Diabetes, type 2 - Living with 

Living with type 2 diabetes 

If you have type 2 diabetes, you will need to look after your health very carefully. Caring for your health will also make treating your diabetes easier and minimise your risk of developing any complications.

Self-care

Self-care is an integral part of daily life. It means that you take responsibility for your own health and wellbeing with support from the people involved in your care. Self-care includes the things you do each day to stay fit, maintain good physical and mental health, prevent illness or accidents, and effectively deal with minor ailments and long-term conditions.

People living with long-term conditions can benefit enormously if they receive support for self-care. They can live longer, have less pain, anxiety, depression and fatigue, have a better quality of life and be more active and independent.

Regular reviews

Because type 2 diabetes is a long-term condition, you will be in regular contact with your healthcare team. A good relationship with the team will allow you to easily discuss your symptoms or concerns. The more the team knows, the more they can help you. Your GP or diabetes healthcare team will also need to check your eyes, feet and nerves regularly because they can be affected by diabetes.

Eat healthily

The belief that if you have diabetes you will have to eat special foods is untrue. Your diet should be a healthy diet, high in fibre, fruit and vegetables and low in fat, salt and sugar. Read more about healthy eating.

You may have been advised to try to make changes to your diet. Your diabetes dietitian can advise you about a dietary plan that can be fitted to your specific needs.

Exercise regularly

Physical activity lowers your blood glucose level, so it is particularly important to exercise regularly if you have diabetes.

Like anyone else, aim to do at least 150 minutes (2 hours and 30 minutes) of moderate-intensity aerobic activity (i.e. cycling or fast walking) every week. However, do not start a new activity without consulting your GP or diabetes healthcare team first.

As exercise will affect your blood glucose level, you and your care team may have to adjust your insulin treatment or diet plan to keep your blood glucose level steady.

Do not smoke

If you have diabetes, you have an increased risk of developing a cardiovascular disease, such as a heart attack or stroke. If you smoke, you increase this risk even further, as well as increasing your risk of many other serious smoking-related conditions, such as lung cancer.

If you smoke and you would like to give up, your GP can give you advice, support and treatment to help you quit.

Drink alcohol in moderation

If you have diabetes, drink alcohol only in moderation and never drink on an empty stomach. Depending on the amount you drink, alcohol can cause either high or low blood glucose levels (hyperglycaemia or hypoglycaemia).

Drinking alcohol may also affect your ability to carry out insulin treatment or blood glucose monitoring, so always be careful not to drink too much. The recommended alcohol limit is 3-4 units a day for men and 2-3 units a day for women.

Keeping well

Everyone with a long-term condition such as type 2 diabetes is encouraged to get a flu jab each autumn to protect against flu (influenza). They are also recommended to get an anti-pneumoccocal vaccination, which protects against a serious chest infection called pneumococcal pneumonia.

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Look after your feet hide

Having diabetes means that you are more likely to develop problems with your feet, including foot ulcers and infections from minor cuts and grazes. This is because high blood glucose can damage the nerves in your feet.

To prevent problems with your feet, keep your nails short and wash your feet daily with warm water. Wear shoes that fit properly and see a podiatrist or chiropodist (a specialist in foot care) regularly so that any problems are detected early.

Check your feet regularly for any cuts, blisters or grazes. You may not be able to feel them if there is damage to the nerves in your feet. See your GP if you have a minor injury to your foot that does not start to heal within a few days.

Want to know more?

  • Diabetes UK: Feet.
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Have regular eye tests show

If you have type 2 diabetes, you should have your eyes tested at least once a year to check for retinopathy.

Retinopathy is an eye condition where the small blood vessels in your eye become damaged. It can occur if your blood glucose level is too high for a long period of time (hyperglycaemia). If left untreated, retinopathy can eventually cause blindness.

Want to know more?

  • Diabetes UK: Eyes.
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Pregnancy  show

If you have diabetes and are thinking about having a baby, it’s a good idea to discuss this with your diabetes healthcare team. Planning your pregnancy means you can ensure your blood sugar levels are as well controlled as they can be before you get pregnant.

You will need to keep your blood sugar under tight control, particularly before becoming pregnant and during the first eight weeks of your baby's development to reduce the risk of birth defects. You should also:

  • Check your medications. Tablets used to treat type 2 diabetes may harm your baby, so you may have to switch to insulin injections. 
  • Take a higher dose of folic acid tablets. Folic acid helps prevent your baby from developing spinal cord problems. Doctors now recommend that all women planning to have a baby take folic acid. Women with diabetes are advised to take 5mg each day (only available on prescription).
  • Have your eyes checked. Retinopathy, which affects the blood vessels in the eyes, is a risk for all people with diabetes. Pregnancy can place extra pressure on the small vessels in your eyes, so it’s important to treat retinopathy before you become pregnant.

Your GP or diabetes healthcare team can give you further advice. Diabetes UK also provides useful information to help you get your pregnancy off to a healthy start.

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Get educated show

You will be best equipped to manage your diabetes every day if you are given information and education when you are diagnosed and on an ongoing basis.

The National Institute for Health and Clinical Excellence (NICE) recommends that all people who have diabetes should be offered a structured patient education programme, providing information and education to help them care for themselves.

What is structured patient education?

Structured patient education means that there is a planned course that:

  • covers all aspects of diabetes
  • is flexible in content
  • is relevant to a person’s clinical and psychological needs
  • is adaptable to a person’s educational and cultural background

For type 2 diabetes, there is a national patient education programme that meets all the key criteria for structured education. This is called the DESMOND (Diabetes Education and Self Management for Ongoing and Newly Diagnosed) programme.

There are also several local adult education programmes, many of which are working towards the criteria for structured education. Ask your diabetes healthcare team about the adult education programmes they provide.

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Talk to others show

Many people find it helpful to talk to others in a similar position and you may find support from a group for people with diabetes. Patient organisations have local groups where you can meet others who have been diagnosed with the condition.

To find your local diabetes support group, visit the Diabetes UK website. If you want to get in touch with a trained counsellor directly, call Diabetes UK’s careline on 0845 120 2960 or email careline@diabetes.org.uk.

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Financial support and benefits  show

People with diabetes that is controlled by medication are entitled to free prescriptions and eye examinations. Some people with diabetes may be eligible for disability benefits and incapacity benefits, depending on the impact of the condition on their lives.

The main groups likely to qualify for welfare benefits are children, the elderly, those with learning disabilities or mental health problems, and those with diabetic complications.

People over 65, who are severely disabled, may qualify for a type of disability benefit called Attendance Allowance.

Carers may also be entitled to some benefit, depending on their involvement in caring for the person with diabetes.

Your local Citizen’s Advice Bureau can check whether you are getting all the benefits you are entitled to. They, as well as your diabetes specialist nurse, should also be able to provide advice on filling in the forms.

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Last reviewed: 17/08/2010

Next review due: 17/08/2012

Comments are personal views. Any information they give has not been checked and may not be accurate.

DaiB said on 05 March 2012

I might question the 'Eat Healthily' advice. Many T2s find that keeping carbohydrates at a sensibly, but not excessively, low level is important in blood sugar control; it's not just about sugar as carbs end-up as glucose in the body. NHS advice to base all meals around carbs is very dated and I would question what research the advice is based on?

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