What Is Type 2 Diabetes? 

What Is Type 2 Diabetes ?

Type 2 diabetes is a chronic condition that affects how your body processes glucose, also known as blood sugar. Glucose is an important source of energy for your body, but when you have type 2 diabetes, your body cannot use insulin properly or make enough insulin to keep up with the demands of your body. 

According to the Centers for Disease Control and Prevention (CDC), approximately 34.2 million people in the United States have diabetes, and 90-95% of them have type 2 diabetes. Diabetes is also the seventh leading cause of death in the United States. 

Risk factors for type 2 diabetes include being overweight or obese, having a sedentary lifestyle, having a family history of diabetes, being over 45 years old, and belonging to certain racial and ethnic groups, such as African Americans, Hispanics/Latinos, and Native Americans. 

The symptoms of type 2 diabetes can include increased thirst, frequent urination, unexplained weight loss, blurred vision, fatigue, and slow healing of cuts and bruises. However, some people with type 2 diabetes may not have any symptoms at all. 

If left untreated, type 2 diabetes can lead to serious health complications, including nerve damage, kidney damage, eye damage, and an increased risk of heart disease and stroke. 

The good news is that type 2 diabetes can be managed through lifestyle changes, such as healthy eating, regular physical activity, and weight management, as well as medication and insulin therapy if necessary. If you are at risk for type 2 diabetes, talk to your healthcare provider about getting tested and developing a plan to manage your health.  

The prevalence of diabetes. You are not alone.  

Diabetes is a global health issue affecting a significant portion of the world’s population. According to the International Diabetes Federation, in 2021, around 537 million people worldwide had diabetes, and this number is expected to increase to 642 million by 2045. 

In the United States, the Centers for Disease Control and Prevention (CDC) report that approximately 34.2 million people, or 10.5% of the population, have diabetes. Of these, around 26.8 million have been diagnosed, while the remaining 7.3 million are undiagnosed. Additionally, an estimated 88 million adults in the US have prediabetes, a condition that increases the risk of developing type 2 diabetes and other chronic diseases. 

Diabetes affects people of all ages, genders, and races, although some groups are at a higher risk. According to the CDC, in the US, diabetes is more prevalent among elder adults, non-Hispanic Black, Hispanic, and American Indian/Alaska Native populations. The prevalence of diabetes is also higher among people with obesity and those with a family history of diabetes. 

Diabetes is a widespread health problem both in the US and worldwide. The increasing prevalence of diabetes highlights the need for continued efforts to prevent and manage this chronic condition through lifestyle changes, access to quality healthcare, and public health interventions. 

What is the criteria to be type 2 diabetes ?

Type 2 diabetes is a chronic disease that affects how your body processes glucose, a type of sugar found in food. Type 2 diabetes is diagnosed through several blood tests that measure the amount of glucose in the blood. The American Diabetes Association (ADA) recommends the following diagnostic criteria for type 2 diabetes: 

  • A hemoglobin A1C (HbA1c) level of 6.5% or higher. HbA1c is a blood test that reflects the average blood sugar level over the past 2 to 3 months. 
  • A fasting plasma glucose (FPG) level of 126 mg/dL or higher. Fasting means no food or drink (other than water) for at least 8 hours before the test. 
  • A 2-hour plasma glucose level of 200 mg/dL or higher during an oral glucose tolerance test (OGTT). This test measures blood glucose levels 2 hours after drinking a sugary liquid. 
  • A random plasma glucose test of 200 mg/dL or higher: A random plasma glucose test measures your blood sugar level at any time of the day, regardless of when you last ate. A result of 200 mg/dL or higher, along with symptoms of diabetes, indicates that you have diabetes. 

If a person has symptoms of diabetes, such as increased thirst, frequent urination, and unexplained weight loss, a single positive blood test is enough for diagnosis. However, if there are no symptoms, two separate tests that confirm the diagnosis are required. It is important to note that these tests should be repeated on a separate day to confirm the diagnosis. 

It is important to note that the diagnostic criteria may differ slightly between countries and medical organizations. Consult with a healthcare provider for the most up-to-date guidelines in your region. 

A silent disease

According to the Centers for Disease Control and Prevention (CDC), there are approximately 84 million adults in the United States with pre-diabetes, which is a condition where blood sugar levels are higher than normal but not yet high enough to be diagnosed as type 2 diabetes. However, many people with pre-diabetes may not show any symptoms. In fact, up to 90% of people with pre-diabetes are unaware that they have it. 

Type 2 diabetes is known as a silent disease because it can develop over a long period without any noticeable symptoms. As a result, many people with type 2 diabetes are unaware that they have the condition, and the disease may go undiagnosed for years. This is because high blood sugar levels can cause damage to the body’s blood vessels, nerves, and organs over time, leading to complications such as heart disease, kidney disease, and nerve damage. In fact, a study conducted by the National Institutes of Health (NIH) found that nearly one-fourth of individuals with diabetes were undiagnosed, and another study found that up to 50% of individuals with prediabetes were undiagnosed. 

It is important to note that early detection and treatment of type 2 diabetes can prevent or delay the onset of serious complications such as heart disease, kidney disease, and nerve damage. Therefore, it is recommended that individuals at risk for type 2 diabetes, including those with a family history of diabetes, a sedentary lifestyle, and/or obesity, should be regularly screened for the disease.

Health risks associated with type 2 diabetes

Type 2 diabetes is a chronic condition. It can result in numerous health complications. By understanding the potential risks and taking appropriate measures, individuals can minimize these complications and maintain their overall health.  

Cardiovascular disease: Elevated blood sugar levels in type 2 diabetes can contribute to the development of heart disease, stroke, and other cardiovascular complications. High blood sugar levels can cause damage to blood vessels and promote inflammation, increasing the risk of atherosclerosis (source: American Heart Association). Regular physical activity, a healthy diet, and blood pressure management can help reduce this risk. 

Kidney damage (nephropathy): High blood sugar levels can impair the kidneys’ delicate filtering system, leading to kidney disease or even kidney failure. This damage, known as diabetic nephropathy, may necessitate dialysis or kidney transplantation (source: National Institute of Diabetes and Digestive and Kidney Diseases). Proper blood sugar and blood pressure management can help protect kidney function. 

Nerve damage (neuropathy): Prolonged high blood sugar levels can cause nerve damage, especially in the extremities. This condition, called diabetic neuropathy, can manifest as tingling, numbness, pain, and loss of sensation. In severe cases, it can lead to problems with digestion, urinary tract function, and even heart rate (source: Mayo Clinic). Managing blood sugar levels and maintaining foot health can help minimize neuropathy risks. 

Eye damage (retinopathy): Type 2 diabetes can cause damage to the blood vessels in the retina, resulting in diabetic retinopathy. This condition can lead to vision loss, glaucoma, and even blindness if left untreated (source: National Eye Institute). Regular eye exams and proper blood sugar management can help detect and address eye issues early. 

Foot complications: Poor circulation and nerve damage in type 2 diabetes can result in foot complications such as ulcers, infections, and amputations. These issues can be exacerbated by reduced sensation and slow-healing sores (source: American Diabetes Association). Proper foot care, daily inspections, and prompt treatment of foot issues can help prevent complications. 

Skin conditions: Type 2 diabetes can lead to various skin conditions, including bacterial and fungal infections, diabetic dermopathy, and necrobiosis lipoidica diabeticorum. These conditions can result from changes in blood sugar levels and impaired immune function (source: American Academy of Dermatology). Proper skin care, blood sugar management, and prompt treatment of skin issues can help maintain skin health. 

Hearing impairment: Individuals with diabetes may experience hearing problems due to damage to the blood vessels and nerves within the inner ear. This damage can result in reduced ability to hear high-frequency sounds, affecting speech comprehension (source: National Institute on Deafness and Other Communication Disorders). Regular hearing evaluations and blood sugar management can help detect and address hearing issues early. 

Sleep apnea: Type 2 diabetes is associated with an increased risk of sleep apnea, a disorder characterized by repeated pauses in breathing during sleep. Sleep apnea can exacerbate blood sugar control and contribute to other diabetes-related complications, such as cardiovascular disease (source: American Diabetes Association). Diagnosis and treatment of sleep apnea, including lifestyle changes and the use of continuous positive airway pressure (CPAP) devices, can improve sleep quality and overall health. 

Depression and anxiety: People with type 2 diabetes have a higher likelihood of experiencing depression and anxiety, which can negatively impact diabetes management and overall quality of life (source: National Institute of Mental Health). Addressing mental health concerns through therapy, medication, or support groups can help improve emotional well-being and enhance diabetes management. 

Bone and joint problems: Type 2 diabetes can increase the risk of bone and joint issues, such as osteoporosis and osteoarthritis. High blood sugar levels can affect bone mineral density and increase the risk of fractures (source: National Institute of Arthritis and Musculoskeletal and Skin Diseases). Engaging in weight-bearing exercises and maintaining a balanced diet with adequate calcium and vitamin D can help support bone health. 

Symptoms of type 2 diabetes.

It is important to note that not all individuals with type 2 diabetes will experience these symptoms, and they may not appear until the condition has progressed. Therefore, it is essential to undergo regular screenings for diabetes and consult a healthcare provider if experiencing any concerning symptoms. 

Increased thirst and frequent urination: One of the common symptoms of type 2 diabetes is increased thirst and frequent urination. These symptoms occur due to the body’s inability to properly regulate blood sugar levels, resulting in high blood sugar levels, a condition known as hyperglycemia. When blood sugar levels are high, the kidneys work to remove the excess glucose by filtering it out of the blood and into the urine. This process results in increased urine production, which can lead to frequent urination. 

As the body loses more fluids through urine, it can cause dehydration, leading to increased thirst. This thirst is often accompanied by a dry mouth and a persistent feeling of needing to drink more fluids. 

According to the American Diabetes Association, individuals with untreated diabetes may urinate more than 7 times per day, with each urination producing more than 2.5 ounces of urine. They may also experience a persistent feeling of thirst and consume more than 3 quarts of fluids per day. 

Extreme hunger, also known as polyphagia, is a symptom commonly associated with type 2 diabetes. It is characterized by an increased appetite that is difficult to satisfy, even after a consumption of large amount of food. This symptom can be caused by the body’s inability to properly use glucose for energy, leading to a feeling of constant hunger. 

Among people with type 2 diabetes, the body may not produce enough insulin or become resistant to its effects, resulting in high blood sugar levels. The excess glucose in the bloodstream can cause hunger and cravings for food, as the body is unable to utilize the glucose for energy. 

Polyphagia can also be a result of dehydration caused by frequent urination, another common symptom of type 2 diabetes. The body may try to compensate for the lost fluids by increasing hunger signals, leading to overeating and subsequent weight gain. 

It is important to note that extreme hunger may not be the only symptom of type 2 diabetes and should be evaluated alongside other potential signs, such as increased thirst, frequent urination, and fatigue. 

Fatigue is a common symptom experienced by people with type 2 diabetes. It is characterized by a feeling of tiredness or exhaustion that is not relieved by rest or sleep. Fatigue can be caused by a variety of factors in people with diabetes, including insulin resistance, high blood sugar levels, and a lack of physical activity. 

Insulin resistance is a hallmark of type 2 diabetes, in which the body’s cells become resistant to the effects of insulin, a hormone that regulates blood sugar levels. This can lead to high blood sugar levels, which can cause fatigue. In addition, people with type 2 diabetes may experience frequent urination, which can cause dehydration and also contribute to fatigue.  

Lack of physical activity can also contribute to fatigue in people with type 2 diabetes. Regular physical activity is important for maintaining blood sugar levels and overall health, but many people with diabetes may have difficulty engaging in physical activity due to other symptoms or complications of the disease. 

It is important for people with type 2 diabetes to manage their blood sugar levels and engage in regular physical activity to help reduce the symptoms of fatigue. Proper management of diabetes can also help prevent other complications of the disease. 

Blurred vision is a common symptom associated with type 2 diabetes. The high blood sugar levels associated with type 2 diabetes can cause the lens of the eye to swell, leading to blurry vision. In addition, high blood sugar levels can damage the blood vessels in the retina, leading to a condition known as diabetic retinopathy, which can also cause vision problems. 

According to the National Eye Institute, diabetic retinopathy is the leading cause of blindness among working-age adults in the United States. Approximately 40 to 45 percent of people with diabetes have some form of diabetic retinopathy, and about 8 percent have advanced, vision-threatening diabetic retinopathy. 

It is important for individuals with type 2 diabetes to have regular eye exams to monitor for any signs of diabetic retinopathy. The American Diabetes Association recommends that individuals with diabetes have a comprehensive eye exam with dilation at least once a year. 

Slow-healing sores or frequent infections: People with type 2 diabetes may experience slow-healing sores or frequent infections. High levels of glucose in the blood can cause damage to blood vessels and impair the immune system, making it more difficult for the body to fight off infections. Additionally, nerve damage, or neuropathy, commonly associated with diabetes, can affect the ability to feel pain, making it difficult to detect cuts, sores, or infections that can worsen over time. 

Slow-healing sores, particularly on the feet, can lead to serious complications such as ulcers, infections, and even amputations if left untreated. According to the Centers for Disease Control and Prevention (CDC), people with diabetes are 10 times more likely to undergo lower-limb amputations than those without diabetes. 

Frequent infections, particularly of the skin, urinary tract, and yeast infections, are also common in people with diabetes. Women with diabetes are particularly susceptible to vaginal yeast infections. According to the American Diabetes Association, people with diabetes are more prone to infections than those without diabetes due to high glucose levels that create a favorable environment for bacterial and fungal growth. 

Numbness or tingling in the hands or feet: Numbness or tingling in the hands or feet is a common symptom experienced by people with type 2 diabetes. This symptom is caused by a condition called diabetic neuropathy, which is a type of nerve damage that occurs due to high blood sugar levels over an extended period of time. 

Diabetic neuropathy affects the peripheral nerves, which are responsible for transmitting messages between the central nervous system and the rest of the body. When these nerves are damaged, they can no longer function correctly, leading to numbness, tingling, and pain in the hands and feet. 

The prevalence of diabetic neuropathy is high in people with type 2 diabetes. According to the Centers for Disease Control and Prevention (CDC), about half of people with diabetes have some form of neuropathy. Furthermore, the risk of developing neuropathy increases with the duration of diabetes, with an estimated 60 to 70 percent of people with diabetes experiencing some form of neuropathy after 10 years of having the condition. 

It is crucial for people with type 2 diabetes to manage their blood sugar levels effectively to prevent or delay the onset of diabetic neuropathy. Good blood sugar control can also help to slow the progression of existing neuropathy and reduce the severity of symptoms.  

Dark patches on the skin: Dark patches on the skin, also known as acanthosis nigricans, are a common symptom in people with type 2 diabetes. These patches typically appear in skin folds such as the armpits, groin, neck, or under the breasts. 

The reason for the development of these dark patches is the excess production of insulin in the body. High levels of insulin cause the skin cells to reproduce rapidly, resulting in thickened, dark, and velvety skin. Insulin resistance, which is common in people with type 2 diabetes, also plays a role in the development of acanthosis nigricans. 

In addition to type 2 diabetes, acanthosis nigricans can also be caused by obesity, hormonal disorders, certain medications, and genetic factors.  

Weight loss is a less common symptom of type 2 diabetes, but it can occur in some individuals. The reason for weight loss is due to the body’s inability to properly use glucose for energy. In type 2 diabetes, the body may become resistant to the hormone insulin, which normally helps the body use glucose from food for energy. When this happens, the body may not be able to get enough glucose from food, and instead begins to break down stored fat and muscle for energy. 

As a result of this breakdown of fat and muscle, people with type 2 diabetes may experience weight loss. In addition, if diabetes is not well-managed, high levels of glucose in the urine can lead to frequent urination, which can cause dehydration and further weight loss. 

Yeast infections are a common symptom experienced by people with type 2 diabetes. Yeast infections are caused by the fungus Candida albicans, which thrives in warm, moist environments like the mouth, skin, and genital area. When blood sugar levels are consistently high, it can create a favorable environment for Candida albicans to grow and multiply. This leads to an overgrowth of the fungus, resulting in symptoms such as itching, burning, and discharge. 

According to the Centers for Disease Control and Prevention (CDC), people with diabetes are more likely to experience yeast infections. In fact, women with diabetes are two to four times more likely to develop vaginal yeast infections than women without diabetes. Men with diabetes can also experience yeast infections, typically in the form of balanitis, which causes redness, itching, and inflammation of the head of the penis. 

It is important for people with type 2 diabetes to manage their blood sugar levels through lifestyle changes, medication, and regular check-ups with their healthcare provider to reduce the risk of developing yeast infections and other complications associated with diabetes. Proper hygiene practices can also help prevent yeast infections, such as keeping the genital area clean and dry, wearing breathable underwear, and avoiding douching or using scented products in the genital area.  

Dry mouth and itchy skin are two symptoms that may be experienced by individuals with type 2 diabetes. Dry mouth is caused by reduced saliva production, while itchy skin may be due to a lack of moisture in the skin. 

Reduced saliva production can be caused by high blood sugar levels, which can damage the salivary glands. Additionally, certain medications used to manage diabetes, such as antihistamines and diuretics, can also cause dry mouth. Dry mouth can lead to a variety of dental problems, such as tooth decay and gum disease. 

Itchy skin, on the other hand, can be caused by several factors, including poor circulation, nerve damage, and dehydration. High blood sugar levels can damage nerves and blood vessels, leading to poor circulation and nerve damage. This can cause the skin to become dry and itchy. 

Erectile dysfunction (ED) refers to the inability to achieve or maintain an erection firm enough for sexual intercourse. Men with type 2 diabetes are more likely to experience ED compared to those without diabetes. ED occurs when the blood vessels and nerves that control erection are damaged due to prolonged high blood sugar levels. 

The reason for ED in type 2 diabetes is related to the damage of small blood vessels and nerves that occurs with high levels of glucose in the blood. This damage can affect the blood flow and nerve function that are necessary for achieving and maintaining an erection. Additionally, men with type 2 diabetes may also have low levels of testosterone, which can contribute to ED. Men with type 2 diabetes are more likely to have high blood pressure, high cholesterol levels, and obesity, which can further increase the risk of ED. 

According to the American Diabetes Association, up to 50% of men with diabetes experience ED, compared to 20% of men without diabetes. It is also important to note that ED can be an early sign of cardiovascular disease in men with diabetes, and it should be taken seriously and treated promptly. 

Risk factors for type 2 diabetes

Type 2 diabetes is a chronic metabolic condition characterized by high blood sugar levels due to insulin resistance or insufficient insulin production. Understanding the risk factors associated with type 2 diabetes can help individuals identify potential areas of concern and implement lifestyle changes to reduce their risk. 

Family history and genetics: A family history of type 2 diabetes increases an individual’s risk of developing the condition. Genetic factors play a significant role in the development of diabetes, and individuals with a parent or sibling with type 2 diabetes have an increased risk (Source: National Institute of Diabetes and Digestive and Kidney Diseases). 

Age: The risk of developing type 2 diabetes increases with age, particularly after the age of 45. Aging can lead to a decrease in muscle mass and an increase in body fat, both of which contribute to insulin resistance (Source: Centers for Disease Control and Prevention)  

Obesity and body fat distribution: Being overweight or obese is a significant risk factor for type 2 diabetes. Excess body fat, especially around the abdomen, can cause inflammation and insulin resistance, leading to the development of diabetes (Source: World Health Organization) 

Physical inactivity: A sedentary lifestyle is linked to an increased risk of type 2 diabetes. Regular physical activity helps improve insulin sensitivity and glucose metabolism, reducing the risk of developing diabetes (Source: American Diabetes Association). 

Ethnicity: Certain ethnic groups, such as African Americans, Hispanic/Latino Americans, Native Americans, Asian Americans, and Pacific Islanders, have a higher prevalence of type 2 diabetes compared to non-Hispanic whites (Source: National Institute of Diabetes and Digestive and Kidney Diseases). 

Gestational diabetes: Women who develop gestational diabetes during pregnancy are at a higher risk of developing type 2 diabetes later in life. Additionally, the child born to a mother with gestational diabetes is also at an increased risk of developing type 2 diabetes (Source: Mayo Clinic). 

Polycystic ovary syndrome (PCOS): Women with polycystic ovary syndrome have a higher risk of developing type 2 diabetes due to hormonal imbalances and insulin resistance commonly associated with the condition (Source: National Institutes of Health). 

High blood pressure (hypertension): Having high blood pressure is associated with an increased risk of developing type 2 diabetes. Both conditions share similar risk factors, such as obesity and physical inactivity, and hypertension can contribute to insulin resistance (Source: American Heart Association). 

Abnormal cholesterol levels: Elevated levels of low-density lipoprotein (LDL) cholesterol, low levels of high-density lipoprotein (HDL) cholesterol, and high triglyceride levels can increase the risk of developing type 2 diabetes. These lipid abnormalities can lead to insulin resistance and contribute to the development of diabetes (Source: American Diabetes Association). 

Prediabetes: Prediabetes is a condition characterized by blood sugar levels higher than normal but not high enough for a diabetes diagnosis. Individuals with prediabetes are at an increased risk of developing type 2 diabetes if appropriate lifestyle changes are not made (Source: Centers for Disease Control and Prevention). 

Smoking: Smoking has been linked to an increased risk of type 2 diabetes. Cigarette smoking can cause inflammation and oxidative stress, leading to insulin resistance and increased blood sugar levels (Source: National Institute of Diabetes and Digestive and Kidney Diseases). 

Sleep disorders: Sleep disorders, such as sleep apnea and insomnia, can increase the risk of developing type 2 diabetes. Poor sleep quality and sleep deprivation can affect glucose metabolism and insulin sensitivity, contributing to the development of diabetes (Source: National Sleep Foundation). 

Mental health conditions: Conditions such as depression, anxiety, and chronic stress can increase the risk of developing type 2 diabetes. These mental health conditions can lead to hormonal imbalances, inflammation, and lifestyle changes that contribute to insulin resistance (Source: Harvard Medical School). 

Note: This content is for informational purposes only and should not be considered medical advice, diagnosis, or treatment. Always consult a healthcare professional for personalized advice. 

Common prescriptions for type 2 diabetes management

Common prescriptions for type 2 diabetes in addition to lifestyle modifications: 

Metformin: Metformin is a first-line medication typically prescribed to individuals with type 2 diabetes. It works by reducing the amount of glucose produced by the liver and increasing the sensitivity of muscle cells to insulin, thereby improving glucose uptake (source: American Diabetes Association). 

Cons: 

  • May not be suitable for individuals with kidney, liver, or heart problems. 
  • Requires monitoring of kidney function. 

Common side effects: 

  • Gastrointestinal symptoms such as diarrhea, nausea, and abdominal pain. 
  • Metallic taste in the mouth.  

Sulfonylureas: Sulfonylureas, such as glipizide, glyburide, and glimepiride, stimulate the pancreas to produce more insulin, thereby lowering blood sugar levels. They are often prescribed in combination with metformin or other medications (source: Mayo Clinic). 

Cons: 

  • Risk of low blood sugar (hypoglycemia). 
  • Potential weight gain. 

Common side effects: 

  • Hypoglycemia. 
  • Upset stomach. 
  • Skin rash or itching.  

DPP-4 Inhibitors:Dipeptidyl peptidase-4 (DPP-4) inhibitors, such as sitagliptin, saxagliptin, and linagliptin, work by increasing the production of insulin and reducing glucose release from the liver. These medications are often used alongside other diabetes treatments (source: American Diabetes Association). 

Cons:  

  • Less effective in reducing blood sugar levels than some other medications. 
  • Expensive compared to older medications. 

Common side effects: 

  • Upper respiratory tract infections. 
  • Headache. 
  • Joint pain.  

GLP-1 Receptor Agonists: Glucagon-like peptide-1 (GLP-1) receptor agonists, such as exenatide, liraglutide, and dulaglutide, mimic the action of a hormone called incretin, which stimulates insulin secretion and slows gastric emptying. These medications can help lower blood sugar levels and promote weight loss (source: American Diabetes Association). 

Cons: 

  • Injectable medication, which may be inconvenient for some individuals. 
  • May not be suitable for those with a history of pancreatitis or thyroid cancer. 

Common side effects: 

  • Nausea. 
  • Vomiting. 
  • Diarrhea. 
  • Headache. 

 

SGLT2 Inhibitors:Sodium-glucose cotransporter-2 (SGLT2) inhibitors, including canagliflozin, dapagliflozin, and empagliflozin, work by preventing the kidneys from reabsorbing glucose, which is then excreted in the urine. This class of medication can help lower blood sugar levels and reduce the risk of cardiovascular events in certain patients (source: American Diabetes Association). 

Cons: 

  • Risk of genital and urinary tract infections. 
  • May increase the risk of diabetic ketoacidosis (DKA) in some cases. 

Common side effects: 

  • Genital yeast infections. 
  • Urinary tract infections. 
  • Increased urination. 

Insulin:Insulin therapy is sometimes necessary for individuals with type 2 diabetes when other medications are not sufficient to control blood sugar levels. There are various types of insulin, including rapid-acting, short-acting, intermediate-acting, and long-acting, each with different onset and duration of action (source: National Institute of Diabetes and Digestive and Kidney Diseases). 

Cons: 

  • Injectable medication, which may be inconvenient for some individuals. 
  • Risk of hypoglycemia if not properly managed. 
  • Potential weight gain. 

Common side effects: 

  • Low blood sugar (hypoglycemia). 
  • Injection site reactions (redness, swelling, or itching). 
  • Weight gain. 

The potential for “reversing” type 2 diabetes with lifestyle changes

In recent years, there has been growing interest in the potential for reversing type 2 diabetes through lifestyle changes alone. The concept of reversing type 2 diabetes remains a topic of debate among medical professionals. While some individuals have experienced significant improvements in blood sugar control and have been able to reduce or discontinue diabetes medications after making substantial lifestyle changes, it is important to note that not everyone will achieve the same results. 

Furthermore, the term “reversal” can be misleading, as it may imply that type 2 diabetes has been cured or completely eliminated. In reality, individuals who experience remission of their diabetes through lifestyle changes must continue to maintain those healthy habits to prevent the return of elevated blood sugar levels and diabetes symptoms (source: The Lancet Diabetes & Endocrinology)  

General target blood sugar levels: 

  1. Fasting blood sugarA fasting blood sugar test measures glucose levels after an overnight fast, typically 8 hours or more without food or drink (except water). For individuals with type 2 diabetes, the American Diabetes Association (ADA) recommends aiming for a fasting blood sugar level between 80 and 130 mg/dL (4.4 to 7.2 mmol/L) (source: American Diabetes Association). 
  2. Postprandial blood sugar: Postprandial blood sugar refers to glucose levels measured 1-2 hours after a meal. The ADA suggests targeting a postprandial blood sugar level of less than 180 mg/dL (10.0 mmol/L) for individuals with type 2 diabetes (source: American Diabetes Association). 
  3. HbA1cHemoglobin A1c (HbA1c) is a blood test that reflects average blood sugar levels over the past 2-3 months. The ADA recommends that most adults with diabetes aim for an HbA1c level of less than 7% (source: American Diabetes Association). However, target HbA1c levels may vary based on individual factors, such as age, the presence of other health conditions, and the risk of hypoglycemia. Consult with your healthcare provider to determine the appropriate HbA1c target for your specific situation. 

Individual Factors and Personalized Targets: 

It is important to note that target blood sugar levels may need to be individualized based on factors such as age, duration of diabetes, the presence of other health conditions, and the risk of hypoglycemia. Your healthcare provider can help you determine the most appropriate blood sugar targets for your unique situation and develop a personalized diabetes management plan (source: American Diabetes Association). 

While the general guidelines for target blood sugar levels in individuals with type 2 diabetes provide a useful starting point, it is essential to work closely with your healthcare provider to establish personalized targets that suit your specific needs and circumstances. Regular blood sugar monitoring, a healthy diet, regular physical activity, and adherence to prescribed medications are crucial components of effective diabetes management and can help you maintain optimal blood sugar levels. 

By Arpit Sharma

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