What symptoms of high blood sugar should I watch for at 50?

Question

Hello doctor,

I am a 50-year-old woman who was recently diagnosed with type 2 diabetes mellitus. My doctor informed me that I do not require insulin therapy at this stage and will be starting on oral tablets (for example, Metformin), along with dietary modifications. However, I am feeling confused about what I can and cannot eat, as every website provides different advice.

Can women with diabetes manage the condition with lifestyle changes alone?
What symptoms should I monitor for that may indicate my blood sugar levels are worsening?

Kindly help.

Thank you.

Answer 1

Hello,

Welcome to icliniq.com.

I have read your query and can understand your concern.

At the age of 50, being newly diagnosed with type 2 diabetes mellitus can feel overwhelming, especially with so much conflicting advice about what to eat and how to manage it. The good news is that many women with type 2 diabetes mellitus are able to manage their blood sugar effectively with oral medications such as Metformin (Biguanide class), a balanced diet, and consistent lifestyle changes, particularly in the early stages. Therefore, insulin therapy is not always required right away.

When it comes to diet, the focus should be on controlling portion sizes and choosing foods that stabilize blood sugar. Aim for meals rich in non-starchy vegetables and lean protein. Avoid sugary drinks and minimize processed snacks. You do not need to cut out carbohydrates completely, but choose them wisely and combine them with protein or fiber to slow glucose absorption.

Regular physical activity, such as walking after meals, can also help improve glucose control.

In terms of symptoms to watch for, signs that your blood sugar may be getting worse include increased thirst, frequent urination, unexplained fatigue, blurred vision, slow-healing wounds, or frequent infections. Those are red flags if you start losing weight unintentionally or feel extremely tired and hungry despite eating.

It is helpful to monitor your blood sugar levels at home as your doctor advises and follow up regularly to adjust your treatment plan as needed. Managing type 2 diabetes mellitus is a lifelong journey. Still, with the proper support and healthy habits, it is absolutely possible to live a whole and healthy life without requiring insulin therapy.

I hope this helps.

Thank you.