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Saturday, January 7, 2023

Type 2 Diabetes full detail? Symptom, Diagnose, Treat, Causes,and Prevent

type 2 diabets


:Type 2 Diabetes Type 2 diabetes is a habitual condition that occurs when your body is not suitable to duly use insulin, a hormone made by the pancreas. People with type 2 diabetes either can not produce enough insulin, have cells that are resistant to the insulin they make, or have a combination of bothWhen your body lacks insulin, your blood glucose( or, blood sugar) rises. The way your body uses insulin can feel complicated. Then is the breakdown After you eat or drink, your body converts the nutrients from your food into glucose, or sugar. Once the glucose enters your bloodstream, your pancreas is suitable to release insulin into your bloodstream, which uses the glucose as energy to fuel your body or stores it for after use. still, that process does not work as it should moreover because your cells are resistant to the insulin your pancreas produces, or because your pancreas can not produce enough insulin, If you have type 2 diabetes. rather of your body using glucose as energy, the glucose remains in the bloodstream. Over time, high situations of glucose in the blood can affect your organs and apkins. Getting treatment for type 2 diabetes isimportant. However, complications like heart complaint, order complaint, If left undressed. This may sound scary, but type 2 diabetes is a common condition that can be managed with the right treatment and life changes. Type 2 diabetes is the most common type of diabetes mellitus( diabetes), which accounts for 95 of all diabetes cases. There are four sub types of type 2 diabetes, which include Severe insulin-deficient diabetes( SIDD) This sub type represents about 18 of cases. People with SIDD generally are youthful and have a healthy weight. They produce little insulin and may have a poor metabolism. Common complications of SIDD are blindness and whim-whams damage. Severe insulin- resistant diabetes( SIRD) SIRD accounts for about 15 of cases. People with SIRD may have rotundity and can have insulin resistance. order and liver issues are common among people with SIRD. Mild rotundity- related diabetes( MOD) Representing nearly 22 of cases, MOD generally affects people who have rotundity. Unlike SIRD still, people with MOD don't repel insulin. Generally, MOD is a mild form of type 2 diabetes and causes veritably many complications. Mild age- related diabetes( MARD) This is the most common subtype of type 2 diabetes and represents 39 of cases. People with MARD have some difficulty controlling their blood sugar situations. Generally, they've many complications. The threat of MARD generally increases with age. Some people, may have a condition called prediabetes, which can do when your blood sugar is slightly advanced than normal, but not yet in the range for type 2 diabetes. Prediabetes affects one in three grown-ups in the United States. You can reverse prediabetes through life changes, similar as managing weight, eating nutritional foods, and getting regular exercise. still, you may witness a wide range of symptoms,

  • Feeling very hungry or thirsty
  • Frequent urination
  • Blurry vision
  • Fatigue and weakness
  • Irritability
  • Sores, cuts, and bruises that are slow to heal
  • Pain, tingling, or numbness in the hands and feet
  • Unintentional weight loss
  • Dry skin
  • Symptoms can sometimes be so mild that you don't even notice any changes in your health. In the U.S., approximately half of all people with type 2 diabetes are unaware of their condition.

    The primary cause of type 2 diabetes is insulin resistance. Unlike type 1 diabetes—which is not preventable—other factors can also increase your risk of developing type 2 diabetes, such as:

  • Weight: Obesity is associated with type 2 diabetes.
  • Physical activity: A lack of exercise puts you at risk of developing type 2 diabetes. Getting regular exercise can keep your blood sugar low and help your body convert sugar into energy.
  • Family history: If your family members have type 2 diabetes, you are also at a higher risk of developing the condition.
  • Gestational diabetes: This type of diabetes occurs when you have higher blood sugar levels when you are pregnant. Blood sugar levels usually return to normal after giving birth, but this condition may increase your risk of developing type 2 diabetes later in life.
  • Age: Type 2 diabetes affects all ages. However, people older than 45 are more likely to develop the condition.
  • Smoking: People who smoke are 30% to 40% more likely to develop type 2 diabetes than non-smokers.
  • Low HDL cholesterol: Having a low level of HDL ("good") cholesterol can increase your risk.
  • Polycystic ovary syndrome (PCOS): PCOS is a hormonal condition that affects the ovaries. People with PCOS may also have insulin resistance. About half of people with PCOS older than 40 have type 2 diabetes.
  • High blood pressure: Some medications that treat high blood pressure can increase your risk of getting type 2 diabetes.
  • Your healthcare provider can use a few tests that measure your blood sugar levels. They may also repeat their testing measures or order multiple tests to confirm or rule out a type 2 diabetes diagnosis.

    It is best to only receive a diagnosis from your provider using one of the following tests. Keep in mind: don't diagnose yourself with type 2 diabetes using over-the-counter (OTC) blood testing equipment, like a blood glucose meter. 

    Fasting Plasma Glucose (FPG) Test

    Your healthcare provider may ask you to take a FPG test, which requires you to fast for at least eight hours. Usually, it best to schedule this test early in the morning so that you can fast overnight. You will have to skip breakfast, but you are able to sip on water.

    During an FPG test, a healthcare provider will draw your blood. They will test your blood sample to check your blood glucose levels. Two FPG tests that show a blood glucose level greater than 126 milligrams of glucose per deciliter of blood indicate diabetes. 

    A1C Test

    This blood test measures your average blood sugar levels over the last three months from whenever you take the test. In contrast to the FPG test, you do not need to fast before receiving an A1C test.

    During an A1C test, you will be asked to give a blood sample, which is usually drawn from a vein in your arm. When you get your test results back, you will receive a percentage which indicates what percentage of your blood proteins are coated with sugar. Normal A1C levels are less than 5.7%, prediabetes is 5.7% to 6.4%, and diabetes is 6.5% or higher.

    Random Plasma Glucose (RPG) Test

    Sometimes, your healthcare provider may choose to an RPG test to measure blood sugar levels. This test does not require fasting so your provider may ask you to take it at any point in the day.

    When you receive your results, your provider can determine an official diabetes diagnosis if you have more than 200 milligrams of glucose per deciliter of blood.

    Oral Glucose Tolerance Test (OGTT)

    Also called a glucose tolerance test, an OGTT diagnoses prediabetes and diabetes. Similar to an FPG test, this test will also require you to fast overnight before you get your blood drawn.

    After your healthcare provider takes a sample of your blood, they will ask you to consume a sugary drink. For the next two to three hours, they will repeatedly draw your blood to measure how your blood sugar levels respond to the sugary drink.

    Urine Test

    Historically, urine tests were more common to use than blood tests. However, urine test results are now less accurate than blood test results. Even so, your healthcare provider may still use it to measure blood sugar if there is any difficulty drawing your blood or if they're using the urine test as an alternative to a diabetes screening.

    If you receive a diagnosis for type 2 diabetes, the goal of treatment is to bring your blood sugar levels down and keep them in a healthy range. Treatments can vary based on the severity of your condition, your lifestyle, and your overall health.

    Some people with type 2 diabetes take oral medications to keep their blood sugar in control. Insulin injections are more common for people with type 1 diabetes, but your healthcare provider offer insulin injections if other treatments aren't working for you.

    In most cases, your can manage your blood sugar by making healthy lifestyle changes, such as:

  • Eating a nutritious diet: A heart-healthy diet helps manage diabetes. Focus on fruits, vegetables, whole grains, lean proteins, and non- or low-fat dairy to keep your blood sugar in check. The American Diabetes Association (ADA) recommends following their Diabetes Plate Method, which involves filling half of your plate with non-starchy vegetables, a quarter of your plate with lean proteins (e.g., chicken or fish), and a quarter of your plate with carbohydrate foods, like beans and grains.
  • Getting regular exercise: Staying active can help keep your blood sugar low. Walking, bike riding, and strength training are good options. But, what's most important is finding exercise that is enjoyable and accessible for you.
  • Losing weight, if needed: Because obesity can be associated with higher blood sugar levels, in some cases, your healthcare provider may suggest losing a small amount of weight through a healthy diet and moderate exercise.
  • The research cited in this article claims that weight loss can prevent or help treat a chronic condition. An individual’s weight is affected by a variety of biological, environmental, and social factors. Health.com does not promote or condone weight loss that’s not under the care of a healthcare provider. Please contact your healthcare provider if you’re concerned about losing weight responsibly and healthfully.

    Nearly 90 million adults in the United States have prediabetes. About 84% of those people have no idea that their blood sugar is higher than average. It's possible to stop prediabetes and prevent it from progressing into type 2 diabetes.

    The best way to prevent type 2 diabetes is to shift toward a healthier lifestyle. If you or your healthcare provider think you may be at risk for developing type 2 diabetes, you can try taking some of these steps to lower your risk:

  • Eating a diet low fat diet that is high in fruits, vegetables, whole grains, and lean proteins
  • Exercising regularly
  • Limiting tobacco and alcohol use
  • Keeping track of your health goals
  • Building a support system to hold you accountable to your goals
  • The National Diabetes Prevention Program offers a Lifestyle Change Program. The program pairs you with a health coach who helps you change your lifestyle. The coaches can counsel you on adopting a heart-healthy diet, fitting daily physical activity into your schedule, and reducing stress. Some programs are free. Other programs may have a feel, but some insurance plans may help you cover the cost.

    People with type 2 diabetes may also be at risk for developing other conditions that can also affect their blood sugar levels and overall health. Some of these co-occurring conditions include:

  • Hypertension: Also known as high blood pressure, some evidence suggests that hypertension affects more than 80% of people with type 2 diabetes.
  • Heart disease: Hypertension also increases your risk of heart disease. Heart disease may occur in people with type 2 diabetes, affecting nearly 20% of people with the condition.
  • Obesity: Obesity is a common risk factor a for type 2 diabetes. About 78% of people with type 2 diabetes are overweight or obese. Managing your weight can sometimes help prevent or treat type 2 diabetes.
  • Hyperlipidemia: This condition refers to a high amount of fat in your blood. Hyperlipidemia impacts more than 75% of people with type 2 diabetes. Diabetes may lower your HDL ("good") cholesterol and raise your LDL ("bad") cholesterol and triglycerides. That said, keeping your blood sugar level within a healthy range can help.
  • Chronic kidney disease (CKD): CKD occurs when your kidneys gradually lose function. If untreated, CKD can lead to kidney failure. It affects nearly 25% of people with type 2 diabetes.
  • Type 2 diabetes can impact your your physical and emotional health. If you receive a diagnosis for type 2 diabetes, getting treatment early can help improve your symptoms and your overall quality of life.

    When you have a chronic condition, you may experience sadness or frustration from time to time. It's OK to feel this way and it's important for you to know that these feelings are normal. But, you don't have to deal with your condition alone and there are ways to cope with your emotions.

    Some ways to manage your overall health include:

  • Cooking healthy meals with your loved ones
  • Finding an exercise buddy to accompany you during your workouts
  • Listening to comforting music while you practice your meditation or deep breathing techniques
  • Staying active by engaging in your favorite hobbies and spending time with family and friends
  • Keeping in contact with your healthcare provider to ensure you are keeping your blood sugar in control
  • Reaching out to a mental health professional if you need additional support
  • Type 2 diabetes can be a life-changing diagnosis. But, making healthy changes can help you live a fulfilling life.

    People with type 2 diabetes do not produce enough or resist insulin. When your body does not have enough insulin, your blood sugar rises and leaves you at risk for developing serious complications if left untreated.

    The good news is that getting a diagnosis and receiving proper treatment can help you manage the condition. While there is no cure for type 2 diabetes, medication and lifestyle changes can help lower your blood sugar.

    02

    Everything You Need to Know About Diabetes

    Diabetes mellitus, commonly referred to simply as diabetes, is a metabolic disease that causes high blood sugar.

    The hormone insulin moves sugar from the blood into your cells to be stored or used for energy. With diabetes, your body either doesn’t make enough insulin or can’t effectively use the insulin it does make.

    Untreated high blood sugar from diabetes can damage your nerves, eyes, kidneys, and other organs. But educating yourself about diabetes and taking steps to prevent or manage it can help you protect your health.

    There are a few different types of diabetes:

  • Type 1: Type 1 diabetes is an autoimmune disease. The immune system attacks and destroys cells in the pancreas, where insulin is made. It’s unclear what causes this attack.
  • Type 2: Type 2 diabetes occurs when your body becomes resistant to insulin, and sugar builds up in your blood. It’s the most common type—about 90% to 95% of people living with diabetes have type 2.
  • Type 1.5: Type 1.5 diabetes is also known as latent autoimmune diabetes in adults (LADA). It occurs during adulthood and sets in gradually like type 2 diabetes. LADA is an autoimmune disease that cannot be treated by diet or lifestyle.
  • Gestational: Gestational diabetes is high blood sugar during pregnancy. Insulin-blocking hormones produced by the placenta cause this type of diabetes.
  • A rare condition called diabetes insipidus is not related to diabetes mellitus, although it has a similar name. It’s a different condition in which your kidneys remove too much fluid from your body.

    Each type of diabetes has unique symptoms, causes, and treatments.

    Learn more about how these types differ from one another.

    Prediabetes is the term that’s used when your blood sugar is higher than expected, but it’s not high enough for a diagnosis of type 2 diabetes. It occurs when the cells in your body don’t respond to insulin the way they should. This can lead to type 2 diabetes down the road.

    Experts suggest that more than 1 in 3 Americans have prediabetes, but over 80% of people with prediabetes don’t even know it.

    Diabetes symptoms are caused by rising blood sugar.

    General symptoms

    The symptoms of type 1, type 2, and type 1.5 (LADA) are the same, but they occur in a shorter period than types 2 and 1.5. In type 2, the onset tends to be slower. Tingling nerves and slow-healing sores are more common in type 2.

    Left untreated, type 1, in particular, can lead to diabetic ketoacidosis. This is when there is a dangerous level of ketones in the body. It’s less common in other types of diabetes, but still possible.

    The general symptoms of diabetes include:

    Symptoms in men

    In addition to the general symptoms of diabetes, men with diabetes may have:

    Symptoms in women

    Women with diabetes can have symptoms such as:

    Gestational diabetes

    Most people who develop gestational diabetes don’t have any symptoms. Healthcare professionals often detect the condition during a routine blood sugar test or oral glucose tolerance test, which is usually performed between the 24th and 28th weeks of pregnancy.

    In rare cases, a person with gestational diabetes will also experience increased thirst or urination.

    The bottom line

    Diabetes symptoms can be so mild that they’re hard to spot at first. Learn which signs should prompt a trip to the doctor.

    Different causes are associated with each type of diabetes.

    Type 1 diabetes

    Doctors don’t know exactly what causes type 1 diabetes. For some reason, the immune system mistakenly attacks and destroys insulin-producing beta cells in the pancreas.

    Genes may play a role in some people. It’s also possible that a virus sets off an immune system attack.

    Type 2 diabetes

    Type 2 diabetes stems from a combination of genetics and lifestyle factors. Having overweight or obesity increases your risk, too. Carrying extra weight, especially in your belly, makes your cells more resistant to the effects of insulin on your blood sugar.

    This condition runs in families. Family members share genes that make them more likely to get type 2 diabetes and to be overweight.

    Type 1.5 diabetes

    Type 1.5 is an autoimmune condition that occurs when the pancreas is attacked by your own antibodies. as in type 1. It may be genetic, but more research is needed.

    Gestational diabetes

    Gestational diabetes occurs as the result of hormonal changes during pregnancy. The placenta produces hormones that make a pregnant person’s cells less sensitive to the effects of insulin. This can cause high blood sugar during pregnancy.

    People who are overweight when they get pregnant or who gain too much weight during pregnancy are more likely to get gestational diabetes.

    The bottom line

    Both genes and environmental factors play a role in triggering diabetes.

    Get more information on the causes of diabetes.

    Certain factors increase your risk for diabetes.

    Type 1 diabetes

    You’re more likely to get type 1 diabetes if you’re a child or teenager, you have a parent or sibling with the condition, or you carry certain genes that are linked to the disease.

    Type 2 diabetes

    Your risk for type 2 diabetes increases if you:

    Type 2 diabetes also disproportionately affects certain racial and ethnic populations.

    Adults who have African American, Hispanic or Latino American, or Asian American ancestry are more likely to be diagnosed with type 2 diabetes than white adults, according to 2016 research. They’re also more likely to experience decreased quality of care and increased barriers to self-management.

    Type 1.5 diabetes

    Type 1.5 diabetes is found in adults over 30 and is often mistaken for type 2, but people with this condition are not necessarily overweight, and oral medications and lifestyle changes have no effect.

    Gestational diabetes

    Your risk for gestational diabetes increases if you:

    The bottom line

    Your family history, environment, and preexisting medical conditions can all affect your odds of developing diabetes.

    Find out which risks you can control and which ones you can’t.

    High blood sugar damages organs and tissues throughout your body. The higher your blood sugar is and the longer you live with it, the greater your risk for complications.

    Complications associated with diabetes include:

    Gestational diabetes

    Unmanaged gestational diabetes can lead to problems that affect both the mother and baby. Complications affecting the baby can include:

    A pregnant person with gestational diabetes can develop complications such as high blood pressure (preeclampsia) or type 2 diabetes. You may also require cesarean delivery, commonly referred to as a C-section.

    The risk of gestational diabetes in future pregnancies also increases.

    The bottom line

    Diabetes can lead to serious medical complications, but you can manage the condition with medications and lifestyle changes.

    Avoid the most common diabetes complications with these helpful tips.

    Doctors treat diabetes with a few different medications. Some are taken by mouth, while others are available as injections.

    Type 1 and 1.5 diabetes

    Insulin is the main treatment for type 1 and 1.5 diabetes. It replaces the hormone your body isn’t able to produce.

    Various types of insulin are commonly used by people with type 1 and 1.5 diabetes. They differ in how quickly they start to work and how long their effects last:

  • Rapid-acting insulin: starts to work within 15 minutes and its effects last for 2 to 4 hours
  • Short-acting insulin: starts to work within 30 minutes and lasts 3 to 6 hours
  • Intermediate-acting insulin: starts to work within 2 to 4 hours and lasts 12 to 18 hours
  • Long-acting insulin: starts to work 2 hours after injection and lasts up to 24 hours
  • Ultra-long acting insulin: starts to work 6 hours after injection and lasts 36 hours or more
  • Premixed insulin: starts working within 15 to 30 minutes (depending on whether a rapid-acting or short-acting insulin is part of the mix) and lasts 10 to 16 hours
  • Type 2 diabetes

    Diet and exercise can help some people manage type 2 diabetes. If lifestyle changes aren’t enough to lower your blood sugar, you’ll need to take medication.

    These drugs lower your blood sugar in a variety of ways:

    You may need to take more than one of these medications. Some people with type 2 diabetes also take insulin.

    Gestational diabetes

    If you receive a diagnosis of gestational diabetes, you’ll need to monitor your blood sugar level several times per day during pregnancy. If it’s high, dietary changes and exercise may be enough to bring it down.

    Research has found that about 15% to 30% of women who develop gestational diabetes will need insulin to lower their blood sugar. Insulin is safe for the developing baby.

    The bottom line

    The treatment regimen your doctor recommends will depend on the type of diabetes you have and its cause.

    Check out this list of the various medications that are available to treat diabetes.

    Healthy eating is a central part of managing diabetes. In some cases, changing your diet may be enough to manage the disease.

    Types 1 and 1.5 diabetes

    Your blood sugar level rises or falls based on the types of foods you eat. Starchy or sugary foods make blood sugar levels rise rapidly. Protein and fat cause more gradual increases.

    Your medical team may recommend that you limit the amount of carbohydrates you eat each day. You’ll also need to balance your carb intake with your insulin doses. Counting carbs helps to balance the carb intake with the insulin doses.

    Check out this guide to starting a type 1 diabetes diet.

    Type 2 diabetes

    Eating the right types of foods can both manage your blood sugar and help you lose any excess weight.

    Carb counting is an important part of eating for type 2 diabetes. A dietitian can help you figure out how many grams of carbohydrates to eat at each meal.

    In order to keep your blood sugar levels steady, try to eat small meals throughout the day. Emphasize healthy foods such as:

    Certain other foods can hurt efforts to manage your blood sugar.

    Discover the foods you should avoid if you have diabetes.

    Gestational diabetes

    Eating a well-balanced diet is important for both you and your baby during these 9 months. Making the right food choices can also help you avoid diabetes medications.

    Watch your portion sizes, and limit sugary or salty foods. Although you need some sugar to feed your growing baby, you should avoid eating too much. Check out other do’s and don’ts for healthy eating with gestational diabetes.

    The bottom line

    Work with a registered dietitian if you have access to one. They can help you design an individualized diabetes meal plan. Getting the right balance of protein, fat, and carbs can help you manage your blood sugar.

    Along with diet and treatment, exercise plays an essential role in diabetes management. This is true for all types of diabetes.

    Staying active helps your cells react to insulin more effectively and lower your blood sugar levels. Exercising regularly can also help you:

    If you have type 1 or type 2 diabetes, general guidance is to aim for at least 150 minutes of moderate-intensity exercise each week. There are currently no separate exercise guidelines for people who have gestational diabetes. But if you’re pregnant, start out slowly and gradually increase your activity level over time to avoid overdoing it.

    Diabetes-friendly exercises include:

  • walking
  • swimming
  • dancing
  • cycling
  • Talk with your doctor about safe ways to incorporate activity into your diabetes management plan. You may need to follow special precautions, like checking your blood sugar before and after working out and making sure to stay hydrated.

    Consider working with a personal trainer or exercise physiologist who has experience working with people who have diabetes. They can help you develop a personalized workout plan tailored to your needs.

    Anyone who has symptoms of diabetes or is at risk for the condition should be tested. People are routinely tested for gestational diabetes during their second trimester or third trimester of pregnancy.

    Doctors use these blood tests to diagnose prediabetes and diabetes:

  • The fasting plasma glucose (FPG) test measures your blood sugar after you’ve fasted for 8 hours.
  • The A1C test provides a snapshot of your blood sugar levels over the previous 3 months.
  • A 75-gram oral glucose tolerance test is also used. This checks the BG 2 hours after ingesting a sugary drink containing 75 grams of carbs.
  • How to diagnose gestational diabetes

    To diagnose gestational diabetes, your doctor will test your blood sugar levels between the 24th week and 28th week of pregnancy. There are two types of tests:

  • Glucose challenge test: During a glucose challenge test, your blood sugar is checked an hour after you drink a sugary liquid. If your results are standard, no more testing is done. If blood sugar levels are high, you’ll need to undergo a glucose tolerance test.
  • Glucose tolerance test: During a glucose tolerance test, your blood sugar is checked after you fast overnight. Then you’re given a sugary drink and your blood sugar is re-tested after 1 hour and again after 2 hours. Gestational diabetes is diagnosed if any of these three readings come back noting high blood sugar.
  • The earlier you are diagnosed with diabetes, the sooner you can start treatment. Find out whether you should get tested, and get more information on tests your doctor might perform.

    If you don’t already have a primary care specialist, you can browse doctors in your area through the Healthline FindCare tool.

    Type 1 and type 1.5 diabetes are not preventable because they are caused by an issue with the immune system. Some causes of type 2 diabetes, such as your genes or age, aren’t under your control either.

    Yet many other diabetes risk factors are manageable. Most diabetes prevention strategies involve making simple adjustments to your diet and fitness routine.

    If you’ve received a diagnosis of prediabetes, here are a few things you can do to delay or prevent type 2 diabetes:

    These aren’t the only ways to prevent diabetes. Discover more strategies that may help you avoid this chronic health condition.

    People who’ve never had diabetes can suddenly develop gestational diabetes during pregnancy. Hormones produced by the placenta can make your body more resistant to the effects of insulin.

    Pre-gestational diabetes

    People can have diabetes before they conceive and carry it with them into pregnancy. This is called pre-gestational diabetes.

    Risks to your newborn

    Diabetes during pregnancy can lead to complications for your newborn, such as jaundice or breathing problems.

    If you’re diagnosed with pre-gestational or gestational diabetes, you’ll need special monitoring to prevent complications.

    Does gestational diabetes disappear on its own?

    Gestational diabetes should go away after you deliver, but it does significantly increase your risk of getting diabetes later. About half of people with gestational diabetes will go on to develop type 2 diabetes.

    Children can get both type 1 and type 2 diabetes. Managing blood sugar is especially important in young people because diabetes can damage important organs such as the heart and kidneys.

    Type 1 diabetes

    The autoimmune form of diabetes often starts in childhood. One of the main symptoms is increased urination. Kids with type 1 diabetes may start wetting the bed after they’ve been toilet trained.

    Extreme thirst, fatigue, and hunger are also signs of the condition. It’s important that children with type 1 diabetes get treatment right away. The condition can cause high blood sugar, dehydration, and diabetic keto acidosis (DKA), which can be medical emergencies.

    Type 2 diabetes

    Type 1 diabetes used to be called juvenile diabetes because type 2 was so rare in children. Now that more children have overweight or obesity, type 2 diabetes is becoming more common in this age group.

    Some children living with type 2 diabetes don’t experience symptoms. Others may experience:

  • increased thirst
  • frequent urination
  • extreme fatigue
  • blurry vision
  • Type 2 diabetes is often diagnosed based on medical history, a physical exam, and blood work.

    Untreated type 2 diabetes can cause lifelong complications, including heart disease, kidney disease, and blindness. Healthy eating and exercise can help your child manage their blood sugar and prevent these problems.

    Type 2 diabetes is more prevalent than ever in young people. Learn how to spot the signs so you can report them to your child’s doctor.

    Some types of diabetes — like types 1 and 1.5 — are caused by factors that are out of your control. Others — like type 2 — can be prevented by making better food choices, increasing activity, and losing weight.

    Discuss potential diabetes risks with your doctor. If you’re at risk, have your blood sugar tested and follow your doctor’s advice for managing your blood sugar.

    03

    Best Treatments for Type 2 Diabetes

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    2. "A randomized trial of efficacy of early addition of metformin in sulfonylurea-treated type 2 diabetes." The UK Prospective Diabetes Study Group. Diabetes Care (1998): Vol 21 (1), pages 87-92.

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    5. Amori, R.E. et al, "Efficacy and safety of incretin therapy in type 2 diabetes — systematic review and meta-analysis," JAMA (July 11, 2007): Vol. 298, No. 2, pages 194-206.

    6. Barr, E.L. et al, "Risk of cardiovascular and all-cause mortality in individuals with diabetes mellitus, impaired fasting glucose and impaired glucose tolerance," The Australian Diabetes, Obesity, and Lifestyle Study. Circulation (July 10, 2007). Vol. 116.

    7. Bennett W.L., et al, Oral Diabetes Medications for Adults With Type 2 Diabetes: An Update. Comparative Effectiveness Review No. 27. March 2011 (Prepared by Johns Hopkins University Evidence-based Practice Center under Contract No. 290-02-0018.) AHRQ Publication No. 11-EHC038-EF. Rockville, MD: Agency for Healthcare Research and Quality. March 2011. Available at: www.effectivehealthcare.ahrq.gov/reports/final.cfm.

    8. Bennett W.L., et al, Comparative effectiveness and safety of medications for type 2 diabetes: an update including new drugs and 2-drug combinations. Ann Int Med. (May 3 2011); Web published in advance of print publication, March 14, 2011.

    9. Burnet, D.L. et al, "Preventing diabetes in the clinical setting," J. Gen Int. Med. (2006) Vol. 21, pages 84-93.

    10. Chobanian, A.V. et al, "The Seventh Report of the Joint National Committee on Prevention, Detection, Evaluation, and Treatment of High Blood Pressure: the JNC 7 Report." JAMA (2003): Vol. 289(19), pages 2560-2572.

    11. Cutler, E.D. and Prescott, P., Diabetes: Treatment Options Report (April 2006) Reports prepared for the California HealthCare Foundation. www.chcf.org.

    12. Dabelea, D. et al, "Incidence of diabetes in youth in the United States," JAMA (June 27, 2007): Vol. 297, No 24, pages 2716-2724.

    13. Damsbo, P. et al, "A double-blind randomized comparison of meal-related glycemic control by repaglinide and glyburide in well-controlled type 2 diabetic patients," Diabetes Care (1999): Vol.22, pages 789-94.

    14. Diabetes Overview, National Diabetes Information Clearinghouse. Accessed June 22, 2007. www.diabetes.niddk.nih.gov/dm/pubs/overview/index.htm.

    15. Dormandy J.A., et al. "Secondary prevention of macrovascular events in patients with type 2 diabetes in the PROactive Study — a randomised controlled trial." Lancet (2005): Vol. 366 (9493), pages 1279-89.

    16. Drugs for Diabetes — Treatment Guidelines, The Medical Letter (August 2005) Vol. 3, Issue 36.

    17. Franco, O.H. et al, "Associations of diabetes mellitus with total life expectancy and life expectancy with and without cardiovascular disease," Arch. Internal Med. (June 11, 2007) Vol. 167, pages 1145-1151.

    18. "Global guidelines for type 2 diabetes: recommendations for standard, comprehensive, and minimal care. Diabetes Med (2006); Vol. 23(6), pages 579-593.

    19. Goldstein B.J. et al, "Effect of initial combination therapy with sitagliptin, a dipeptidyl peptidase-4 inhibitor, and metformin on glycemic control in patients with type 2 diabetes. Diabetes Care. (May 7, 2007) (E-pub ahead of print).

    20. Gregg, E.W. et al, "Mortality trends in men and women with diabetes, 1971-2000," Annals of Internal Med. (June 18, 2007) Published online; print version dated August 7, 2007; Vol. 147, No. 3.

    21. Guidelines for Clinical Practice for the Management of Diabetes Mellitus. American Association of Clinical Endocrinologists. Endocrin Practice (March/April 2011) Vol. 2 Suppl 2. Available at https://www.aace.com/files/dm-guidelines-ccp.pdf

    22. Hampton, T., "Diabetes drugs tied to fractures in women," JAMA (April 18, 2007): Vol. 297, No. 15, page 1645.

    23. Holman R.R., et al, "A randomized double-blind trial of acarbose in type 2 diabetes shows improved glycemic control over 3 years," (The UK Prospective Diabetes Study). Diabetes Care (1999): Vol. 22(6), pages 960-964.

    24. Home P.D., et al, "Rosiglitazone evaluated for cardiovascular outcomes — an interim analysis," N Engl J Med. (2007): Vol. 357(1), pages 28-38.

    25. "Intensive blood-glucose control with sulphonylureas or insulin compared with conventional treatment and risk of complications in patients with type 2 diabetes," The UK Prospective Diabetes Study Group." Lancet (1998): Vo. 352 (9131), pages 837-853.

    26. Kahn S.E., et al., "ADOPT Study Group: Glycemic durability of rosiglitazone, metformin, or glyburide monotherapy." N Engl J Med. (2006): Vol. 355, pages 2427-2443.

    27. Meier, C. et al, "Use of thiazolidinediones and fracture risk," Arch Intern Med. (2008): Vol. 168 (8), pages 820-825.

    28. Mitka, M., "Report quantifies diabetes complications," JAMA (June 6, 2007): Vol. 297, No 21, pages 2337-2338.

    29. Nathan, D. "Finding new treatments for diabetes — how many, how fast, how good," N Engl J Med. (February 1, 2007): Vol. 356, No 5, pages 437-440.

    30. Nathan D.M., et al, "Medical Management of Hyperglycemia in Type 2 Diabetes: a Consensus Algorithm for the Initiation and Adjustment of Therapy," Diabetes Care. (2009): Vol. 32(1), pages 193-203.

    31. National Diabetes Fact Sheet — U.S. 2005, Centers for Disease Control and Prevention. Accessed May 9, 2011. www.cdc.gov/diabetes.

    32. Nesto R.W., et al. "Thiazolidinedione use, fluid retention, and congestive heart failure: A consensus statement from the American Heart Association and American Diabetes Association." Circulation (December 9, 2003): Vol.108, pages 2941-2948.

    33. Nissen S.E., et al, "Effect of rosiglitazone on the risk of myocardial infarction and death from cardiovascular causes," N Engl J Med. (2007): Vol. 356, pages 2457-2471.

    34. Overview: Treatment of Type 2 Diabetes, American Medical Association Therapeutic Insights (May 2011).

    35. Papa G., et al, "Safety of type 2 diabetes treatment with repaglinide compared with glibenclamide in elderly people: a randomized, open-label, two-period, cross-over trial." Diabetes Care (2006): Vol. 29, pages 1918-1920.

    36. Richter B, Bandeira-Echtler E, Bergerhoff K, Clar C, Ebrahim SH. Pioglitazone for type 2 diabetes mellitus. Cochrane Database of Systematic Reviews 2006, Issue 4. Art. No.: CD006060. DOI: 10.1002/14651858.CD006060.pub2.

    37. Salpeter S., et al, "Risk of fatal and nonfatal lactic acidosis with metformin use in type 2 diabetes mellitus," Cochrane Database Sys. Rev. (2006)(1).

    38. Selvin, E. et al, "Cardiovascular outcomes in trials of oral diabetes medications: a systematic review," Arch Intern Med. (2008): Vol. 168 (19), pages 2070-80.

    39. "Sitagliptin/Metformin (Janumet) for Type 2 Diabetes," The Medical Letter on Drugs and Therapeutics (June 4, 2007): Vol. 49, Issue 1262, page 1.

    40. "Standards of Medical Care in Diabetes—2007," American Diabetes Association Position Statement. Diabetes Care 2007 30: S4-S41.

    41. Stettler. C. et al, "Glycemic control and macrovascular disease in types 1 and 2 diabetes mellitus: meta-analysis of randomized trials," Am Heart J. (2006): Vol. 152, pages 27-38.

    42. "Third Report of the National Cholesterol Education Program (NCEP) Expert Panel on Detection, Evaluation, and Treatment of High Blood Cholesterol in Adults (Adult Treatment Panel III)," Circulation (2002): Vol. 106(25), pages 3143-3421.

    43. Van de Laar F.A., et al, "Alpha-glucose inhibitors for people with impaired glucose tolerance or impaired fasting blood glucose." Cochrane Database Cyst. Rev. (2006)(4).

    44. Vijan, S. et al, "Estimated benefits of glycemic control in micro vascular complications in type 2 diabetes," Ann Intern Med. (1997): Vol. 127, pages 788-795.

    Wednesday, December 28, 2022

    10 BEST AND SAFE SKIN CARE PRODUCTS

    10 BEST AND SAFE SKINCARE PRODUCTS

    best and safe skincare products


    We will discuss 10 best and safe skin care products.These products are mention after reviews and recommendations from specialist dermatologist and worldwide skincare specialist.    Great skin is not simply a matter of DNA — your daily habits, in fact, have a big impact on what you see in the mirror. But depending on which product reviews you read or doctors you consult, there is a dizzying number of opinions on everything from how to moisturize to how to protect yourself from UV rays. Ultimately, caring for your skin is simply personal. Here’s what you should keep in mind to sort through all the noise


    Skin Care Tips Before You Start

    3 Main Steps

                Think of your skin-care routine as consisting of three main steps:

    • Cleansing — Washing your face. 
    • Toning — Balancing the skin.
    • Moisturizing — Hydrating and softening the skin.

                         The goal of any skin-care routine is to tune up your complexion so it’s functioning at its best, and also troubleshoot or target any areas you want to work on. “Beauty routines are an opportunity to notice changes within yourself,” says the San Francisco skin-care specialist Kristina Holey. As your skin needs shifts with age, so will your products. Still, she adds, “it’s not about creating perfection.”   Allow these three steps to become your daily ritual that fortifies your skin and grounds your day.

    Give it Time

    The science behind skin-care products has come a long way but there’s still no such thing as an instant fix — you need time to reap the benefits, says Dr. Rachel Nazarian, a Manhattan dermatologist at Schweiger Dermatology Group. “Results are only seen through consistent use,” she explains. Generally, aim to use a product over at least six weeks, once or twice daily, to notice a difference.  

    Tip: With any skin-care product, apply in order of consistency — from thinnest to thickest. For example, cleanser, toner (if you use it), serum, and then moisturizer.

    1-Olay Regenerist Retinol 24 Max Moisturizer, Retinol 24 Max Hydrating Night Face Cream, Fragrance-Free Non-Greasy Feeling 1.7 oz, Includes Olay Whip Travel Size for Dry Skin

    best and safe product

    BrandOlay
    ScentFragrance free
    Item FormCream





    About this item

    • RETINOL 24 TO THE MAX: This facial moisturizer penetrates the surface of your skin at night to transform your skin with Retinol 24's maximum concentration of hydrators
    • FRAGRANCE-FREE CREAM: This Fragrance free, Rich and Creamy moisturizer absorbs quickly so you're not left with a greasy feeling (or pillow)
    • MAXIMIZED INGREDIENTS: Our Retinol 24 formula now in Max, with 20% more Retinol 24 hydrating complex vs. Base Retinol24
    • GET YOUR BEAUTY SLEEP: Massage cream over your face and neck at night. Always use SPF in the daytime when using Retinol
    • 24 HOUR TRANSFORMATION: Visibly smooths and brightens thanks to the Retinol 24 hydrating complex.

    2-CeraVe Hydrating Facial Cleanser | Moisturizing Non-Foaming Face Wash with Hyaluronic Acid, Ceramides and Glycerin | Fragrance Free Paraben Free | 16 Fluid Ounce

    best and safe product

    Item FormLotion
    Skin TypeOily, Sensitive, Dry, Normal
    BrandCeraVe
    Scentfragrance free
    Material FeatureNon Comedogenic

    About this item

    • [ GENTLE FACE CLEANSER ] Daily face wash with hyaluronic acid, ceramides, and glycerin to help hydrate skin without stripping moisture. Removes face makeup, dirt, and excess oil, provides 24-hour hydration and leaves a moisturized, non-greasy feel.
    • [ NON-FOAMING CLEANSER ] Moisturizing face wash with a lotion-like consistency feels smooth as it cleanses, even on sensitive, dry skin. Fragrance-free, paraben-free, non-comedogenic and non-drying. Certified by the National Eczema Association
    • [ MULTI-USE SKIN CARE ] Skin Cleanser for face and/or body and can be used as a hand wash. Suitable for daily cleansing morning (AM) and night (PM) for normal to dry skin.
    • [ 3 ESSENTIAL CERAMIDES ] Ceramides are found naturally in the skin and make up 50% of the lipids in the skin barrier. All CeraVe products, formulated with three essential ceramides (1, 3, 6-II)to help maintain the skin’s natural barrier.
    • [ DEVELOPED WITH DERMATOLOGISTS & #1 DERMATOLOGIST RECOMMENDED SKINCARE BRAND ] CeraVe Skincare is developed with dermatologists and has products suitable for dry skin, sensitive skin, oily skin, acne-prone, and more.
    • 3-Meaningful Beauty Anti-Aging Daily Skincare System with Crème de Serum

    • best and safe product
      Cleanses, protects and nourishes skin. Helps restore skin’s youthful-looking radiance. Suitable for all skin types.

      SUGGESTED USE

      Use as directed. Avoid contact with eyes.




    best and safe product

    brandSerious Skincare
    Item FormCream
    Active Ingredientslactic_acid
    Unit Count2.0 Ounce
    Number of Items1

    About this item

    Skin TypeOily, Combination, Sensitive, Dry, Normal
    Product BenefitsHydrating
    ScentFragrance Free
    BrandTruSkin Naturals
    Item FormLiquid

    About this item

    best and safe product

    Skin TypeDry
    Product BenefitsDiminishes the appearance of fine lines, wrinkles, uneven skin tone, and age spots
    Use forFace
    ScentUnscented
    BrandDERMA-E

    About this item

    • VITAMIN C SERUM: This brightening serum supports collagen health, improving the appearance of sun damaged skin The natural serum diminishes the appearance of fine lines, wrinkles and uneven skin tone.
    • DEEPLY HYDRATING: Known as nature’s ‘moisture magnet’, hyaluronic acid delivers intense moisture, infusing skin with healthy hydration. Our moisturizing hyaluronic acid serum helps plump and soften facial skin for a luminous complexion.
    • ALL NATURAL FORMULA: Packed full of powerful natural ingredients: antioxidant Green Tea nourishes and protects dry skin; Provitamin B5 moisturizes, smooths and conditions; while Vitamin C in this skin brightening serum is firming and rejuvenating.
    • DAILY SKIN CARE: For best results, apply the Vitamin C Serum daily, both morning and night. After your cleanser, apply a small amount of the antioxidant serum to the face and neck and allow to absorb. Can be used with your favorite DERMA E moisturizer.
    • DERMA E: Clean beauty products that harness nature’s most effective ingredients. 100% vegan and cruelty-free, our eco-ethical skin care products contain no parabens, sulfates, mineral oil, petrolatum, lanolin, gluten, soy or GMOs, and are supplied in recyclable packaging.

    8-Bio-Oil Skincare Body Oil with Vitamin E, Serum for Scars and Stretchmarks, Face and Body Moisturizer for Sensitive Dry Skin, Dermatologist Recommended, Non-Comedogenic, For All Skin Types, 2 oz

    best and safe product

    BrandBio-Oil
    ScentRose
    Item FormOil
    Active Ingredientsvitamin_e
    Unit Count2.0 Ounce

    About this item

    best and safe product

    Item FormBar, Oil
    Skin TypeOily
    BrandBioré
    ScentUnscented
    Material FeatureNatural

    About this item