Type 2 management

Managing Type 2 Diabetes

June 26, 20254 min read

A Comprehensive Guide to Managing Type 2 Diabetes Through Functional Health

When you're first diagnosed with Type 2 diabetes, it’s normal to feel overwhelmed. But ignoring the diagnosis won’t make it go away. Taking it as a wake-up call can be a turning point—one that leads to better health, energy, and quality of life.


Why High Blood Sugar Is So Dangerous

Unchecked high blood sugar can lead to long-term damage. One of the most serious risks is cardiovascular disease, which is the top cause of death among people with diabetes. You’re up to four times more likely to have a heart attack or stroke if you have diabetes. Other dangers include vision loss, kidney failure, and nerve damage.


Why Medication Isn’t Enough

Medications help, but they’re only one piece of the puzzle. A healthy diet and regular movement often have a bigger impact. Functional medicine emphasizes that you can’t out-medicate poor habits. Sustainable change happens when you build daily routines that support your body’s natural healing systems.


A Functional Medicine Approach to Diabetes

Functional medicine looks at root causes—not just symptoms. Here’s how it supports blood sugar control and better health:

  1. Smart Nutrition: A low-glycemic, high-fiber diet can stabilize blood sugar and lower inflammation. Focus on non-starchy veggies, lean proteins, healthy fats, and minimal added sugars or processed foods.

  2. Move Your Body: Mix cardio (like brisk walking) with strength training and flexibility work. This improves how your body uses insulin.

  3. Tackle Insulin Resistance: Many people with Type 2 diabetes have insulin resistance. Functional medicine addresses this through food, exercise, and gut health—not just medications.

  4. Support the Mind-Body Connection: Stress raises blood sugar. Practices like deep breathing, meditation, yoga, or journaling help you regulate cortisol levels and reduce emotional eating.

  5. Targeted Supplementation: Nutrients like magnesium, chromium, and cinnamon may help support insulin sensitivity—but always work with your provider before adding new supplements.

  6. Personalized Plans: There’s no cookie-cutter solution. Functional medicine is tailored to your health history, goals, and lab results.


Simple Changes to Start Today

  1. Learn More: Education is power. Understanding your condition helps you make informed choices.

  2. Eat for Blood Sugar Balance: Cut sugary drinks and ultra-processed carbs. Add fiber-rich veggies and healthy fats.

  3. Move More: Aim for at least 30 minutes a day, five days a week.

  4. Stress Less: Try stretching, journaling, or 5 minutes of deep breathing daily.

  5. Check In With Your Team: Keep up with appointments and lab tests to adjust your care plan.


Berberine: A Natural Ally

Berberine is a plant compound that may help manage blood sugar. Research shows it:

  1. Improves insulin sensitivity

  2. Reduces sugar production in the liver

  3. Promotes sugar breakdown in cells

  4. Slows carbohydrate digestion

  5. Supports gut microbiome health

Studies support its use:

  • A 2008 meta-analysis found berberine worked as well as metformin for blood sugar control.

  • Research in the Journal of Clinical Endocrinology & Metabolism showed reduced fasting glucose and insulin levels.

  • Combined with lifestyle changes, it improved glucose and lipid metabolism.

Typical dose: 900–1500 mg/day in divided doses. Start low, and take with meals. Always consult your provider.


Other Helpful Supplements

  1. Alpha-Lipoic Acid (ALA)

    • Improves insulin sensitivity and may reduce nerve pain.

    • Diabetes Care found benefits for diabetic neuropathy.

  2. Chromium

    • Supports fat and carb metabolism; helps insulin work better.

    • Some trials show lower glucose and improved tolerance.

  3. Magnesium

    • Crucial for glucose control. Many with diabetes are deficient.

    • Studies show it improves insulin sensitivity.

  4. Omega-3 Fatty Acids

    • Reduce inflammation and improve triglycerides.

    • Linked to better heart health in diabetes.

  5. Cinnamon

    • May lower blood sugar and boost insulin action.

    • Several studies show reductions in fasting glucose.

  6. Vitamin D

    • Low levels linked to insulin resistance.

    • Supplementation may improve blood sugar.

  7. B Vitamins (B1 and B12)

    • Support nerve health and may help prevent or relieve neuropathy.

Note: Supplements should never replace medication. Talk to a qualified provider before starting anything new.


Final Thoughts

Managing Type 2 diabetes can feel like a full-time job—but functional health gives you tools to simplify and succeed. You’re not just managing a diagnosis—you’re building a healthier, stronger you.


References

  1. Yin, J., Xing, H., & Ye, J. (2008). Metabolism.

  2. Zhang, H., et al. (2010). Journal of Clinical Endocrinology & Metabolism.

  3. Dong, H., et al. (2012). Evidence-Based Complementary and Alternative Medicine.

  4. Ziegler, D., et al. (2006). Diabetes Care.

  5. Broadhurst, C. L., & Domenico, P. (2006). Diabetes Technology & Therapeutics.

  6. Barbagallo, M., & Dominguez, L. J. (2007). World Journal of Diabetes.

  7. Hartweg, J., et al. (2008). Cochrane Database of Systematic Reviews.

  8. Khan, A., et al. (2003). Diabetes Care.

  9. Pittas, A. G., et al. (2007). Journal of Clinical Endocrinology & Metabolism.

  10. Thornalley, P. J. (2007). Journal of Diabetes.

Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

Alexandra Santamaria, PharmD, CDCES

Dr. Alexandra Santamaria is a health coach, clinical pharmacist, and functional medicine advocate who helps busy adults with Type 2 diabetes lower blood sugar, lose weight, and reduce medications naturally. She combines science, personal experience, and compassionate coaching to empower lasting health transformation.

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