How far have you progressed?
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watch our video on this topic.
Diabetes has been known went since ancient times but was usually not diagnosed until the later stages. Today, we have many sophisticated methods of judging and evaluating the progress of Type 2 Diabetes, yet we often fail to diagnose this disease in its earliest stages. Type 2 Diabetes is a progressive disease. It is unlike Type 1 Diabetes, which can appear suddenly after damage to the pancreas. Yet, today the official definition of diabetes is not used until there is significant progression of this disease. Recent studies have clearly shown that people who have never been diagnosed with diabetes are at the same risk for organ damage as are diabetics, if they have elevated hemoglobin A1C. Despite that, many physicians use a rigid cut-off, failing to evaluate or inform their patients of diabetes at its earlier stages. The result of this failure is that people may develop heart disease, painful peripheral neuropathy, kidney failure, loss of vision and other problems before they actually receive a diagnosis of diabetes. It is important that people learn that there disease can be determined at an earlier stage. Some physicians hedge and use terms such as pre-diabetic. Researchers and government epidemiologists refer to the metabolic syndrome. In reality type 2 diabetes is a continuum. These precursors are simply early stages in that progression.
If you are in these early stages of diabetes, you may not yet have been diagnosed. You may be a hidden diabetic, or you may have been called a borderline diabetic or a pre-diabetic. Your fasting blood sugar level, a routine test, may be perfectly normal because, although your average blood sugar is too high, your body can bring it down to normal overnight. In these early stages, the correct form of dietary change will bring you back to normal. The inflammation causing blockage and damage in your small blood vessels will reverse. This is the perfect time to intervene with dietary change, before further damage is done.
On the other hand, if you have been diagnosed with Type 2 Diabetes, you may take medication, regularly have a hemoglobin A1C test, and use a meter to monitor your sugar level at home. If you are not yet taking insulin injections, there is a good chance that you have progressed to the level of insulin resistance, but not the level of pancreatic insufficiency. Generally, at this point you can still respond well to dietary change. With the appropriate medical supervision, you may be able to stop all of your diabetic medications, or reduce your need to only the smallest dose of a single medication, such as Metformin, to fully control your diabetes.
What if you have been started on insulin? It may mean that you have reached the point where your pancreas can no longer produce sufficient natural insulin to meet the needs of your body. Although dietary change may help you in your diabetes control, you will continue to need medication and medical supervision. However, do not despair. Many physicians will go directly to using insulin, even in patients who are capable of producing enough insulin to meet their needs with proper dietary control. You may need to work with a physician to determine if your body is still capable of producing its own insulin in sufficient amounts. The majority of Type 2 Diabetics can still produce insulin.
Our books and course can show you how to reverse the course of your Type 2 Diabetes or Prediabetes.
This website is provided by Dr. Irving Cohen, a physician who has devoted his career to Preventive Medicine. It is purposes is to educate diabetics and those at risk about the choices available to them.
Thank You for visiting www.DiabetesRecovery.com/how-far Last revision: Sept 2016
© Copyright 2014, Irving A. Cohen, MD, MPH, FACPM. All rights reserved including the right of reproduction in whole or in part in any form.