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Could you have diabetes without knowing it? Discover the main symptoms

Posted on September 25, 2025

Yes, it is definitely possible to have diabetes without knowing it, especially in the early stages. Many people with type 2 diabetes, in particular, may not realize they have it because symptoms can develop gradually and might be mild or mistaken for other issues.

Why You Might Have Diabetes Without Knowing It:

  • Slow onset: Type 2 diabetes often develops slowly over months or years.

  • Mild or no symptoms: Early symptoms can be subtle.

  • Lack of routine health checks: Without screening, high blood sugar can go unnoticed.

  • Attributing symptoms to other causes: Fatigue or thirst might be chalked up to stress or lifestyle.


Main Symptoms of Diabetes (Detailed)

1. Frequent Urination (Polyuria)

  • When blood sugar is too high, kidneys try to filter out excess glucose, which draws more water out with it.

  • This causes you to urinate more often, especially at night (nocturia).

  • You may notice a sudden increase in bathroom trips, disrupting sleep.

2. Excessive Thirst (Polydipsia)

  • Due to frequent urination, your body becomes dehydrated.

  • This triggers intense thirst and you may find yourself drinking much more water than usual.

3. Increased Hunger (Polyphagia)

  • Despite eating, cells can’t absorb glucose properly due to insulin issues.

  • This leads to a feeling of constant hunger because your body thinks it’s starving.

4. Unexplained Weight Loss

  • When cells don’t get glucose, the body starts breaking down fat and muscle for energy.

  • This causes weight loss even if you haven’t changed your diet or activity.

5. Fatigue

  • Lack of glucose in cells means low energy.

  • You may feel constantly tired, weak, or lethargic without a clear reason.

6. Blurred Vision

  • High blood sugar causes fluid to be pulled from tissues, including the lenses of the eyes.

  • This changes the shape of the lens, leading to blurry vision.

7. Slow-Healing Sores or Frequent Infections

  • Diabetes impairs blood flow and immune function.

  • Cuts, bruises, or infections take longer to heal.

  • You might notice frequent skin infections, urinary tract infections, or gum disease.

8. Tingling or Numbness in Hands or Feet (Neuropathy)

  • High blood sugar can damage nerves over time.

  • This causes a “pins and needles” sensation, burning, or numbness—usually starting in the feet.

9. Darkened Skin in Certain Areas (Acanthosis Nigricans)

  • This manifests as patches of dark, thickened skin, usually around neck, armpits, or groin.

  • It’s a sign of insulin resistance, a precursor to type 2 diabetes.


When to See a Doctor:

If you notice one or more of these symptoms, especially frequent urination, excessive thirst, unexplained weight changes, or fatigue, it’s a good idea to get checked by a healthcare professional. Early diagnosis and management can prevent complications.

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