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Question about reversing my diabetes type 2

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This thread is now closed. Please contact Anna DUK, Ieva DUK or everydayupsanddowns if you would like it re-opened.

cll9090

New Member
Relationship to Diabetes
Type 2
Hi all,

I have just registered on this forum and hopefully someone will be able to help me. To make a long story short, I have lost over 18 kilos the last four months and my fasting blood sugar levels are now normal and my HBA1C is 31. However, when I eat some carbs my blood sugar goes up. I have had a low carb diet during this time. I only have about 5 kilos left to my normal weight and I have not done that much mussle training as some have sugested. Is that really required in order to get good levels? Hope you can understand my English. Or, is walking enough? Many thanks for any help!
 
Hi @cll9090

Welcome to the forum.

Well done on your weight loss achievement so far and the resulting HbA1c - that’s impressive.

Any exercise is great, walking is certainly enough, anything that raises your heart rate will be beneficial even if only slightly, so if you walk at as brisk a pace as is comfortable you are likely to see the difference it makes.
 
Hi @cll9090

Welcome to the forum.

Well done on your weight loss achievement so far and the resulting HbA1c - that’s impressive.

Any exercise is great, walking is certainly enough, anything that raises your heart rate will be beneficial even if only slightly, so if you walk at as brisk a pace as is comfortable you are likely to see the difference it makes.
Hi Lucy and thank you so much for your reply.
So to make things clear, if I do lets say 2 hours walk a day this could be enough? The person I was chatting who had reversed his diabetes told me that mussle training was the way to go and walking was just condition and will not help me that much.
My fasting blood sugar is between 5,0 and 5,3 but as soon as I had something that I should not eat it went up to 7-8 and it was there two hours later. But maybe this wil.l take time before I get normal values with that as well.
 
I don’t think you need specifically to do muscle training in order to reverse your diabetes, and an HbA1c of 31 would suggest you’ve managed pretty well without it. I certainly haven’t heard that it’s necessary.

it depends on the type of walking too I’d have thought, if you did a lot of hill walks this would be more impactful on your muscles than a flat stroll, but you can carry resistance weights In your hands/ankles too if you wanted to really stretch yourself.

I am going to tag @Anitram here as he has successfully put his diabetes into remission so should have an idea of how essential the muscle training is/isn’t 🙂
 
When I was walking I was fit as a flea. I wish I could get back to that. 🙂 Well done on the weight loss.
 
Hi. I've not read anywhere that muscle training is part of putting T2 diabetes into remission, and I certainly haven't done any. What takes centre stage is losing weight. 15kg is often stated as a weight loss target, which is about what I lost. That, coupled with a healthy, low carb diet and exercise is what got me to where I currently am. I don't need to lose any more weight but I'm maintaining my diet and exercise regime to make sure I don't relapse. Remission isn't a cure. My diabetes is still there but I'm on top of it.

Exercise is leaving the car on the drive and just walking more. I try and get up to 10,000 steps every day. I used to swim as well but lock down put paid to that, although our pool has now reopened. Remember that strenuous exercise tends to raise BG as your muscles need more glucose, whereas gentle exercise tends to lower it. I often take a walk after dinner for that reason.

Remission isn't a given and not everyone will manage it, despite their best efforts. I know I'm one of the lucky ones.

Your fasting level is in the normal range (between 4 and 5.5). Less than 7.8 two hours after a meal is also normal. These are not NICE guidelines but you will find them on diabetes websites. For T2s the equivalents are between 4 and 7, and below 8.5 two hours after a meal.

Remission is most usually stated as two Hba1c results below pre-diabetic level six months apart, without taking any diabetes medication and is most likely the closer to diagnosis you are. It took me 11 months to get there. You seem to be on the right track.

Martin
Hello Martin,

Thanks so much for your reply. OK, so weight training is not required? The person told me that it will burn glucose but I would prefer h walking.
I have heared mixed opinions about this, but just want to ask. So if you want, can you consume some carbs today if you want?
 
Any exercise will, gardening is notorious. Fortunately this seems to extend to gardening centres for me, and I often require a fortifying coffee and a small biscuit at one 😉
 
The thinking is that muscle-building and strength training will improve what's called "peripheral insulin sensitivity". Remember that the effect of insulin is to get glucose out of the blood and into cells, where it can be used for energy. This works best with muscle cells.

People with T2D generally have a genetic or whatever predisposition to insulin resistance/insensitivity. One effect of this is that glucose doesn't work so well to get glucose out of the blood and into cells, particularly after eating. Building muscle can improve the situation, because insulin works best with muscles.

But the biggest issue for T2D's is often not this peripheral insulin resistance. Another and often more important effect of insulin resistance is to screw up the process by which your liver (mainly) manufactures glucose when you're not eating, mainly overnight.

The mechanism relies on insulin in the blood to tell it when to start and stop this process. If the liver detects insulin it assumes the pancreas has been producing the insulin to deal with glucose in the blood and so no more glucose is needed, so it turns the production off; and then turns it back on when it doesn't detect insulin, taking this as a sign that more glucose is needed to keep the brain etc alive.

When there is insulin resistance that detection mechanism can fail and the liver keeps churning out glucose over night even when it's not needed. The result is high waking BG levels. These don't have a lot to do with what carbs you've eaten; the liver can manufacture glucose from a bunch of different non-carb elements.

When you get fat build up in the liver it increases insulin resistance, so the detection gets worse and this over night over-production of glucose increases, making waking BG levels worse. At the same time, the fat can spill over into the pancreas, which over time suppresses its ability to make insulin. So you get a vicious cycle where the body produces more and more glucose with less and less insulin being produced to deal with it, leading to full-blown T2D.

If you lose enough weight you can clear the fat from your liver, improving its insulin sensitivity and reducing the amount of unnecessary glucose it produces, bringing waking BG levels down. Lose more, and fat can clear from the pancreas, increasing insulin production and so further imptoving the blood glucose situation and breaking the vicious cycle.

When you've gotten to "remission" via weight loss you'll see "normal" waking BG levels but still might have slightly elevated BG levels after eating, because you still have a genetic or whatever predisposition to peripheral insulin resistance. It's probably not a big deal, usually, so long as fat doesn't building up in the liver and pancreas again. But muscle building can reduce the peripheral insulin resistance, a bit.

From your numbers, you might be in that situation now. Non-diabetics can certainly see BG levels higher than 7.8 after eating, so there's nothing particularly "non-normal" about the numbers you report. But you might be spending a bit more time at those higher levels than the average non-diabetic and muscle building/strength training would probably reduce that a bit.

Bottom line: strength training is good for general health and will probably improve your insulin resistance and BG levels after eating a bit. But it's probably going too far to says it's "essential" for remission.
 
The thinking is that muscle-building and strength training will improve what's called "peripheral insulin sensitivity". Remember that the effect of insulin is to get glucose out of the blood and into cells, where it can be used for energy. This works best with muscle cells.

People with T2D generally have a genetic or whatever predisposition to insulin resistance/insensitivity. One effect of this is that glucose doesn't work so well to get glucose out of the blood and into cells, particularly after eating. Building muscle can improve the situation, because insulin works best with muscles.

But the biggest issue for T2D's is often not this peripheral insulin resistance. Another and often more important effect of insulin resistance is to screw up the process by which your liver (mainly) manufactures glucose when you're not eating, mainly overnight.

The mechanism relies on insulin in the blood to tell it when to start and stop this process. If the liver detects insulin it assumes the pancreas has been producing the insulin to deal with glucose in the blood and so no more glucose is needed, so it turns the production off; and then turns it back on when it doesn't detect insulin, taking this as a sign that more glucose is needed to keep the brain etc alive.

When there is insulin resistance that detection mechanism can fail and the liver keeps churning out glucose over night even when it's not needed. The result is high waking BG levels. These don't have a lot to do with what carbs you've eaten; the liver can manufacture glucose from a bunch of different non-carb elements.

When you get fat build up in the liver it increases insulin resistance, so the detection gets worse and this over night over-production of glucose increases, making waking BG levels worse. At the same time, the fat can spill over into the pancreas, which over time suppresses its ability to make insulin. So you get a vicious cycle where the body produces more and more glucose with less and less insulin being produced to deal with it, leading to full-blown T2D.

If you lose enough weight you can clear the fat from your liver, improving its insulin sensitivity and reducing the amount of unnecessary glucose it produces, bringing waking BG levels down. Lose more, and fat can clear from the pancreas, increasing insulin production and so further imptoving the blood glucose situation and breaking the vicious cycle.

When you've gotten to "remission" via weight loss you'll see "normal" waking BG levels but still might have slightly elevated BG levels after eating, because you still have a genetic or whatever predisposition to peripheral insulin resistance. It's probably not a big deal, usually, so long as fat doesn't building up in the liver and pancreas again. But muscle building can reduce the peripheral insulin resistance, a bit.

From your numbers, you might be in that situation now. Non-diabetics can certainly see BG levels higher than 7.8 after eating, so there's nothing particularly "non-normal" about the numbers you report. But you might be spending a bit more time at those higher levels than the average non-diabetic and muscle building/strength training would probably reduce that a bit.

Bottom line: strength training is good for general health and will probably improve your insulin resistance and BG levels after eating a bit. But it's probably going too far to says it's "essential" for remission.
Thanks so much for your reply. I have also heard that h I I t training could be an alternative to weight training. Is this known? I try to at least take 5 minutes every day where my heart rate goes up to around 170 per minute. What do you think about this, is that a good thing?
 
I think Eddy has answered your question regarding weight training. Even if there was some benefit, at my age (72) it's not something I would want to take up. I'll stick with keeping my protein intake up.

I'm wondering why you think you can't eat any carbs. What have you been told about diet?

Martin
To cut down on carbs, and that's what I have done. I have also managed to loose some more weight now so I am down to 87 kilos and my ideal weight should be 84. Today I did a little mistake of consuming a bar of chocolate and my blood sugar was about 7.1 after two hours, but this does not happen every day or week.
 
I wholly agree with the comments that heavy exercise is unnecessary. I’m on the same path as Martin and anticipate being recognised as in remission as some point soon. I walk at least 10,000 steps a day and have now done this for 60 consecutive days with a daily high of 15,000 steps. I listen to music and podcasts whilst walking.
 
Congratulations on your weight loss @cll9090 - good to hear you are so close to your target weight now.

I think lots of different sorts and types of exercise are helpful - for both physical and mental wellbeing - but it’s important to listen to your body, and find things which are sustainable, enjoyable, and which don’t result in strains and injury.

I don’t think there is one specific ‘must do’ type that is essential for everyone. Sometimes gyms have introductory sessions where a qualified trainer will help you work out a routine and spread of activities that suit your requirements.
 
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