Endocrinology, Diabetes Questions Endocrinology-Diabetes

Diagnosed with type 2 diabetes?

I'm scared I was diagnosed young with type 2 diabetes. Does this mean the worst outcome and complications for me?

Female | 32 years old
Conditions: Diabetes type 2 RA

5 Answers

Risk of complications is low if diabetes stay under control. With Hemoglobin A1C less then 6.5. Hope this helps.

Sincerely,
Dr Marina Strizhevsky
If you follow a healthy lifestyle it is very possible that you can live longer than the general population. If you don’t have impulse control more than likely you won’t. Dr. Norwood
Diabetes mellitus type 2 is characterized by insulin resistance and abnormal insulin secretion from the pancreas. First line treatment for diabetes mellitus type 2 is lifestyle changes (weight loss, increasing physical activity, and dietary changes) in combination of medical management. As diabetes mellitus type 2 progresses more medications are required for blood glucose reduction. It is important to control the blood glucose level early on as studies showed that early blood glucose control reduces the chance of diabetes complications (diabetic eye disease, diabetic kidney disease, diabetic neuropathy, …) in the future. As long as you control your blood glucose levels and maintain a healthy weight, you will significantly reduce your chances for diabetes complications.
To answer your question. You can live to a ripe old age if you follow
certain rules.
1. Eat at the same time every day and not skip a meal on medication.
2. Keep your pre-meal glucose levels between 90 - 130.
3. Keep your 2 hours after eating glucose levels below 180.
4. It works. My patients live into their 90's without complications.
You have a very controllable condition and much of the control is based on lifestyle. There are medications to help control insulin resistance to help control Type 2 diabetes. Metformin is the most used starting medication as it has a long safety record and is effective. No medications work without decreasing carbohydrates from grains and sugars and increasing exercise.