Type 2 diabetes

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The major polygenetic and environmentally modulated form of diabetes mellitus

  • Older individuals but now beginning to present in younger patients due to dietary excess
  • Presentation is polyuria, polydipsia, polyphagia, and are usually overweight.
  • Diabetic ketoacidosis does not occur
  • All races especially Pima indians, polynesians, African, Asians.
  • Insulin resistance i.e. Insulin is present but for various reasons its effectiveness is diminished
  • Patients are treated by weight reduction, exercises, diet and medications. Some cases may require Insulin.
  • Insulin is not vital but can improve control and reduce complications long term
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