ඇකාබෝස්, මිග්ලිටෝල්). Weight Management and reducing BMI and Waist circumferance. Diet and Exercise: Fundamental to diabetes management, these can sometimes reduce or eliminate the need for medication. Bariatric Surgery: For some individuals with severe obesity and type 2 diabetes, bariatric surgery can significantly improve blood glucose control. Herbal and Natural Remedies: Some people use supplements such as cinnamon, berberine, or aloe vera, but these should be used with caution and under a healthcare provider's supervision. There are several alternative medications for managing diabetes, especially for those with type 2 diabetes. These alternatives include oral medications, non-insulin injectables, and other therapies. It's important to consult with a healthcare professional before making any changes to your medication regimen. Here are some commonly used alternatives: Oral Medications Metformin: Often the first medication prescribed for type 2 diabetes. It helps lower glucose production in the liver and improves the body's sensitivity to insulin. Sulfonylureas: These stimulate the pancreas to release more insulin (e.g., glipizide, glyburide). Meglitinides: Similar to sulfonylureas, they stimulate insulin release but are shorter-acting (e.g., repaglinide, nateglinide). Thiazolidinediones: Improve insulin sensitivity (e.g., pioglitazone, rosiglitazone). DPP-4 Inhibitors: Help reduce blood sugar levels without causing hypoglycemia (e.g., sitagliptin, saxagliptin). SGLT2 Inhibitors: Help the kidneys remove glucose from the bloodstream (e.g., canagliflozin, dapagliflozin). Alpha-glucosidase Inhibitors: Slow the breakdown of carbohydrates in the intestines (e.g., acarbose, miglitol). Non-Insulin Injectables GLP-1 Receptor Agonists: These mimic the incretin hormone, which increases insulin release in response to meals and slows gastric emptying (e.g., exenatide, liraglutide). Amylin Mimetics: Pramlintide is used in conjunction with insulin and helps control blood sugar by slowing gastric emptying and suppressing glucagon secretion. Other Therapies Innovative Therapies SGLT2 Inhibitors: They work by preventing the kidneys from reabsorbing sugar back into the blood, causing it to be excreted in the urine. DPP-4 Inhibitors: These help to prolong the action of incretin hormones, which increase insulin release and decrease glucagon levels after meals. Monitoring and Regular Checkups Regular Monitoring: Continuous glucose monitors (CGMs) can help track blood glucose levels more closely. Professional Support: Regular visits to a healthcare provider are crucial for adjusting treatment plans and preventing complications. 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