In light of the BIG news from Tom Hanks having type 2 diabetes, I wanted to expose this slide from a deck presented by an endocrinologist that presented in a corporate symposium during this year's AADE conference in Philadelphia.
I think this chart reveals something VERY important that we tend to ignore, which makes type 2 diabetes VERY serious too: beta cell function deteriorates progressively among people with type 2, STARTING at the point of diagnosis. This to me challenges a VERY important notion: having someone with type 2 diabetes start on insulin is NOT a sign of failure! Indeed, the doctor that introduced this slide mentioned he ALWAYS shows this chart to his newly diagnosed type 2 patients, because he knows over time they will become insulin-dependent, and he doesn't want them to feel like they have failed when they do.
Additionally, when someone starts taking insulin shots, the potential for hypoglycemic episodes increases, which makes the short term management of the disease very serious.
What has your experience been like managing type 2 diabetes?