Diabetes is a chronic disease that affects over 30 million .The most common forms are type 1, type 2, and gestational diabetes. With diabetes often called a lifelong condition, many patients wonder: can you reverse diabetes once you have been diagnosed? This article will separate diabetes reversal fact from fiction.
What the Research Shows on Diabetes Reversal
An abundance of recent research provides hope that reversal of diabetes is possible through lifestyle changes and weight management. Studies show that for some people, achieving and maintaining healthy body weight can help the body regain insulin sensitivity and normalize blood sugar levels, potentially eliminating the need for medication.
For example, one study published in The Lancet showed that nearly 50% of participants with type 2 diabetes achieved remission after an intensive low-calorie diet and exercise program. Other studies on bariatric surgery found that procedures such as gastric bypass and sleeve gastrectomy led to normalization of blood glucose levels in many diabetic patients.
However, experts caution that reversing diabetes is not quite as simple as losing weight. Though weight loss can promote insulin sensitivity, there are other factors at play. Remission rates also vary based on how long someone has had diabetes and their genetics. More research is needed to better understand predictors of remission.
Can Type 1 Diabetes Be Reversed?
Currently, there is no cure for type 1 diabetes. Type 1 is an autoimmune disease where the body’s immune system attacks and destroys insulin-producing cells in the pancreas. People with type 1 require lifelong insulin injections for survival.
While insulin production cannot be restored, new treatments on the horizon aim to protect remaining beta cells or replace destroyed ones via regenerative therapies. But for now, type 1 diabetes reversal remains out of reach.
Steps for Possible Type 2 Diabetes Remission
For some individuals with type 2 diabetes, remission may be possible through:
- Weight loss: Losing 10-15% of body weight can lead to reduced insulin resistance. Avoiding extreme diets and focusing on sustainable lifestyle changes is key.
- Exercise: Aim for 150 minutes per week to improve insulin sensitivity and glucose control. Mix aerobic and strength training.
- Meal planning: Follow a balanced plan focused on whole foods, healthy fats and carbs, lean proteins, and portion control. Work with a dietitian.
- Medication and insulin: Work closely with your doctor on appropriate titration of diabetes medication as glucose control improves. Do not alter medication regimen on your own.
- Blood sugar monitoring: Track glucose levels to see response to lifestyle interventions. Make adjustments as needed.
But Remember: Remission May Not Last Forever
The challenging reality is that even if remission is achieved, diabetes reversal often proves temporary. Lifestyle habits frequently slide and weight creeps back on. Continuous commitment to healthy behaviors is required to maintain normal blood sugars long-term without diabetes medication or insulin. Remission also appears easier to accomplish in those more recently diagnosed.
Talk to your doctor to determine if remission could be a realistic goal for you. While reversing diabetes is difficult, taking steps to improve your health is always worthwhile no matter your condition.
