Preventing the Progress of Type 2 diabetes

Preventing the progress of type 2 diabetes involves first, achieving lifestyle changes looking at weight management and physical activity; second (though often simultaneously) starting medications to address the insulin resistance and insulin deficiency; third, regular review and response by your diabetes team through an organised and structured care process will prevent progress.

“Type 2 diabetes is a chronic disease that will progress – if you do nothing to alter its course”.

To better understand this progress, we can think in a linear fashion:

Though this cascade is linear the metabolic dysfunction is present at every level of progress. Stopping this metabolic dysfunction – or if unable to do this at least containing it – will stop or slow the progressive addition of medications and prevent or delay complications.

What Changes are Necessary for Preventing the Progress of Type 2 Diabetes?

1. Don’t Smoke

When a smoker with diabetes stops smoking their insulin resistance normalises after 8 weeks. In smokers with newly diagnosed type 2 diabetes it has been found that smoking cessation was associated with an improvement in metabolic parameters.

The longer you stay an ex-smoker the better:

2. Weight Management

3. Understanding & Controlling Macro-nutrients

Macronutrients refers to fat, carbohydrate and protein. These have a different effect on blood glucose and all have different energy values per gram. Understanding these will differences will help you to manage your diet and your blood glucose levels.

4. Physical Activity

How active do we need to be?

5. Adopt an Organised & Structured Care Process

Being organised with your diabetes simply means getting the information you need, transforming this information into knowledge, then using this knowledge to understand what you need to do to take care of yourself. In other words, being better organised will help you self-manage your diabetes.

A structured plan is often seen by people as very restrictive. This can be debated. It has structure and there is always flexibility within that structure. Simply keep in mind that the more flexibility you want in your daily routine, the more work you will probably need to do.

If you wish to have more flexibility in your food choices or the timing of your meals, you will probably have to make more daily decisions and monitor your blood glucose more often. You will need to know how to compensate for the flexibility.

That is the trade-off, and only you can decide if greater flexibility is worth the extra work you need to do.

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