1 out of 3 people with type 2 diabetes don’t know they have it…One of the most astonishing things about type 2 diabetes is that such a life-altering condition is often preventable…Here’s how to spot subtle symptoms…
What Is Type 2 Diabetes?
Type 2 diabetes strikes people of all ages, and early symptoms are subtle. In fact, about one out of three people with type 2 diabetes don’t know they have it. This chronic condition thwarts the body’s ability to use the carbohydrates in food for energy. The result is elevated blood sugar. Over time, this excess sugar raises the risk for heart disease, loss of vision, nerve and organ damage, and other serious conditions.
Diabetes Warning Sign: Thirst
People with type 2 diabetes frequently have no symptoms. When symptoms do appear, one of the first may be an increase in thirst. This is often accompanied by additional problems, including dry mouth, increased appetite, frequent urination — sometimes as often as every hour — and unusual weight loss or gain.
Diabetes Warning Sign: Headaches
As blood sugar levels become more abnormal, additional symptoms may include headaches, blurred vision, and fatigue.
Diabetes Warning Sign: Infections
In many cases, type 2 diabetes is not discovered until it takes a noticeable toll on health. One red flag is troubling infections, such as:
- Cuts or sores that are slow to heal
- Frequent yeast infections or urinary tract infections
- Itchy skin, especially in the groin area
Diabetes Warning Sign: Sexual Dysfunction
Sexual dysfunction is common among people with diabetes. Diabetes can cause damage to blood vessels and nerve endings in the genitals, leading to a loss of feeling and making orgasm difficult…
Risk Factors You Can Control
Some health habits and medical conditions related to your lifestyle can increase the odds of developing type 2 diabetes, including:
- Being overweight, especially at the waist
- A sedentary lifestyle
- A diet high in red meat, processed meat, high-fat dairy products, and sweets
- Abnormal cholesterol and blood fats, such as HDL “good” cholesterol lower than 35 mg/dL and /or a triglyceride level over 250 mg/dL.
Risk Factors You Can’t Control
Other risk factors are out of your control, including:
- Race or ethnicity: Hispanics, African Americans, Native Americans, and Asians have a higher than average risk.
- Family history of diabetes: Having a parent or sibling with diabetes boosts your risk.
- Age: Being 45 and older increases your risk of type 2 diabetes.
How Does Insulin Work?
In a healthy person, insulin helps turn food into energy — in an efficient manner. The stomach breaks down carbohydrates from food into sugars, including glucose. Glucose then enters the bloodstream, which stimulates the pancreas to release insulin in just the right amount. Insulin, a hormone, allows glucose to enter cells throughout the body, where it is used as fuel. Excess glucose is stored in the liver.
Type 2 Diabetes: Metabolism Mishaps
In type 2 diabetes, the cells cannot absorb glucose properly. That means glucose levels in the blood become elevated…With long-standing uncontrolled type 2 diabetes, the pancreas will reduce the amount of insulin it produces.
Diagnosing Type 2 Diabetes
A simple blood test can diagnose diabetes.
Managing Diabetes: Diet
Fortunately, controlling blood sugar levels by changing diet and losing excess weight can also cut your risk of complications. People with type 2 diabetes should carefully monitor carbohydrate consumption and keep the amounts of carbs in your meals fairly consistent, as well as total fat and protein intake, and reduce calories.
Managing Diabetes: Exercise
Routine exercise, such as strength training or walking, improves the body’s use of insulin and can lower blood sugar levels in people with type 2 diabetes. People with type 2 diabetes should try to get 30 minutes of moderate exercise on most days of the week.
Managing Diabetes: Stress Reduction
Stress can cause blood pressure to rise. It can also increase glucose levels in your blood as part of your “fight or flight” response. Or you may turn to food to cope with stress. All are bad when living with diabetes. Instead of letting stress take its toll, try practicing relaxation techniques such as deep breathing, meditation, or visualization. Sometimes talking to a friend, family member, counselor, or member of the clergy can help.
Managing Diabetes: Oral Medication
When people with type 2 diabetes are unable to control blood sugar sufficiently with diet and exercise, medication may be added.
Managing Diabetes: Insulin
Your doctor may prescribe insulin early on in your treatment and in combination with pills. Insulin therapy — injections or an insulin pump — must become part of the daily routine.
New drugs are available for people with type 2 diabetes. Pramlintide (Symlin), exenatide (Byetta), and liraglutide (Victoza) are non-insulin injectable drugs. Whereas insulin pulls glucose into the cells, these medications cause the body to release insulin to control blood sugar levels.
Testing your blood glucose level will let you know how controlled your blood sugars are and if you need to take actions to change your treatment plan…
Long-Term Damage: Arteries
Over time, untreated type 2 diabetes can damage many of the body’s systems. About two out of three people with diabetes die of heart disease. Having diabetes also puts you at a two to four times higher risk for stroke. People with diabetes are likely to develop plaque in their arteries, reducing blood flow and increasing risk of clots. This hardening of the arteries (atherosclerosis) raises the risk of heart attack and stroke.
Long-Term Damage: Kidneys
The longer you have diabetes, the greater the risk of developing chronic kidney disease. Diabetes is the leading cause of kidney failure, accounting for 44 per cent of new cases in 2008.
Long-Term Damage: Eyes
High blood sugar can damage the tiny blood vessels that bring oxygen and nutrients to the retina, a critical part of the eye. This is known as diabetic retinopathy, and it can cause progressive, irreversible vision loss.
Long-Term Damage: Nerve Pain
Over time, uncontrolled diabetes and elevated blood sugars create a very real risk for nerve damage. Symptoms can include tingling, numbness, pain, and a pins and needles sensation — often in the fingers, hands, toes, or feet. The damage is not reversible, but treatments can help with the pain and numbness.
Long-Term Damage: Feet
Diabetic nerve damage can make it difficult to feel your feet and detect injury. At the same time, hardening of the arteries results in poor blood flow to the feet. Foot sores and gangrene can occur, even from small injury.
Preventing Type 2 Diabetes
One of the most astonishing things about type 2 diabetes is that such a life-altering condition is often preventable. To lower your risk, follow the same guidelines for warding off heart disease:
- Eat a healthy diet.
- Exercise for 30 minutes, five days a week.
- Maintain a healthy weight.
- Talk to your doctor about being screened for prediabetes.
In people with prediabetes, lifestyle changes and medication can help prevent the progression to type 2 diabetes. n
Reviewed by Brunilda Nazario, MD