Type 2 diabetes

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15/15 rule	Alpha-glucosidase inhibitors	Biguanides	Diabetes and exercise
Diabetic emergency supplies	Food and insulin release	Glucose in blood	Low blood sugar symptoms
Monitor blood glucose - series	Starchy foods	Sulfonylureas drug	Thiazolidinediones

Noninsulin-dependent diabetes; Diabetes - type 2; Adult-onset diabetes

Diabetes screening is recommended for:

• Overweight children who have other risk factors for diabetes, starting at age 10 and repeating every 2 years
• Overweight adults (BMI greater than 25) who have other risk factors
• Adults over 45 every 3 years

You can help prevent type 2 diabetes by keeping a healthy body weight and an active lifestyle.

To prevent complications of diabetes, visit your health care provider or diabetes educator at least four times a year. Talk about any problems you are having.

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Stay up-to-date with all your vaccinations and get a flu shot every year.

To prevent diabetes-related foot problems, you should:

• Stop smoking if you smoke.
• Improve control of your blood sugar
• Get a foot exam by your health care provider at least twice a year and learn whether you have nerve damage.
• Check and care for your feet EVERY DAY, especially if you already have known nerve or blood vessel damage or current foot problems. Follow the instructions below.
• Make sure you are wearing the right kind of shoes.

American Diabetes Association (ADA). Standards of Medical Care in Diabetes—2009. Diabetes Care. January 2009; 32:S13-S61.

Eisenbarth GS, Polonsky KS, Buse JB. Type 1 Diabetes Mellitus. In: Kronenberg HM, Melmed S, Polonsky KS, Larsen PR. Kronenberg: Williams Textbook of Endocrinology. 11th ed. Philadelphia, Pa: Saunders Elsevier; 2008:chap 31.

U.S.Preventive Services Task Force. Screening for type 2 diabetes mellitus in adults: U.S. Preventive Services Task Force recommendation statement. Ann Intern Med. 2008 Jun 3;148(11):846-54.

In the clinic. Type 2 diabetes. Ann Intern Med. 2007;146:ITC-1-15.

Buchwald H, Estok R, Fahrbach K, Banel D, Jensen MD, Pories WJ, Bantle JP, Sledge I. Weight and type 2 diabetes after bariatric surgery: systematic review and meta-analysis. Am J Med. 2009 Mar;122(3):248-256.e5. Review. PubMed PMID: 19272486.

Review Date: 05/20/2009
Reviewed By: Reviewed by David Zieve, MD, MHA, Medical Director, A.D.A.M., Inc. Also reviewed by Deborah Wexler, MD, Assistant Professor of Medicine, Harvard Medical School, Endocrinologist, Massachusetts General Hospital.