How To Cure Type 2 Diabetes Permanently?

How To Cure Type 2 Diabetes Permanently
Here’s how healthier habits may help some people reverse or better manage the disease. – Diabetes is a very common but serious medical condition. According to the Centers for Disease Control and Prevention (CDC), more than 34 million Americans have it, with about 90-95% of them having type 2 diabetes. About 88 million people have prediabetes, a precursor to type 2 diabetes.

  1. There is no cure for type 2 diabetes.
  2. But it may be possible to reverse the condition to a point where you do not need medication to manage it and your body does not suffer ill effects from having blood sugar levels that are too high.
  3. Making positive lifestyle changes such as eating a well-balanced diet, exercising regularly and getting down to a healthy weight (and maintaining it) are the key to possibly reversing or managing type 2 diabetes.

Other lifestyle changes may also help, including not smoking, getting enough sleep, limiting alcohol and managing stress. However, for some people this is still not enough and medication is needed to manage the condition.

What kills type 2 diabetes?

Overview – Type 2 diabetes is an impairment in the way the body regulates and uses sugar (glucose) as a fuel. This long-term (chronic) condition results in too much sugar circulating in the bloodstream. Eventually, high blood sugar levels can lead to disorders of the circulatory, nervous and immune systems.

  • In type 2 diabetes, there are primarily two interrelated problems at work.
  • Your pancreas does not produce enough insulin — a hormone that regulates the movement of sugar into your cells — and cells respond poorly to insulin and take in less sugar.
  • Type 2 diabetes used to be known as adult-onset diabetes, but both type 1 and type 2 diabetes can begin during childhood and adulthood.

Type 2 is more common in older adults, but the increase in the number of children with obesity has led to more cases of type 2 diabetes in younger people. There’s no cure for type 2 diabetes, but losing weight, eating well and exercising can help you manage the disease.

How long can it take to reverse type 2 diabetes?

VLCDs and reversal of diabetes in the news: –

Low calorie liquid diet recommended as NHS obesity treatment by researchers Very low-calorie diet can reverse type 2 diabetes for six months Type 2 diabetes can be reversed by eating 600 calories a day

Can type 2 diabetes reverse itself?

How can I lose weight? – Some people have lost a substantial amount of weight and put their diabetes into remission through lifestyle and diet changes or by having weight loss surgery (called bariatric surgery). There is no such thing as a special diet for people with diabetes or those aiming or diabetes reversal.

Is it true once a diabetic always a diabetic?

– Doctors don’t talk about curing diabetes because, once a person has a diagnosis, they will always risk developing high blood sugar due to genetic factors and underlying problems with their beta cells. But treatment can cause type 2 diabetes to go into remission, which means keeping the condition under control.

Still, you’ll need to continue with treatment to ensure it stays that way. Otherwise, blood sugar levels can easily rise again. Diabetes remission is when a person’s A1c is below 48 mmol/mol or less than 6.5% after stopping diabetes medication for 3 months or more. But remission does not mean that diabetes has gone away.

You’ll need to manage your glucose levels with lifestyle measures to stay in remission. You’ll also need to attend follow-up appointments to ensure levels are appropriate. If glucose levels rise again, you may need to take more medication.

How do you know if diabetes is killing you?

Treatment – At first, the goal of treatment is to lower your high blood glucose level. Long-term goals are to prevent complications. These are health problems that can result from having diabetes. The most important way to treat and manage type 2 diabetes is by being active and eating healthy foods.

Everyone with diabetes should receive proper education and support about the best ways to manage their diabetes. Ask your provider about seeing a certified diabetes care and education specialist and a dietitian. LEARN THESE SKILLS Learning diabetes management skills will help you live well with diabetes.

These skills help prevent health problems and the need for medical care. Skills include:

How to test and record your blood glucoseWhat, when, and how much to eatHow to safely increase your activity and control your weightHow to take medicines, if neededHow to recognize and treat low and high blood sugarHow to handle sick days Where to buy diabetes supplies and how to store them

It may take several months to learn these skills. Keep learning about diabetes, its complications, and how to control and live well with the disease. Stay up-to-date on new research and treatments. Make sure you are getting information from trustworthy sources, such as your provider and diabetes educator.

MANAGING YOUR BLOOD SUGAR Checking your blood sugar level yourself and writing down the results tells you how well you are managing your diabetes. Talk to your provider and diabetes educator about how often to check. To check your blood sugar level, you use a device called a glucose meter. Usually, you prick your finger with a small needle, called a lancet.

This gives you a tiny drop of blood. You place the blood on a test strip and put the strip into the meter. The meter gives you a reading that tells you the level of your blood sugar. Your provider or diabetes educator will help set up a testing schedule for you.

Most people with type 2 diabetes only need to check their blood sugar once or twice a day.If your blood sugar level is under control, you may only need to check it a few times a week.You may test yourself when you wake up, before meals, and at bedtime.You may need to test more often when you are sick or under stress.You may need to test more often if you are having more frequent low blood sugar symptoms.

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Keep a record of your blood sugar for yourself and your provider. Based on your numbers, you may need to make changes to your meals, activity, or medicines to keep your blood sugar level in the right range. Always bring your blood glucose meter to medical appointments so the data can be downloaded and discussed.

You are using insulin injections many times a dayYou have had an episode of severe low blood sugarYour blood sugar level varies a lot

The CGM has a sensor that is inserted just under the skin to measure glucose in your tissue fluid every 5 minutes. HEALTHY EATING AND WEIGHT CONTROL Work closely with your health care providers to learn how much fat, protein, and carbohydrates you need in your diet.

Your meal plans should fit your lifestyle and habits and should include foods that you like. Managing your weight and having a well-balanced diet are important. Some people with type 2 diabetes can stop taking medicines after losing weight. This does not mean that their diabetes is cured. They still have diabetes.

Obese people whose diabetes is not well managed with diet and medicine may consider weight loss (bariatric) surgery, REGULAR PHYSICAL ACTIVITY Regular activity is important for everyone. It is even more important when you have diabetes. Exercise is good for your health because it:

Lowers your blood sugar level without medicineBurns extra calories and fat to help manage your weightImproves blood flow and blood pressureIncreases your energy levelImproves your ability to handle stress

Talk to your provider before starting any exercise program. People with type 2 diabetes may need to take special steps before, during, and after physical activity or exercise, including adjusting doses of insulin if needed. MEDICINES TO TREAT DIABETES If diet and exercise do not help keep your blood sugar at normal or near-normal levels, your provider may prescribe medicine.

Alpha-glucosidase inhibitorsBiguanidesBile acid sequestrantsDPP-4 inhibitorsInjectable medicines (GLP-1 analogs)MeglitinidesSGLT2 inhibitorsSulfonylureasThiazolidinediones

You may need to take insulin if your blood sugar cannot be controlled with some of the above medicines. Most commonly, insulin is injected under the skin using a syringe, insulin pen, or pump. Another form of insulin is the inhaled type. Insulin cannot be taken by mouth because the acid in the stomach destroys the insulin.

Eye diseaseKidney disease Heart disease and stroke

FOOT CARE People with diabetes are more likely than those without diabetes to have foot problems, Diabetes damages the nerves. This can make your feet less able to feel pressure, pain, heat, or cold. You may not notice a foot injury until you have severe damage to the skin and tissue below, or you get a severe infection.

Stop smoking if you smoke.Improve control of your blood sugar.Get a foot exam by your provider at least twice a year to learn if you have nerve damage.Ask your provider to check your feet for problems such as calluses, bunions or hammertoes. These need to be treated to prevent skin breakdown and ulcers.Check and care for your feet every day. This is very important when you already have nerve or blood vessel damage or foot problems.Treat minor infections, such as athlete’s foot, right away.Use moisturizing lotion on dry skin.Make sure you wear the right kind of shoes. Ask your provider what type of shoe is right for you.

EMOTIONAL HEALTH Living with diabetes can be stressful. You may feel overwhelmed by everything you need to do to manage your diabetes. But taking care of your emotional health is just as important as your physical health. Ways to relieve stress include:

Listening to relaxing musicMeditating to take your mind off your worriesDeep breathing to help relieve physical tensionDoing yoga, tai chi, or progressive relaxation

Feeling sad or down (depressed) or anxious sometimes is normal. But if you have these feelings often and they’re getting in the way of managing your diabetes, talk with your health care team. They can find ways to help you feel better. People with diabetes should make sure to keep up on their vaccination schedule.

Can Type 2 diabetics be healthy?

Managing Diabetes – Unlike many health conditions, diabetes is managed mostly by you, with support from your health care team (including your primary care doctor, foot doctor, dentist, eye doctor, registered dietitian nutritionist, diabetes educator, and pharmacist), family, and other important people in your life.

Managing diabetes can be challenging, but everything you do to improve your health is worth it! You may be able to manage your diabetes with healthy eating and being active, or your doctor may prescribe insulin, other injectable medications, or oral diabetes medicines to help manage your blood sugar and avoid complications,

You’ll still need to eat healthy and be active if you take insulin or other medicines. It’s also important to keep your blood pressure and cholesterol close to the targets your doctor sets for you and get necessary screening tests. You’ll need to check your blood sugar regularly.

  1. Ask your doctor how often you should check it and what your target blood sugar levels should be.
  2. Eeping your blood sugar levels as close to target as possible will help you prevent or delay diabetes-related complications.
  3. Stress is a part of life, but it can make managing diabetes harder, including managing your blood sugar levels and dealing with daily diabetes care.

Regular physical activity, getting enough sleep, and relaxation exercises can help. Talk to your doctor and diabetes educator about these and other ways you can manage stress. Make regular appointments with your health care team to be sure you’re on track with your treatment plan and to get help with new ideas and strategies if needed.

Develop a healthy eating and activity plan Test your blood sugar and keep a record of the results Recognize the signs of high or low blood sugar and what to do about it If needed, give yourself insulin by syringe, pen, or pump Monitor your feet, skin, and eyes to catch problems early Buy diabetes supplies and store them properly Manage stress and deal with daily diabetes care

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Ask your doctor about diabetes self-management education and support services and to recommend a diabetes educator, or search the Association of Diabetes Care & Education Specialists’ (ADCES) nationwide directory external icon for a list of programs in your community.

Will losing weight get rid of diabetes?

Studies have shown that significant weight loss, through either metabolic (also known as bariatric) surgery or calorie restriction, may lead to remission in some people who have type 2 diabetes. William T. Cefalu, MD, director of the NIDDK’s Division of Diabetes, Endocrinology, and Metabolic Diseases, discusses type 2 diabetes remission, including recent research into strategies and mechanisms by which people who have diabetes can achieve remission.

  • Q: What is remission of type 2 diabetes? How do health care professionals define remission and know when a patient has achieved it? A: People with type 2 diabetes who do not have adequate glycemic control have an increased risk for diabetes complications.
  • Glycemic control is monitored by measuring both blood glucose and blood markers assessing antecedent glycemia such as hemoglobin A1C, which reflects average glucose over the previous months.

We define type 2 diabetes remission as having the condition revert to a nondiabetic range as assessed with blood glucose levels or blood glucose markers and staying in that range for at least 6 months when a person isn’t taking any diabetes medications.

It’s important for both health care professionals and people who have type 2 diabetes to realize that significant weight loss either from lifestyle intervention (i.e., diet and exercise) or from certain procedures can result in blood glucose levels decreasing into the nondiabetic range, and that achieving remission can minimize or prevent future complications.

Q: Why do health care professionals use the term “remission” rather than “cure” when discussing type 2 diabetes? What happens to a person’s diabetes when he or she relapses? A: We don’t use the word “cure” when we refer to blood glucose levels reverting back to levels below the threshold used for diagnosis, as you could argue “cure” means completely alleviating the condition.

  • For example, an acute condition seen with infectious diseases such as bronchitis may be considered to be cured with antibiotics.
  • However, in type 2 diabetes, because blood glucose levels are on a continuum and are significantly associated with weight, it is observed that when weight regain occurs, the glucose levels may increase back to the range associated with diabetes diagnosis.

So, the correct term is “remission.” Type 2 diabetes is a progressive disorder, and, at one time, we didn’t think that weight loss or other interventions could allow people with type 2 diabetes to lower their blood glucose levels into the nondiabetic range and to stay there for an extended period of time without medication.

However, we now understand that people with type 2 diabetes who lose significant weight and improve other factors related to diabetes can achieve remission. With sustained weight loss, people may stay in remission for quite some time. However, if they begin to put on weight, their blood glucose levels can increase and return to the diabetic range.

They may need diabetes medications or even insulin with weight regain depending on the severity of their type 2 diabetes and their glucose control. Q: What strategies can lead to remission of type 2 diabetes? A: The most important factor in achieving remission is weight loss, and two techniques—metabolic surgery and lifestyle changes that restrict calories on a daily basis to achieve weight loss—have been shown to induce remission.

Some studies, dating back many years, have observed that metabolic surgery leads to high rates of type 2 diabetes remission. Recently, the Diabetes Remission Clinical Trial (DiRECT), conducted in primary care practices in the United Kingdom, examined type 2 diabetes remission rates in participants who lost weight, starting with a very low-calorie diet and sustaining the weight loss over time.

DiRECT found high rates of type 2 diabetes remission among people who lost a significant amount of weight—more than 10 kg (about 22 pounds)—and sustained the weight loss over 12 to 24 months. Q: What research is being conducted on remission of type 2 diabetes? A: Studies have sought to understand the mechanisms of remission.

  1. A lot of current research focuses on not only total fat in the body, but also where the fat may be located, referred to as “ectopic fat” (e.g., fat in the liver and pancreas) that may affect normal physiologic function.
  2. This research has led to some very interesting observations about potential mechanisms.

Weight loss may improve pancreas function, with better insulin secretion and type 2 diabetes remission. Q: Are some people with type 2 diabetes more likely to achieve remission than others? A: Three factors that seem to predict success in achieving remission are significant weight loss, baseline pancreatic function, and diabetes duration.

  • Significant and sustained weight loss—for example, in the range of 10 kg (about 22 pounds) as shown in some studies—is the most important factor.
  • Studies in which participants lost small amounts of weight have shown lower rates of type 2 diabetes remission.
  • However, studies in which participants lost a significant amount of weight—such as DiRECT or studies of metabolic surgery—have shown higher remission rates.

Studies of weight loss through restricting calories or metabolic surgery have found that people with type 2 diabetes who start with greater pancreatic function at baseline, prior to the intervention, are more likely to undergo remission. People who have had shorter diabetes duration are also more likely to undergo remission.

  1. Type 2 diabetes is a progressive disease, and, after a long time with diabetes, pancreatic function may decline over time.
  2. Thus, observations suggest that after having diabetes for a long period of time, significantly improving pancreatic function and achieving remission may prove to be more difficult, compared to achieving remission early in the natural history of the disease.

Q: How and when should health care professionals talk with patients who have type 2 diabetes about remission? How can health care professionals help patients achieve remission and sustain it over time? A: First and foremost, you should emphasize the importance of managing blood glucose levels to minimize the complications of type 2 diabetes whether the patient is or is not on medications.

  • Glycemic control is incredibly important in reducing the risk of complications, and you need to discuss glycemic control and a goal with the patient.
  • In most cases, this means advising patients to keep their A1C level at 7 percent or below to prevent eye, kidney, and nerve complications.
  • While we have very effective medications to lower blood glucose levels, lifestyle interventions (nutrition and exercise) are a cornerstone of managing diabetes.
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A balanced diet that achieves weight loss not only improves blood glucose levels but also may reduce cardiovascular risk factors. Patients should also know that obesity contributes to increased blood glucose levels due to insulin resistance and that the more weight patients put on, that may mean they need more medication.

  1. It is important that they know if they lose weight and improve their body’s efficiency, they may require less medication.
  2. Let your patients know that if they lose enough weight, particularly during the early phases of type 2 diabetes, they will significantly lower their blood glucose, have less risk for diabetes complications, and may be able to achieve remission.

Overall, with significant weight loss through restricting calories or other strategies, patients have a high likelihood of achieving remission, particularly if they have a greater baseline pancreatic function and have had diabetes for a shorter time. William T. Cefalu, MD, is director of the Division of Diabetes, Endocrinology, and Metabolic Diseases at the NIDDK, and has had a 35-year career as a scientist, a health care expert, and a physician. His clinical and basic science research has focused on interventions to improve the metabolic state of people with insulin resistance and type 2 diabetes, and on the cellular mechanisms for insulin resistance.

Does diabetes get worse with age?

Even if your diabetes has been well controlled for years, the condition can still worsen over time, meaning, you may have to adjust your treatment plan more than once. The key to learning about the progression of diabetes is understanding the role of your pancreas, which produces insulin: a hormone needed to move glucose (blood sugar) into cells, where it’s used for energy.

If your body doesn’t produce enough insulin or your cells don’t respond to insulin as well as they should, glucose can build up in your bloodstream. With type 1 diabetes, the pancreas does not make any insulin, so it must be given via injection. If you don’t have type 1 diabetes but your cells don’t respond normally to insulin (a state called insulin resistance ), your pancreas goes into overdrive to make more insulin to try to get cells to respond.

Over time, this can damage the insulin-producing cells in the pancreas, eventually causing the organ to lose its ability to make enough insulin to keep up with your body’s needs. This leads to a rise in blood sugar and sets the stage for type 2 diabetes, according to the Centers for Disease Control and Prevention,

  • Chronically high blood sugar ( hyperglycemia ), can increase your risk of complications, such as vision loss, heart disease, nerve damage, kidney disease, and foot or leg amputation, according to the American Diabetes Association (ADA).
  • The good news is, proper diabetes management can help prevent or delay the onset of these complications.

This includes eating a well-balanced diet, getting regular exercise, and taking medication as prescribed, which can help you keep your blood sugar in a healthy range.

Can you live forever with diabetes?

Life expectancy can be increased by 3 years or in some cases as much as 10 years. At age 50, life expectancy- the number of years a person is expected to live- is 6 years shorter for people with type 2 diabetes than for people without it. People with type 2 diabetes can reduce their risk of complications and live longer by achieving their treatment goals.

What is the fastest way to reverse type 2 diabetes?

Here’s how healthier habits may help some people reverse or better manage the disease. – Diabetes is a very common but serious medical condition. According to the Centers for Disease Control and Prevention (CDC), more than 34 million Americans have it, with about 90-95% of them having type 2 diabetes. About 88 million people have prediabetes, a precursor to type 2 diabetes.

  • There is no cure for type 2 diabetes.
  • But it may be possible to reverse the condition to a point where you do not need medication to manage it and your body does not suffer ill effects from having blood sugar levels that are too high.
  • Making positive lifestyle changes such as eating a well-balanced diet, exercising regularly and getting down to a healthy weight (and maintaining it) are the key to possibly reversing or managing type 2 diabetes.

Other lifestyle changes may also help, including not smoking, getting enough sleep, limiting alcohol and managing stress. However, for some people this is still not enough and medication is needed to manage the condition.

What usually kills a diabetic?

Can diabetes kill you? – Yes, it’s possible that if diabetes remains undiagnosed and unmanaged (severely high or severely low glucose levels) it can cause devastating harm to your body. Diabetes can cause heart attack, heart failure, stroke, kidney failure and coma.

  • These complications can lead to your death.
  • Cardiovascular disease in particular is the leading cause of death in adults with diabetes.
  • Although having diabetes may not necessarily increase your risk of contracting COVID-19, if you do get the virus, you are more likely to have more severe complications.

If you contract COVID-19, your blood sugars are likely to increase as your body is working to clear the infection. If you contract COVID-19, contact your healthcare team early to let them know.

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