Type 2 diabetes (T2D), formerly known as adult-onset diabetes, is a form of diabetes mellitus that is characterized by high blood sugar, insulin resistance, and relative lack of insulin.
Type 2 diabetes is a chronic condition in which the body either doesn’t use insulin properly or doesn’t produce enough, resulting in high blood glucose levels. Unlike type 1 diabetes, it can be controlled and even reversed in some cases, especially with early and committed treatment.
Reversal doesn’t mean “curing,” but rather achieving normal blood glucose levels without medication or with minimal doses, thanks to lifestyle changes. The person remains diabetic in the clinical sense, but the disease is in remission.
How do I know if I have type 2 diabetes?
Knowing if you have type 2 diabetes requires a medical evaluation, but there are common symptoms and diagnostic tests that can guide you.
Many people don’t experience symptoms at first. However, some common warning signs include:
- Excessive thirst
- Frequent urination, especially at night
- Constant hunger
- Extreme fatigue or weakness
- Blurred vision
- Unexplained weight loss
- Wounds that are slow to heal
- Tingling or numbness in hands and feet
- Frequent infections (e.g., urinary tract infections or skin infections)
Ideally, you should go to a health professional who will prescribe the corresponding tests.
f you suspect you have diabetes, don’t self-diagnose. See your doctor or a health center for testing. Detecting it early can prevent serious complications such as kidney damage, blindness, or heart problems.
Who should get checked?
Get tested if you have:
- Over 45 years old
- Overweight or obesity
- Immediate family member with diabetes
- High blood pressure, high cholesterol, or a history of heart problems
- Polycystic ovary syndrome
- Sedentary lifestyle
Options that allow reversing this condition
Significant Weight Loss
This is the most important factor. Losing between 5% and 15% of body weight can significantly improve insulin sensitivity. In some studies, a loss of 15% or more has led to remission in a high percentage of people.
Healthy, Planned Diet
Low-carb or low-glycemic diets. Approaches such as the Mediterranean, plant-based, or ketogenic diet under supervision. Portion control and regular meal times. Drastic reduction in added sugars and ultra-processed foods.
Intermittent fasting (in some cases)
It can improve insulin regulation and contribute to weight loss. It’s not for everyone and should be done under medical supervision.
Regular Physical Activity
Aerobic exercise + strength training is ideal. It improves insulin sensitivity and helps reduce visceral fat. Walking 30 minutes a day is already a big step.
Stress Reduction and Better Sleep
Chronic stress and lack of sleep increase insulin resistance. Techniques such as mindfulness, yoga, or therapy may be helpful.
Bariatric Surgery
In cases of severe obesity, it can lead to rapid remission. It is a valid and effective option, but reserved for specific situations.
Temporary Use of Medications or Injections
Medications such as Metformin, or more recently, drugs such as tirzepatide (Approved by the FDA in 2022 for the treatment of type 2 diabetes) or semaglutide, help regulate glucose, reduce appetite, and lose weight.
They can be supportive in the initial phase until sustainable changes are achieved.
Tirzepatide mimics two natural gut hormones (GIP and GLP-1) that:
- Stimulate the release of insulin when blood sugar levels rise.
- Suppress appetite.
- Delay stomach emptying, making you feel full longer.
Please note that it is not a substitute for exercise or a healthy diet, although it can be an effective supplement and should only be administered under medical prescription.
It may have side effects such as nausea, vomiting, constipation, or diarrhea, especially at first.
Reversing type 2 diabetes isn’t just about losing weight or quitting sugar, but about sustainably changing your relationship with food, your body, and your overall health. Medical support and follow-up are key. Schedule your appointment at Chios Aesthetic & Wellness today!
