Diabetes mellitus type 2 (elevated blood sugar)


Description

Too much glucose in the circulation causing damage to almost every organ in the body. Diabetes mellitus type 2 is more often seen in adults and is more common in patients who are overweight. Patients generally have near normal levels of insulin but have insulin resistance. It is rare for type 2 diabetes to progress to diabetic ketoacidosis.

Symptoms

Increased urination, increased drinking of fluids, increased appetite, nausea, fatigue, blurry vision, numbness or tingling in the feet.

Tests

Common tests used for diagnosis and treatment

Workup:
A history and physical exam will be performed. Glucose measurements are performed randomly and as a fasting level first thing in the morning. A hemoglobin A1C can measure the average glucose level over time.

Tests:
Comprehensive metabolic panel (CMP), Hemoglobin A1c (HbA1c), Urinalysis (UA)

Specialists:
Internal Medicine, Family Practice, Diabetes, Endocrinology and Metabolism, General Medicine

Treatment

At times type 2 diabetes can be managed by losing weight, strict diet control, and exercise. Medications are frequently necessary and are called hypoglycemics. There are multiple different types of hypoglycemic and they are sometimes combined to achieve better glucose control. Sometimes insulin is needed to control the glucose levels. 
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