Dr. Sivasankar Nunna

Diabetes Type 2 TreatmentDiabetes Type 1 TreatmentDiabetes Reversal ProgramObesity , Weight Loss TreatmentFatty Liver TreatmentPCOD PCOS Infertility with Obesity Cholesterol ManagementHyperTriglyceridemia Dietitian Nutritionist Specialised Diet Plans for Diabetes and Obesity Hypertension TreatmentDiabetes Reversal is a Reality .Despite advancements in both pharmaceutical and technological treatment options, diabetes is still a big concern.Type 2 diabetes has long been considered a chronic , incurable or irreversible disorder.So far, the major focus has been on control of blood sugars and delaying the progression to a stage of complications.Recently, a shift in trying to reverse diabetes completely has occurred. It is possible and successful in many Diabetic patients .There is no cure for diabetes as such,but the disorder can go into a remission phase.Remission is when blood glucose levels return to within the normal range even without the use of medications.However, this does not mean that diabetes has got cured completely.The body may not show any signs of diabetes but technically it is still present as some biochemical defects still remain. When a person is in an early stage of diabetes or pre-diabetic stage, reversal is potentially achievable and relatively easy.There is a subtle difference between ‘reversal’ and ‘remission’.Remission implies normal HbA1c without the need for any anti-diabetic medications .‘Reversal’ could also mean a reduction in the number / dosage of anti-diabetic medications. For example, a reversal from an insulin-requiring stage to a non-insulin-requiring stage of the disorder.Reversal of diabetes usually occurs due to an improvement in insulin sensitivity. The American Diabetes Association ( ADA ) defines the following three mutually exclusive states of remission:Partial remission, which is sub diabetic hyperglycemia of at least 1 yearHbA1C level 5.7–6.4% and fasting glucose level 100–125 mg/dL.Complete remission, which is normoglycemia of at least 1 year HbA1C level in the normal range < 5.7% and fasting glucose < 100 mg/dL .Prolonged remission (or “cure”), complete remission of at least 5 years.