Although type II diabetes is a chronic disease, careful management can make a big difference in overall health and help prevent complications. Khanh Bao Nguyen, M.D., is a family medicine specialist who offers diabetic management at Doctor’s Medical Group in Garden Grove, California.
Type II diabetes typically occurs in middle age, although it can also occur in younger patients. Associated with obesity (especially abdominal obesity) and a condition called metabolic syndrome, type II diabetes is characterized by gradually increasing insulin resistance. Insulin, a hormone secreted by the pancreas, regulates the blood sugar. Although the body continues to secrete insulin, the cells of people with type II diabetes become less responsive to its effects, which causes the blood sugar to rise. The disease is diagnosed through evaluation of symptoms and blood sugar tests.
A family history of diabetes is the top risk factor for the disease. Risk factors for type II diabetes include being overweight or obese and being inactive. Increasing age is also a factor. Certain groups — blacks, Hispanics, American Indians, and Asian-Americans — have an increased risk of diabetes compared to whites. Since blood sugar levels affect every cell in the body, complications can occur in any organ. Common complications include kidney failure, diabetic retinopathy (which causes blindness), heart disease and nerve damage (diabetic neuropathy).
The first step in treating type II diabetes is dietary modification. In mild cases, weight loss and exercise, along with a controlled carbohydrate diet, can sometimes correct the problem and return the blood sugar to normal levels. Oral medications can also help control blood sugar. In more severe cases, patients may require insulin. One option is continuous glucose monitoring (CGM) technology, which allows patients to keep careful track of their blood sugar levels and tailor their insulin dosage.
Diabetes can’t be cured; it must be managed. Self-management is critical in type II diabetes, as patients must make many lifestyle changes and learn how to adjust insulin dosages according to blood sugar readings. Patients with diabetes must also pay careful attention to skin and foot care, and possible sources of infection. Routine screening for complications is also important — patients need annual foot exams, retinopathy screening and regular blood sugar monitoring.
At Doctor's Medical Group, we accept most insurance plans. Here is a short-list of just some of the most popular plans we accept. Please contact our office if you do not see your insurance provider listed here.
"I've had the pleasure of having Doctor Khanh Nguyen as my PCP for over a year now & have seen him enough times to know I am in great hands."