Type 2 diabetes

Type of diabetes

Type 2 diabetes, formerly known as adult-onset or noninsulin-dependent diabetes, is a chronic condition that affects the way your body metabolizes sugar (glucose), your body's important source of fuel.

With type 2 diabetes, your body either resists the effects of insulin — a hormone that governs the movement of sugar into your cells — or doesn't produce enough insulin to maintain a normal glucose level.

More common in adults, type 2 diabetes increasingly affects children as childhood obesity increases. There's no cure for type 2 diabetes, but you may be capable to manage the condition by eating well, exercising and maintaining a healthy weight. If diet and exercise aren't enough to bring off your blood sugar well, you also may need diabetes medications or insulin therapy.
Symptoms and causes

Symptoms

Signs and symptoms of type 2 diabetes often develop slowly. In fact, you can have type 2 diabetes for years and not recognize it. Look for:

Increased thirst and frequent urination.Excess sugar building up in your bloodstream causes fluid to be extracted from the tissues. This may leave you hungry. As a consequence, you may drink — and urinate — more than usual.

Increased hunger. Without enough insulin to move sugar into your cells, your muscles and organs become depleted of energy. This triggers intense hunger.

Weight loss. Despite using up more than usual to relieve hunger, you may lose weight. Without the ability to metabolize glucose, the body uses alternative fuels stored in muscle and adipose tissue. Calories are lost as excess glucose is released in the urine.

Fatigue. If your cells are stripped of sugar, you may become tired and irritable.

Blurred vision. If your blood sugar is too high, fluid may be pulled from the lenses of your eyes. This may bear upon your ability to focus.

Slow-healing sores or frequent infections. Type 2 diabetes affects your ability to heal and resist infections.

Areas of darkened skin. Some people with type 2 diabetes have patches of dark, velvety skin in the folds and creases of their bodies — usually in the armpits and neck. This status, called acanthosis nigricans, may be a sign of insulin resistance.

When to see a doctor

Visit your doctor if you notice any type 2 diabetes symptoms.

Causes

Type 2 diabetes arises when the body becomes resistant to insulin or when the pancreas stops producing enough insulin. Precisely why this happens is unknown, although genetics and environmental factors, such as excess weight and inactivity, seem to be contributing factors.

How insulin works

Insulin is a hormone that comes from the gland situated behind and below the stomach (pancreas).

The pancreas releases insulin into the bloodstream.The insulin circulates, enabling sugar to enter your cells.Insulin lowers the amount of sugar in your bloodstream.As your blood sugar level drops, so does the secretion of insulin from your pancreas.The role of glucose

Glucose — a sugar — is a principal source of energy for the cells that make up muscles and other tissues.

Glucose comes from two major sources: food and your liver.Sugar is absorbed into the blood stream, where it enters cells with the help of insulin.Your liver stores and makes glucose.When your glucose levels are low, such as when you haven't eaten in a while, the liver breaks down stored glycogen into glucose to keep your glucose level within a normal range.

With type 2 diabetes, this process doesn't run well. Instead of running into your cells, sugar builds up in your bloodstream. As blood sugar levels increase, the insulin-producing beta cells in the pancreas release more insulin, but eventually these cells become impaired and can't make adequate insulin to meet the body's demands.

In the much less common type 1 diabetes, the immune system destroys the beta cells, leaving the body with little to no insulin.

Risk factors iResearchers don't fully realize why some people develop type 2 diabetes and others don't.s don't. It's clear, nevertheless, that certain factors increase the risk, including:

Weight. Being overweight is a main risk factor for type 2 diabetes. The more fatty tissue you possess, the more resistant your cells become to insulin. Still, you don't have to be overweight to develop type 2 diabetes.

Fat distribution. If your body stores fat primarily in your abdomen, your risk of type 2 diabetes are greater than if your body stores fat elsewhere, such as your hips and thighs.

Inactivity. The less active you are, the greater your risk of type 2 diabetes. Physical activity helps you control your weight, uses up glucose as energy and makes your cells more sensitive to insulin.

Family history. The risk of type 2 diabetes increases if your parent or sibling has type 2 diabetes.

Race. Although it's unclear why, people of certain races — including blacks, Hispanics, American Indians and Asian-Americans — are more likely to develop type 2 diabetes than whites are.

Age. The risk of type 2 diabetes increases as you get older, especially after age 45. That's likely because people tend to exercise less, lose muscle mass and gain weight as they age. But type 2 diabetes is also increasing dramatically among children, adolescents and younger adults.

Prediabetes. Prediabetes is a stipulation in which your blood sugar level is higher than normal, but not high enough to be classified as diabetes. Left untreated, prediabetes often progresses to type 2 diabetes.

Gestational diabetes. If you developed gestational diabetes when you were pregnant, your risk of getting type 2 diabetes increases. If you gave birth to a child weighing more than 9 pounds (4 kilograms), you're also at risk of type 2 diabetes.

Polycystic ovarian syndrome. For women, having polycystic ovarian syndrome — a common condition characterized by irregular menstrual periods, excess hair growth and obesity — increases the risk of diabetes.

Complications

Type 2 diabetes can be easy to brush off, especially in the early stages when you're feeling fine. But diabetes affects many major organs, including your heart, blood vessels, nerves, eyes and kidneys. Checking your blood sugar levels can help prevent these complications.

Although long-term complications of diabetes develop gradually, they can eventually be disabling or even dangerous. Some of the possible complications of diabetes include:

Spirit and blood vessel disease.Diabetes dramatically increases the risk of various cardiovascular problems, including coronary artery disease with chest pain (angina), heart attack, stroke, narrowing of arteries (atherosclerosis) And high blood pressure.Nerve damage (neuropathy). Excess sugar can injure the walls of the diminutive blood vessels (capillaries) That nourish your nerves, particularly in the legs. This can cause tingling, numbness, burning or pain that usually starts at the tips of the toes or fingers and gradually spreads upward. Poorly controlled blood sugar can eventually cause you to lose all sense of feeling in the affected limbs. Hurt to the nerves that control digestion can cause problems with nausea, vomiting, diarrhea or constipation. For men, erectile dysfunction may be an issue.

Kidney damage (nephropathy). The kidneys contain millions of tiny blood vessel clusters that filter waste from your lineage. Diabetes can damage this delicate filtering system. Serious damage can lead to kidney failure or irreversible end-stage kidney disease, which often eventually requires dialysis or a kidney transplant.

Eye damage. Diabetes can damage the blood vessels of the retina (diabetic retinopathy), potentially leading to blindness. Diabetes also increases the peril of other serious vision conditions, such as cataracts and glaucoma.

Foot damage. Nerve damage in the feet or poor blood flow to the feet increases the risk of various foot complications. Left untreated, cuts and blisters can get serious infections, which may heal poorly. Severe damage might require toe, foot or leg amputation.

Hearing impairment. Hearing problems are more usual in people with diabetes.Skin conditions. Diabetes may leave you more susceptible to skin problems, including bacterial and fungal infections.

Alzheimer's disease. Type 2 diabetes may increase the risk of Alzheimer's disease. The poorer your blood sugar control, the bigger the risk appears to be. The precise connection between these two conditions still remains unclear.