3 - IN - 1. ARE WE FOOLING OURSELVES?

Modern medicine has lots of wonders up its sleeves... So do the pharmaceutical companies that manufacture the wonders required for maintaining health. The classical methodology of treatment was using monotherapy (simply speaking its one drug at a time). In diabetes this policy doesn’t work. As I have discussed in many of my previous posts Diabetes is multi-factorial and so does the modality of treatment. Combination therapy is the norm in treatment of Diabetes. We need to squeeze out the insulin from the pancreas plus make the squeezed out insulin work better by increasing the body’s sensitivity to insulin plus reduce the carbohydrate absorption from the food we take... Generally I prefer to start treatment by giving individual medicines. Once the patient’s blood sugar is under control we can try combination of tablets. The logic behind combining is to simplify the treatment schedule for the patient. Lesser number of tablets means more patient satisfaction.