Living With Type 2 Diabetes: Here’s What You Need To Know

Dr. Kiran Kumar Chair, Medicine Department, Head of Internal Medicine Division, Specialist Internal Medicine at Thumbay University Hospital, shares information on how to manage the disease

Diabetes can be a life-altering disease, and therefore, requires one to make lifestyle and diet changes. The chronic condition occurs when the pancreas do not secrete enough insulin or when the cells of the body become resistant to insulin. In both the cases, blood sugar cannot be utilised by the cells leading to increased levels, which then leads to serious complications. That being said, there are several factors a diabetic must watch-out to ensure their blood sugar levels are always under control.

The theme for World Diabetes Day 2022-23 is ‘access to diabetes care’. This translates to access to the physician/endocrinologist, the dietician, other sub specialties, lab facilities and to medicines. At Thumbay University Hospital, we are well equipped to provide tailored holistic care that diabetic patients need.

From the patient’s perspective, it’s imperative to keep track of chronic disorders, multiple comorbidities, complications and medication, and prioritise regular screening to effectively maintain healthy blood sugar levels. Diabetics should follow a few precautions to avoid any major fluctuations in blood sugar levels. This includes diet modifications, increase in physical activity and weight control so as to control their diabetes and prevent complications.

If a patient has recently been diagnosed with type-2 diabetes, it’s vital for them to understand that type 2 diabetes is a progressive disease and managing it soon after diagnosis (or before) will pay off now and in the long term. It is a serious illness that demands attention and ignoring it may not seem to have significant short-term consequences (high blood glucose levels are not painful), but over time, elevated glucose levels can cause damage to blood vessels, nervous system, eyes, heart, and kidneys.

Hence, managing the blood glucose levels, along with other health risk factors (e.g., cholesterol, blood pressure, weight and habit such as smoking etc), is essential for preventing these complications. Losing weight and keeping it off can help in glucose control as well as offer other clinical benefits. Studies have shown that weight loss in the range of 10-15 kg in early stages of diabetes can in fact lead to diabetes remission (blood sugar control without medicines). Better diabetes management will not only help in preventing the above complications, it will also benefit in maintaining the mood and energy levels of a patient, which are adversely affected when the glucose levels are high. Also, food has a major role to play in maintaining blood glucose and weight. Therefore, optimising mealtime, making informed food choices, and exercising portion control can contribute positively in blood glucose management.

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