You might see a lot of changes coming down the channels about type 2 diabetes in the near future, especially if it followed what used to be the Metabolic Syndrome X. Slow rise of triglycerides, slow rise of glucose, slow lowering of HDL and/or a couple of other symptoms. While it is treated with typical diabetes drugs along with diet usually control it pretty well. There is debate that once you have type you will always have it no matter how good your numbers are and even if you have been of medication for years. I totally disagree with this one because there are just too many people thar have changed there diet, dropped weight, get regular exercise and do not take medication. These same people at times have passed glucose tolerance test. Eat peice of chocolate cake and never have sugar higher than 175.
Where the big change is coming is that there is possible evidence that this not a disease of the pancreas. The liver is the culprit in true type 2 diabetes. Just keep your eyes open for studies on this new thinking. Might not pan out, but i believe it will. What really got me was that I had a classic case of Metabolic Syndrome and my doctors just said lose 10 pounds and excercise for 5 years, even when triglycerides were in the 300's. The tried statins at 400 and that was a no go, but Triglide (fenofibrate) worked wonders.