Diabetes caused by obesity may be alleviated after losing weight, but whether it can be completely cured depends on individual conditions. Some patients have reversible glucose metabolism abnormalities through weight loss, while others still require long-term management.

Weight loss can help improve insulin sensitivity, especially after reducing visceral fat, the burden on the pancreas is reduced, and blood sugar control may be significantly improved. Some people with early diabetes can stop taking hypoglycemic drugs after losing weight and maintain normal blood sugar only through diet and exercise. Research shows that patients who lose more than a certain proportion of their original weight will significantly improve the probability of remission of diabetes. After losing weight, it is necessary to maintain healthy lifestyle habits to avoid weight rebound and further increase in blood sugar. Some patients with a long course of illness or severe impairment of pancreatic function, even if successful weight loss is achieved, may still have insufficient basal insulin secretion and require continuous monitoring of blood sugar. Although these patients can reduce their medication dosage after losing weight, it is difficult to completely stop using the medication. For diabetes patients with strong genetic factors, the effect of weight loss on blood sugar may be limited. Patients with other metabolic abnormalities need to simultaneously control multiple risk factors such as blood pressure and blood lipids.

It is recommended that diabetes patients develop scientific weight loss plans under the guidance of doctors, and adopt comprehensive intervention methods of diet control and aerobic exercise. Regularly monitor blood glucose and glycated hemoglobin levels, and adjust treatment plans based on changes in metabolic indicators. Even if the remission standard of diabetes is met, oral glucose tolerance test should be carried out every year to guard against the recurrence of abnormal blood glucose. Maintaining a regular schedule and balanced diet, avoiding high sugar and high-fat foods, can help maintain long-term blood sugar stability.

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