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A 31-year-old male asked:

is diabetes reversible with lifestyle changes?

3 doctor answers10 doctors weighed in
Dr. Reid Blackwelder
Family Medicine 37 years experience
Yes and no: It depends mainly on what type of diabetes.Type 1 dm needs insulin.Type 2 can sometimes be treated way at first, and can improve/"reverse".An A1c level helps see how long and how bad the dm has been.The higher it is the more likely meds need to be a part of treatment.But, for anyone with it should pay close attention to what they eat and doing some exercise.It takes real commitment but can pay off.
Dr. Christopher Dowd
Internal Medicine 20 years experience
Worth trying: Most diabetes is type 2, and lifestyle changes can have a significant impact there. It helps with type 1 as well, but prob not enough by itself. Weight loss, proper diet, exercise, decreasing body fat % can delay & prevent some complications & need for meds. Importantly, it's possible to see it coming before you're actually diabetic, and intervening then is even better. Talk 2 a doc who knows how.
Dr. Mark Perloe
Fertility Medicine 45 years experience
Genes & Environment: While there is as many as 100 or more genes that determine your susceptibility to Insulin resistance and type ii diabetes, whether or not you develop this condition is primarily dependent on environmental factors. Low glycemic diet, high in fiber, omega 3 and polyunsaturated fats, whole grains and no trans fats and reducing added sugars or refined carbs can help stave off type ii diabetes.
Dr. Mark Perloe
Dr. Mark Perloe commented
Fertility Medicine 45 years experience
Provided original answer
Resistance training exercises can build muscle mass which can reduce insulin resistance. For those who have a BMI over 40, laparoscopic gastric bypass may permanently reverse this condition if the above steps are adopted.
Feb 1, 2012
Dr. Kevin Daus
Dr. Kevin Daus commented
Obstetrics and Gynecology 37 years experience
Great Answer
Feb 26, 2012

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A 36-year-old male asked:

Will I be on diabetes med forever? My recent A1c is 6.5. Any advise to help me get off med is appreciated.

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