Which of the following is a long-term effect of poorly managed Type 2 diabetes?

Poorly managed Type 2 diabetes can lead to various serious health complications over time, one of which is kidney damage, also known as diabetic nephropathy. The kidneys are responsible for filtering waste from the blood and regulating fluid and electrolyte balance. When blood glucose levels remain consistently elevated due to inadequate management, it can damage the blood vessels in the kidneys, impairing their function.

As the kidneys struggle to filter waste effectively, this can lead to conditions such as chronic kidney disease and eventually kidney failure, necessitating dialysis or a kidney transplant. This long-term effect underscores the importance of diligent management of diabetes through proper dietary choices, regular physical activity, medication adherence, and regular monitoring of blood glucose levels. The other options do not reflect the consequences of poorly managed Type 2 diabetes, as they suggest improvements in health that are contrary to the risks associated with the condition.