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The Call-On-Doc Guide to Type 2 Diabetes

Published on Apr 10, 2023 | 10:18 AM

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About 1 in 10 Americans has diabetes, and most of those cases are type 2.1 Type 2 diabetes, also known as type 2 diabetes mellitus and adult-onset diabetes, can affect how your body manages sugar, potentially leading to serious health issues if left untreated. But with early detection and the right approach, managing type 2 diabetes can greatly improve your quality of life.

In this guide, we'll cover everything you need to know, including its causes, symptoms, diagnosis, and treatment options.

What Is Type 2 Diabetes?

Type 2 diabetes is a condition that affects how your body uses insulin, a hormone that helps move sugar (glucose) from your blood into your cells for energy. In people with type 2 diabetes, the body either doesn’t respond well to insulin or doesn’t make enough of it to keep blood sugar levels in check.

This is different from type 1 diabetes, where the body’s immune system attacks the cells in the pancreas that produce insulin. Type 2 diabetes often develops over time due to factors like diet, weight, and activity levels. When the body can’t use insulin properly, sugar builds up in the bloodstream instead of being used for energy, which can cause various health problems.

Causes of Type 2 Diabetes

The development of diabetes type 2 is influenced by a combination of genetic and lifestyle factors.

Genetics can play a significant role, as those with a family history of the condition are more likely to develop it themselves.

However, lifestyle choices often trigger or accelerate the onset of type 2 diabetes. A diet high in processed sugars and unhealthy fats can lead to weight gain, which increases the risk of insulin resistance.

Physical inactivity is another major contributor, as regular exercise helps the body regulate blood sugar levels effectively. Additional risk factors include aging, high blood pressure, and certain health conditions like polycystic ovary syndrome (PCOS).2

Symptoms of Type 2 Diabetes

Type 2 diabetes symptoms can develop gradually, with symptoms becoming more noticeable over time. Recognizing these common symptoms can help in seeking timely medical attention:2

  • Increased Thirst and Frequent Urination: High blood sugar levels cause the body to expel excess glucose through urine, leading to dehydration and increased thirst.
  • Unexplained Weight Loss: The body may break down muscle and fat for energy when it can’t access glucose properly, resulting in weight loss.
  • Fatigue: Difficulty in converting sugar into energy can cause persistent tiredness.
  • Blurred Vision: High blood sugar can cause the lens of the eye to swell, resulting in changes in vision.
  • Slow-Healing Sores and Frequent Infections: Poor blood flow and weakened immunity can slow down the healing process and increase susceptibility to infections, especially in the skin, gums, and urinary tract.
  • Darkened Skin Patches: Areas of dark, velvety skin (acanthosis nigricans) can develop in body folds, such as the neck or armpits, indicating insulin resistance.
  • Numbness or Pain in Hands and Feet: High blood sugar can cause nerve damage (diabetic neuropathy), leading to tingling, numbness, or pain in the extremities.
symptoms-of-type-2-diabetes

Diagnosis of Type 2 Diabetes

Diagnosing type 2 diabetes primarily involves the A1C test, which measures your average blood sugar levels over the past 2 to 3 months. An A1C level of 6.5% or higher on two separate tests indicates diabetes.3

Other diagnostic tests include the fasting blood sugar test, which measures glucose levels after an overnight fast, the oral glucose tolerance test (OGTT), which evaluates blood sugar before and after consuming a glucose beverage, and the random blood sugar test, which can be done at any time and is especially useful if symptoms are present. Early detection through these tests is key to effective management.2

Treatment of Type 2 Diabetes

Effectively managing diabetes type 2 involves a combination of lifestyle changes, medication, regular monitoring, and weight management. Here's a some of the most common type 2 diabetes treatments:

Lifestyle Changes

Treatment for diabetes type 2 often begins with transitioning into a more balanced diet and increasing physical activity. Eating a diet rich in whole grains, lean proteins, and vegetables can help maintain stable glucose levels. Incorporating regular exercise, such as walking or cycling, can improve insulin sensitivity, helping the body use glucose more efficiently.

Medications

Management often requires type 2 diabetes medications​ to help control blood sugar levels and improve how the body uses insulin. Providers may start out with one of the following medications for type 2 diabetes,​ and later prescribe additional medication if patients become more insulin resistant, typically for better overnight control.

  • Metformin: Often the first-line treatment, metformin helps the body use insulin more effectively and reduces glucose production in the liver, making it a cornerstone of type 2 diabetes management.
  • Sulfonylureas: These medications work by stimulating the pancreas to release more insulin, helping to lower blood sugar levels.
  • DPP-4 Inhibitors: These drugs help increase insulin release and decrease the amount of glucose the liver produces, aiding in better blood sugar control.
  • GLP-1 Receptor Agonists: GLP-1 medications like Ozempic, Wegovy, and Saxenda, help to lower blood sugar levels and support weight loss making them a valuable option for many patients.
  • SGLT2 Inhibitors: These newer medications work by helping the kidneys remove excess glucose through urine and can offer additional benefits like improved heart and kidney health.

Blood Sugar Monitoring

Regular blood sugar monitoring helps track how well your treatment plan is working. Some individuals may use continuous glucose monitors (CGMs) for more detailed insights into their blood sugar patterns. Many CGMs also have features that help users to track diet and exercise.

Weight Management

Maintaining a healthy weight can significantly improve insulin sensitivity and blood sugar control. For some, weight loss through diet and exercise may be enough to bring blood sugar levels back to a normal range.

Prevention of Type 2 Diabetes

Preventing type 2 diabetes involves adopting a healthy lifestyle to reduce risk factors like poor diet, inactivity, and excess weight.

A balanced diet with whole grains, fruits, vegetables, lean proteins, and healthy fats, along with regular exercise, can help maintain stable blood sugar levels and improve insulin sensitivity. Monitoring blood sugar levels, especially for those with prediabetes or a family history, can catch issues early.

Avoiding smoking, limiting alcohol, and regular check-ups with a healthcare provider further support prevention efforts. Small, consistent changes can make a big difference in reducing type 2 diabetes risk.

Type 2 Diabetes FAQ

What's the difference between type 1 and type 2 diabetes?

Type 1 diabetes is an autoimmune condition, often developing in children or young adults, where the immune system destroys insulin-producing cells, causing rapid onset of symptoms like thirst, frequent urination, and weight loss. Type 2 diabetes, usually in adults, develops gradually as the body becomes insulin-resistant or doesn’t produce enough insulin, often due to lifestyle factors.

What are early warning signs of type 2 diabetes?

Early warning signs of Type 2 diabetes include increased thirst, frequent urination, unexplained weight loss, fatigue, and blurred vision.4

What is the difference between diabetes and prediabetes?

Prediabetes occurs when blood sugar levels are higher than normal but not yet high enough to be classified as Type 2 diabetes, indicating a higher risk for developing the condition. Type 2 diabetes, on the other hand, is a chronic condition where blood sugar levels are consistently elevated, often requiring active management to prevent complications.

Can you reverse type 2 diabetes?

In some cases, type 2 diabetes can be put into remission through significant weight loss, a healthy diet, and regular exercise, but it requires ongoing management and commitment.

Type 2 Diabetes Care, Simplified With Call-On-Doc

Managing type 2 diabetes doesn't have to be complicated or time-consuming. With Call-On-Doc's online type 2 diabetes treatment options, you can access easy and accessible ongoing support for your chronic care needs, all from the comfort of your home.

Our end-to-end care includes prescriptions, refills, and lab services, with no need for appointments and prescriptions ready in as little as 15 minutes. Plus, with our Subscribe & Save plan, members enjoy $15 visits, making it simple and affordable to stay on top of your health.

Let Call-On-Doc help you take control of your diabetes with convenient, expert care. Get started today!

Sources:

  1. https://www.cdc.gov/diabetes/about/about-type-2-diabetes.html
  2. https://medlineplus.gov/diabetestype2.html
  3. https://www.cdc.gov/diabetes/diabetes-testing/index.html
  4. https://www.webmd.com/diabetes/understanding-diabetes-symptoms

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Wayne C. Hahne,

English graduate and Call-On-Doc’s medical resource guide, Wayne C. Hahne is an experienced and passionate medical education content expert. Through diligent research, provider interviews and utilizing the industry's leading resources for wellness information, it is Mr. Hahne’s personal mission to educate the general public on medical conditions with in-depth and easy-to-understand written guides.

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