Type 2 Diabetes

Hyperosmolar Hyperglycemic Nonketotic Syndrome

• In HHNS, blood sugar levels rise.
• Your body tries to rid itself of excess sugar by passing it through the urine.
• Initially, you produce a lot of urine, and you have to go to the bathroom often.
• With time, you may not have to go as often, and the urine becomes very dark.
• You may be very thirsty.
• Even if you are not thirsty, it is very important to consume a lot of liquids to prevent dehydration.
• If HHNS continues, severe dehydration can potentially lead to:
• Seizures, coma, or even death

Tight Control and Type 2 Diabetes

• Blood glucose will need to be checked regularly.
• You and your doctor should decide how often.
• Once a day or even once a week may be enough for individuals with type 2 diabetes.
• If exercise and eating habits still aren’t enough to keep glucose in check, your doctor may prescribe pills.
• Insulin is prescribed only when diet and exercise, along with pills prove to be not enough to keep blood glucose levels under control.
• Most importantly, people with type 2 diabetes should talk with their doctors before starting tight control.

Tight Control- Not Recommended For:

• Children
• Having enough glucose in the blood is vital for brain development. Controversy over what is the appropriate age to start. Some doctors say age 13, others say 7 is fine.
• Elderly people
• Hypoglycemia can cause strokes and heart attacks in older people. Also, the major goal of tight control is to prevent complications many years later. Tight control is most worthwhile for healthy people who can expect to live at least 10 more years.