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In a healthy person, blood glucose levels are normalized by insulin secretion and tissue sensitivity to insulin [1].
When diabetes strikes during childhood, it is routinely assumed to be type 1, or juvenile-onset diabetes.
There are a number os symptoms associated with type 2 diabetes, mainly due to the fact that either some or all of the glucose stays in your blood stream and is not utilised as fuel for energy. In type 2 diabetes hyperglycemia is when the blood glucose levels become very high and it can cause the main symptoms displayed in diabetes, extreme thirst and excessive and frequent urination[15].
In the past there has been large focus on the effects of Type 2 diabetes on the cardiovascular system, nephropathy, neuropathy and retinopathy. Diabetes is often detected when an associated comorbidity is seen in the patient, because these are often the first symptoms the patient will notice. The following disorders can also be seen in adults with type 2 diabetes, but are the ones most commonly seen in adolescents who have the disorder.
The A1C blood test indicates your average blood sugar level for the past two to three months. The Eyes: Diabetes can cause damage to the blood vesssels within the eyes which can cause cataracts, glaucoma, retinopathy and in sever cases even blindness. The Nervous System: Too much glucose in the blood stream can cause damage to the small blood vessels within nerves. The Heart: Those with type 2 diabetes are up to five times more likely to develop some form of heart disease. The Kidneys: High blood sugar levels make it much harder on your kidneys to filter blood, and the kidneys will eventually become overworked. Type 2 diabetes often occurs in children and adults who are over weight and live a sedentary lifestyle.
Resistance training has shown to improve strength and endurance, enhance flexibility, improve body composition, decrease risks for cardiovascular disease, improve glucose tolerance and insulin sensitivity.


While exercising with patients that have type 2 diabetes it is important to also check their blood sugar before exercise, every 30 minutes during exercise, after exercise, and four hours after exercise.
Given that type 2 diabetes will usually get worse over time, those with type 2 diabetes will eventually be placed on some kind of medication to help with the management of their diabetes.
Metformin Metformin works by affecting the amount of glucose your liver can release into your bloodstream, as well as making the body's cells more responsive to insulin. These medicines are prescibed when the patient is unable to take Metformins or if they are not overweight.
Glitazones work by essentially making the body's cells more sensitive to insulin, meaning that more glucose is taken from the bloodstream. These work by stopping the breakdown of the hormone GLP-1, the hormone which helps the body produce insulin in a response to high levels of glucose in the blood, but is quickly broken down. The effect of glycaemic control in type 2 diabetic patients with subclinical hypothyroidism.A Comprehensive Review of the Literature Supporting Recommendations From the Canadian Diabetes Association for the Use of a Plant-Based Diet for Management of Type 2 Diabetes. Learn about the shoulder in this month's Physiopedia Plus learn topic with 5 chapters from textbooks such as Magee's Orthopedic Physical Assessment, 2014 & Donatelli's Physical therapy of the shoulder 2012.
When checked, Shutterstock's safe search screens restricted content and excludes it from your search results. With Type 2 diabetes, the mechanisms become faulty; the pancreatic beta-cell, which releases insulin, becomes impaired and tissues develop insulin resistance[1][2].
It works by measuring the percentage of blood sugar attached to hemoglobin, the oxygen-carrying protein in red blood cells.
A diabetic retinopathy can be managed by laser eye treatment, however this will only preserve the sight you have and not return sight that has been lost. Foot neuropathy is common in patients with diabetes, therefore diabetic foot care is an important aspect of the medical management of diabetic patients.
A resistance training program should also be preformed for all major muscle groups 2-3 days per week.


Patients should complete 8-12 reps per set and progress from 1 set to 3 sets, resting 30 minutes per set.
There are a number of different medications that can be used to control blood glucose levels but the most commonly known is Metformin.
Diabetes prevalence and socioeconomic status: a population based study showing increased prevalence of type 2 diabetes mellitus in deprived areas. Hypertension and Type 2 Diabetes Comorbidity in Adults in the United States: Risk of Overall and Regional Adiposity. Physiopedia is not a substitute for professional advice or expert medical services from a qualified healthcare provider.
It is shown that spirometry tests to establish pulmonary function may be one of the easiest and earliest measurable factors in those with diabetes.
It is important to have regular check ups with an optician to monitor any changes to the eye. If the blood vessel is blocked it will cause either a heart attack or stroke, dependant on where the vessel leads to.
Numbness and tingling of the feet can cause foot injury and wounds to go unnoticed, which may lead to breakdown and infectious wounds of the skin.
As a result, blood sugar does not get transported into these cells to be stored for energy and builds up in the bloodstream; this is known as hyperglycemia[1].
If it affects the nerves in the digestive system then the patient may suffer from nausea and vomiting, diarrhoea or constipation.



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