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Can You Reverse Type 2 Diabetes?

Learn the lifestyle changes that may help you reverse type 2 diabetes.
By
WebMD Feature
Reviewed by John A. Seibel, MD

Type 2 diabetes can't be cured, but it can be reversed by eating right and exercising regularly. Do what Karen Parrish, 53, did: Take control of your disease rather than letting your disease control you.

Parrish received her diagnosis of type 2 diabetes with little surprise. Both sides of her family have a history of the disease, and she knew the consequences of ignoring it.

Still, Parrish, didn't fully commit to the lifestyle changes necessary to get her diabetes under control.

"Knowing what you have to do is not the problem," says Parrish, an antiques seller in Sharpsville, Pa. "The problem is doing it."

Fear Factor

In early April 2010, Parrish learned that her blood sugar levels were off the charts. The disease had begun to damage her eyes, threatening her with blindness, not to mention the heart problems, kidney failure, stroke, and other serious health concerns that come with diabetes.

"The blood work was so bad it scared me," she says. "Now, I'm trying really hard."

The payoff has been a big one. Significant changes to her diet, trips to the pool, and regular walks have helped put her diabetes in retreat. For people like Parrish with type 2 diabetes -- the vast majority of the over 20 million people with diabetes in the U.S. - there's no better prescription than eating right and exercising.

"If you take obesity out of the picture, your diabetes will improve dramatically," says Osama Hamdy, MD, PhD, the medical director of the Obesity Clinical Program at the Joslin Diabetes Center in Boston.

Watch What You Eat

Parrish began her new routine by eliminating many of her favorite foods from her diet: pizza, mashed potatoes, potato chips.

"I am really watching what I put it in my mouth," she says. "Before, all I ate were carbs."

Lowering carbohydrate intake is crucial, says Betul Hatipoglu, MD, an endocrinologist at the Cleveland Clinic, because too many carbohydrates will cause your blood sugar levels to spike. But dealing with diabetes requires paying attention to your whole diet.

Here are some quick tips from Hamdy and Hatipoglu:

  • Pass on the peas, corn, carrots, and other starchy vegetables. Focus instead on leafy greens.
  • Get most of your protein from poultry rather than red meat.
  • Eat oily fish twice a week - it's full of healthy fat.
  • Pick breads that have a lot of fiber.
  • Learn to read nutrition labels.
  • Make an appointment with a dietitian or nutritionist. The appointment is often covered by insurance.

Eating the right foods is essential, but so is eating the right amount. Hamdy says that people with diabetes who are overweight -- and most are -- should expect to cut 700 to 1,000 calories from their daily diet. He recommends healthy meal replacements because portion control is built in.

"That's a jump-start to weight loss," Hamdy says. "It's very good for beginners."

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If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

If the level is below 70 and you are experiencing symptoms such as shaking, sweating or difficulty thinking, you will need to raise the number immediately. A quick solution is to eat a few pieces of hard candy or 1 tablespoon of sugar or honey. Recheck your numbers again in 15 minutes to see if the number has gone up. If not, repeat the steps above or call your doctor.

People who experience hypoglycemia several times in a week should call their health care provider. It's important to monitor your levels each day so you can make sure your numbers are within the range. If you are pregnant always consult with your health care provider.

Your blood sugar level is slightly high. You should call your health care provider and ask if laboratory tests to check for diabetes are needed. If you are pregnant always consult with your health care provider.

Congratulations on taking steps to manage your health.

However, it's important to continue to track your numbers so that you can make lifestyle changes if needed. If you are pregnant always consult with your physician.

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Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

Your blood sugar level may be high, depending on when you last ate. If you have not eaten for at least 8 hours, your blood sugar should be less than 100. If you've eaten within the last 2 hours, your blood sugar should be less than 140. You should call your health care provider and ask if you need laboratory tests to check for diabetes. If you are pregnant always consult with your health care provider.

Blood sugars consistently above 180 warrant prompt medical attention.

Even if your number is high, it's not too late for you to take control of your health and lower your blood sugar.

One of the first steps is to monitor your levels each day. If you are pregnant always consult with your physician.

Your blood sugar level is high. You should call your health care provider and ask if laboratory tests to check for diabetes are needed. If you are pregnant always consult with your health care provider.

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