DEFINITION:
Type 2 diabetes is a lifelong disease that keeps your body from using insulin the way it
should. People with type 2 diabetes are said to have insulin resistance. It is the most common
type of diabetes comprising 80% to 90% of all cases of Diabetes Mellitus.
SIGNS AND SYMPTOMS:
• Intra-abdominal (visceral) obesity.
• Hypertension
• Dyslipidemia (high triglyceride and low HDL-cholesterol levels; postprandial hyperlipidemia
• Yeast infections that keep coming back
• Feeling hungry
• Weight loss without trying
• Getting more infections.
CAUSES:
Type 2 is the most common form of diabetes mellitus and is highly associated with
• Family history of diabetes
• Older age
• Obesity
• Lack of exercise
• Women with a history of gestational diabetes.
Do you know what is Diabetes Mellitus (DM)
TREATMENT:
Management of type 2 diabetes includes:
• Healthy eating
• Regular exercise
• Weight loss
• Possibly, diabetes medication or insulin therapy
• Blood sugar monitoring
These steps will help keep your blood sugar level closer to normal, which can delay or
prevent complications.
Diabetes medications:
If you can’t maintain your target blood sugar level with diet and exercise, your doctor may prescribe diabetes medications that
help lower insulin levels or insulin therapy. Drug treatments for type 2 diabetes include the following.
Metformin (Fortamet, Glumetza, others) is generally the first medication prescribed for type 2 diabetes. It works primarily by
lowering glucose production in the liver and improving your body’s sensitivity to insulin so that your body uses insulin more
effectively
Sulfonylureas help your body secrete more insulin.
Glinides stimulate the pancreas to secrete more insulin. They’re faster acting than sulfonylureas, and the duration of their
effect in the body is shorter.
Thiazolidinediones make the body’s tissues more sensitive to insulin.
DPP-4 inhibitors help reduce blood sugar levels but tend to have a very modest effect.
Insulin therapy
Some people who have type 2 diabetes need insulin therapy. In the past, insulin therapy was used as a last resort, but today it
may be prescribed sooner if blood sugar targets aren’t met with lifestyle changes and other medications.
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