Diabetes mellitus type 2

Traditionally this disease was associated with adults, however, due to its important relationship with lifestyle, it is now increasingly associated with children, adolescents and young adults. Symptoms often develop slowly and progressively and may go unnoticed for years until they have diabetes-related health problems. Up to 20% of people with this type of diabetes have signs of complications at the time of diagnosis. When they occur they may include the following:

• Increased thirst and hunger.
• Frequent urination.
• Unintentional and unexplained weight loss.
• Fatigue.
• Blurred vision.
• sores that are slow to heal
• frequent infections
• Numbness or tingling in the hands or feet.
• Darkened areas of skin, usually in the armpits and neck.

When blood glucose levels are very high after advanced progression, severe dehydration can occur, which can lead to mental confusion, drowsiness and seizures, a condition called hyperosmolar hyperglycemic state.

Healthy lifestyle choices can help prevent type 2 diabetes even if there is a family history. A healthy lifestyle includes:

• Eating healthy, high-fiber, low-fat, low-calorie foods, preferably fruits, vegetables, or whole grains.
• Exercising regularly and avoiding long periods of inactivity by getting up and moving around for a few minutes every 30 minutes or every hour. If you want to lose weight, exercise should be more vigorous.
• Losing and maintaining a healthy weight can slow the progression of type 2 diabetes.
• Avoid smoking, as it increases the risk of cardiovascular disease, as well as alcohol and other substance abuse.

There are several clinical studies that show that moderate weight loss and a daily program of half an hour of physical exercise five days a week drastically reduce the risk of developing diabetes. Additionally, the risk is reduced or the development of complications in many organs of long-term hyperglycemia is delayed. Such is the case of retinopathy on the ocular retina, nephropathy due to kidney damage, neuropathy due to central nervous system involvement, or vasculopathies that lead to an increased risk of cardiovascular accidents, arteriosclerosis, or early heart disease.

The prevention of cardiovascular risk in diabetes is of particular relevance, for which it is additionally recommended to control the other cardiovascular risk factors, especially blood pressure (normal BP: 130/80 mmHg) and cholesterol (LDL<100 mg/dL, HDL>50 mg/dL and triglycerides<150 mg/dL). Similarly, ongoing assessment of blood glucose levels is recommended to confirm that they are under adequate control by determining glycosylated hemoglobin (HbA1C) which provides long-term information and fasting blood glucose (before meals 70-130 mg/dl).