Understanding Diabetes Type 2 Video

Type 2 diabetes is a condition where you have an elevated blood sugar and an insufficient amount of insulin to lower that blood sugar. Treatments include lifestyle modifications, oral agents, and injectable therapy.
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Type 2 Diabetes: What is it and how does it differ from type 1? Dr. Kim Pugh: It is the same and that it is the problem with an elevated blood sugar but typically it is different that it has a dual defect. So you have a defect where the insulin in insufficient to get the job done. The reason why it's insufficient is you have issues with resistance. So you are making insulin but it just does not working as well as it should, it's not dropping the blood sugar, it's not - the blood sugar is not entering into the muscle as it should. So you have resistance. So over a time, that insulin is actually cranked up, trying to get the job done, but with time as the pancreas fails, then you develop Type 2 diabetes. Type 2 Diabetes: What are the treatment options? Dr. Kim Pugh: With Type 2, you have life style modification, you have oral agents and you have injectable therapy. There is another new injectable medicine called Byetta, which is a gut hormone and that helps with diabetes and also helps with weight loss. So that's been a great addition to our medications. You also have insulin. The one thing people need to remember about Type 2 diabetes, it's a progressive disease. So you start out maybe a life style modification works, but over a time, the disease becomes worse and you require additional medications. The vast majority of Type 2 diabetes does need insulin. Type 2 Diabetes: Does diet play a role? Dr. Kim Pugh: Certainly so if you can lose like fat 5-10% of your body weight, if you eat healthy, then you unless after become diabetic or if you're going to become diabetic say at age 50 maybe you can stay it off till age 60, 70. Type 2, the vast majority people are overweight, probably about 90% and also they have a very strong family history for diabetes. Type 2 Diabetes: Is it reversible? Dr. Kim Pugh: You know that's a good question. Patients ask me that all the time and I usually tell them, it's kind of like an alcohol, like once you are alcoholic, you are always an alcoholic and once you're diabetic, you are always diabetic. I think that needs to be stressed because if they do get off the wagon, gain weight, they are on steroid or certain medications, that can aggravate diabetes, they will become diabetic again. So I don't think you ever totally get rid off Type 2 diabetes. Okay, but you are back -- you have a normal blood sugar so you are not diabetic.

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