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DIABETES – Is it Curable? This is a million dollar question by many. But, Unfortunately, the concept of “cure” doesn’t seem to apply to diabetes. That’s because diabetes isn’t a single disease, but a collection of different disorders, some of which are autoimmune, most of which are genetic, and all of which involve either the destruction of the pancreas’ ability to make insulin, or the body’s ability to use insulin appropriately (or both). Examples of the different types of diabetes that would need different approaches to be cured: type 1 (autoimmune) diabetes, type 2 (insulin-resistant) diabetes, MODY diabetes (which is actually a name covering at least a dozen different monogenetic forms of diabetes), post-surgical diabetes (after pancreatectomy surgery), bronze diabetes (medically called hemochromatosis), chemically-induced diabetes (such as the diabetes induced by Agent Orange) and Cystic Fibrosis-Related Diabetes.
Therefore, any cure that eventually might be developed would probably only affect a percentage of the people who have one of the various forms of diabetes, and wouldn’t be likely to cure any of the other types of diabetes.
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It would be a mistake to assume that the diabetes has gone away, however. Basically, type 1 diabetes occurs when about 90 percent of the body’s insulin-producing cells have been destroyed. At the time that type 1 diabetes is diagnosed, most patients still are producing some insulin. If obvious symptoms of type 1 diabetes emerge when the patient has an illness, virus or cold, for example, once the illness subsides the body’s insulin needs may decrease. At this point, the number of insulin-producing cells remaining may be enough — for the moment — to meet the person’s insulin needs again.
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Scientists now think that it is important for people with newly diagnosed diabetes to continue taking some insulin by injection even during the honeymoon period. Why? Because they have some scientific evidence to suggest that doing so will help preserve the few remaining insulin-producing cells for a while longer.
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If the patient were to gain weight back or scale back on their physical activity program, high blood glucose would return. If they were to overeat at a meal, their blood glucose probably would continue to go higher than someone without diabetes. Also, the decreased insulin production and/or increased insulin resistance that led to the initial diabetes diagnosis will gradually intensify over the years and during periods of stress. In time, the patient who could maintain normal blood glucose with diet and exercise alone may discover that he or she needs to add oral diabetes medications — or perhaps even insulin injections — to keep blood glucose in a healthy range.
The good news for a type 1 and type 2 patient is that if insulin, medication, weight loss, physical activity and changes in eating result in normal blood glucose, that means their diabetes is well controlled and their risk of developing diabetes complications is much lower.
Can I Treat Diabetes Without Drugs?
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If you have type 2 diabetes, the answer to this question is much less clear. Many people can keep their blood glucose in a healthy range without medications (either oral diabetes medications or insulin injections) if they lose weight and keep their weight down, are regularly physically active, and follow a meal plan that helps them keep portion sizes under control and helps them spread the amount of carbohydrate they eat at each meal throughout the day.
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If your healthcare team tells you that you need to take oral diabetes medications or insulin injections to manage your blood glucose, it’s important that you follow their instructions. Keeping your blood glucose in a healthy range is key to preventing long-term complications, such as eye disease, kidney disease, heart attacks, and other problems that poorly controlled blood glucose can cause over a period of years.
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To your Best of Health….STOP DIABETES!!!
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