Uncontrolled diabetes refers to a condition where blood glucose levels are not effectively managed, either due to insufficient insulin production (Type 1 diabetes) or the body’s inability to respond to insulin properly (Type 2 diabetes). This can lead to chronic high blood sugar levels, increasing the risk of complications such as heart disease, kidney damage, nerve damage, and vision problems. Uncontrolled diabetes occurs when lifestyle changes, medications, or insulin therapy are not sufficient to maintain normal blood sugar levels, and it requires ongoing medical intervention and monitoring to prevent long-term complications.

Procedures & Interventions

Insulin Therapy

Insulin therapy is a cornerstone treatment for individuals with Type 1 diabetes and is often used for Type 2 diabetes when oral medications are insufficient. It involves the regular injection or infusion of insulin to help control blood sugar levels. There are various types of insulin (rapid-acting, long-acting) depending on an individual's needs. Proper insulin management helps regulate blood glucose and prevent complications.

Oral Medications

For Type 2 diabetes, oral medications are commonly prescribed to improve insulin sensitivity or reduce glucose production. Some examples include metformin, which lowers blood sugar levels by decreasing liver glucose production, and sulfonylureas, which help the pancreas release more insulin. These medications are often used in combination with lifestyle changes to help manage diabetes.

Continuous Glucose Monitoring (CGM)

Continuous glucose monitoring involves wearing a sensor that continuously tracks blood glucose levels throughout the day and night. This technology helps individuals with uncontrolled diabetes make real-time adjustments to their insulin therapy and lifestyle. CGMs help provide a comprehensive picture of blood sugar fluctuations, which allows for more precise management of diabetes.

Lifestyle Modifications

Dietary changes, physical activity, and weight management are crucial in controlling blood glucose levels. A diet rich in fiber, low in refined sugars, and with balanced carbohydrates can help improve insulin sensitivity. Regular physical activity, such as walking, swimming, or strength training, also plays a vital role in improving blood sugar control and reducing insulin resistance.

Bariatric Surgery

Bariatric surgery is an option for individuals with uncontrolled Type 2 diabetes who are severely obese. Procedures like gastric bypass or sleeve gastrectomy have been shown to significantly improve blood sugar levels and, in some cases, lead to remission of diabetes. These surgeries help by reducing weight and improving the body’s ability to use insulin effectively.

Pancreatic Transplant

Pancreatic transplant is a surgical procedure where a healthy pancreas is transplanted from a donor into a person with Type 1 diabetes. This is often considered for patients who have severe complications from diabetes, such as kidney failure, and is typically done in combination with a kidney transplant. It restores the body’s ability to produce insulin and helps in controlling blood sugar levels more effectively.

Team of Excellence

RG Hospitals is proud to have over 4,800 esteemed doctors, many of whom are pioneers in their respective fields. They are recognized for their commitment to advancing healthcare through innovative and groundbreaking clinical procedures.

Find a Doctor