Answer Summary
Members had a rich discussion about whether Type 2 diabetes is progressive even with good management, with many agreeing it can change over... Read more
Yes I think so, my counts have been in the 5,s & 4s for 3 months , so at my visit to the Dr I told him I think I am not Diebetic any longer, his answer to me was it never goes away, I am just managing it better.
I too believe it is progressive, no matter what we do. Slowing it with good management makes sense, but one size does not fit all. For instance, I have CFIDS, which is an immunological dysfunction, where one part of the immune system is underactive, and the other part is overactive. Makes me vulnerable to infections, and my body attacks itself. This makes my diabetes management more complicated. Regardless, it is scientifically proven that it is in general progressive. So, even with the best management, it progresses. I was able to manage it with Metformin only in the past. Now I am on Insulin, in addition to Metformin. My philosophy is: Accept the facts and turn to the best medical management possible, in addition to diet and exercise. This is where it gets interesting: some people tend to blame diabetics if their numbers go up at times. THAT is wrong. When the numbers go up, increasing medication dosages may make more sense -- though one should always try to do also the exercise and diet regimens at the same time.
Some are born with type 1 diabetes and are already on a pump early on. The prognosis for them may be not optimal. But with insulin, many can live a good and long life, even with type 1. Tom Hanks has type 1. He is well and alive, with insulin. My conclusion: no matter where we are with our diabetes, insulin (and other meds) can always come to the rescue.
@A DiabetesTeam Member Your doctor was not helpful but then when it comes to prognoses they rarely are.
I was diagnosed with Cervical Spondylotic Myelopathy and was told by the neurosurgeon that I'd be in a wheelchair in about two years. That was 24 years ago and now I'm doing walks of 20 miles. What that neurosurgeon said was incredibly irresponsible just like doctors saying that diabetes is progressive. According to some medical websites I should now be dead or on my way to death by suffocation due to paralysis caused by Cervical Spondylotic Myelopathy.
I rarely get flare ups because of those long walks and any I get only last a day or so, a flare up being neuralgia in my arms and proprioception in my hands and feet not so good.
Yes diabetes may be progressive if not managed properly. Mine was progressive due to poor management but now whilst I'm not at the levels of say 20 years ago I'm getting there plus I'm still on the same daily dose (40mg) of Gliclazide.as I was when first diagnosed. Whilst I'm not against Metformin (it's a fairly safe drug) I no longer take it but use Berberine instead although care needs to be taken with Berberine as it interacts with other diabetes meds.
I think the word "progressive" should be banned when used in a medical context. It can sap people of the will to do anything about their condition.
Diabetes is a non linear condition and a syndrome which makes it difficult to understand what will happen. The only thing we can do is try our utmost to keep our blood sugars within tight control through diet, meds and exercise.
I am 74 years old and go to the gym once a week, aim to do a long walk 16-20 miles a week weather permitting and some short walks about two miles a week. Also if weather is bad I go on my exercise bike at home. All this is part of my diabetes management and part of my plan to change the course of the super oil tanker that is diabetes. Results are promising but it may take a further year for me to get back to levels of 22 years ago.
So let's kick the word "progressive" into touch and look at what might work and if it doesn't keep tweaking and tweaking. NEVER GIVE UP!
Yes I totally agree ,diabetes is a cronic disease,it’s very important to try always to control the sugar levels.
I learned that because i used to eat everything,in my daily routine.but now with moderate eating I fell much less the symptoms,still have of course but I can manage.
In the way I don’t feel sick .
Thank you for the information is very helpful 😊
Short answer YES!
But the better we manage it the longer we can delay the progression i was told if I kept my A1c under 7 I would be fine and I did. But it progressed now I know keep A1c under 5.8 and progression much less likely. I regret I did not do my own research when first diagnosed.