Remission of Type 2 Diabetes: How, When and for Whom? - JAPI Reports - Video

Published On 2022-08-10T09:00:40+05:30 | Updated On 10 Aug 2022 2:06 PM IST

Overview

The global prevalence of diabetes in adults has been increasing over recent decades. The total number of people with diabetes is projected to increase from 537 million in 2021 to 784 million by 2045. India has more than 74 million people living with diabetes, the second highest number worldwide.

Journal of the Association of Physician of India (JAPI) reports the possibility of remission of type2 diabetes.

Among various dietary strategies, low-calorie diets (LCDs) and low-carbohydrate diets (LCBDs) have been demonstrated as being effective in facilitating remission of Type 2 diabetes in a targeted population within a clinical setting.

Remission with low-carbohydrate diets may be maintained in the absence of weight loss, however, long-term evidence is limited and remission may not be maintained without long-term carbohydrate restriction, which poses major challenges. In very low-calorie diets (VLCDs), weight loss of 15 kg or greater and maintenance of weight loss is the main driver and predictor of remission.

However, most individuals with Type 2 diabetes were unable to maintain remission beyond 2 years, despite being on very low-calorie diets. Moreover, "re-reversal" or "relapse" of diabetes can occur in a large percentage of individuals who discontinue the dietary restrictions. Hence, regular follow-up by a multi-disciplinary team to ensure the sustainability of the lifestyle modification is crucial to the maintenance of remission of Type 2 diabetes.

Reference: Salis S, Anjana RM, Unnikrishnan R, et al. Remission of Type 2 Diabetes: How, When, and for Whom? J Assoc Physicians India 2022;70(8):74–82.

Speakers

Dr. Nandita Mohan

Dr. Nandita Mohan is a practicing pediatric dentist with more than 5 years of clinical work experience. Along with this, she is equally interested in keeping herself up to date about the latest developments in the field of medicine and dentistry which is the driving force for her to be in association with Medical Dialogues. She also has her name attached with many publications; both national and international. She has pursued her BDS from Rajiv Gandhi University of Health Sciences, Bangalore and later went to enter her dream specialty (MDS) in the Department of Pedodontics and Preventive Dentistry from Pt. B.D. Sharma University of Health Sciences. Through all the years of experience, her core interest in learning something new has never stopped. She can be contacted at editorial@medicaldialogues.in. Contact no. 011-43720751

Dr. Kamal Kant Kohli

Dr Kamal Kant Kohli-MBBS, DTCD- a chest specialist with more than 30 years of practice and a flair for writing clinical articles, Dr Kamal Kant Kohli joined Medical Dialogues as a Chief Editor of Medical News. Besides writing articles, as an editor, he proofreads and verifies all the medical content published on Medical Dialogues including those coming from journals, studies,medical conferences,guidelines etc. Email: drkohli@medicaldialogues.in. Contact no. 011-43720751