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Dr. Harika Uppalapati | General Physician in Vijayawada | Manipal Hospitals

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Dr. Harika Uppalapati | General Physician in Vijayawada | Manipal Hospitals
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Dr. Harika Uppalapati

Consultant - General Physician

Manipal Hospitals, Vijayawada

Reclaiming Your Health: A Guide To Diabetes Remission

Posted On: Nov 14, 2024
blogs read 7 Min Read
World Diabetes Day: Reclaim Your Health and Wellness

Diabetes remission has become a hopeful topic for many people diagnosed with diabetes, particularly type 2. Remission means lowering blood sugar to non-diabetic levels without needing medication, a state that once seemed unreachable for most. Let’s explore diabetes remission, the role of lifestyle changes, and effective strategies for reclaiming health. But before that, we need to understand what it is and how can we achieve the goal.

 

What is Diabetes Remission?

Diabetes remission is the reduction of blood glucose levels to a non-diabetic range for an extended period without medications, except for a healthy diet and exercise. It’s an exciting concept, offering a path for people to live without the daily burden of diabetes management.
 

Is Diabetes Remission Possible?

Yes, for some cases, type 2 diabetes remission is possible. Studies have shown that lifestyle changes can help people reduce or even eliminate the need for diabetes medications. Type 1 diabetes, however, involves different challenges due to its autoimmune nature, and therefore, type 1 diabetes remission is rare but not impossible. Achieving remission requires an ongoing commitment to lifestyle adjustments and regular monitoring.
 

The Role of Lifestyle in Diabetes Management

Lifestyle changes are essential to diabetes management and remission. By adopting a healthier diet, maintaining an active lifestyle, managing weight, and reducing stress, many people can stabilise their blood glucose levels and improve overall well-being.

Understanding Type 1 and Type 2 Diabetes

To better understand remission, let’s first distinguish between the two main types of diabetes.

Type 1 Diabetes: An Autoimmune Condition

Type 1 diabetes is an autoimmune disorder where the immune system attacks insulin-producing cells in the pancreas, requiring lifelong insulin treatment. Although type 1 diabetes remission is rare, some individuals may experience a “honeymoon or remission phase,” a temporary period where blood sugar levels stabilise with minimal insulin.

Type 2 Diabetes: A Lifestyle Disease

Type 2 diabetes occurs when the body becomes resistant to insulin or the pancreas produces insufficient insulin. Lifestyle factors like diet, weight, and physical activity significantly impact type 2 diabetes, making it more responsive to lifestyle-based remission approaches.
 

Can Both Types Achieve Remission?

While type 2 diabetes remission is more likely to be achieved, individuals with type 1 can still benefit from lifestyle changes to manage blood sugar effectively. For type 2, factors like early diagnosis, proactive weight loss, and consistent lifestyle changes increase the likelihood of remission.
 

The Power of Lifestyle Changes

Top Tips to Support Diabetes Remission

Achieving remission primarily involves making sustainable lifestyle changes. Here are key areas to focus on:

Diabetic Diet

A balanced diet or diabetes remission diet is crucial in diabetes remission. Certain diets have shown promising results for blood sugar management:

  1. Low-Carb Diet: Reducing carbohydrate intake can help stabilize blood sugar levels, as carbs convert to glucose in the body. A low-carb diet emphasizes lean proteins, healthy fats, and non-starchy vegetables.

  2. Mediterranean Diet: Rich in healthy fats, fibre, and antioxidants, the Mediterranean diet includes plenty of fruits, vegetables, whole grains, and olive oil, helping maintain stable blood sugar levels.

  3. Plant-Based Diet: A diet based on plant foods—fruits, vegetables, legumes, nuts, and seeds—supports blood sugar control. Low in saturated fats, a plant-based diet is ideal for people managing diabetes and weight.

  4. Intermittent Fasting: Intermittent fasting, which involves set periods of fasting and eating, can reduce insulin resistance, help regulate blood sugar and, in some cases, promote remission.

More Reads: Food Allergies: 8 Common Food To Watch Out For

Diabetic-Friendly Foods for Type 2 Diabetes Remission

Non-Starchy Vegetables

Spinach, kale, broccoli, peppers, tomatoes

Lean Proteins

Chicken, turkey, eggs, tofu, salmon, sardines

Healthy Fats

Avocado, olive oil, nuts (almonds, walnuts), chia seeds

Whole Grains

Oats, quinoa, brown rice

Low-Glycemic Fruits

Berries, cherries, apples, pears

Legumes

Lentils, black beans, chickpeas

Fermented Foods

Greek yoghurt (unsweetened), kimchi, sauerkraut

Nuts and Seeds

Almonds, walnuts, flaxseeds, pumpkin seeds

Spices

Cinnamon, turmeric, garlic

Beverages

Water, herbal tea, green tea

 

Diabetic Diet Chart for Type 2 Remission

Morning

Early Morning: Warm lemon water, 6-8 soaked almonds

Breakfast: Greek yoghurt with chia seeds and berries or vegetable omelette with whole-grain toast

Mid-Morning Snack
- Apple with almond butter or a handful of nuts

Lunch

Grilled chicken/tofu salad with veggies or lentil soup with quinoa

   

Afternoon Snack

Carrot and cucumber sticks with hummus or cottage cheese with cinnamon

   

Evening Snack

Herbal tea with 4-5 almonds

   

Dinner

Stir-fried veggies with tofu/chicken and cauliflower rice or grilled paneer with sauteed spinach

   

Before Bed

Warm water with a pinch of cinnamon

   


Exercise

Physical activity plays an essential role in blood sugar management and remission. Key types of exercise include:

  1. Regular Physical Activity: Aiming for 150 minutes of moderate exercise per week, such as walking or cycling, can help control blood glucose.

  2. Strength Training: Building muscle improves insulin sensitivity. Strength training twice a week—using weights or body resistance—can aid in blood sugar management.

  3. Cardiovascular Exercise: Activities like running, swimming, or aerobics increase heart rate, enhancing glucose metabolism and supporting overall diabetes management.

Weight Management

Maintaining a healthy weight is critical for type 2 diabetes remission, as excess weight increases insulin resistance.

  1. The Importance of Healthy Weight: Weight loss, especially around the abdomen, can significantly improve insulin sensitivity and blood sugar control.

  2. Strategies for Weight Loss: Focus on sustainable weight loss through balanced diets, regular exercise, and mindful eating. Consistency in healthy habits is essential for long-term success.

Stress Management

Chronic stress increases blood sugar levels due to the release of stress hormones like cortisol. Effective stress management supports overall health and diabetes management.

  1. Techniques for Reducing Stress: Engaging in hobbies, spending time in nature, and setting boundaries can help reduce stress levels.

  2. Mindfulness and Meditation: Practicing mindfulness, meditation, and deep breathing exercises reduce cortisol levels, promoting stable blood sugar levels.

  3. Yoga and Tai Chi: Gentle practices like yoga and tai chi combine physical movement with mindfulness, helping reduce stress and improve blood sugar control.

Seeking Professional Guidance

While lifestyle changes are powerful, professional guidance is essential for managing diabetes effectively.

  1. Consulting a Healthcare Provider: Regular check-ups and consultations with a healthcare provider ensure that any adjustments align with your overall health goals.

  2. Working with a Registered Dietitian: A dietitian can create a personalised eating plan that fits your needs, making it easier to achieve remission.

  3. Enrolling in a Diabetes Education Program: Diabetes education programs teach practical skills for managing blood sugar, and creating a support network for people working towards remission.

Key Takeaways

Diabetes remission represents hope and empowerment. Lifestyle changes in diet, exercise, weight, and stress management are essential for achieving remission. Professional guidance can enhance the effectiveness of these changes, providing personalised support. While it requires dedication and effort, the benefits of reclaiming health are invaluable. With consistent efforts, diabetes remission is within reach for many.
 

FAQ's

While diabetes remission is possible for many people with type 2 diabetes, individual results may vary. Factors such as the duration of the disease, overall health, and adherence to lifestyle changes can influence the likelihood of achieving remission.
 

To determine if you've achieved remission, you'll need to consult with your healthcare provider. They may conduct blood tests to measure blood sugar levels and assess overall health.
 

Before making any changes to your medication regimen it’s crucial to consult with your healthcare provider. They may recommend gradually reducing or discontinuing medication under close monitoring.
 

Achieving diabetes remission can lead to numerous long-term benefits, including reduced risk of diabetes-related complications, such as heart disease, stroke, and kidney disease. It also helps to improve quality of life and increase energy levels and overall well-being
 

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