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

Often, people with type 2 diabetes have no symptoms at all. If you do have symptoms, they may include:

• Blurred vision
• Erectile dysfunction
• Fatigue
• Frequent or slow-healing infections
• Increased appetite
• Increased thirst
• Increased urination

Type 2 diabetes is diagnosed with the following blood tests:

• Fasting blood glucose level -- diabetes is diagnosed if higher than 126 mg/dL on two occasions.
• Oral glucose tolerance test -- diabetes is diagnosed if glucose level is higher than 200 mg/dL after 2 hours.
• Random (non-fasting) blood glucose level -- diabetes is suspected if higher than 200 mg/dL and accompanied by the classic symptoms of increased thirst, urination, and fatigue (this test must be confirmed with a fasting blood glucose test).

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You should see your health care provider every 3 months. At these visits, you can expect your health care provider to::

• Check your blood pressure
• Check the skin and bones on your feet and legs
• Check the sensation on your feet
• Exam the back part of the eye with a special lighted instrument called an ophthalmoscope

The following tests will help you and your doctor monitor your diabetes and prevent complications:

• Have your blood pressure checked at least every year (blood pressure goals should be 130/80 mm/Hg or lower).
• Have your glycosulated hemoglobin (HbA1c) checked every 6 months if your diabetes is well controlled; otherwise every 3 months.
• Have your cholesterol and triglyceride levels checked yearly (aim for LDL levels below 100 mg/dL).
• Get yearly tests to make sure your kidneys are working well (microalbuminuria and serum creatinine).
• Visit your ophthalmologist) at least once a year, or more often if you have signs of diabetic retinopathy.
• See the dentist every 6 months for a thorough dental cleaning and exam. Make sure your dentist and hygienist know that you have diabetes.

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.