Basic concepts
Learn the basics first, before moving on to more complicated things.
Understanding type 2 diabetes
π§ What is type 2 diabetes and how does it differ from type 1?
π§ Why does your body become insulin resistant?
π§ Can type 2 diabetes progress to type 1?
π§ Is type 2 diabetes reversible or curable?
π§ What does it mean that you still produce insulin?
π§ How does type 2 diabetes progress over time?
π§ Why is it called non-insulin-dependent diabetes?
π§ At what age does type 2 diabetes most commonly occur?
π§ What does beta cell exhaustion over time mean?
π§ How common is type 2 diabetes?
Risk factors and causes
π§ What are the main risk factors for type 2 diabetes?
π§ How does obesity influence diabetes development?
π§ Is type 2 diabetes hereditary in your family?
π§ What role does sedentary lifestyle play in diabetes development?
π§ How does age affect type 2 diabetes risk?
π§ Does ethnicity influence predisposition to diabetes?
π§ What foods increase the risk of type 2 diabetes?
π§ Can chronic stress trigger type 2 diabetes?
π§ Do smoking and alcohol influence diabetes development?
π§ What medications can increase diabetes risk?
Prediabetes and prevention
π§ What is prediabetes and how do you recognize it?
π§ Can you prevent progression from prediabetes to diabetes?
π§ What blood glucose values indicate prediabetes?
π§ How long can you remain in the prediabetes stage?
π§ What lifestyle changes prevent diabetes?
π§ Are there medications for diabetes prevention?
π§ How often should you test if you have prediabetes?
π§ Can children have prediabetes?
π§ What diet prevents prediabetes progression?
π§ How much physical activity prevents type 2 diabetes?
Diagnosis and initial evaluation
π§ What symptoms led to your diabetes diagnosis?
π§ What tests confirm type 2 diabetes?
π§ Why did you have no symptoms until diagnosis?
π§ What does the glucose tolerance test mean?
π§ At what blood glucose value is the diagnosis made?
π§ What other tests do you do at diagnosis?
π§ Why does the doctor also check kidney function?
π§ Should you do genetic tests for diabetes?
π§ How are complications evaluated at diagnosis?
π§ What specialists should you consult after diagnosis?
Blood glucose monitoring
π§ How often do you measure your blood glucose at home?
π§ What are the target values for your blood glucose?
π§ When is the best time to measure blood glucose?
π§ What does postprandial blood glucose mean?
π§ Why does morning blood glucose differ from evening?
π§ How do you correctly use the glucometer?
π§ What factors can influence the measurement result?
π§ Should you keep a blood glucose log?
π§ What do you do when blood glucose is very high?
π§ Is it worth using a glucose sensor?
Glycated hemoglobin and other tests
π§ What does glycated hemoglobin (HbA1c) show?
π§ How often do you repeat the HbA1c test?
π§ What is your HbA1c target?
π§ Why doesn't HbA1c match your blood glucose readings?
π§ What factors can alter HbA1c result?
π§ What is fructosamine and when is it tested?
π§ What other tests do you do periodically in diabetes?
π§ How do you interpret test results?
π§ Why does the doctor also monitor lipids?
π§ When do you do tests for complications?
Diet in type 2 diabetes
π§ What diet is recommended for type 2 diabetes?
π§ Should you count carbohydrates at each meal?
π§ What is the glycemic index and how do you use it?
π§ Can you eat fruit if you have type 2 diabetes?
π§ What are the best protein sources?
π§ What fats are healthy if you have diabetes?
π§ How many meals per day should you have?
π§ How do you manage food cravings?
π§ Can you consume alcohol with type 2 diabetes?
π§ What artificial sweeteners can you use?
Physical activity
π§ How much exercise should you do weekly?
π§ What type of exercises are most beneficial?
π§ How do you safely start an exercise program?
π§ Why does blood glucose decrease after physical exercise?
π§ When should you not exercise?
π§ How do you combine aerobic with strength exercises?
π§ What do you do if blood glucose drops too much during exercise?
π§ Is it better to exercise in the morning or evening?
π§ How do you adapt your medication for exercise?
π§ What benefits does daily walking have?
Treatment and management
Diabetes management to maintain quality of life
Oral diabetes medications
π§ What is metformin and how does it work?
π§ What are the side effects of metformin?
π§ What are sulfonylureas and when do you take them?
π§ How do DPP-4 inhibitors work?
π§ What benefits do gliflozins (SGLT-2 inhibitors) have?
π§ When are glitazones used?
π§ What are combination medications?
π§ How do you know if the medication is working?
π§ What do you do if you have adverse effects?
π§ Can you stop medications if blood glucose is good?
Injectable medications
π§ What are GLP-1 agonists and how do they help?
π§ How do you learn to give subcutaneous injections?
π§ Why are some medications injected weekly?
π§ What are the additional benefits of GLP-1?
π§ Can injectable medications replace insulin?
π§ What side effects do GLP-1 agonists have?
π§ How do you store injectable medications?
π§ Why do you lose weight with some injectable medications?
π§ When is it worth switching to injectable medications?
π§ Are injectable medications covered by insurance?
Insulin therapy in type 2 diabetes
π§ When does insulin become necessary in type 2 diabetes?
π§ Does it mean diabetes has worsened if you take insulin?
π§ What insulin regimens are used in type 2?
π§ Can you combine insulin with pills?
π§ Why do you need insulin even though you still produce it?
π§ How do you learn to dose your insulin?
π§ Is insulin temporary or permanent?
π§ What type of insulin is right for you?
π§ How do you avoid weight gain with insulin?
π§ Can you return to pills after insulin?
Body weight management
π§ Why is weight loss important?
π§ How much do you need to lose for benefits?
π§ What diet works best?
π§ How do you avoid the yo-yo effect after weight loss?
π§ Why is it hard to lose weight with diabetes?
π§ What medications help with weight loss?
π§ When is bariatric surgery recommended?
π§ How do you maintain weight after losing it?
π§ What do you do when you plateau with weight?
π§ Is diet or exercise more important?
Acute complications in type 2 diabetes
π§ What is hypoglycemia and how do you recognize it?
π§ How do you quickly treat hypoglycemia?
π§ Why do you have hypoglycemia if you don't take insulin?
π§ What is hyperosmolar syndrome?
π§ Can you have ketoacidosis in type 2 diabetes?
π§ How do you manage diabetes when you're sick?
π§ What emergency medications do you keep at home?
π§ When do you go to emergency for blood glucose?
π§ How do you prevent acute complications?
π§ What suggests to your family that you have an emergency?
Chronic complications in type 2 diabetes
π§ When do chronic complications start to appear?
π§ Can you prevent or stop complications?
π§ What is neuropathy and how do you recognize it?
π§ How do you protect your eyes from retinopathy?
π§ What tests show kidney damage?
π§ Why does heart attack risk increase in diabetes?
π§ How do you care for your feet to prevent ulcers?
π§ What skin problems occur in diabetes?
π§ Why do you have more frequent infections?
π§ How does diabetes affect sexual life?
Control of associated risk factors
π§ What blood pressure should you have?
π§ What are the target values for cholesterol?
π§ Why do you take statins even if cholesterol is normal?
π§ How do you control elevated triglycerides?
π§ Is it mandatory to take aspirin?
π§ How do you quit smoking with diabetes?
π§ What amount of alcohol is safe?
π§ How do you manage chronic stress?
π§ Why does sleep affect blood glucose?
π§ What supplements are useful in diabetes?
Treatment monitoring and adjustment
π§ How often do you go for diabetes checkups?
π§ What do you discuss with the doctor at each visit?
π§ When should treatment be changed?
π§ How do you know the treatment is no longer working?
π§ What specialists do you consult periodically?
π§ How do you communicate about adverse effects?
π§ What do you do if you can't afford medications?
π§ When do you ask for a second medical opinion?
π§ How do you get involved in treatment decisions?
π§ What support programs are available?