Type-2 diabetes mellitus most common form of diabetes mellitus - characterized by high blood sugar and variable degrees of insulin resistance and insulin deficiency. Its prevalence rises markedly with increasing obesity.
Insulin resistance and insulin deficiency can arise through genetic or environmental influences.
Pre diabetes is a term used when blood sugar level is higher than normal but not high enough for a diagnosis of diabetes mellitus. For most people it means you have insulin resistance and are on way to developing type 2 diabetes mellitus .
What is diabetes Reversal?
To reverse the metabolic abnormalities leading to normal blood sugar without continuing need of any glucose lowering medications.
When do we call Reversal?
Hba1c < 6.5 % following intervention that persists > 3 months without glucose lowering medication .
Who are the candidates we can bring Reversal?
a) Younger individual with shorter duration of diabetes mellitus ( < 6year )
b) Individual needing a lower number of medication
c) Lower fbs, lower hba1c respond better .
d) Over weight / obese bmi> 27
Things to be done for Reversal
a) Individualization is the key. Each patient will be accessed and lifestyle modifications will be advised based on the findings
Diet - whole food mostly plant based nutrition emphazied. Maximized intake of vegetables, fruits, whole grains, lentils, seeds and nuts. Minimized intake of sugar, refined grains, procesed meat.
Diet is the cornerstone of type 2 daibetes mellitus control, treatment and reversal. It out weighs all other lifestyle changes.
1. Reduces insulin resistance.
2. Lowers the percentage of fat in muscles and liver
3. Reduces blood sugar level
4. Helps weight maintaine
c) The other parameters which also play important role are stress management, restorative sleep, avoidance of risky substance like alcohol, smoking.