Don White, 68, a retired science teacher from upstate New York, first
suspected he had type 2 diabetes when he was 45
years old and his school held a health fair for students and teachers. A simple
prick of his finger to test for high blood sugar -- a sign of diabetes -- revealed some
"My numbers were way above normal," says White. "In a matter of
days, and a couple of doctor's appointments later, I found out I had type 2
In every issue of WebMD the Magazine, we ask our experts to answer readers' questions about a wide range of topics. In our January-February 2011 issue, we asked WebMD's Diabetes Expert, Michael Dansinger, MD, whether stevia, a new natural sweetener, is a good sugar substitute for people with diabetes.
White and his family were surprised by the diagnosis. He was a healthy guy,
ate well, and exercised regularly. If he felt OK, did he really need to manage
For many people, like White, the words "you have diabetes" aren't
easy to hear, and denial can quickly take over -- especially if you don't
"feel sick. Sticking your head in the sand and hoping it goes away,
however, isn't the answer.
Experts explain to WebMD why diabetes denial can set in and what the risks
of ignoring it can mean. They also offer some practical first steps to move
from denial, to acceptance, to making important life changes so you can manage
your type 2 diabetes and get on with your life.
Denying Type 2 Diabetes
People living with type 2 diabetes have blood sugar -- or glucose -- levels
that are above normal because their bodies don't produce enough of the hormone,
insulin, that converts sugar into energy. Instead, sugar just builds up in the
blood, starving cells of energy and causing damage to nerves and blood vessels
as time progresses.
Early on, when these changes are happening in your cells, you might not
notice the diabetes
symptoms in your day-to-day life, which is one of the reasons why someone
might ignore the subtle signs and hope they go away.
"One of the reasons why people often deny having type 2 diabetes is
because their symptoms are so minor," says
Richard R. Rubin, PhD, professor of medicine and pediatrics at the Johns
Hopkins University. "Maybe they don't have a lot of energy, or they get up
frequently in the middle of the night to urinate ... they feel like they can
live with these symptoms and get away with it."
Symptoms of diabetes can include:
Increased urinary frequency
Feeling very thirsty
Unusual weight loss
Feeling very hungry
Another reason people ignore type 2 diabetes is that acknowledging the
disease means considering its possible consequences.
"People deny it because they are told by their health care provider in
such dramatic terms how awful it can be," says Rubin, a spokesman for the
American Diabetes Association.
The idea of having a leg amputated as a result of damage to nerves and
vessels, or going blind because the blood vessels in the eye have damaged the
retina, is too scary to accept, he explains, so patients take the "it
will never happen to me" approach -- and hope it works.
For others, type 2 diabetes denial sets in because they have a family
history with the disease that can stir up difficult memories.
"A lot of people carry a lot of emotional baggage related to diabetes
and their families," says Tracy L. Breen, MD, clinical director of the
Mount Sinai diabetes program. "They had a parent or sibling who had the
disease, and so they know even the early symptoms, yet they ignore them because
they don't want to go through the same thing."
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Your level is currently
If the level is below 70 or you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.
People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.
Congratulations on taking steps to manage your health.
However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.
Your level is high if this reading was taken before eating. Aim for 70-130 before meals and less than 180 two hours after meals.
Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.
One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.
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