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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

Health

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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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

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