26/12/2019
Type 2 Diabetes
Type 2 diabetes used to be called non-insulin-dependent or adult-onset diabetes. But it’s become more common in children and teens over the past 20 years, largely because more young people are overweight or obese. About 90% of people with diabetes have type 2.
When you have type 2 diabetes, your pancreas usually creates some insulin. But either it’s not enough or your body doesn’t use it like it should. Insulin resistance, when your cells don’t respond to insulin, usually happens in fat, liver, and muscle cells.
CONTINUE READING BELOW
Type 2 diabetes is often milder than type 1. But it can still cause major health complications, especially in the tiny blood vessels in your kidneys, nerves, and eyes. Type 2 also raises your risk of heart disease and stroke.
People who are obese -- more than 20% over their target body weight for their height -- have an especially high risk of type 2 diabetes and the health problems that can follow. Obesity often causes insulin resistance, so your pancreas has to work harder to make more insulin. But it’s still not enough to keep your blood sugar levels where they should be.
Treatment for type 2 diabetes involves keeping a healthy weight, eating right, and exercising. Some people need medication, too.
Your doctor might do an A1C test a few times a year to see how well you’ve been controlling your blood sugar.
Gestational Diabetes
Pregnancy usually causes some form of insulin resistance. If this becomes diabetes, it’s called gestational. Doctors often spot it in middle or late pregnancy. Because a woman’s blood sugars travel through her placenta to the baby, it’s important to control gestational diabetes to protect the baby's growth and development.
CONTINUE READING BELOW
Doctors report gestational diabetes in 2% to 10% of pregnancies. It usually goes away after birth. But up to 10% of women who have gestational diabetes get type 2, weeks or even years later.
Gestational diabetes is more of a risk for the baby than the mother. A baby might have unusual weight gain before birth, trouble breathing at birth, or a higher risk of obesity and diabetes later in life. The mother might need a cesarean section because of an overly large baby, or she might have damage to her heart, kidney, nerves, and eyes.
Gestational diabetes treatment involves:
Careful meal planning to make sure you get enough nutrients without too much fat and calories
Daily exercise
Keeping weight gain under control
Taking insulin to control your blood sugar levels, if needed