Without medication, diabetic. Possible!

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Many people with type 2 diabetes need medication. We now have a body of evidence that if we manage to change our lifestyle in time (until insulin-producing beta cells are completely depleted), we have a very good chance of saying goodbye to drug therapy, be it insulin, a GLP1 analog, or an oral preparation. Dr. Borús Hajnal, a diabetologist at the Diabetes Center explains broadly what this lifestyle therapy consists of.

Treatment of type 2 diabetes

While type 1 diabetes needs to be treated with insulin in all cases, there are several therapies for type 2 diabetes, depending on the patient’s condition. The primary treatment method is developing the right lifestyle, if this is not enough – or if the patient is unable to switch to the prescribed lifestyle therapy – then we move on to medication (tablets and subcutaneous injections (GLP1 analogue, insulin)).

Many times, as a single therapy, a lifestyle change is sufficient. However, there are also many examples where medication that is still needed at the beginning can be omitted (or at least a dose reduction can be achieved) as a result of persistent lifestyle therapy.

Weight optimization

The majority of type 2 diabetics struggle with marked excess weight. Weight gain results in higher blood sugar levels, insulin resistance and vice versa. As the weight of excess adipose tissue decreases, patients’ values ​​improve and, in parallel, the doses of the drugs currently being used can be reduced, or the previously used insulin therapy may be omitted and an oral preparation may be sufficient.

To achieve weight loss pda attention should be paid to eating as well as regular exercise. It is important that both be personalized, in which a dietitian and there is a movement therapist to help patients.

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Determination of carbohydrate consumption

When it comes to nutrition, paying attention to the quantity and quality of carbohydrates is of paramount importance. We distinguish between slow and fast absorbing carbohydrates. The degree of insulin resistance in cells depends on the time of day, so it doesn’t matter when we eat what. Rapidly absorbed carbohydrates should be avoided, especially during breakfast and dinner, because the insulin sensitivity of the cells is the lowest, ie the insulin resistance is the strongest.

How much is the ideal amount of carbohydrates has been the subject of several studies, but there is no consensus yet, as it is influenced by many factors – e.g. the patient’s sex, age, physique, weight, other illnesses, quantity, quality of sports, blood sugar level, etc. What applies to all diabetics, however, is that avoid fast-absorbing refined baked goods and white sugar! However, we need to know that most sugar substitutes are also unhealthy – the use of stevia is still the most accepted.

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Proper fluid intake of the right amount and quality is very important. As a general rule, it is acceptable to drink at least 30 ml / kg of fluid per day. Much of this fluid is possible be it pure water or unflavoured tea (not black). Coffee is not considered a liquid in this sense. Let soft drinks be taboo! Unfortunately, juices also contain a lot of sugar, so they are not suitable for diabetics either.

In addition to carbohydrate intake, with the involvement of a dietitian and diabetologist individualized daily protein, fat and caloric intake should also be determined!

Get rid of excess weight and blood sugar

The positive effect of exercise on diabetes is a fact. Numerous studies have already proven its importance. Not only does it affect mood and excess weight, but it also reduces insulin resistance and glucose levels, plus its effect lasts for up to 72 hours after your workout! Experts point out that not only should the patient do cardio-type workouts, but also take time for weightlifting exercises! It is very important to adhere to gradation (especially if you have not played sports and are overweight). It is worth asking for help in compiling the training plan at the beginning – suggests dr. Overcast Hairnal, a diabetologist at the Diabetes Center.

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Stress management

Here, of course, we need to distinguish between good stress – which is the driving force of our lives, and bad stress that we cannot deal with, thereby destroying the physical and mental energies of the body. This so-called distress triggers countless negative processes in the body, so it is important to master proper stress management. In a stressful situation, on the one hand, people are more likely to reach for unhealthy foods, and on the other hand, blood glucose levels can rise regardless of the food they eat.

It should be mentioned here that it is important to follow the biorhythm given by nature. Numerous studies have already shown that working in shifts or at night is diabetogenic.

With complex treatment for maximum results: smart diabetes and lifestyle medicine

The treatment of diabetes and lifestyle medicine can be facilitated by the so-called “Smart diabetes” (e.g. telediabetology, tissue glucose monitoring, online blood glucose diary), during which the advances in technology can be called upon to help. Thus, patients can have a closer relationship with their diabetologist / dietitian / lifestyle doctor, as it is possible to upload their results, questions, and the development of their condition into a central system, which can also be accessed by the patient’s care professionals, thus providing useful instructions.

When you have reached the desired goal

If someone has achieved the desired goal, the doctor may order the patient to leave the medication – of course, regular monitoring is still needed! However, this does not mean that it is considered cured (diabetes is not curable according to the current state of science), but “only” that no additional treatment other than lifestyle therapy is warranted.

Source: Diabetes Center

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