INTRODUCTION
Type 2 diabetes is often perceived as a static condition, remaining constant once it is diagnosed. However, the reality is quite the opposite. Diabetes is a dynamic disease, evolving and affecting the body in different ways over time. Understanding these changes can help those living with diabetes manage their condition toward a better quality of life living with diabetes.
THE PROGRESSIVE NATURE OF TYPE 2 DIABETES
Type 2 diabetes is characterized by the body’s insulin resistance, which means the muscle, fat, and liver cells do not respond well to insulin and can’t easily take up glucose from the blood.
Initially, the pancreas compensates by producing more insulin. However, over time, the insulin-producing cells in the pancreas may become impaired and unable to keep up with the body's demands. This gradual decline can lead to increased blood glucose levels, necessitating adjustments in treatment.
The goal must be to constantly monitor several times daily and, at minimum, to check your A1c every three months. Please note, to discuss the schedule with your healthcare provider to allow changes to your diabetes management.
CHANGES IN MANAGEMENT
Medication Adjustments
As type 2 diabetes progresses, the need for medication may change. Lifestyle changes such as diet and exercise might be sufficient to manage glucose levels, but over time, oral medications or even insulin therapy may be required. It is crucial to regularly monitor blood sugar levels and communicate openly with healthcare providers to determine the best treatment approach over time.
Increased Monitoring
The progression of diabetes requires more frequent monitoring to prevent complications. This can include regular A1c tests, measuring average blood glucose levels over the past three months.
IMPACT ON THE BODY
Over time, high blood sugar levels can lead to several complications affecting various body parts. Understanding these can prompt proactive management strategies. Some of these are discussed below:
Cardiovascular Issues
Diabetes significantly increases the risk of cardiovascular diseases, such as hypertension, heart attack, and stroke. Regular cardiovascular check-ups are essential as part of a diabetes management plan. Please do not ignore the potential impact on your heart. Get regular checkups.
Kidney Health
Persistent high blood sugar can damage the kidneys, leading to diabetic nephropathy. Monitoring kidney function through tests like the urine albumin-to-creatinine ratio and the glomerular filtration rate (GFR) is vital.
Nerve Damage and Neuropathy
Over time, high glucose levels can damage the nerves, particularly in the extremities, leading to numbness, pain, or a tingling sensation. Therefore, foot care becomes increasingly important to prevent complications like infections or ulcers.
Eye Health
Diabetes can lead to conditions such as diabetic retinopathy, which affects the blood vessels in the retina. Regular eye exams are crucial to detect changes early and prevent vision loss.
Adapting Lifestyle Over Time
As diabetes progresses, lifestyle changes continue to play a vital role in management. Dietary needs might evolve, requiring more careful planning of carbohydrate intake and understanding the effects of different foods on blood sugar. Also, exercise remains essential for managing weight, improving insulin sensitivity, and maintaining cardiovascular health.
Psychological and Emotional Changes
Living with a chronic condition like diabetes can take a toll on mental health. Feelings of burnout, anxiety, or depression can occur as the disease progresses. Seeking support from mental health professionals, joining support groups, or connecting with others who understand the challenges of managing diabetes can provide comfort and encouragement.
4.- Conclusion
Type 2 diabetes evolves, bringing about changes requiring ongoing attention and treatment adaptation. By understanding how type 2 diabetes can progress and adopting a proactive approach to management, including regular check-ups, adjustments in treatment, and lifestyle changes, individuals can effectively manage their condition. Ultimately, staying informed and engaged with healthcare professionals can help ensure a better quality of life living with type 2 diabetes.
Best wishes ...
Vancouver, Canada
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