Can Losing Weight by 15kg diabetes Be Reversed

Losing 15kg may help some patients with diabetes to reverse their condition, but the specific effect varies from individual to individual.

The concept of diabetes reversion refers to the long-term maintenance of normal blood glucose without drug treatment after lifestyle intervention. For patients with type 2 diabetes, weight loss of 15kg usually helps to improve insulin resistance, and some patients can achieve disease reversal on the basis of regular exercise and diet control. Research has shown that among people who lose more than 10% of their initial weight, nearly half of them can recover their glycated hemoglobin levels to normal. After weight loss, pancreatic beta cell function may partially recover and liver fat deposition may decrease, which can help reduce fasting blood glucose and postprandial blood glucose fluctuations.

But not all patients can reverse diabetes through weight loss. People with a disease course of more than 5 years, severe pancreatic beta cell dysfunction, and specific genetic susceptibility may require continuous drug treatment even if weight loss is achieved. Type 1 diabetes and some advanced type 2 diabetes patients cannot reverse the disease process because of their absolute insufficient insulin secretion, and weight loss can only help control glucose. In addition, if there is a rebound in weight after losing weight, blood sugar is likely to rise again.

It is recommended that diabetes patients develop individualized weight loss programs under the guidance of doctors, adopt a combination of gradual low carbohydrate diet and resistance exercise, and it is appropriate to lose 0.5-1 kg weight per week. Regularly monitor indicators such as blood glucose, blood pressure, and blood lipids, and evaluate metabolic improvement through dynamic blood glucose monitoring when necessary. Even if the standard of complete reversal is not reached, scientific weight loss can significantly reduce the risk of complications of diabetes.