Smrithy Divakaran1 * and Sasidharan PK1,2
1 Department of General Medicine, PVS Hospital, Kerala, India 2 Department of Medicine & Hematology, Government Medical College, KozhikodeFulltext PDF
Abstract Background: Several advances have taken place in diagnosis and medical management of diabetes, but we have been ignoring the most ideal primary management of diabetes with diet and lifestyle modification. Diet and lifestyle modification can halt the progress or even reverse the course of diabetes at least in some persons. Objectives: The study was to assess the effect of weight reduction by diet and lifestyle modifications on blood sugar levels. Methods: It was a prospective observational single cohort study in overweight diabetics who could achieve weight reduction with diet and lifestyle over a period of one and half years. Subjects were motivated by repeated counseling; using diet charts developed by us, and educated about diet and lifestyle modification. Fifty consecutive patients who complied with the lifestyle modification and achieved at least 3 Kg of consistent weight loss on follow up were taken for analysis. Results: 44 subjects out of 50 were found to be overweight but 70% only agreed to have put on weight others were not even aware of being overweight. The mean body weight of the subjects at the time of inclusion was 69 Kg and after intervention came down to 63 Kg. The mean FBS before intervention was 174 mg/dL which came down to 119 mg/dL after intervention and this was statistically significant. Conclusion: Diet and lifestyle modification by patient education is the corner stone in diabetes management, and it is possible to control diabetes or even reverse it if the intervention is done early
Keywords: Diabetes reversal; Balanced diet; Diet and lifestyle; Weight reduction; Blood sugar control
Divakaran S, Sasidharan PK. Diet and Lifestyle to Prevent, Control or Reverse Type 2 Diabetes. Ann Clin Med Res. 2020; 1(3): 1013..