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Understanding Pre-diabetes and the Possibility of Diabetes Remission

Dr. Annie Alexander, Consultant in Internal Medicine, SUT Hospital, Pattom

Diabetes is a chronic disease that occurs either when the pancreas does not produce enough insulin or when the body cannot effectively use the insulin it produces. Insulin is a hormone that regulates blood glucose. This condition can be of two types Type 1 and Type 2 diabetes. The main difference between the two types of diabetes is that type 1 diabetes is a genetic disorder that often shows up early in life, and type 2 is largely diet-related and develops over time. If you have Type 1 diabetes, your immune system is attacking and destroying the insulin-producing cells in your pancreas.

Pre-diabetes is a critical warning sign that indicates elevated blood sugar levels, putting individuals at a higher risk of developing Type 2 diabetes. However, with proactive measures, including lifestyle changes, it is possible to prevent or delay the onset of diabetes. Additionally, for those already diagnosed with diabetes, achieving remission is an attainable goal with the right approach.

Pre-diabetes is a condition characterized by blood sugar levels that are higher than normal but not yet high enough to be classified as Type 2 diabetes. Individuals with pre-diabetes often exhibit insulin resistance, where the body’s cells don’t respond effectively to insulin, leading to elevated blood glucose levels. Without intervention, pre-diabetes can progress to type 2 diabetes, increasing the risk of complications such as heart disease, stroke, and nerve damage.

Risk Factors for Pre-diabetes
  • Obesity
  • Sedentary lifestyle
  • Unhealthy dietary habits, particularly high intake of processed foods and sugary beverages.
  • Family history of diabetes.
  • Age (risk increases after 45years of age)
Prevention and Management
  • Healthy Eating
  • Regular Exercise
  • Weight Management
  • Monitoring Blood Sugar
  • Periodic check up
Diabetes Remission

Diabetes remission refers to achieving and maintaining normal blood sugar levels without the need for diabetes medication. While not everyone with diabetes can achieve remission, research has shown that it is possible through intensive lifestyle interventions including weight loss, dietary changes, physical activity, monitoring and support from healthcare professionals.

Pre-diabetes serves as a critical opportunity for intervention to prevent the progression to Type 2 diabetes. By implementing healthy lifestyle habits, individuals can mitigate their risk and potentially achieve remission if already diagnosed with diabetes. Through a combination of nutritious eating, regular physical activity, and weight management, it’s possible to take control of these conditions and lead a healthier, more fulfilling life. Remember, small changes can lead to significant improvements in health outcomes, so start taking steps towards better management of pre-diabetes or diabetes today.