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Is developing type 2 diabetes my fault?

Type 2 diabetes is a chronic disease that occurs when your body cannot make enough insulin or cannot effectively use the insulin it makes1,2.

When the body’s cells don’t respond effectively to insulin, it is called insulin resistance, and it develops over months or even years – this is a key factor in the development of type 2 diabetes1,2.

There are a multitude of factors that contribute to insulin resistance and the development of type 2 diabetes. These include family history, age and genetics, as well as environmental factors such as lifestyle and diet1,3. Your risk of type 2 diabetes is also higher if you have other diseases such as obesity, cardiovascular disease and chronic kidney disease1,4-9.

Our advice? Once diagnosed, try to focus on managing your health moving forward and sticking to your treatment plan rather than looking back. Focussing on what is within your control can help you to manage your condition in the best way possible.

How did I get type 2 diabetes? Is developing type 2 diabetes my fault?

If you’ve been diagnosed with type 2 diabetes, remember – it’s not your fault! There are many factors that are beyond your control that could have caused this. Type 2 diabetes is a complicated disease and it’s important to remember that it isn’t caused by poor diet and lifestyle alone.

So, you might be wondering, ’how did I get type 2 diabetes?’. Well, there are multiple factors that may be at play1,3. While lifestyle factors like diet and exercise play a role, many other elements contribute to its onset, including:

genetics

Genetics

our building blocks, also known as our genes, may increase the likelihood of developing type 2 diabetes, e.g., genes involved in blood glucose control and insulin secretion10.

stress

Stress

when we are stressed, hormones are released that can lead to the raising of blood sugar levels. If you are stressed for a long period of time, your blood sugar levels may remain outside the normal range11.

medication

Medication

some medications such as corticosteroids and statins, used for the treatment of multiple conditions, can have side effects such as altering insulin secretion and increasing glucose production12.

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Diet and lifestyle

Developing type 2 diabetes is strongly linked to obesity, with 90% of people living with type 2 diabetes having a body mass index greater than or equal to 3013,14. However, remember that developing obesity itself has a number of complex causes and, like type 2 diabetes, there are several other factors that are at play beyond diet and lifestyle alone10-12,15-17.

Rather than blame yourself, try to focus on how to best manage your current condition, in partnership with your healthcare team. If you have any concerns, remember to reach out to a healthcare professional so that you can feel confident and comfortable as you manage your diabetes.

Can type 2 diabetes be passed on?

Type 2 diabetes is caused by changes happening inside your body – remember, it is not caused by an infectious agent1,2. This means that it is not contagious, and you cannot pass it on to those around you.

Multiple factors can be involved in the development of type 2 diabetes, including having specific genes that put you more at risk. Although diabetes can’t be passed from person to person like a common cold, genes associated with type 2 diabetes can be inherited. This means if a member of your family has type 2 diabetes, there is a chance that they can pass on these genes, increasing your risk of developing type 2 diabetes. 

Being diagnosed with type 2 diabetes and starting a new treatment plan can be a lot to deal with – try to focus on settling into your new routine, and don’t worry about passing your disease on to those around you. Be sure to lean on your loved ones for support as much as you need to and reach out to your healthcare professional with any concerns.

Is type 2 diabetes is a progressive disease?

In people with type 2 diabetes, the levels of sugar in the blood are too high – this is known as hyperglycaemia1. If it stays high for too long, the insulin your body uses to keep your blood sugar levels in check will become less effective. Your pancreas will then have to work harder to produce more1. Over months, and even years, the pancreas becomes tired and cannot keep up with the demand1,2.

For many, diet and exercise alone is enough to keep blood sugar levels low and manage their type 2 diabetes1,18. However, as the disease progresses over time or if blood sugar levels stay high, it can be helpful to introduce medications to help you control your blood sugar levels1,18. As the body may produce less insulin or become less responsive to it, insulin therapy can help bridge this gap to keep your blood sugar levels in a healthy range and prevent long term complications1,18.

How can I slow the progression of my type 2 diabetes?

Slowing the progression of type 2 diabetes involves a combination of lifestyle changes, medical management and regular monitoring19. Therefore, your treatment plan will likely contain guidance on diet and exercise1,18. If your diabetes continues to progress, a medication regimen may be required to slow your disease progression1.

As type 2 diabetes is progressive, management strategies can change over time1,18. Without these adjustments, your diabetes can lead to severe complications20; therefore, it is important to regularly review your treatment plan with your healthcare professional.

There are multiple reasons why your type 2 diabetes may develop, and you shouldn’t blame yourself – some factors are out of your control! Optimising your lifestyle and diet are important to slow disease progression. Make sure you speak to your healthcare professional regularly to ensure your diabetes management plan is suited to the stage of your diabetes.

Still have questions around starting insulin therapy for your type 2 diabetes? Read through our guide and take notes on questions you can ask your healthcare professional here.

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References
  1. International Diabetes Federation. IDF Diabetes Atlas Report 10th Edition 2021. Available at: https://diabetesatlas.org/atlas/tenth-edition/ Last accessed: October 2024.
  2. ElSayed NA, Aleppo G, Aroda VR, et al. 2. Classification and Diagnosis of Diabetes: Standards of Care in Diabetes-2023. Diabetes Care. 2023;46:S19-S40.
  3. Galicia-Garcia U, Benito-Vicente A, Jebari S, et al. Pathophysiology of Type 2 Diabetes Mellitus. Int J Mol Sci. 2020;21.
  4. Evans M, Lewis RD, Morgan AR, et al. A Narrative Review of Chronic Kidney Disease in Clinical Practice: Current Challenges and Future Perspectives. Adv Ther. 2022;39:33-43.
  5. ElSayed NA, Aleppo G, Aroda VR, et al. 11. Chronic Kidney Disease and Risk Management: Standards of Care in Diabetes—2023. Diabetes Care. 2022;46:S191-S202.
  6. Einarson TR, Acs A, Ludwig C, et al. Prevalence of cardiovascular disease in type 2 diabetes: a systematic literature review of scientific evidence from across the world in 2007–2017. Cardiovascular Diabetology. 2018;17:83.
  7. Jankowski J, Floege J, Fliser D, et al. Cardiovascular Disease in Chronic Kidney Disease: Pathophysiological Insights and Therapeutic Options. Circulation. 2021;143:1157-1172.
  8. Nawaz S, Chinnadurai R, Al-Chalabi S, et al. Obesity and chronic kidney disease: A current review. Obes Sci Pract. 2023;9:61-74.
  9. Petrie JR, Guzik TJ, Touyz RM. Diabetes, Hypertension, and Cardiovascular Disease: Clinical Insights and Vascular Mechanisms. Can J Cardiol. 2018;34:575-584.
  10. Ali O. Genetics of type 2 diabetes. World J Diabetes. 2013;4:114-123.
  11. Sharma K, Akre S, Chakole S, et al. Stress-Induced Diabetes: A Review. Cureus. 2022;14:e29142.
  12. NICE. What are the risk factors? Available at: https://cks.nice.org.uk/topics/diabetes-type-2/background-information/risk-factors/. Last accessed: October 2024.
  13. Grant B, Sandelson M, Agyemang-Prempeh B, et al. Managing obesity in people with type 2 diabetes. Clin Med (Lond). 2021;21:e327-e231.
  14. Whitmore C. Type 2 diabetes and obesity in adults. Br J Nurs. 2010;19:880, 882-886.
  15. Ardisson Korat AV, Willett WC, Hu FB. Diet, lifestyle, and genetic risk factors for type 2 diabetes: a review from the Nurses' Health Study, Nurses' Health Study 2, and Health Professionals' Follow-up Study. Curr Nutr Rep. 2014;3:345-354.
  16. Guyenet SJ, Schwartz MW. Clinical review: Regulation of food intake, energy balance, and body fat mass: implications for the pathogenesis and treatment of obesity. J Clin Endocrinol Metab. 2012;97:745-755.
  17. Bell CG, Walley AJ, Froguel P. The genetics of human obesity. Nat Rev Genet. 2005;6:221-234.
  18. Davies MJ, D’Alessio DA, Fradkin J, et al. Management of hyperglycaemia in type 2 diabetes, 2018. A consensus report by the American Diabetes Association (ADA) and the European Association for the Study of Diabetes (EASD). Diabetologia. 2018;61:2461-2498.
  19. Hallberg SJ, Gershuni VM, Hazbun TL, et al. Reversing Type 2 Diabetes: A Narrative Review of the Evidence. Nutrients. 2019;11.
  20. Ceriello A. The possible role of postprandial hyperglycaemia in the pathogenesis of diabetic complications. Diabetologia. 2003;46 Suppl 1:M9-16.

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