Can i reverse type 2 diabetes?
Although there's no cure for type 2 diabetes, studies show it's possible for some people to reverse it. Not only can shedding pounds help you manage your diabetes, sometimes losing enough weight could help you live diabetes-free -- especially if you've only had the disease for a few years and haven't needed insulin.
Low-Calorie Diet
Several studies in England have looked at the effects of a very low-calorie diet on diabetes. Two had people follow a mostly liquid diet of 625-850 calories a day for 2-5 months, followed by a less restricted diet designed to help them keep off the weight they lost. Both studies found that nearly half the people who took part reversed their diabetes and kept their blood glucose near the normal range for at least 6 months to a year.
This type of diet is extreme. But the chance that it could send you into remission may give you strong motivation to stick to it.
Most of the people who reversed their type 2 diabetes lost 30 pounds or more. So it's important to get started on a weight loss plan as soon as possible after you're diagnosed.
What Happens
When you have type 2 diabetes, cells that help your body control your blood sugar stop working right. People who lost weight had lower levels of fat in their liver and pancreas, and for some of them, that helped the beta cells in their pancreas that release insulin and control blood sugar start working again.
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The odds of rescuing those cells are best early on. That suggests it may be better for doctors to help people lose a lot of weight after a diagnosis, rather than make small lifestyle changes and manage symptoms with medication.
Exercise
More physical activity is a way to improve diabetes, but it may be tough to lose enough weight to go into remission with workouts alone. Exercise can help you get there, but expect to change your diet as well.
Bariatric Surgery
This type of surgery helps you lose weight by changing your stomach and digestive system to limit how much you can eat. Aside from helping you lose weight, it may help reverse diabetes in other ways, although scientists don't yet know exactly why. One theory is that it affects the hormones in your gut to help your body control blood glucose.
Researchers estimate that upwards of three-quarters of people see their diabetes reversed after bariatric surgery. But most people who have it done end up reversing their diabetes.
Fasting
Fasting can be a practical way to lose weight because it's fairly straightforward, but it's not a mainstream treatment for type 2 diabetes.
A very small study found therapeutic fasting -- going without food and drink with calories for a set amount of time -- can help reverse type 2 diabetes. They would eat only dinner on days they fasted, and lunch and dinner on days they didn't fast, focusing on low-carbohydrate meals.
Two of the people in the study were able to stop taking all diabetes medication, and the third stopped three of their four medications. They lost between 10% and 18% of their body weight, or 20-23 pounds.
Another study showed that eating very few calories (500-600) 2 days a week and a normal diet the other days helped people with type 2 diabetes lose weight and lower their blood sugar levels just as much as limiting calories to 1,200-1,500 every day.
If you want to try fasting, you should work with your doctor so you get the right information and support to do it safely.
What Doesn't Work
When it comes to reversing diabetes, there's no magic pill. If you see a product that claims to cure diabetes or replace your prescribed diabetes medication, beware.
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