Diabetes Type 2
Type 2 diabetes is a condition that happens because of a problem in the way the body regulates and uses sugar as a fuel. That sugar also is called glucose. This long-term condition results in too much sugar circulating in the blood. Eventually, high blood sugar levels can lead to disorders of the circulatory, nervous and immune systems.
In type 2 diabetes, there are primarily two problems. The pancreas does not produce enough insulin — a hormone that regulates the movement of sugar into the cells. And cells respond poorly to insulin and take in less sugar.
Type 2 diabetes used to be known as adult-onset diabetes, but both type 1 and type 2 diabetes can begin during childhood and adulthood. Type 2 is more common in older adults. But the increase in the number of children with obesity has led to more cases of type 2 diabetes in younger people.
There's no cure for type 2 diabetes. Losing weight, eating well and exercising can help manage the disease. If diet and exercise aren't enough to control blood sugar, diabetes medications or insulin therapy may be recommended.
Symptoms of type 2 diabetes often develop slowly. In fact, you can be living with type 2 diabetes for years and not know it.
When symptoms are present, they may include:
- Increased thirst.
- Frequent urination.
- Increased hunger.
- Unintended weight loss.
- Fatigue.
- Blurred vision.
- Slow-healing sores.
- Frequent infections.
- Numbness or tingling in the hands or feet.
- Areas of darkened skin, usually in the armpits and neck.
Type 2 diabetes is mainly the result of two problems:
- Cells in muscle, fat and the liver become resistant to insulin As a result, the cells don't take in enough sugar.
- The pancreas can't make enough insulin to keep blood sugar levels within a healthy range.
Exactly why this happens is not known. Being overweight and inactive are key contributing factors.
Healthy lifestyle choices can help prevent type 2 diabetes. If you've received a diagnosis of prediabetes, lifestyle changes may slow or stop the progression to diabetes.
A healthy lifestyle includes:
- Eating healthy foods. Choose foods lower in fat and calories and higher in fiber. Focus on fruits, vegetables and whole grains.
- Getting active. Aim for 150 or more minutes a week of moderate to vigorous aerobic activity, such as a brisk walk, bicycling, running or swimming.
- Losing weight. If you are overweight, losing a modest amount of weight and keeping it off may delay the progression from prediabetes to type 2 diabetes. If you have prediabetes, losing 7% to 10% of your body weight may reduce the risk of diabetes.
- Avoiding long stretches of inactivity. Sitting still for long periods of time can increase the risk of type 2 diabetes. Try to get up every 30 minutes and move around for at least a few minutes.
For people with prediabetes, metformin (Fortamet, Glumetza, others), a diabetes medication, may be prescribed to reduce the risk of type 2 diabetes. This is usually prescribed for older adults who are obese and unable to lower blood sugar levels with lifestyle changes.
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