Type 2 Diabetes through lifestyle change curable?

Life style changes allows for a waiver of medications for type 2 Diabetes

While it was assumed until recently, that type needs to be treated with 2 Diabetes, a life-long with medications or Insulin. But in the meantime, it is known that you can get the disease without medicines in the handle. The metabolic disease is even curable?

Take medication and Insulin syringes

Worldwide, approximately 425 million adults suffer from Diabetes mellitus. In Germany, approximately 7.6 million people are diabetic. 95 percent of them are suffering from type 2 Diabetes. Affected must usually take medicines or Insulin syringes, blood glucose, and your diet. However, there is evidence that type 2 Diabetes can also be without medication healed.

Until recently it was believed that type has to be treated 2-Diabetes life with drugs or Insulin. But now there is evidence that lifestyle interventions may allow a waiver of medicines. (Photo: Dmitry Lobanov/fotolia.com)

The number of diabetics will continue to rise

As the German Diabetes society (DDG) reported in a message, make extrapolations from the data of the statutory health insurance, an increase in Diabetes cases by more than 50 percent within the next 20 years expect.

Researchers predict the end of the German Diabetes center (DDZ) in Düsseldorf and the Robert-Koch-Institute (RKI) in Berlin, that in the year 2040 up to twelve million people in Germany could be affected by type 2 Diabetes.

Even now, twelve percent of healthcare in this country, the expenditure for the treatment of metabolic disease spent.

In view of this, increasing Numbers of experts to discuss international measures to Diabetes prevention, the opportunities for Remission or even cure.

Reduced Calorie Diet

“Until recently, type 2 was considered Diabetes as a chronic, progressive disease that must be treated due to an increasingly failing production of insulin, ultimately, life-long with medications and Insulin,” explains Professor Dr. Michael Roden, Congress President of the Diabetes Congress, 2019, the of 29. May to 1. June in Berlin will take place.

“During insulin therapy for type 1 Diabetes is life-long, necessary, but there is now increasing evidence that both lifestyle interventions, Bariatric surgery may allow the waiver of medications for type 2 Diabetes.”

Results of the in the journal “Cell Metabolism” published DiRECT study showed that using Formula food low-calorie meals and the associated significant weight could allow acceptance of a Remission of type 2 Diabetes.

Improvement by weight reduction

In the British study by researchers from the Newcastle University 298 obese patients. Half of the subjects managed to normalize their blood glucose values and to dispense medication.

The more weight lost, the greater the treatment success In patients with decreases of more than 15 kilograms, it came at about 85 percent of Diabetes-Remission.

“Study leader Professor Roy Taylor of the University of Newcastle-Upon-Tyne will be on the Diabetes Congress to be a structured weight reduction program,” said Professor Roden.

“We will also discuss why, after two years, only about a third of the participants were still in Remission, and how cost-efficient the program is.”

A Remission is not synonymous with a cure

Another increasingly common strategy employed is the Bariatric surgery, whose success in the case of type 2 Diabetes Professor Francesco Rubino from Kings College London will discuss.

According to the figures, the gastric Bypass and the Sleeve are currently gastrectomy very successful methods of operation, by means of which obese Affected a normalization of the blood glucose values can be achieved.

In both surgical techniques, the stomach is reduced, the gastric Bypass a portion of the small intestine is “switched off”.

However, a Remission is not synonymous with a cure.

“Remission is defined as a non-diabetic condition, without glucose lowering drugs – this may only be temporary,” explains Professor Roden, who is also the Director of the clinic for endocrinology and diabetology at University hospital Düsseldorf.

“It is crucial for the comparison of the different interventions, the long-term success and, above all, the prevention and reduction of Diabetes-related subsequent diseases and complications.” (ad)