Diet and weight loss to achieve type 2 diabetes remission should be goal for GPs

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Achieving “relief” in patients with type 2 diabetes through diet and weight loss should be an important therapeutic goal for general practitioners and healthcare professionals. The review is closed.

Type 2 diabetes mellitus (T2DM) is a serious condition that occurs when the body resists the insulin made by the pancreas and does not make enough insulin. It leads to high blood sugar (glucose) levels and has been linked to several health problems, including an increased risk of heart disease, blindness, and amputation. T2DM affects around 3.9 million people in the UK and 179 million people worldwide. The care and treatment of T2DM costs the NHS approximately £ 10 billion annually.

The corresponding author, Dr. Duane Mellor of Aston University said: Relief It should be discussed as the primary therapeutic goal in people with type 2 diabetes. Although there are several dietary approaches that have been shown to result in T2DM remission, dietary alternatives today provide the highest level of evidence. Low carb diets have been shown to be very effective and should also be considered as diets for remission. “

The lead author, Dr. Adrian Brown of the UCL School of Medicine said, showing significant weight loss from either weight loss surgery or dieting, 10-15 kg can result in remission from type 2 diabetes (non-diabetic blood sugar levels). “

For the Research Journal of Human Nutrition & Dietetics, professional dietitians and obesity specialists conducted a critical review of more than 90 research papers that included international clinical studies and clinical practice data on diets for the treatment of type 2 diabetes.

While diet alternatives helped about 1 in 3 (36%) of people achieve remission in this study, a low-carb diet could help one in five (17.6%) achieve remission and maintain it for at least two years. Those who lost and lost the most weight on both diets were able to maintain remission.

Calorie restriction and a Mediterranean diet could also help people achieve remission, but at a much lower rate. Only about 5% of people on a reduced calorie diet stayed in remission after a year, while only 15% of people on a Mediterranean diet stayed in remission after a year.

In order to arrive at their results, the research team had to explain that there is no single definition of remission. This is usually defined as a return to non-diabetic blood sugar (glycated hemoglobin.) Levels

Additionally, some reports suggest that a low-carb diet can normalize blood sugar levels without losing weight. This happens when carbohydrates are broken down into sugar when you eat, and blood sugar levels rise. A low-carbohydrate diet means that less blood sugar appears in the bloodstream, which leads to better blood sugar control. However, when weight loss is not achieved, but individuals can achieve non-diabetic blood sugar levels, the authors suggest that the underlying mechanism of T2DM has not been addressed and should instead be referred to as palliative.

Dr. Brown said, “The main driving force for remission remains the degree of weight loss a person has achieved, suggesting that this is not remission for those who have not achieved weight loss but have not achieved diabetic blood sugar levels. It is not itself, but the “relief” of your diabetes. “

Research Weight Loss It appears to be the best predictor of successful remission and assumes fat loss from the pancreas and liver. You can compare how these diets work in different races, as T2DM in underweight can occur in different races who may lose less weight. It says it is important for future research.

Dr. Meller added, “Not everyone can achieve remission, but young (under 50) men with type 2 diabetes who lose weight are more likely to succeed.

“That may be because these people can deal with the causes of diabetes. This restores the pancreas’ ability to produce insulin and the liver’s ability to use insulin, but this is enhanced by others. That doesn’t mean they won’t succeed. They lose their diet, their lifestyle, and their weight.

“Reducing blood sugar levels is important to helping a person achieve remission in order to control the side effects of type 2 diabetes and reduce the risk of complications. But when choosing a diet, the most important thing is to choose the one that suits you. In other words, choose one that is likely to stick with you for the long term. “

The first conference that led to the writing of this paper was sponsored by the British Dietitians Association and the British Diabetes Society.

International standards for type 2 diabetes remission have been established

For more informations:
Adrian Brown et al., Diet Strategy to Relieve Type 2 Diabetes: Story Review, Journal of Human Nutrition and Dietetics (2021). DOI: 10.1111 / jhn.12938

Provided by
Aston University

Quote: Diet and Weight Loss for Achieving Type 2 Diabetes Relief Obtained from https://medicalxpress.com/news/2021-09-diet-weight-loss-diabetes-remission on September 2, 2021 must be the primary care physician’s goal (2021.), September 2) .html

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Diet and weight loss to achieve remission for type 2 diabetes should be the goal of primary care practitioners

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