Type 2 diabetes used to be called adult-onset diabetes although, sadly, it is now seen in children, due to the obesity epidemic. Other factors putting patients at high risk for type 2 diabetes are family history and sedentary lifestyle. The following are some signs and symptoms of the condition:
- Unusual thirst or hunger
- Frequent urination
- Frequent infections
- Sores or wounds that are slow to heal
- Unusual headaches
- Blurred vision
- Feeling nervous or jittery
- Unusual sleepiness or tiredness
Some patients may have no signs or symptoms, which is why it is a good idea to have regular checkups and fasting blood sugar screens.
Type 2 diabetes is diagnosed by a test called hemoglobin A1c, or HbA1c. This measures the amount of glucose, or sugar, in the red blood cells. Red blood cells live an average of 120 days, so measuring the sugar in these cells gives a picture of blood sugar levels over the previous 3 to 4 months. Definitions vary, but, in general, HbA1c levels of 6.0 or below are considered normal.
Diabetic control is achieved in three basic ways. Diet and exercise alone can sometimes keep blood sugar levels normal if patients can maintain normal weight. Patients frequently consult with dieticians, individuals trained in managing special dietary needs. Body mass index (BMI) should be between 18.5 and 24.9 kg/meters squared. A good diet includes lots of healthy fruits, veggies, whole grains, and lean protein. The Centers for Disease Control and Prevention (CDC) recommends at least 150 minutes (2½ hours) of moderate aerobic physical activity, or 75 minutes (1¼ hours) of vigorous aerobic activity, every week, or some combination of the two.
When diet and exercise are not enough, metformin is the drug of choice for most new cases of type 2 diabetes. Metformin is a prescription drug, available with the signature of a physician or other licensed prescription provider.
Where can I get a metformin prescription and how much does it cost?
QuickMD can prescribe metformin electronically—after a telemedicine consultation via video or phone. The cost of metformin ranges from $4.00 to 14.00 for a bottle of 60 tablets, strength 500mg. To find the least expensive pharmacy near you and get a coupon, click here.