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51 with Prediabetes: Can I Reverse It Despite Efforts?

Dr Chandrakant Lahariya | Answer |Ask -Follow

Diabetologist, Consultant Physician, Vaccine Expert - Answered on Oct 16, 2024

Dr Chandrakant Lahariya is a diabetologist, an infectious diseases and public health specialist and a vaccine expert.
The Delhi-based senior physician also has over 20 years of experience in hypertension, thyroid disorders and respiratory illnesses.
An expert on common health issues and the preventive aspects of medicine, he has co-authored the book, Till We Win: India's Fight Against The Covid-19 Pandemic.
Dr Chandrakant completed his MBBS from the Maulana Azad Medical College, New Delhi, and his MD from the Lady Hardinge Medical College, New Delhi.
He has a DNB (National Board of Examination, 2009) certification and a diploma in vaccinology from Institut Pasteur, Paris.... more

Asked by Anonymous - Jun 28, 2024Hindi

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I'm 51 years old and my hba1c level revolves between 6.7 and 7.5 from time to time (fbs 120-150) based on my diet. I'm trying to reverse my type 2 diabetes by joining a gym with strict modifications in diet plan, including limiting alcohol to 90 ml per week, no carbs after 2 pm .However fbs is not coming down below 120.How can i reverse my diabetes. Till 2018 i didn't have any diabetes

Ans: Based upon information provided by you, it is possible to reverse your diabetes status. However, in the beginning, the lifestyle modifications alone may not be enough.
There is a concept called 'Legacy effect' after UKPDS study, which indicate that if we control our sugar early, it is likely to have long term benefit and may reverse/ remission of diabetes.
The ideal candidate for remission/reversal are following:
1. Diabetes identified in last 5 years,
2. Blood sugar levels/ HbA1c less than 8% and on less than two anti-diabetic medications
3. Self motivated

Congratulations to you as you appear very motivated.
I would suggest stop alcohol completely and get started on one oral anti diabetic medicine.

It is possible that your blood sugar levels would come under control in next 6 months.

Dr Chandrakant Lahariya
Centre for Health: The Specialty Practice,
New Delhi

DISCLAIMER: The answer provided by rediffGURUS is for informational and general awareness purposes only. It is not a substitute for professional medical diagnosis or treatment.

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Hi Komal ji. I am 55 years of age and diabetic for the past 12 years. My HbA1C is 6.8. I am on medication with Glycomet 1gm BD and Linapride 5 mg OD. I maintain my body weight around 66 kgs at a height of 166cm. I maintain a healthy diet and walk everyday for about 35 min or so. Please advice how to reverse my diabetes.

Ans: Diabetes can be controlled by effective strategies of diet planning and exercise. Include complex carbohydrates like whole grains, oats, millets, etc. and fiber rich fruits and vegetables, good protein food sources like eggs, low fat dairy products, soya, etc. along with low fats and low salt, in your diet. This will reduce glycemic spikes and reduce Insulin resistance. A cardio and strengthening exercise will help increase muscle mass and mobilize fat which will help in reducing blood sugar levels.

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Hi Komal ji. I am 61 years and diabetic for the past 12 years. My HbA1C today is 6.4 and it was 5.1 in November 2022. Fasting and PP is 90 and 84 respectively. I am on medication with Janumet 50/500 twice a day morning and night and Cardace 2.5 mg in the morning for BP. My weight is 60 kgs and height is 167cm. My diet includes millets, vegetables, fruits, dry fruits, chese, butter, ghee and cold pressed oils. Fully stopped eating maida, white rice and sugar. Please advice (1) how to bring HbA1c within 4.6 to 5.5. (2) If HbA1c is brought within 4.6 to 5.5, can I stop taking diabetes medicines ?. Thanks & Regards.

Ans: You are already on maximum diet. Exercise of 30 to 45 minutes everyday for at least 5 days in a week would help to control the HBA1c well. Once your sugar levels are consistently in the normal range, you can probably reduce the tablet to once daily. Possibility of completely stopping the medicine is less. It is a very stiff target of keeping HbA1c of 4.6 to 5.5, which is difficult to achieve. Keeping it less than 6.4 is fair enough.

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Im 35years old and my hba1c shows 7.5, im not using any medication as of now. Please suggest if i have to use medicine to keep glucose levels under control or a strict diet with regular exercise will being back glucose levels to normal. Please advice thank you

Ans: HbA1C as 7.5 is, definitely in the diabetic range
If you have got this report first time then please review your lifestyle and follow life style modification strictly which includes dietary discipline and Regular exercise
Repeat your testsaftertwomonthsand see

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