Understanding type 2 diabetes: causes, symptoms, and effective management

Understanding type 2 diabetes: causes, symptoms, and effective management

Randall Curnow Jr., MD, MBA
Randall Curnow Jr., MD, MBA
July 8, 2024
Type 2 diabetes

Type 2 diabetes is a chronic condition affecting millions of people worldwide. Unlike type 1 diabetes, which is typically diagnosed in childhood, type 2 diabetes usually develops in adults. However, it is becoming more common in younger populations due to rising obesity rates. Understanding this condition is crucial for managing and preventing its complications.


What is type 2 diabetes?

Type 2 diabetes is a metabolic disorder characterized by high blood sugar levels. It occurs when the body becomes resistant to insulin or when the pancreas does not produce enough insulin. Insulin is a hormone that helps glucose (sugar) enter cells to be used for energy. When insulin is insufficient or ineffective, glucose accumulates in the bloodstream, leading to high blood sugar levels.


Causes of type 2 diabetes

Several factors contribute to the development of type 2 diabetes, including:

  • Genetics: Family history plays a significant role. If you have a parent or sibling with type 2 diabetes, your risk increases.
  • Lifestyle factors: Poor diet, lack of physical activity, and being overweight or obese are major contributors.
  • Age: Risk increases with age, particularly after age 45.
  • Ethnicity: Certain ethnic groups, such as African Americans, Hispanics, Native Americans, and Asian Americans, have a higher risk.
  • Other health conditions: Conditions like high blood pressure and high cholesterol are often associated with an increased risk of type 2 diabetes.

Symptoms of type 2 diabetes

The symptoms of type 2 diabetes develop slowly. You might notice:

  • Increased thirst and frequent urination as your body tries to rid itself of excess sugar.
  • Intense hunger due to the cells not receiving enough glucose.
  • Weight loss, even though you are eating more (because the body is using alternative fuels stored in muscle and fat).
  • Fatigue, as your cells are deprived of glucose.
  • Blurred vision, a result of the body pulling fluid from the lenses of your eyes.
  • Slow healing of cuts and infections, especially on the feet.
  • Areas of darkened skin, particularly in the armpits and neck, indicating insulin resistance.

Diagnosis of type 2 diabetes

Type 2 diabetes is diagnosed through various blood tests, including:

  • A1C test: Measures average blood sugar levels over the past 2-3 months.
  • Fasting blood sugar test: Measures blood sugar after an overnight fast.
  • Oral glucose tolerance test: Measures blood sugar before and after consuming a sugary drink.

A healthcare provider will use these test results, along with your medical history and symptoms, to diagnose diabetes.


Managing type 2 diabetes

Managing type 2 diabetes involves a combination of lifestyle changes, monitoring your blood sugar, and possibly medication. Here are key steps to take:

  1. Dietary changes: Focus on a balanced diet that limits sugars and refined carbohydrates. Foods high in fiber, such as vegetables, whole grains, and fruits, are recommended. Portion control can also help regulate blood sugar levels.
  2. Regular exercise: You can manage your blood sugar and help your body use insulin more efficiently with exercise. Aim for at least 30 minutes of moderate exercise, like brisk walking, most days of the week. 
  3. Medication: Many people with type 2 diabetes need medications to help manage their blood sugar levels. These can range from insulin injections to pills that increase insulin production or sensitivity.
  4. Monitoring blood sugar: You can optimize your health with a blood sugar monitor. Regular testing can help you understand how diet, activity, and medication affect your blood sugar.
  5. Regular check-ups: Regular visits with your care team are essential to adjust treatments, monitor for complications, and ensure overall health.

Complications of type 2 diabetes

If not managed properly, type 2 diabetes can lead to severe health issues, including:

  • Heart disease and stroke: Diabetes significantly increases the risk of cardiovascular problems.
  • Nerve damage (neuropathy): Excess sugar can injure the walls of the tiny blood vessels that nourish your nerves.
  • Kidney damage (nephropathy): Diabetes can damage the system that filters your blood, leading to kidney failure or irreversible end-stage kidney disease.
  • Eye damage: Diabetes can lead to blindness, cataracts, and glaucoma.
  • Foot damage: Nerve damage in the feet or poor blood flow increases the risk of various foot complications.

Conclusion

While type 2 diabetes is a complex and chronic condition, managing it is possible with the right strategies. By understanding the causes, symptoms, and management techniques, you can lead a healthy life, minimizing the risk of complications. Always work closely with your care team to tailor a plan that's right for you.



Learn more about the program at www.cadence.care/welcome

Call or text us at (855) 613-0778 8am-6pm, Monday-Friday

Any information provided on this website is intended for general educational purposes and is not intended to be medical advice. You should always consult with your own medical provider about your health and medical questions and never rely on this or any other website alone to make medical decisions. Do not delay seeking medical advice or disregard any medical advice you have received from your provider because of anything you read on the website.

Author Bio
Randall Curnow Jr., MD, MBA

Randall Curnow Jr., MD, MBA, FACP, FACHE, FACPE currently serves as Medical Director of Cadence, a health technology company pioneering remote patient intervention for people managing chronic conditions. Cadence’s clinically led, technology-enabled platform personalizes patient care, predicts clinical risk, and intervenes as necessary, all outside the four walls of the hospital.

Knowledge Center

We're here to help you feel your your best.