Can you make type 2 diabetes go away?

You are here to read this post makes me believe that you recently got diagnosed with type 2 diabetes mellitus and are really worried and clueless about what should be your next step or you might even be worried how will you manage diabetes for rest of your life.

Being a newly diagnosed your mind will be clouded due to various questions concerning the diabetes such as “Can a person with type 2 diabetes be cured? or  Can Type 2 diabetes ever go away?”. The answer to all these questions is unfortunately:

No

but wait! YES!

You might be thinking: YES WHAT!?

To know YES WHAT, read further…

Type 2 diabetes mellitus is a metabolic disorder in which the beta cells of pancreas are exhausted due to their efforts in overcoming the insulin resistance. Insulin resistance is the reduced or absent sensitivity of target tissues (such as liver, adipose tissue and skeletal muscle tissue) towards the insulin hormone. This leads to ineffective absorption of glucose from blood into the cells causing raised blood glucose levels, in response to which the beta cells produce more than normal amount of insulin hormone. However more the amount of insulin is produced, it cannot bring down the blood glucose level as no tissue can respond to it due to insulin resistance. Thus, the beta cells get exhausted and give in and the type 2 diabetes mellitus sets in with reduced or no (very minimal) production of insulin from beta cells.

While considering the management of type 2 diabetes mellitus, we should keep in mind few important aspects regarding its pathogenesis:

First, there is no treatment modality available yet to regenerate the insulin producing capacity of pancreas by any means including medical or transplantation methods. Therefore, this is brings us to the first conclusion that the type 2 diabetes mellitus can never be made to go away or in other words can not be cured or healed or get rid off.

Second, the insulin resistance which plays a major role in pathogenesis of type 2 diabetes mellitus is caused by various factors including some of the modifiable once such as obesity and physical inactivity. Thus, type 2 diabetes can be reversed by controlling the insulin resistance with the lifestyle, behavioral and medical management.

Third, the blood sugar levels can directly be touched (apart from insulin production or insulin resistance) by moderating the dietary intake of sugars and increasing the physical activity.

Therefore, NO, diabetes cannot be made to go away, but wait, YES, it can definitely be controlled and reversed.

 

 

Hey there, I'm a final year undergrad medical student at Sir Seewoosagur Ramgoolam Medical College (SSRMC), Mauritius.

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