Diabetes Type 2 in Primary care. January 25, 2017

Type 2 diabetes(T2D) is a metabolic disorder characterized by abnormalities at multiple organ target sites, including B-cell, skeletal muscles, adipose tissue, kidney, brain, gut, and liver. The hyperglycemia characteristic of T2D develops slowly, over time as pancreatic B-cells fail to produce insulin to a glucose stimulus. The resulting elevated plasma glucose levels became cytotoxic, leading to the lose of B-cell function and mass." Jeff Unger, MD, Diabetes Management in Primary Care. Second Eddition. 2013.

       Now the question is, how to treat T2D?  Well, before start treatment disease must be diagnosed. Because of there are a few types of diabetes, they must be diagnosed and separated. If they do not then treatment must be the same, just diabetes and treatment for diabetes regardless what type it is.
        Looks very logical, still it is not the case in primary care. Diagnose of any type of diabetes based on the level of sugar in blood, only blood test.There is no one test to check up any abnormalities in any  organ pancreas including. There is no test to check up if B-cells mass is sufficient or not, or b-cells functional or not. There even no target to check up if insulin secretion sufficient or not. The test for insulin level can be run approximately, the level of C-Peptides in blood. Still, it is not accurate because of  insulin hormone secreted in very tiny amount and secretion is different in accordance to body needs. If this secretion of insulin is not sufficient then there is no energy. So, C-Peptide level, taken in one specific moment, cannot show how insulin secretion sufficient of not.
       Another point with diagnose is, that the level of sugar can be normal in specific moment, such as fasting, but still, the secretion of insulin can fail in the other moment such as trauma, illness, even flu, or stress, such as work out, or any emotional stress. This is why in past diabetes presented was divided as 'temporary' or 'persistent'. Diabetes did not go anywhere, it still in patient's body. But insulin secretion was sufficient to cover daily needs, and fail to cover extra needs.
       In present time there are a lot of publications such as Dr.Oz or Professor Taylor, who claim that diabetes type 2 can be cured naturally, with diet and work outs. They simple use to present that temporary  sufficiency in insulin secretion is cure for diabetes. It is not. It is only the way to delay diabetes treatment and effect of recovery. There is no one diet or work out which can reverse diabetes type 2. Still, insulin can do the job. Even according to the present medical care publications and presentations, it is recorded that b-cells can recovery, and diabetes can be cured.
          The same way as it is with flu.  We do have flu season one year after another, but it is not fatal mostly. We reverse flu till next season. Every other season the disease, once devastated and which swept up millions of lives in all continents, now is mild, not dangerous as it used to be.  The same with diabetes. If blood sugar normalized temporary, insulin in injections in no need, or need in just small dose. Any delay in treatment as it is in case of any medical situation, leads to spread of disease and effect all otherwise healthy tissue and organs.  

via Ravenvoron