Hey what's going on guys and welcome to episode number 50 of the

physician assistant boards.com podcast. Today we're going to be talking about

diabetic pharmacotherapy and specifically we're going to be talking about type 2 diabetes.

You know type 1 diabetics have their own set of issues, therapies,

but today we're going to be talking about pharmacology regarding type 2 diabetics. Now before we jump into the pharmacology

or the pharmacotherapy, you know, we have to address the lifestyle and the diet modifications, right right and I'm going to tell you right

now a lot of times these don't work they're ineffective but for that one diabetic

that you speak to that is willing to do these things it's 100% worth it.

So very quickly let's go over some lifestyle modifications

that you want to address with your patient.

Obviously you want them to lose weight.

If they lose weight, their insulin sensitivity increases. Now as far

as losing weight, exercise regimen is definitely recommended. You know, it's recommended to do

three or four times a week of exercise does not mean that they need to jump

into the gym start hitting the weights start doing cardio you know if they live a

very sedentary lifestyle then have them start little baby step it right have them start little, baby step it, right? Have them start walking around the

block, you know, start walking around a couple of blocks. And little by little, they can start

increasing their

intensity and duration of exercise. So as far as diet goes, right? You want to avoid a couple of things. Now obviously you want patients to avoid sugar, right?

Sugar is going to increase your blood glucose. Very simple. Sugar is going to be things like sweets,

you know, candy, sodas, juices, so have them avoid things like that. But really the big player are going to be carbohydrates. So carbohydrates include things like pasta,

bread, tortilla, rice, those are probably the most common potatoes. You know, those are probably the most common forms of carbohydrate consumption.

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