Type 2 diabetes and prediabetes can be prevented with lifestyle changes, for example, eating a healthy diet, getting more physical activity, reducing stress, quit smoking, and reducing or managing blood pressure and cholesterol, and managing any other health conditions or risk factors that you may have for developing type 2 diabetes.
One condition that is unique to women and linked to the body not using insulin effectively (insulin resistance) is polycystic ovarian syndrome. In this condition, the ovaries become enlarged and are unable to release eggs properly.
Because normal digestion interferes with insulin taken by mouth, insulin must be injected. Depending on your needs, your doctor may prescribe a mixture of insulin types to use throughout the day and night. Often, people with type 2 diabetes start insulin use with one long-acting shot at night.
“Secondary” diabetes refers to elevated blood sugar levels from another medical condition. Secondary diabetes may develop when the pancreatic tissue responsible for the production of insulin is destroyed by disease, such as chronic pancreatitis (inflammation of the pancreas by toxins like excessive alcohol), trauma, or surgical removal of the pancreas.
If you’re feeling low and can’t figure out why, diabetes could be the culprit. The rapid surges and dips in blood sugar that are part and parcel of untreated diabetes can cause profound shifts in your mood, including depression.
Many manufacturers offer pen delivery systems. Such systems resemble the ink cartridge in a fountain pen. A small, pen-sized device holds an insulin cartridge (usually containing 300 units). Cartridges are available for the most widely used insulin formulations. The amount of insulin to be injected is dialed in, by turning the bottom of the pen until the required number of units is seen in the dose-viewing window. The tip of the pen consists of a needle that is replaced with each injection. A release mechanism allows the needle to penetrate just under the skin and deliver the required amount of insulin. The cartridges and needles are disposed of when finished and new ones simply are inserted. In some systems, the entire pen is disposed. These insulin delivery devices are less cumbersome than traditional methods.
People with diabetes can benefit from education about the disease and treatment, good nutrition to achieve a normal body weight, and exercise, with the goal of keeping both short-term and long-term blood glucose levels within acceptable bounds. In addition, given the associated higher risks of cardiovascular disease, lifestyle modifications are recommended to control blood pressure.
DmitryNaumov/shutterstockUrinating a lot will also make you feel parched. Another one of the common symptoms of diabetes Dobbins sees with patients is that they use drinks like juices, soda, or chocolate milk to quench their thirst. These sugary beverages then pack the bloodstream with excess sugar, which can lead to the problem all over again.
Gestational diabetes (the type triggered by pregnancy and hormonal changes) affects about 4 percent of all pregnant women, especially Hispanic, African-American, Native American and Asian women, along with those who are over 25 years old, above their normal body weight before pregnancy and who have a family history of diabetes. (10b)
“People need to understand the continuum of diabetes,” she says. “If they’re on an upward trajectory of insulin resistance and a downward trajectory of insulin production weight loss, healthful eating and physical activity will slow down the insulin-loss trajectory and improve insulin sensitivity.” But, she says, “If they gain weight back, the diabetes comes back.”
The American Diabetes Association (ADA), based on the 2018 guidelines, recommends routine screening for type 2 diabetes beginning at age 45 in those without risk factors. In people with body mass index (BMI) ≥25 kg/m2 and one or more additional risk factor for diabetes, screening should include the A1C, fasting plasma glucose, or two-hour oral glucose tolerance test (OGTT). Patients with prediabetes (A1C ≥5.7%, impaired glucose tolerance impaired fasting glucose) should be tested yearly. Women who were diagnosed with gestational diabetes should have lifelong testing at least every 3 years. The test should be repeated every three years if the results are normal, dependent upon the risk status of the patient.
Jump up ^ Frachetti, KJ; Goldfine, AB (April 2009). “Bariatric surgery for diabetes management”. Current Opinion in Endocrinology, Diabetes and Obesity. 16 (2): 119–24. doi:10.1097/MED.0b013e32832912e7. PMID 19276974.
Jump up ^ Cox DJ, Gonder-Frederick LA, Polonsky W, Schlundt D, Julian D, Kovatchev B, Clarke WL (2001). “Blood Glucose Awareness Training (BGAT-II): Long term benefits”. Diabetes Care. 24 (4): 637–42. doi:10.2337/diacare.24.4.637. PMID 11315822.
It’s no surprise that most people could stand to drink more water. In fact, the majority of Americans are drinking less than half of the recommended eight glasses of water each day. However, if you’re finding yourself excessively thirsty, that could be a sign that you’re dealing with dangerously high blood sugar. Patients with diabetes often find themselves extremely thirsty as their bodies try to flush out excess sugar in their blood when their own insulin production just won’t cut it. If you’re parched, instead of turning to a sugary drink, quench that thirst with one of the 50 Best Detox Waters for Fat Burning and Weight Loss!
Jump up ^ Emadian, Amir; Andrews, Rob C.; England, Clare Y.; Wallace, Victoria; Thompson, Janice L. (2015-11-28). “The effect of macronutrients on glycaemic control: a systematic review of dietary randomised controlled trials in overweight and obese adults with type 2 diabetes in which there was no difference in weight loss between treatment groups”. The British Journal of Nutrition. 114 (10): 1656–66. doi:10.1017/S0007114515003475. ISSN 1475-2662. PMC 4657029 . PMID 26411958.
Scharfsinn/ShutterstockCranberries contain a large amount of phytonutrients. One of these nutrients, anthocyanins, is especially good for diabetics. They also contain antioxidants that lower cholesterol and blood pressure.