Patient's Query
Hello doctor,
I am a 45-year-old woman, and I was just told I have diabetes after a routine health check. My sugar levels are high, but I do not feel any symptoms. I am confused and scared about what this means in the long term. Do I have to start insulin right away, or can I manage it with food and exercise? Will this affect my eyes or kidneys? I also have a family history; my mother had complications, so I am really worried. What are the safest foods I can eat daily? Is walking enough, or do I need a stricter routine? I want to control this early so I do not face serious issues later.
Please suggest.
Hello,
Welcome to icliniq.com.
I understand your concern.
Many people with type 2 diabetes do not feel sick at first, but elevated blood sugar over time can silently affect your eyes, kidneys, nerves, and heart, so catching it early like you have is a real advantage.
In most cases at your age, and especially early in the diagnosis, type 2 diabetes can often be managed with lifestyle changes like a healthy diet, regular physical activity, weight loss (if needed), and possibly oral medications Insulin is usually not the first step unless blood sugars are very high or complications are present.
Management:
Walking is an excellent start; aim for at least 30 minutes a day, five days a week, and consider adding light resistance or strength training for even better results.
When it comes to food, focus on whole, fiber-rich options like leafy greens, non-starchy vegetables, legumes, lean proteins, whole grains in moderation, nuts, and healthy fats like olive oil, while limiting sugars and refined carbs. It is also helpful to spread meals evenly through the day to keep blood sugar stable.
Given your concerns about complications, regular checkupswith your doctor, including eye exams, kidney function tests, and blood pressure checks, will be key.
I hope this has helped you.
Please feel free to reach out to me again if you have further queries.
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Answered byDr. Ashraf Ghani
Medically reviewed byiCliniq medical review team
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