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Is is possible to control diabetes with diet and exercise only?

for example if a patients Blood sugar fasting is 205mg/dl than can it be corrected by diet and exercise alone?
asked Apr 13, 2011 at 01:28PM in Diabetes
  • I totally agree with what Dr Sennholz openion.I have patients who have achieved 100% of the treatment goals( some times even exceeded my expectations and realistic goals) through diet, exercise and the first line meds.I dare to say that more than 50% of the outcome is in patient hands.One has to be very much disciplined about their lifestyle habbits. Set realistic goals, work hard for it,you can do it. Set daily calori goals,exercise daily,get well educated about diabetes.There is no magic diet on this planet that will cause lasting weight loss. It is good to know that 3600 cal=1 pound of fat.
    Thomas J Nedumthottathil MD commented Apr 28, 2011 at 07:48AM
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    answered Apr 13, 2011 at 05:06PM
    Excellent question. Since you are obviously talking about type 2 diabetes and not type 1 I will reserve my comments to this.

    It is possible that if longstanding, this metabolic problem could have caused damage to the pancreas, limiting the amount of insulin secreted. However, for the vast majority of newly diagnosed diabetics, a strict portion controlled, low glycemic, Mediterranean style eating pattern combined with daily (and frequent, within the day) activity, muscle strengthening and aerobic activities can turn around completely, or partially, the longstanding metabolic disturbance. It is important to follow the instructions of your physician but careful attention to these parameters, in a motivated patient, can frequently reverse not only the immediate sugar problems but some of the health effects that may already be exhibiting themselves in your body.

    I have done this very thing with many patients and the amazing amount of pride it gives them to have taken control of their own health is priceless!!!

    Please let us know how it goes.
  • 1
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    answered Apr 14, 2011 at 08:18PM
    This is a very good question and I think this question depends on adult type of diabetes. As you know there is no curative treatment for diabetes. Only we are able to control it means that the patient should not feel any trouble from diabets. My reply to this question is yes, means that the best method for control of diabets is exercise and dietary control. So I am motivating and encouraging all diabetic patients that they should follow and continue these methods. They should not go to find drug for control of diabetes. Surely they will be able to control there problem if they have regular exercise and approriate dietary regimes.
  • 1
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    answered Apr 15, 2011 at 01:35AM
    Yes. Excercise and diet control are the first line of measures that must be followed after Type 2 DM is detected. But the decision for additional medications (Oral hypoglycemics and/or insulin) must be considered after monitoring Fasting and Postprandial blood sugar & A1C test values for 2-3 months. Tests must be done at regular intervals to assess the diabetic situation and then decide for the betterment of the patient and prevent further complications which may develop under poor control. Plz Test regularly and show the reports to a qualfied doctor for advice.

    My mother is a diabetic since 19 yrs, was on insulin since 5 years but has still developed Renal failure and other complications due poor control.
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