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Why the first years after a type 2 diabetes diagnosis matter more than you think

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Type 2 diabetes is a long-term condition that affects how the body handles sugar in the blood.

When a person has type 2 diabetes, their body does not use insulin properly, and sugar starts to build up in the bloodstream. Over time, this extra sugar can damage blood vessels and organs, including the heart, brain, kidneys, and eyes.

Many people know that keeping blood sugar under control is important, but a new study shows that the timing of this control may be just as important as the control itself.

Researchers from the Universities of Gothenburg and Oxford studied large amounts of data to better understand how early blood sugar levels affect a person’s future health. They used information from the UK Prospective Diabetes Study, also known as the UKPDS.

This major research project has followed people with type 2 diabetes over many years and has provided valuable insights into how the disease develops and how it affects the body in the long term. By using data from this study, the researchers were able to look at what happened to people 10 to 20 years after their original diagnosis.

The most striking finding was that the first few years after a person is diagnosed with type 2 diabetes are especially important. Blood sugar levels during this early period were found to have a strong effect on the risk of future heart attacks and even death many years later.

In fact, the study found that managing blood sugar well from the very beginning could significantly lower a person’s long-term health risks. This means that what happens in the early stage of the disease can leave a lasting mark on the body, either protecting it or putting it in danger.

The researchers looked closely at a standard way of measuring blood sugar control called HbA1c. This test shows a person’s average blood sugar over the past two to three months. According to treatment guidelines, a level of 52 mmol/mol or lower is considered good control for many people with type 2 diabetes.

The study showed that people who reached this target soon after diagnosis had about a 20 percent lower risk of dying 10 to 15 years later. This is a very meaningful difference and suggests that early action can truly save lives.

On the other hand, the results were much less impressive for people who waited many years to improve their blood sugar control. If they only reached good control about 10 years after being diagnosed, their risk of death was only reduced by about 3 percent.

This small change shows that the damage caused by many years of high blood sugar may not be easily reversed. Once blood vessels and organs have been harmed, it is much harder to undo that damage, even with better treatment later on.

These findings also help explain something called the “glycemic legacy effect.” This refers to the long-lasting benefits of good blood sugar control in the early stage of diabetes.

Studies have shown that if a person controls their blood sugar well soon after diagnosis, they can continue to see health benefits for up to 30 years, even if their blood sugar control is not perfect later in life. In other words, the body seems to “remember” the good control it had in the past and continues to benefit from it for a long time.

This research highlights the importance of detecting type 2 diabetes as early as possible. Many people may have high blood sugar for years without knowing it because symptoms can be mild or easy to ignore.

By the time they are diagnosed, damage may have already begun. This is why regular health checks and blood tests are so important, especially for people who are at higher risk due to family history, weight issues, or an unhealthy lifestyle.

In reviewing and analyzing this study, the message is very clear and strong. Early action matters more than late action. While improving blood sugar control is always beneficial, the biggest impact occurs when control is achieved soon after diagnosis.

The study also reinforces the idea that preventing years of uncontrolled blood sugar is one of the most powerful ways to protect the heart and extend life.

Overall, this research sends a clear message to both doctors and patients. For doctors, it means they should move quickly and carefully to help patients reach healthy blood sugar levels as soon as possible.

For patients, it shows that taking the diagnosis seriously and following treatment advice from the very beginning can have life-long benefits. Managing type 2 diabetes is not just about today or this year. It is about protecting the future, sometimes decades ahead.

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For more health information, please see recent studies that low calorie diets may help reverse diabetes, and 5 vitamins that may prevent complication in diabetes.