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Natural Progression of Type 2 Diabetes, Phase I | Diabetes Daily Post
Natural Progression of Type 2 Diabetes, Part 1, Phase I

Natural Progression of Type 2 Diabetes, Part 1, Phase I

People who are concerned with diabetes and increasingly aware of what diabetes will do to our lives.

Many among them would like to know more about diabetes in terms of how it progresses. Nowadays with multiple online resources available for both diabetes and non-diabetes population, it could be overwhelming at times. People want to know more in-depth information about diabetes rather than just receive basic information available to them. These are the people that will take an active role to prevent and/or apply ways to minimize the damages (complications), not just for themselves but for their love ones as well.

Rather than what to do, they want to known what to do and why and what would happen if they didn’t.

For these people, the natural progression of Type 2 diabetes is as important as the knowledge based on which they could derive useful information and work with current prescribed regimens to prevent and treat diabetes.

Phase I

Before people are diagnosed with Type 2 Diabetes, there is a long period of time when people are at great risk of contracting diabetes either knowingly or not knowingly to them. This is the period of time many of the prescribed life style change regimens would work best if applied; this is also the period of time when most would-be diabetes patients fail. Failure could be due to lack of will, encouragement and/or resources such as help from diabetes educators or health coaches. Family support is another area that could be lacking. During this period of time postprandial blood glucose (after meal) begins to rise. They are not diabetic yet since their fasting blood glucose still looks normal. In spite of this, the body shows some degree of insulin secretion impairment and some degree of beta-cell dysfunction (beta cells secrets insulin). They are not diagnosed with Type 2 diabetes yet? But wait a minute, something is wrong and the fasting glucose is not yet telling you so. Yes, indeed. Let me explain: your insulin secretion is compensating (over working) the insulin resistance (insulin receptors are not sensitive). The over secretion of insulin is taking care of the blood glucose in the wrong way (in over gear which will over-heat, eventually-causing permanent “engine” damage). When damage to the beta-cell occurs, this is when fasting blood glucose increases. Wow, what does this mean? This means that if your fasting blood glucose is higher than normal, you must pay attention; you have entered into the “danger zone”. That is: your body is telling you something is wrong and you must take action to correct it immediately by consulting with your family physician. Nevertheless, you are a diabetic now. The good news is you are lucky to having detected it early. The next move is to go back and do the things you should have done in the first place such as exercise, proper diet, quit smoking and get proper rest, etc. to restore and take control. Remember, you still can control diabetes and put a stop to it at this stage. If not, diabetes will start to damage other vital organs such as the heart.

Next article we will be discussing Phase II.

Written by

Charles H. Liu

Clinical Pharmacist

Diabetes Advocate

Charles H. Liu, R. Ph, MBA

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