Tuesday, September 1

Diabetes is a chronic health condition that affects how the body regulates glucose, commonly known as blood sugar. Glucose is an essential source of energy for cells, but keeping its concentration within a healthy range requires a carefully coordinated system involving insulin and other hormones. When this system does not work properly, glucose can accumulate in the bloodstream and, over time, damage different parts of the body.

Diabetes is not a single disease. Type 1 diabetes, Type 2 diabetes, and gestational diabetes have different underlying mechanisms, although all involve problems with blood glucose regulation. There are also less common forms of diabetes related to genetic conditions, diseases of the pancreas, medications, and other causes.

Some people develop obvious diabetes symptoms such as excessive thirst, frequent urination, fatigue, or unexplained weight loss. Others, particularly people with Type 2 diabetes, may have few noticeable symptoms for years. This makes screening and early diagnosis particularly important for people at increased risk.

Although diabetes can lead to serious complications, modern treatment can significantly reduce those risks. Appropriate medication, glucose monitoring, nutrition, physical activity, regular medical reviews, and management of cardiovascular risk factors allow many people with diabetes to live active and healthy lives.

What Is Diabetes?

Diabetes mellitus is a group of metabolic disorders characterized by persistently elevated blood glucose levels.

After food is digested, carbohydrates are broken down into glucose and other simple sugars. Glucose enters the bloodstream and can then be used by cells throughout the body as an energy source.

Insulin plays a central role in this process. It is a hormone produced by beta cells in the pancreas. When blood glucose rises, insulin helps glucose move from the bloodstream into cells and also influences how glucose is stored and produced.

Diabetes develops when the body produces little or no insulin, when tissues do not respond effectively to insulin, or through a combination of these problems.

Persistently high blood glucose is known as hyperglycemia. If it continues over time, it can damage blood vessels and nerves and increase the risk of complications involving the heart, kidneys, eyes, feet, and other organs.

The underlying reason for high glucose differs according to the type of diabetes.

What Are the Main Symptoms of Diabetes?

Diabetes symptoms can develop rapidly or gradually depending on the type of diabetes and the degree of hyperglycemia.

Frequent urination is a classic symptom. When blood glucose becomes sufficiently elevated, the kidneys attempt to remove excess glucose through urine. This can increase urine production.

Increased urination can contribute to dehydration, leading to excessive thirst. Someone may notice that they are drinking considerably more than usual but continue to feel thirsty.

Increased hunger can also occur because glucose is present in the bloodstream but is not being used normally by cells.

Fatigue is another common symptom. People may describe feeling unusually tired, weak, or lacking energy even when they believe they are sleeping adequately.

Unexplained weight loss is particularly important in Type 1 diabetes. When the body cannot use glucose normally because insulin is severely deficient, it begins using fat and other energy stores.

Blurred vision can develop when changing glucose concentrations affect fluid balance in the eye.

Cuts or wounds that heal slowly and recurrent infections may occur in people with persistently elevated glucose. Some people experience recurrent genital thrush or other infections.

Tingling, numbness, or altered sensation in the feet or hands can occur when diabetes has affected peripheral nerves, although these symptoms generally develop as a complication rather than being an early feature in everyone.

Importantly, Type 2 diabetes may initially produce no obvious symptoms at all.

Why Does Diabetes Cause Frequent Urination and Thirst?

The relationship between glucose, urination, and thirst helps explain two of the most recognizable diabetes symptoms.

Normally, the kidneys filter the blood while retaining substances the body needs. When blood glucose becomes significantly elevated, glucose can spill into the urine.

Glucose in the urine draws additional water with it. As a result, the body produces more urine.

The resulting fluid loss can make a person thirsty and dehydrated.

This is why frequent urination and excessive thirst occurring together can be important warning signs of significant hyperglycemia.

However, these symptoms can have other causes as well. Blood testing is required to determine whether diabetes is responsible.

What Is Type 1 Diabetes?

Type 1 diabetes is an autoimmune disease.

The immune system mistakenly attacks the insulin-producing beta cells of the pancreas. As these cells are destroyed, the body loses its ability to produce sufficient insulin.

Without adequate insulin, glucose cannot be regulated normally and blood glucose levels rise.

Type 1 diabetes often begins in childhood, adolescence, or young adulthood, but it can develop at any age.

Symptoms may appear relatively quickly, sometimes over days or weeks. Excessive thirst, frequent urination, fatigue, unexplained weight loss, and increased hunger are common presentations.

Because people with Type 1 diabetes produce little or no insulin, insulin treatment is essential for survival.

Type 1 diabetes is not caused by eating too much sugar, being overweight, or failing to exercise. Genetics and environmental factors are believed to contribute to the autoimmune process, but the exact cause remains complex.

What Is Type 2 Diabetes?

Type 2 diabetes is the most common form of diabetes.

In Type 2 diabetes, the body’s tissues become less responsive to insulin, a problem known as insulin resistance. Initially, the pancreas may compensate by producing more insulin.

Over time, however, insulin production may become insufficient to maintain normal blood glucose levels.

Type 2 diabetes usually develops gradually. Some people may have elevated glucose for a considerable period before diagnosis.

Several factors can increase the likelihood of developing Type 2 diabetes. Genetics and family history are important, as are increasing age, certain ethnic backgrounds, excess body fat, physical inactivity, previous gestational diabetes, and several metabolic and medical conditions.

Body weight is an important modifiable risk factor, but Type 2 diabetes should not be reduced to a disease caused simply by weight or lifestyle. People across a range of body sizes can develop the condition, and genetic susceptibility varies considerably.

What Is Prediabetes?

Prediabetes describes blood glucose levels that are higher than normal but not high enough to meet diagnostic criteria for diabetes.

It is an important warning sign because people with prediabetes have an increased likelihood of developing Type 2 diabetes.

Prediabetes is also associated with increased cardiovascular and metabolic risk.

Many people with prediabetes have no symptoms and discover it only through blood testing.

Lifestyle interventions can significantly reduce the likelihood of progression to Type 2 diabetes in many people. Weight reduction when appropriate, regular physical activity, dietary changes, and management of other cardiovascular risk factors can all be important.

Some people at particularly high risk may also be offered medication.

Prediabetes does not mean that progression to diabetes is inevitable.

What Is Gestational Diabetes?

Gestational diabetes is diabetes first diagnosed during pregnancy in someone who did not previously have known diabetes.

Hormonal changes during pregnancy naturally increase insulin resistance. Most people’s bodies compensate by producing additional insulin, but in some pregnancies this compensation is insufficient.

Gestational diabetes often produces no obvious symptoms, which is why screening is important.

Managing glucose during pregnancy reduces risks for both the pregnant person and baby. Treatment may involve nutrition changes, physical activity when appropriate, glucose monitoring, and medication or insulin when required.

Blood glucose often returns to the non-diabetic range after delivery, but having gestational diabetes increases the future risk of developing Type 2 diabetes.

Long-term follow-up and periodic diabetes screening are therefore important even after the pregnancy has ended.

Are There Other Types of Diabetes?

Although Type 1, Type 2, and gestational diabetes account for most cases, other forms exist.

Some people develop diabetes because of specific genetic changes affecting insulin production or function. Certain inherited forms are collectively described as monogenic diabetes.

Diseases affecting the pancreas can also cause diabetes because the pancreas contains the cells responsible for insulin production.

Some medications can raise blood glucose or contribute to diabetes. Long-term or high-dose corticosteroid treatment is one example.

Endocrine disorders and other medical conditions can also interfere with glucose regulation.

Correctly identifying the type of diabetes is important because treatment can differ significantly.

What Causes Diabetes?

There is no single cause of all diabetes.

Type 1 diabetes develops through autoimmune destruction of pancreatic beta cells. Genetic susceptibility contributes, while environmental factors may influence when or whether the autoimmune process develops.

Type 2 diabetes results from a complex interaction between insulin resistance, declining beta-cell function, genetics, body composition, aging, physical activity, and other metabolic factors.

Gestational diabetes develops when insulin resistance associated with pregnancy exceeds the pancreas’s ability to compensate.

Other forms may result from genetic mutations, pancreatic disease, medications, or endocrine disorders.

This diversity is why statements such as “diabetes is caused by eating sugar” are misleading.

Diet can influence body weight, glucose regulation, and Type 2 diabetes risk, but diabetes cannot be explained by a single food or behavior.

Does Eating Sugar Cause Diabetes?

Eating sugar by itself does not directly cause Type 1 diabetes.

The relationship with Type 2 diabetes is more complicated. Diets containing excessive calories and large quantities of highly processed foods or sugar-sweetened beverages may contribute to weight gain and metabolic problems, which can increase Type 2 diabetes risk in susceptible individuals.

However, genetics, age, body composition, physical activity, sleep, medications, and other factors also influence risk.

Someone who develops Type 2 diabetes should therefore not be assumed to have caused the condition simply by eating sweets.

For people who already have diabetes, carbohydrate intake does affect blood glucose and needs to be considered as part of an individualized eating plan.

How Is Diabetes Diagnosed?

Diabetes is diagnosed using blood tests rather than symptoms alone.

One commonly used test is glycated hemoglobin, usually called HbA1c. It provides an indication of average blood glucose exposure over approximately the previous two to three months.

A fasting plasma glucose test measures glucose after a period without food.

An oral glucose tolerance test measures how the body responds to a specific glucose drink over time and is used in certain situations, including pregnancy-related assessment.

A random plasma glucose measurement can also help diagnose diabetes when a person has classic symptoms and markedly elevated glucose.

Diagnostic thresholds depend on the test and clinical circumstances. In people without clear symptoms, an abnormal result may need confirmation on another occasion.

Pregnancy has separate testing approaches and diagnostic thresholds for gestational diabetes.

What Is HbA1c?

HbA1c measures the proportion of hemoglobin in red blood cells that has glucose attached to it.

Because red blood cells circulate for several months, HbA1c reflects longer-term glucose exposure rather than the glucose level at one specific moment.

It is widely used both for diagnosing certain forms of diabetes and monitoring diabetes management.

However, HbA1c is not perfect. Conditions affecting red blood cells, hemoglobin, blood loss, pregnancy, kidney disease, and other factors can sometimes make results less reliable.

Healthcare professionals interpret HbA1c alongside the person’s overall medical situation.

Treatment targets are also individualized rather than identical for every person with diabetes.

How Is Diabetes Treated?

Diabetes treatment depends greatly on the type of diabetes.

People with Type 1 diabetes require insulin. People with Type 2 diabetes may manage glucose through lifestyle interventions, tablets, injectable medications, insulin, or combinations of treatments.

Gestational diabetes may be managed through nutrition and physical activity alone in some cases, while others require medication or insulin.

Treatment is not limited to lowering glucose.

Comprehensive diabetes care also involves managing blood pressure, cholesterol, kidney health, cardiovascular risk, eye health, foot health, smoking, body weight when relevant, and other factors that influence long-term complications.

Insulin Treatment

Insulin is essential for everyone with Type 1 diabetes and is also used by some people with Type 2 diabetes, gestational diabetes, or other forms of diabetes.

Several types of insulin are available, differing in how quickly they begin working and how long their effects last.

Some people use multiple daily injections combining background insulin with doses around meals. Others use an insulin pump that delivers insulin continuously with additional doses when required.

Modern insulin treatment increasingly works alongside continuous glucose monitoring and digital technologies.

Insulin dosing requires education because too much insulin can cause dangerously low blood glucose, while too little can result in significant hyperglycemia.

People using insulin should receive appropriate training in glucose monitoring, dose adjustment where applicable, hypoglycemia recognition, and sick-day management.

Medications for Type 2 Diabetes

Several classes of medication are available for Type 2 diabetes.

Metformin has traditionally been a widely used first-line medicine. It primarily reduces glucose production by the liver and improves aspects of insulin sensitivity.

Other treatments work through different mechanisms.

SGLT2 inhibitors increase glucose loss through the urine and have become particularly important because some drugs in this class provide cardiovascular and kidney benefits in appropriate patients.

GLP-1 receptor agonists influence glucose-dependent insulin release, appetite, digestion, and other metabolic processes. Some can produce substantial weight loss and offer cardiovascular benefits for selected patients.

Other classes include DPP-4 inhibitors, sulfonylureas, thiazolidinediones, and additional treatments.

The best medication depends on much more than the glucose number. Cardiovascular disease, heart failure, kidney disease, weight goals, risk of hypoglycemia, medication cost, side effects, and individual preferences can influence treatment selection.

Blood Glucose Monitoring

Monitoring provides information about how glucose responds to food, medication, activity, illness, stress, and other factors.

Some people use a finger-prick blood glucose meter.

Others use continuous glucose monitoring, commonly abbreviated as CGM. A small sensor measures glucose in the fluid beneath the skin and provides frequent readings throughout the day and night.

CGM can show glucose trends and alert users when levels are rising, falling, or approaching dangerous ranges.

Not everyone with diabetes needs to check glucose with the same frequency. Monitoring requirements depend on diabetes type, medication, risk of hypoglycemia, pregnancy, treatment goals, and individual circumstances.

Nutrition and Diabetes

There is no single “diabetes diet” suitable for everyone.

Healthy eating patterns generally emphasize nutrient-rich foods, adequate fiber, vegetables, whole or minimally processed foods, appropriate portions, and attention to carbohydrate quality and quantity.

Carbohydrates have the most immediate effect on blood glucose, but they do not need to be completely eliminated.

People using mealtime insulin may learn carbohydrate counting so that insulin doses can be matched more accurately to meals.

For Type 2 diabetes, dietary approaches that support sustainable weight reduction can be particularly effective when excess body fat is contributing to insulin resistance.

A dietitian with experience in diabetes can help develop an individualized approach that considers culture, food preferences, medications, finances, and treatment goals.

Exercise and Diabetes Management

Physical activity has several benefits for people with diabetes.

Muscles use glucose during activity, and regular exercise can improve insulin sensitivity. Physical activity also supports cardiovascular health, strength, mobility, mental wellbeing, and weight management.

A combination of aerobic activity and resistance exercise can be beneficial for many adults.

However, exercise can affect glucose differently depending on intensity, duration, insulin levels, medication, and the individual’s diabetes.

People using insulin or medications capable of causing hypoglycemia may need to monitor glucose and adjust food or treatment around activity.

Those with significant diabetes complications may also require individualized advice before beginning certain forms of exercise.

What Is Hypoglycemia?

Hypoglycemia means blood glucose has fallen too low.

It is particularly associated with insulin and some glucose-lowering medications.

Early symptoms may include shaking, sweating, hunger, palpitations, anxiety, weakness, or difficulty concentrating.

More severe hypoglycemia can cause confusion, abnormal behavior, seizures, loss of consciousness, and, in extreme cases, can be life-threatening.

People at risk should be taught how to recognize and treat low blood glucose promptly.

Family members, friends, colleagues, or caregivers may also need to know what to do if severe hypoglycemia occurs.

Repeated episodes should be discussed with the diabetes care team because medication or insulin doses may require adjustment.

What Is Diabetic Ketoacidosis?

Diabetic ketoacidosis, or DKA, is a serious and potentially life-threatening complication caused by severe insulin deficiency.

It occurs most commonly in Type 1 diabetes, although it can occur in other circumstances.

Without enough insulin, the body cannot use glucose normally and begins breaking down fat rapidly. This produces acidic substances called ketones.

Symptoms may include excessive thirst, frequent urination, nausea, vomiting, abdominal pain, dehydration, deep or rapid breathing, marked fatigue, and changes in consciousness.

DKA requires urgent medical treatment.

It can occasionally be the first presentation of previously undiagnosed Type 1 diabetes.

Anyone with symptoms suggesting DKA should seek urgent medical attention rather than trying to manage the condition without appropriate guidance.

Long-Term Complications of Diabetes

Persistently elevated glucose can gradually damage blood vessels and nerves.

Diabetic retinopathy affects blood vessels in the retina and can threaten vision if not detected and managed.

Diabetic kidney disease can progressively reduce kidney function.

Peripheral neuropathy can cause numbness, pain, tingling, or loss of protective sensation, particularly in the feet.

Diabetes also substantially increases cardiovascular risk, including the risk of heart disease and stroke.

Poor circulation and reduced sensation can make foot injuries particularly important because wounds may go unnoticed and heal poorly.

These complications are not inevitable.

Improved glucose management, blood pressure control, cholesterol management, smoking cessation, kidney protection, routine screening, and modern treatments can substantially reduce risk.

Diabetes and Heart Disease

Cardiovascular health is a major part of diabetes care.

People with diabetes have an increased risk of coronary heart disease, stroke, and other vascular conditions.

This is why treatment often extends beyond glucose.

Blood pressure should be monitored and treated when necessary. Cholesterol-lowering medication may be recommended according to age and cardiovascular risk. Smoking cessation is particularly important.

Some newer diabetes medications also provide cardiovascular protection in appropriate people, influencing treatment choices even when glucose control is not the only concern.

Diabetes and Kidney Health

The kidneys contain networks of small blood vessels that filter waste from the blood.

Over time, diabetes can damage these structures.

Early diabetic kidney disease may not produce noticeable symptoms, so regular screening is important.

Urine testing can detect albumin, a protein that may appear when kidney filters are damaged. Blood tests can assess kidney function.

Good glucose and blood pressure management can slow progression. Certain medications, including some SGLT2 inhibitors and blood-pressure medicines, can provide additional kidney protection in appropriate patients.

Diabetes and Eye Health

Diabetes can damage the small blood vessels of the retina, causing diabetic retinopathy.

Early retinopathy may cause no noticeable change in vision.

This is why routine retinal screening or eye examinations are essential even when someone believes their eyesight is normal.

Diabetes can also increase the likelihood of other eye conditions.

Early detection allows treatment before severe vision loss develops in many cases.

Sudden changes in vision should be medically assessed rather than waiting for the next routine screening appointment.

Diabetes and Foot Care

Foot care is particularly important when diabetes has caused nerve damage or poor circulation.

Loss of sensation can mean that cuts, blisters, burns, or pressure injuries are not immediately noticed.

Reduced blood flow can then make wounds more difficult to heal and increase the risk of infection.

Regular foot checks help identify problems early.

People who have lost sensation, developed ulcers, noticed changes in foot shape, or have circulation problems may require specialist podiatry care.

A new foot wound, spreading redness, swelling, discharge, discoloration, or signs of infection should be assessed promptly.

Can Type 2 Diabetes Go Into Remission?

Some people with Type 2 diabetes can achieve remission, particularly following substantial and sustained weight loss when excess body fat is an important contributor to the disease.

Remission generally means blood glucose remains below the diabetic range for a defined period without glucose-lowering medication.

It does not necessarily mean the underlying susceptibility has permanently disappeared.

Glucose can rise again, particularly if weight is regained or beta-cell function declines.

People in remission therefore still require appropriate long-term monitoring.

The possibility of remission can be an important treatment goal for some individuals, but it should not be presented as guaranteed or achievable for everyone.

Preventing Type 2 Diabetes

Not every case of Type 2 diabetes can be prevented, particularly because genetics and other non-modifiable factors contribute to risk.

However, people at increased risk can often substantially reduce that risk.

Regular physical activity, sustainable weight reduction when appropriate, a nutritious dietary pattern, and avoiding smoking can improve metabolic health.

People with prediabetes may benefit from structured diabetes prevention programs.

Regular screening is also important because detecting rising glucose early creates an opportunity to intervene before significant hyperglycemia develops.

Diabetes During Illness

Illness can make glucose management more difficult.

Infections and other physical stresses can raise blood glucose even when someone is eating less than usual.

People taking insulin generally should not simply stop it because they are unwell or not eating normally. In Type 1 diabetes, stopping insulin can rapidly increase the risk of ketoacidosis.

People with diabetes should have individualized sick-day guidance explaining glucose monitoring, ketone testing when appropriate, medication considerations, hydration, and when to contact healthcare services.

Vomiting, significant dehydration, persistent high glucose, elevated ketones, breathing abnormalities, or difficulty staying awake may require urgent medical attention.

Living Well With Diabetes

A diabetes diagnosis can initially feel overwhelming because management involves many different decisions.

However, diabetes care does not need to revolve around achieving perfect glucose readings at every moment.

Effective long-term management focuses on reducing risk while maintaining a sustainable quality of life.

Education is central to this process. Understanding how medication, meals, activity, illness, stress, and sleep affect glucose gives people greater control over their condition.

Modern diabetes technology can also reduce some of the daily burden. Continuous glucose monitors, connected insulin pens, insulin pumps, automated insulin-delivery systems, smartphone applications, and other tools continue to improve.

Regular appointments allow treatment to evolve as a person’s health and circumstances change.

Emotional Health and Diabetes

Living with a chronic condition can affect mental wellbeing.

The constant need to think about food, medication, glucose, appointments, and possible complications can contribute to diabetes distress.

Diabetes distress is not necessarily the same as depression. It describes the emotional burden associated specifically with managing diabetes.

Some people may also develop depression, anxiety, eating difficulties, or fear of hypoglycemia.

These concerns deserve attention as part of diabetes care rather than being treated as unrelated issues.

When emotional difficulties interfere with treatment or quality of life, support from the diabetes team, primary care professionals, or mental health services may be appropriate.

When Should You See a Doctor About Possible Diabetes?

People experiencing persistent excessive thirst, frequent urination, unexplained weight loss, significant fatigue, recurrent infections, or unexplained blurred vision should seek medical assessment.

People at increased risk of Type 2 diabetes may need screening even without symptoms.

A family history of diabetes, previous gestational diabetes, obesity, certain ethnic backgrounds, cardiovascular disease, high blood pressure, and other metabolic risk factors can influence screening recommendations.

Earlier diagnosis matters because treatment can begin before prolonged hyperglycemia causes significant damage.

When Is Diabetes an Emergency?

Some diabetes-related situations require urgent treatment.

Symptoms suggesting diabetic ketoacidosis require immediate medical assessment. These can include significant hyperglycemia accompanied by vomiting, abdominal pain, dehydration, rapid or deep breathing, ketones, severe weakness, confusion, or reduced consciousness.

Severe hypoglycemia is also an emergency when the person cannot safely treat themselves, experiences a seizure, or loses consciousness.

Extremely elevated glucose accompanied by severe dehydration or changes in consciousness can represent another dangerous hyperglycemic emergency, particularly in people with Type 2 diabetes.

People should follow their individualized emergency and sick-day plans and seek urgent medical assistance when serious symptoms develop.

Frequently Asked Questions About Diabetes

Can diabetes be cured?

Type 1 diabetes currently requires lifelong insulin treatment and does not have an established routine cure. Type 2 diabetes can sometimes enter remission, particularly after substantial sustained weight loss, but ongoing monitoring remains important because hyperglycemia can return.

Can thin people develop Type 2 diabetes?

Yes. Excess body fat is an important risk factor, but it is not required for Type 2 diabetes to occur. Genetics, age, ethnicity, body-fat distribution, pancreatic function, and other metabolic factors also influence risk.

Is diabetes always caused by eating too much sugar?

No. Type 1 diabetes is an autoimmune disease, while Type 2 diabetes has multiple interacting causes. Dietary patterns can influence Type 2 diabetes risk, but eating sugar is not a complete explanation for why diabetes develops.

Can someone have diabetes without knowing it?

Yes. Type 2 diabetes can remain relatively symptomless for a considerable period. This is why screening is important for people at increased risk.

Does everyone with diabetes need insulin?

No. Everyone with Type 1 diabetes requires insulin, but many people with Type 2 diabetes initially manage their condition using lifestyle changes and non-insulin medications. Some eventually require insulin as the condition progresses.

Can people with diabetes eat carbohydrates?

Yes. Carbohydrates raise blood glucose, but they do not necessarily need to be eliminated. The amount, type, timing, medication regimen, and individual’s glucose response all matter. Dietary advice should be personalized.

The Outlook for People With Diabetes

Diabetes remains a serious chronic disease, but outcomes have improved considerably.

Modern insulin, continuous glucose monitoring, insulin pumps, automated delivery systems, newer Type 2 diabetes medications, cardiovascular and kidney-protective treatments, and improved screening have transformed diabetes care.

Early diagnosis and consistent long-term management can substantially reduce complications.

The most effective approach considers the whole person rather than focusing solely on glucose. Blood pressure, cholesterol, kidney function, eye health, feet, cardiovascular risk, nutrition, physical activity, mental health, medication safety, and quality of life are all important.

Final Thoughts

Diabetes is a group of conditions in which the body cannot regulate blood glucose normally. Type 1 diabetes results primarily from autoimmune destruction of insulin-producing cells, while Type 2 diabetes involves insulin resistance and progressive difficulty producing enough insulin. Gestational diabetes develops during pregnancy, and several less common forms can occur because of genetic conditions, pancreatic disease, medications, or other causes.

Common diabetes symptoms include excessive thirst, frequent urination, fatigue, unexplained weight loss, blurred vision, slow-healing wounds, and recurrent infections. However, Type 2 diabetes may produce few or no obvious symptoms for years.

Treatment depends on the type of diabetes and may include insulin, oral or injectable medications, glucose monitoring, individualized nutrition, physical activity, weight management when appropriate, and regular medical screening.

Good diabetes care also means protecting the heart, kidneys, eyes, nerves, and feet while paying attention to emotional wellbeing.

Diabetes can cause serious complications, but those complications are not inevitable. Early diagnosis, modern treatment, regular monitoring, and sustained long-term care can dramatically improve health outcomes and allow people with diabetes to lead full and active lives.

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