Overt Type 2 Diabetes

Remarkably, only 20% to 25% of individuals with hyperin-sulinemia and insulin resistance progress to overt type 2 diabetes. This progression begins when FSG becomes 100 mg/ dL or greater, the threshold for the diagnosis of prediabetes. Type 2 diabetes may be diagnosed at this phase if a casual postprandial glucose of 200 mg/dL or higher is detected.

Most patients diagnosed with type 2 diabetes may not note the typical hyperglycemic symptoms described for type 1 diabetes. The difference may be that type 2 diabetes evolves over years below the symptomatic threshold because sufficient insulin is present to prevent the marked lipolysis and ketonemia more typical of type 1 diabetes, with its obligatory water and electrolyte losses. Most patients with type 2 diabetes are discovered incidentally, such as during routine risk factor assessment for cardiovascular disease or other work-up for various symptoms, including peripheral senso-rimotor neuropathy, Bell's palsy, erectile dysfunction, visual changes, and gastrointestinal complaints, which may lead to finding an elevated FSG and the diagnosis of type 2 diabetes.

Delicious Diabetic Recipes

Delicious Diabetic Recipes

This brilliant guide will teach you how to cook all those delicious recipes for people who have diabetes.

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