Diabetes Type2
Causes
Source: NHS
In this topic (16)
Type 2 diabetes occurs when thepancreas doesn't produce enough insulin to maintain a normal blood glucose level, or the body is unable to use the insulin that is produced ( insulin resistance).
The pancreas is a large gland behind the stomach that produces the hormone insulin. Insulin moves glucose from your blood into your cells, where it's converted into energy.
In type 2 diabetes, there are several reasons why the pancreas doesn't produce enough insulin.
Risk factors for type 2 diabetes
Threeof the main risk factors for developing type 2 diabetes are:
- agebeing over the age of 40 (over 25 forpeople of south Asian, Chinese, African-Caribbean or black African origin, even if you were born in the UK)
- geneticshaving a close relative with the condition, such as a parent, brother or sister
- weightbeing overweight or obese
People of south AsianandAfrican-Caribbean origin also have an increased risk ofdeveloping complications of diabetes , such as heart disease, at a younger age than the rest of the population.
These risk factors are discussed in more detail below.
Read about reducing your risk of type 2 diabetes .
Age
Your risk of developing type 2 diabetes increases with age. This may be because people tend to gain weight and exercise less as they get older.
Maintaining ahealthy weight by eating a healthy, balanced diet and exercising regularly are ways of preventing and managing diabetes.
Whitepeople over the age of 40 have an increased risk of developing the condition. People of south Asian, Chinese, African-Caribbean and black Africanoriginhave an increased risk of developing type 2 diabetes at a much earlier age.
However, despite increasing age being a risk factor for type 2 diabetes, over recent years younger peoplefrom all ethnic groups have been developing the condition.
It's also becoming more common for children as young as seven in some cases to develop type 2 diabetes.
Genetics
Genetics is one of the main risk factors for type 2 diabetes. Your risk of developing the condition is increased if you have a close relativesuch as a parent, brother or sisterwho has the condition.
The closer the relative, the greater the risk. A child who hasa parent with type 2 diabetes hasabout a one in three chance of also developing the condition.
Being overweight or obese
You're more likely to developtype 2 diabetes if you're overweight or obese.
For most people in the UK,a body mass index (BMI) of:
- 25 or above putsyou in the overweight range
- 30 orabove puts you in the obese range
However, some groups have a higher risk of developing type 2 diabetes:
- Asians with a BMI score of 23 or more are at increased risk of developing type 2 diabetes
- Asians with a BMI of 27.5 or more are at high risk of developing type 2 diabetes
Fat around your tummy (abdomen) particularly increases your risk. This is because it releases chemicals that can upset the body's cardiovascular and metabolic systems.
This increases your risk of developing a number of serious conditions, including:
- coronaryheart disease
- stroke
- some types of cancer
Measuring your waist is a quick way of assessing your diabetes risk. This is a measure of abdominal obesity , which is a particularly high-risk form of obesity.
Some groups have a higher risk of developing type 2 diabetes, based on their waist measurements:
- womenwith awaistsize of80cm (31.5 inches) or more
- Asian men with a waist size of 89cm (35 inches)ormore
- white or black men with a waist size of 94cm (37 inches) or more
Use the BMI calculator to find out if you're a healthy weight for your height.
Exercising regularly and reducing your body weight by about 5% could reduce your risk of getting diabetes by more than 50%.
Read information and advice about losing weight .
Other risks
Your risk ofdeveloping type 2 diabetesis also increasedif your blood glucose level is higher than normal, but not yet high enough to be diagnosed with diabetes.
This is sometimes called pre-diabetes, anddoctors sometimes call it impaired fasting glycaemia (IFG) or impaired glucose tolerance (IGT).
Pre-diabetescan progress to type 2 diabetes if you don't take preventative steps, such as making lifestyle changes. These include eating healthily , losing weight if you're overweight, and taking plenty of regular exercise .
Women who have had gestational diabetes during pregnancy also have agreater risk of developing diabetes in later life.
Articles for Diabetes Type2
'Becoming diabetic forced me to change my life around'
When Charles Torkington, 54, was diagnosed with diabetes, it gave him the determination to change his diet and his life.
'If you have worries, get tested'
Clare Mehmet, a 58-year-old retired telecommunications interpreter, found out by chance that she had type 2 diabetes 10 years ago.
'My children can't believe how good their mum looks!'
Shafina Bibi was shocked to hear she had diabetes. But now she's changed her lifestyle and has never felt better.
'There's no reason why you can't achieve your dreams'
After his victory at the 2000 Sydney Olympics, Sir Steve Redgrave became the only British athlete ever to win five consecutive Olympic gold medals.
Am I at high risk for a heart attack due to my type 2 diabetes?
Yes, diabetes is considered a risk factor for cardiac problems including a heart attack. Keeping your blood sugar, blood pressure and cholesterol well controlled will lower your risks quite a bit. Aiming for HbA1c (three-month blood sugar average) less than 7 would be ideal.
Are people with diabetes mellitus (DM) at a higher risk for dental problems like gum disease?
There is no convincing data to suggest that all diabetics have poor dental health. But having said that, poorly controlled DM does make one prone to infections and poor health—including dental health. Letting your dentist know that you have DM would be prudent. Given this knowledge about your medical condition, your dentist will be able to choose the correct products for treatment.
Causes
Read about the causes of type 2 diabetes, which occurs when the pancreas doesn't produce enough insulin to maintain a normal blood glucose level, or the body is unable to use the insulin that is produced.
Complications
Read about complications of type 2 diabetes. Without treatment, it can lead to a number of other health problems. High glucose levels can damage blood vessels, nerves and organs.
Do you have education programs for those newly diagnosed with diabetes?
Cleveland Clinic has many locations that offer diabetes education classes, including a new, conveniently located, free standing Diabetes Center in the University Circle area. Topics covered includenutrition, education, meter and insulin injection instructions, basic education about the disease state, and insulin pumps. Group and individual sessions are available.
Introduction
Type 2 diabetes occurs when the body doesn't produce enough insulin to function properly, or the body's cells don't react to insulin. This means glucose stays in the blood and isn't used as fuel for energy.
Is it true that type 2 diabetes mellitus (DM) is sometimes resolved in people who have had gastric bypass surgery?
Yes, it is true, but not in everybody though. It depends on what degree of diabetes these patients had to start with prior to surgery.
Living with
Read about living with type 2 diabetes. If you have type 2 diabetes, you'll need to look after your health very carefully.
Symptoms
Read about the symptom of diabetes, including feeling very thirsty, passing more urine than usual, and feeling tired all the time.
Treatment
Read about treating type 2 diabetes. Find out how to keep your blood glucose levels as normal as possible by making lifestyle changes, such as eating more healthily and taking more exercise.
What carbs are better for Type 2 diabetes?
Plant-based carbohydrates such as fruits, vegetables, whole grains and starchy vegetables including beans/lentils. Foods with higher fiber may take longer to digest and decrease the after-meal glucose spikes.
What doctor should I see for my Type 2 diabetes?
Diabetes is associated with an increased risk of cardiovascular disease, which includes coronary artery disease and peripheral artery disease. Fortunately, through management of blood pressure, cholesterol and blood sugar, your risk for heart-related events can substantially drop. Of these, blood pressure and cholesterol management appear to be more important than blood sugar control (with respect to cardiovascular disease). It is generally recommended that most patients with diabetes in your age group should be on statin-class drugs (types of cholesterol drugs) that are known to reduce the risk of cardiovascular disease. Eye exams are recommended annually for most patients. Blood sugar control has the greatest impact in reducing the risk of diabetes-related eye disease. Most patients with diabetes Type 2 are followed by primary care physicians (such as internists and family physicians). Those with more complex issues may need to be referred to an endocrinologist.
