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This Is the No. 1 Diabetes Symptom People Ignore, Doctors Say

Expert-Based
It's especially telling if it happens at a certain time of day, they warn.

Diabetes is a chronic health condition that affects the body’s ability to convert food into energy. Right now, about 38 million Americans—roughly one in 10—are living with diabetes, the Centers for Disease Control and Prevention (CDC) says. Yet according to the health authority, one in five of those people is unaware of their condition, which can cause serious health complications the longer it goes on. Read on to learn the number one diabetes symptom people ignore, and why it so often goes overlooked.

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These are the most commonly cited diabetes symptoms.

First, it’s important to understand the difference between type 1 diabetes and type 2 diabetes.

The former “is an autoimmune disease in which your immune system attacks and destroys insulin-producing cells in your pancreas for unknown reasons,” explains Cleveland Clinic. It affects about 10 percent of those with diabetes and is typically diagnosed in childhood or early adulthood.

With type 2 diabetes, “your body doesn’t make enough insulin and/or your body’s cells don’t respond normally to the insulin (insulin resistance),” Cleveland Clinic states. It is more commonly associated with lifestyle factors such as poor diet, lack of exercise, and obesity.

Diabetes can come with a wide range of symptoms or none at all—especially in its earliest stages. These symptoms often include frequent urination, increased hunger and thirst, blurry vision, numbness or tingling in the extremities, dry skin, slow-healing sores, and repeated infections, says the CDC.

If you notice any of these symptoms, it’s crucial to discuss them with your doctor. The sooner you have a diagnosis, the sooner you can begin managing your blood sugar.

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This is the diabetes symptom people most often ignore.

Several symptoms of diabetes are subtle and may be misattributed to other causes. However, experts say one symptom regularly flies under the radar of doctors and patients alike.

“The diabetes symptom that is most often overlooked is fatigue, because there are so many other potential causes of it,” explains David Culpepper, MD, clinical director of the telehealth company LifeMD. “Many people have other potential reasons for feeling fatigued, such as overwork, stress, not enough sleep, depression or other mood disorders, or even recovering from COVID, so those experiencing fatigue from diabetes are likely to attribute it to one of these other factors.”

In fact, a 2015 study published in the Industrial Psychiatry Journal found that 68 percent and 53 percent of those with type 2 diabetes suffer from fatigue and depression, respectively.

“Diabetic patients were 10.37 times and 4.80 times more likely to suffer from fatigue and depression respectively,” the study states. “Both fatigue and depression were found to be significantly associated with duration of illness, fasting and post prandial blood glucose level, diabetic complications and Body Mass Index (BMI).”

One way to determine whether your fatigue is the result of diabetes is to pay attention to when you experience it. Though fatigue experienced at any time may indicate a blood sugar imbalance, Culpepper says fatigue after a meal—a symptom known as postprandial somnolence—is especially suggestive of the condition.

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Here’s how to lower your diabetes risk.

The best way to lower your diabetes risk is by eating a healthy diet and getting plenty of exercise. In fact, one large study found that people who reduced their body weight by seven percent saw a 60 percent reduced risk of later developing diabetes, says the American Diabetes Association.

For this reason, the organization advises that individuals with pre-diabetes should aim to lose a minimum of seven to 10 percent of their body weight to slash diabetes risk. Mayo Clinic says the best way to achieve this is by “skipping fad diets” in favor of eating more plant-based foods and healthy fats, while exercising regularly.

If you are concerned about your diabetes risk, speak with your doctor or other healthcare provider.

This story has been updated to include additional entries, fact-checking, and copy-editing.

We offer the most up-to-date information from top experts, new research, and health agencies, but our content is not meant to be a substitute for professional guidance. When it comes to the medication you're taking or any other health questions you have, always consult your healthcare provider directly.

Lauren Gray
Lauren Gray is a New York-based writer, editor, and consultant. Read more
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Sources referenced in this article
  1. Source: https://www.cdc.gov/diabetes/communication-resources/diabetes-statistics.html
  2. Source: https://my.clevelandclinic.org/health/diseases/7104-diabetes
  3. Source: https://www.cdc.gov/diabetes/signs-symptoms/
  4. Source: https://pmc.ncbi.nlm.nih.gov/articles/PMC4866347/
  5. Source: https://www.diabetes.org/diabetes/a1c/diagnosis
  6. Source: https://www.mayoclinic.org/diseases-conditions/type-2-diabetes/in-depth/diabetes-prevention/art-20047639