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pencilvanian5 karma

Was the response to the insulin the same though? Is were they as sensitive to this insulin as someone who was never diagnosed with Type 2 diabetes?

pencilvanian1 karma

Well, for one thing: diet and exercise is a very effective treatment for type 2 diabetes at any level. I think to some extent that has always been known, it's just that a typical type 2 diabetic person with type 2 diabetes tends to be someone who is less likely to take care of their body (that is a generalization, I know).

"How much" is going to be dependent on your body, the same way the propensity to develop type 2 diabetes is strongly correlated with obesity even though there are obese people without T2DM. Obviously the snarky answer is to increase your exercise level and lose weight up to the point that you find your diabetes not requiring treatment. Of course, this isn't a "cure" as much as it's a treatment, so returning to previous unhealthy habits will negate much of the benefit.

Most importantly, these are discussions that any specific person would need to have with their endocrinologist or their nutrition consultant.

edit: I think another point to be made is that while lifestyle-change alone can lead to the weight loss required to reverse T2DM, it's not a requirement. Bariatric surgeries can also lead to the appropriate weight loss, but the key (as always) is maintaining those health benefits.

Thanks for responding my friend.

pencilvanian1 karma

It's anecdotal, obviously, but I have a cousin who is now diabetes-free after a drastic lifestyle change. At least 100 pounds weight loss, and now doesn't require anti-diabetes treatment at all.

So, it's at least possible under the right circumstances.

Is there an indication of how much needs to be done to achieve this? Like what weight, exercise level? Obviously the ideal is not readily attainable for some of us. Thanks.

pencilvanian1 karma

You state treatment options involve bariatric surgery. Has your results been seen in individuals using solely lifestyle modifications?