Type 2 Diabetes Mellitus

Synonyms: Type 2 DM or T2DM, Adult-onset diabetes mellitus, Non-insulin-dependent diabetes mellitus

Medical Specialties: Endocrinology, Family practice, Internal medicine, Pediatrics


Clinical Definition

Type 2 diabetes is an endocrine disease that occurs when the pancreas produces insulin, however, the insulin does not act (the body does not respond) as it should or there is not enough of it to get sugar or glucose into the cells for the body to process and use as energy. This imbalance known as insulin resistance causes the blood glucose to rise. The result is a buildup of abnormally high levels of sugar (glucose) in the blood.


In Our Own Words

Obesity, poor diet, and a sedentary lifestyle are powerful predictors of type 2 diabetes, but not everyone has the same susceptibility. In type 2 diabetes, cells of the human body start to become increasingly resistant to the hormone insulin. Cells need insulin to help them use blood sugar (glucose).  When the pancreas cannot produce enough insulin, glucose builds up in the blood stream, unable to move properly into the cells, where it is processed for energy. Being overweight contributes to the development of type 2 diabetes because excess fatty tissue can make cells much more resistant to insulin.

 

A chronic, progressive condition, type 2 diabetes is most common in people age 45 and over who are overweight or obese. With the obesity epidemic, however, cases of type 2 diabetes are seen earlier and earlier.

 

Type 2 diabetes may be managed (or even reversed, early on) by diet and exercise. Long-term control of glucose levels is crucial, however, and oral medications or insulin injections may be necessary.  Poor control is associated with many long-term complications including heart disease; nerve, kidney and eye damage; foot damage; osteoporosis; and a greater risk of dementia and some cancers.

Relevant Conditions
  • Obesity and overweight
  • Heart disease
  • Diabetic ketoacidosis
  • Diabetic nephropathy
  • Diabetic retinopathy
  • Metabolic syndrome
Common Types
  • Well controlled
  • Not well controlled
Side Effects
  • Excessive thirst
  • Frequent urination
  • Hunger and fatigue
  • Unexplained weight loss
  • Sores or cuts that are slow to heal
  • Blurred vision
  • Recurrent infections, yeast infections
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