Diabetes

Question
Posted by: | 2017/10/24

Q.

Diabetes reversal success?

What is your experience / knowledge on diabetes 2 reversal or how to achieve it. What is your recommendation for average calories per day for a 32 year old women with diabetes 2, that want to revers it? I'm currently between 7-11 mmol on fasting test average. Use Metformin 500g 1x morning, 2x night. Was 17mmol on fasting test 4 months ago when I was diagnosed. Weighed 117kg and now 107.8kg.

Expert's Reply

A.

Diabetes expert
- 2017/10/25

Hi

Type 2 diabetes is potentially reversible, and this has been shown in patients who have markedly altered their diets and lost weight. Reversing diabetes is more likely in patients whose diabetes is controlled on tablets, although there are patients who have achieved this on insulin as well. A recent study in the U.K showed that patients who followed a very low calorie diet, were able to reverse their diabetes and after a few months (it was a short term trial)  still had normal glucose levels. There is now also a lot of evidence that weight loss through bariatric surgery has been shown to reverse diabetes in about 80% of patients. The trick in both cases though is that in the long term you need to maintain the lifestyle changes, otherwise all you will have done is to temporarily push down the glucose levels into the normal range and then with time they will go up again. You would need to be under your doctor and a dietician before starting a very low calorie diet


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