What is diabetes mellitus type 2?
Diabetes type 2 is the most common form of diabetes mellitus in the world. Insulin resistance by the body is the regularly observed cause of diabetes type 2.
However, there is also another uncommon factor which causes diabetes type 2, that is, the body simply does not produce enough insulin.
Insulin is a hormone produced by the pancreas that allows your body to use glucose (a type of sugar found in many carbohydrates) for energy. Insulin also helps to balance your blood glucose or blood sugar levels, by preventing it from getting too high (hyperglycemia) or too low (hypoglycemia).
Following are the normal and diabetic blood sugar levels:
Please Note: If your glucose levels are below 50 mg/dL or above 200 mg/dL you need to be admitted to the emergency room without delay.
How does diabetes type 2 occur?
The primary cause of Diabetes Mellitus Type 2 is that the pancreas may produce enough insulin to transport sugar into the cells, however, the body refuses to use the insulin.
Insulin helps to unlock the cells of the body to allow the sugar (glucose) to enter them, so that the glucose is transformed into energy.
If there is more sugar in the body than is required, the insulin helps to store the sugar in the liver and releases it when the blood sugar level is low, or when the body needs more sugar, such as in between meals or during vigorous physical activity. Therefore, insulin helps to balance out the blood sugar level and keep it in a normal range. As blood sugar level increases, the pancreas secrete more insulin.
In diabetes type 2 since the body refuses to use the insulin produced, the insulin is unable to let the sugar enter the cells and transform to energy. The sugar level keeps increasing in the blood, and overtime hurts the eyes, heart, kidneys and nerves.he insulin is not able to let the sugar enter the cells and transform to energy. The sugar keeps increasing in the blood, and overtimehurts the eyes, heart, kidneys and nerves.
A secondary reason for diabetes mellitus type 2 is insufficient insulin production by the pancreas. A study done by a team of researchers at the Newcastle University, shows that this occurs due to fat accumulation in the pancreas.
When the insulin production is not enough, blood sugar levels rise in the body causing diabetes mellitus type 2.
Who is prone to diabetes type 2?
You may be prone to diabetes type 2 if:
you have family history of diabetes
you have prediabetes or a high blood sugar level which has not yet turned to full fledged diabetes. It can be stopped if you exercise and reduce excess weight
you lead a sedentary lifestyle
you have high blood pressure/hypertension
you have heart disease
you are overweight
you are 45 years and above, as with age the risk of getting diabetes grows
- you are a woman with Polycystic Ovarian Syndrome
What are the symptoms of diabetes type 2? How is diabetes type 2 diagnosed?
The symptoms of diabetes type 2 include:
sudden weight loss
slow healing wounds
loss of consciousness
slow healing wounds
frequent yeast infections if you are a woman
Diagnosis of diabetes type 2 usually includes one or more blood tests.
The doctor will advise you to undergo a Glycated hemoglobin (A1C) test. This test indicates your blood sugar levels for the past two to three months.
This test measures the percentage of hemoglobin — an oxygen-transporting protein in red blood cells — to which the blood sugar is attached. A high percentage of haemoglobin (6.5 % or higher) indicates diabetes.
After this test, the doctor will ask you to undergo an autoantibody test which checks for antibodies that attack the pancreatic cells. This test accurately diagnoses whether it is Diabetes Type 1 or Type 2.
The doctor may also ask you to undergo a Random Blood Sugar Test, a Fasting Blood Sugar Test, and Oral glucose tolerance test.
What are the complications of diabetes type 2?
The complications of diabetes type 2 include:
whiteness of skin
numbness in fingers, toes, and lips
More severe complications of diabetes type 2 include:
diabetic retinopathy or eye disorders
nephropathy or kidney disease
diabetic neuropathy or nerve disorders
- macrovascular problems or heart problems due to damaged blood vessels
What is the treatment of diabetes type 2?
If you have diabetes mellitus type 2, you have too much glucose in your blood. Exercising will help you bring your blood glucose levels under control. It helps the muscles to use up the glucose, without the insulin, which brings down the levels of sugar in the blood.
An additional benefit is that, the exercising will keep your heart healthy, which is important because people with diabetes are at a high risk of suffering from cardiovascular diseases, due to blocked arteries.
Warning: To avoid any serious risk to your health, please consult your doctor before starting a new exercise regimen. You may need to change your diet, and the dosage of insulin, or of other medicines before you start exercising.
For managing the symptoms of Diabetes Mellitus Type 2 the doctor often prescribes a good diet and proper exercise.
Sometimes though, only lifestyle changes are not enough. You may have to undergo treatments which include oral drugs and injectables. Please consult your physician for the appropriate treatment course.
Questions answered by trusted doctors
Did you know?
India, the diabetes capital of the world
India holds the record of being the diabetes capital of the world. Over 30 million people have now been diagnosed with diabetes in India. Half of them are women.
Diabetes cases are higher in south india
Cases of diabetes are higher in the four South Indian states of Karnataka, Tamil Nadu, Andhra Pradesh and Kerala.
Children are highly affected too
Around 40000 children under the age of 15 years have been diagnosed with Type 2 Diabetes and this figure is growing by 5% each year. No regular exercise, obesity and a family history of Diabetes are the main causes.
The risk increases with age
There is a 100% rise in cases of Diabetes Type 2 among people between 20 years - 40 years.
Type 2 Diabetes, which is around 90% of all Diabetes, is a largely preventable condition that is rapidly increasing throughout the world.
A diagnosis of Type 2 Diabetes brings in a wave of panic. What to do and what not to do and what to eat and still worse, what not to eat – the list of instructions handed over by our well-wishers seem to be a long one. General Physicians are of the view that a mere diagnosis of Type 2 diabetes should not make you stop enjoying your life.
Type 2 diabetes is caused due to resistance developed by our body cells towards insulin produced by the body. This leads to a rise in blood glucose level as the cells natural tendency to absorb insulin as much reduces, preventing the body from using glucose effectively, resulting in excess sugar levels in the body. Type 1 diabetes is genetic but Type 2 diabetes is a lifestyle disease most commonly caused by obesity.