Type 2 diabetes is caused by insulin resistance where cells don't use insulin properly and the pancreas can't keep up with producing enough insulin. Risk factors include genetics, excess weight, inactivity, and diet. Symptoms may include increased thirst, urination, blurred vision, and fatigue. A diagnosis involves blood tests measuring glucose levels, including an A1C, fasting plasma glucose test, or oral glucose tolerance test. Managing diabetes through medication, monitoring blood sugar, diet, and exercise can help prevent complications to the heart, kidneys, eyes, nerves, and other organs.