DIABTES TYPE 2 AND ITS SIGN?

 

Introduction

  Every system require energy to perform its function e.g all vehicles need fuels to move from one place to another such like thia human being is also a largest system it require energy to perform its function that energy is the requirement of our each and every part of the body cell we can called , it is an energy currency of human body that is called ATP.  When ATP will available in our cell they perform their function properly without ATP they will not perform their function properly and gradually die when this conditions persist. 

ATP formed by another energy that is called glucose when glucose ( end product of our food that we daily intake  ) will available in the cell ATP form contineously and the whole system of the body become confortable here is the basic understanding glucose itself does inter into the cell however it require another substance to transport glucose into the cell that substance is called insulin. Its a harmone secreted by  the beta  cell of pancreas. Some body cell of human body that does not allow glucose to inter into them  for this purpose they require this harmone called insulin in the presence of insulin will transport to these types of cell e.g muscle cell, cardiac cell and adipose cell.


First insulin released by the beta cells of pancreas when the concentration of glucose level increased in blood thereafter it move toward those cells that require insulin for the intery of glucose for this purpose they have receptor on their surface this receptor is made up   of protein when insulin released by the beta cells of pancreas after getting signal of high glucose level in the blood it goes toward that specific cell and bind on that receptor they had had been created for insulin when insulin will bind bind these receptor glucose easily inter into the cell and body perform its function that receptor is called GLUT-4).

In diabetes those body cells that required insulin for the entery of glucose  does not get glucose efficiently, due to the deficency of insulin or and any substance in the body they doesn't allow insulin to transport glucose as a result diabetes occur. 

In the second  type of diabetes the body does not use insulin properly  despite the presence of insulin.

It is totally different from type 1 in that case due to the deficiency of insulin glucose begin to accumulate in the body however in this type the body doesn't use insulin insted of their presence. Those cell they require insulin for the entery of glucose, they don't use insulin as a result glucose doesn't inter into the cell and begin to accumulate in the body. Such type is called type 2 diabetes.

 

There are several factors they involve in such type of problem.

Causes of diabetes type 2

1. Pancreatic beta cell disfunction

 These cell produce insulin to compete with the glucose but in this case there is some resistance in the body they resist the insulin produced by the beta cell and make it unable to compete with the glucose and the beta cell doesn't able to overcome this resistance  as a result glucose level increase in the body.

2. Insulin resistance

 The body cell like muscle, lever and  fat cell doesn't response to insulin as result glucose accumulate in the body.

3. Genetic code

 Parent having diabetes increase the risk of diabetes in the children.

4. Lifestyle

 Any person they do not active physically  Or not doing exercise due to this  the intake of glucose by the cell reduce as a result glucose accumulate in the body.

5. Obesity

 In this type of body actually there is higher amount of fat in the abdominal side this make a resistance for insulin transport glucose.

6. Age

 Due to lifetime risk of type 2 diabetes increase in 40+ age .

7. High blood pressure

  High blood pressure is itself not a cause of diabetes but it cause a resistance for it.  During high BP blood vessels contract and narrow due to this the flow of blood toward muscle and other tissues is reduced as a result insulin will not be able to alone approach that type of cells gradually diabetes occur.

If we discuss about the sign and Symptom it is not mandatory for diabetes to become symptomatic because in most cause diabetes is asymptomatic therefore monitoring blood glucose is mandatory after every month for normal human health.

But we will discussed some of them.

Early sign and symptoms of diabetes type 2

1.Increased hunger

 Cell will not get glucose due to the resistance for insulin that don't approach cells as a result body begin to alert the body through the hunger.

2. Increased thirst

 High glucose in the blood  pull water from the surrounding body towards itself as a result feeling of thirst increase.

3. Fatigue

 Glucose can't inter into the cell due to the deficiency of insulin as a result muscle send a signal to the body in the form of fatigue

4.blurred vision

High blood sugar shift water toward eye due to this lens unable to reflect light as a result blurred vision occur.

5.frequent urination

  During high glucose in the blood for homeostasis purpose kidney excrete glucose due to this fluid decrease in the body and body urge urination.

6. Slow healing 

High blood glucose  decrease blood flow toward tissue as a result wound healing slow.

 Complicated symptoms of diabetes 2

1. Numbness in hands and feet

High blood sugar damage small peripheral nervous system ( those nerve they transfer message from hands and foot toward brain) as a result these part less sensible for external stimulus.

2. Skin infection 

Due to low circulation of blood and glucose  toward skin  it make the skin more favourable for microrganism and they begin infection 

3.Gum disease and teeth problem

 In this conditions low blood circulation toward gums and high concentration of glucose in the saliva as a result bleeding disease occur

4. Sexual dysfunction 

High blood sugar  damage nervous of sexual organ and low blood circulation toward that organs as a result in male it cause ejaculation problem and in female it cause the dryness of  vagina.

5. Fluctuation in weight

When the body start start to use  protein and fat instead of carbohydrates as a result weight of the body loos and if the does not use glucose due to this glucose accumulate in the body and the weight of the person increased.

6. Darkened skin

 High insulin release from the pancreas  and it doesn't approach the cells of body it compelled the cells of skin to grow as a result darkened skin occur in these regions armpit, groin, neck and under brest.

 Diagnosis

1. Random blood sugar test

Check blood plasma after taking meal it should be less than 200mg.

2. Fasting blood sugar test

After 8 hours of taking meal blood sugar should be test it is called fasting blood test the value of thia test should be less than 100mg

3. HbA1c test

Less than 6.4% is normal

4. Oral glucose tolerance test ( OGTT)

When After 2 hour of taking glucose blood sugar will test It is called  OGTT the value for this test is less than 140 mg.

 Devise used for blood sugar testing is Glucometer


Treatment

1. Diet 

Carbohydrate should be intake as per the amount of insulin

2. Exercise 

Exercise decrease blood glucose

3. Weight loos

 Lost weight assist body to take glucose

 Medicine

1. Biguanides

2. Sulfonylureas

3. Alpha glucosidase inhibitor 

4. Thiazolidinedionea

5. Insulin  therapy

For more about medicine for diabetes 2 visit

https://healthduhs.blogspot.com/2026/01/prevention-and-medicine-of-diabetes-2.html


Prevention

1.Promote exercise 

 2.Maintain balance diet

 3.Maintain body weight as per ypur age

4.Avoid smokin and drinking alcohol

For more about the prevention of diabetes 2 visit

https://healthduhs.blogspot.com/2026/01/prevention-and-medicine-of-diabetes-2.html

References


 WHO -World Health Organisation

NIH- National Institute Of Health)

 CDC- Centre for Disease Control and prevention





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