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In reply to the discussion: What Drives Obesity - Diets High in Fat? Carbohydrates? Actually, It's Everything - and Fructose Is at the Center [View all]TexLaProgressive
(12,180 posts)I respectfully disagree. It is possible for a person with T2DM to get good blood glucose management with diet and exercise - that is not a cure. If it was a cure then they could go back to old ways without issue. The majority of people do not have the same problem as those with T2DM.
I was obese at diagnosis. I was put on an oral med, Micronase, and began reducing carbohydrates and exercising. In 6 months the Micronase was stopped and I was in great control for 10 years. Then came progression.
I was started on Metformin, added Lantus and 30 months ago I began multidaily insulin injections (currently on a pump). In the 33 years I have been OCD about diet and exercise and have been thin.
Not everyone with T2DM will have it progress as far as me. Some, especially those diagnosed prediabetes can possibly continue with only diet and exercise. It is the chronic over secretion of insulin caused by cellular insulin resistance that eventually wears the Beta cells down. That is the cause of the progression.
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