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India is known as the capital of diabetes because the country has the highest number of diabetic patients in the world. There are mainly two types of type 1 and type 2 diabetes. Although type 1 diabetes can be managed easily, managing type 2 diabetes can be very difficult. Until recently, type 2 diabetes was mainly managed by controlling risk factors such as high blood pressure, cholesterol, and blood sugar (glucose), usually by prescribing medication. But this approach does not address the underlying causes of type 2 diabetes, such as problems with the hormone insulin no longer effectively controlling blood sugar.
Type 2 diabetes How do you manage the condition?
While taking medication can help manage blood sugar levels, it will not help identify the biological causes of type 2 diabetes. A growing body of research shows that losing weight, whether through surgery or diet , may help fight some of the underlying causes of type 2 diabetes. It does this by helping the body to control blood sugar.
This is important because controlling blood sugar levels by improving the manufacture and function of insulin is essential for bringing type 2 diabetes into remission. So far, most of this research has focused on the use of meal replacements to help people with type 2 diabetes, which is why this approach can be prescribed by a doctor. But, more recently, researchers have started to study other diets such as low-carb diets to achieve remission.
Although research in this area is still emerging, the results of studies so far have shown that a low-carb diet holds promise. To better understand which diets best help people achieve remission from type 2 diabetes, our recent review looked at over 90 articles describing the effects of various diets on type 2 diabetes. We found that although research While higher quality tended to focus on meal replacements used in clinical trials, other approaches (such as low-carb diets) have also been shown to be effective.
Our review found that meal replacement diets helped about one in three people achieve remission, while low-carb diets could help about one in five people achieve remission. People who lost weight using both of these diets were able to stay in remission for up to two years if they maintained their weight loss.
Low-calorie and Mediterranean diets have also been able to help people achieve remission, but at much lower rates. Only about 5% of people on a low-calorie diet remained in remission after one year, while only 15% of people on a Mediterranean diet remained in remission after one year.
Define remission
One of the big challenges we faced in writing our review was to define what “forgiveness” is. It was important to know how to define it so that we could understand which diets work best in helping people achieve remission.
The reason this was difficult is that the definition varies between different expert groups and research studies. Most define remission as a reduction in blood sugar levels below the range to diagnose diabetes, but some definitions say it must be done without the use of drugs, while others do not. . Other definitions say that the weight (especially the fat around the midsection) must be lost to achieve remission.
Another challenge we faced when defining remission was that some reports suggest that low-carb diets can normalize blood sugar levels even without weight loss. This happens because when we eat carbohydrates, they are broken down into sugars which raise our blood sugar levels. A low-carbohydrate diet means less blood sugar appears in the bloodstream, which improves blood sugar control.
For this reason, we initially defined remission using the definition used by each study. Next, we compared the number of people whose blood sugar had normalized without drugs for at least six months, which most considered to be true remission.
Attenuation V Remission
While low-carb diets help people achieve remission, there are concerns that blood sugar levels may rise again as soon as more carbs are consumed. This is why we suggest in our review that rather than calling this remission, perhaps it should be called “diabetes alleviation” because type 2 diabetes is still present but the negative effects are well managed.
We believe that remission can only be achieved if fat is lost around the organs. This allows insulin to be made and used efficiently again. But because carbohydrates are also a major source of energy in our diet, eating less of them often results in fewer calories being consumed, which usually leads to weight loss. So, if a person is able to maintain a low-carb diet for the long term, they will not only lower their blood sugar and the risk of complications from their diabetes, but can also achieve remission.
Either way, the evidence we looked at in our review made it clear that there are many ways for a person to dramatically improve their blood sugar levels through diet and that this can lead to a remission in many cases. The key element that we found with each type of diet is that at least 10 to 15 kg of body weight had to be lost to achieve remission.
However, although weight loss appears to be the best predictor of success, it does involve pancreatic and liver fat loss. It will be important for future studies to compare how these diets work for different ethnic groups, as type 2 diabetes can occur at lower body weights in different ethnic groups, who may have less weight to lose. Not everyone may be able to achieve remission, but people who are younger (under 50), males, with type 2 diabetes for less than six years, and who lose more than weights are more likely to be successful. This could be because these people are able to reverse the causes of their diabetes, by further regaining the pancreas’ ability to make insulin and the liver’s ability to use it. But that doesn’t mean that others won’t be successful if they improve their diet and lifestyle and lose weight.
Whether or not a person goes into remission, lowering blood sugar levels is important for managing the negative effects of type 2 diabetes and reducing the risk of complications. But when it comes to choosing a diet, the most important thing is choosing the one that is right for you and that you are likely to stick with in the long run.
(With contributions from the Agencies)
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