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Diabetes

Question
Posted by: | 2019/10/19

Q.

I am 35 years old.

My blood sugar level was 26 after eating before four days and my doctor advised me to take insulin. After taking insulin four days my blood sugar level decline to 14. This is the first time I have checked my blood sugar level. Can I lead a normal life without insulin or medicine?

Expert's Reply

A.

Diabetes expert
- 2019/10/21

Hi

If you are a type 1 diabetic, then the answer is....No
If you are a Type 2 diabetic, then it depends on how overweight,unfit, and how badly you are currently eating. If you are very overweight, very unfit and eating badly, then if you reverse these things and lose a lot of weight, then you have a reasonable chance of reversing your diabetes. If you are not that overweight, and are already doing the exercise and eating well, then the chances are unlikley that you will be able to reverse your diabetes.Type 2 diabetes is therefore 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 30-50% 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

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