Now Type 2 diabetes is an entirely different beast. For many people, Type 2 diabetes can be “curedâ through weight loss. I write the words “curedâ in quotation marks because even though you may no longer qualify as having diabetes, you do still carry the high risk of developing it again in future. Many people think of “cureâ as something going away never to return, and that is not always the case here.
But back to the major point here. I had several people tell me that their doctor/nurse/family member etc told them that they would have diabetes for life and there was nothing to do about it besides take medication. THAT IS NOT CORRECT!!! I am not saying that everyone who loses 5 pounds will not have diabetes anymore. Some people will lose 50 pounds and still have it, but they will need a whole lot less medication at the very least.
Look at yourself and look around those people you know who have diabetes. Chances are that most of you carry some extra weight, and most likely in the belly area, correct? Many people with Type 2 diabetes are overweight. No, it may not be 50 pounds overweight; it may be 10, 15 or 20. For me it was the 25 pounds I gained halfway through my pregnancy when I then tipped over into being diabetic. For people who are carrying too much weight, losing it is the best and truly only way towards anything resembling a cure for type 2 diabetes. Ever heard of those stomach stapling surgeries? Well, weight loss is one huge factor as to why diabetes goes away after the surgery. I have a number of patients actively losing weight. As they lose pounds I have to decrease their medication because they donât need as much. Some of them get to where their glucose numbers are not in diabetic range anymore after stopping their medication, and so they technically do not have diabetes anymore. I lost my pregnancy weight so I do not have diabetes anymore.
HOW you lose the weight will be up to you, but I will say that diet changes are the absolute cornerstone of any weight loss programme. Please incorporate exercise as well, because this helps tremendously in many ways, including improving your insulin sensitivity (another aspect of getting diabetes controlled or gone). But unless you are running miles nearly everyday, donât expect to be able to keep eating what you eat now (the 2 rotis at lunch washed down with sweet-sweet juice) and lose weight just because you take a nice stroll around the Botanic Gardens three times a week.
Until next week, stay safe and healthy, Vincies!
Anita Ramsetty, MD [email protected]
Medical Director Endocrine Care Group