Type 2 diabetes occurs when the body’s cells fail to react appropriately to insulin. This results in an accumulation of glucose (or sugar) in the blood, as it doesn’t efficiently transform into energy within the cells. Having too much sugar in the blood is linked to various health issues, and if not managed properly, can escalate to type 2 diabetes.

While Type 2 diabetes is a progressively worsening condition, there are ways to turn it around. Here, we look at reversing diabetes for better heart health.

Understanding diabetes reversal

Diabetes reversal is defined as the act of bringing blood glucose levels down to levels that are no longer indicative of diabetes. The condition is classified as reversed, when a person attains an A1c level below 6.5%, without the need for diabetes medications, except metformin.

Metformin is not strictly for diabetes, so it’s not considered in the reversal criteria. Many patients choose to continue using it for reasons beyond regulating blood sugar levels.

How to reverse diabetes

There are several ways to reverse Type 2 diabetes including dietary changes and surgery. Here’s a brief rundown of the diabetes reversal methods you can try:

Very low-calorie diets

Following very low-calorie diets can trigger rapid weight loss and reverse diabetes. However, they are usually only sustainable for a few months. After this period, maintaining weight and continued control of the condition can become challenging. Typically, low calorie diets are medically supervised and involve consuming less than 800 calories per day.

Very low carbohydrate diets

Adopting a very low carbohydrate diet can quickly lead to lower blood sugar levels, reduced dependence on diabetes medications, and weight loss, all while curbing hunger. Many of these benefits can also be easily maintained in the long term. Generally, very low carbohydrate diets involve consuming less than 50g of total carbohydrates each day.

Bariatric surgery

Bariatric surgery, which is also known as metabolic surgery, has been demonstrated to reverse Type 2 diabetes in some cases. However, it’s an expensive option that can have significant side effects and may lose its effectiveness after several years. Given its invasive nature, surgery is not usually the first option considered for reversing diabetes.

Is reversing diabetes safe?

Blood pressure often tends to improve during diabetes reversal, so you may need to stop taking blood pressure medications. Other medications like SGLT-2 inhibitors, DPP-4 inhibitors, GLP-1 receptor agonists, and metformin may also be phased out if blood sugar levels remain within the normal range.

It’s crucial that any modifications in diet, lifestyle, or other factors contributing to the normalisation of blood sugar levels be closely supervised. This will ensure the safe and systematic withdrawal of medications.

Due to the increased risk of cardiovascular disease and other heart health issues, those with Type 2 diabetes should undergo regular screening. Schedule an appointment with Dr Konrad Grosser to arrange cardio health screening today.

According to a recent report, a low-carb diet can be more effective in reducing blood pressure than medications designed for weight loss. Those following a low-carb diet are twice as likely to experience reduced blood pressure compared to those taking a weight loss pill.

The recent research provides additional evidence to support the health benefits associated with low-carb diets. Among these benefits is the improvement of high blood pressure, which is often dubbed ‘the silent killer’.

Here, we explore the insights gained from this study and how a low-carb diet can positively impact blood pressure.

The latest study

The latest controlled, non-randomised study assessed the cardiovascular risk factors in participants with Type 2 diabetes. When a continuous care treatment plan that included nutritional ketosis was followed, it reduced the risk of cardiovascular disease after one year.

It also revealed that tight control over the blood pressure reduces the risk of death in patients with Type 2 diabetes. Specifically, it reduced the risk of a stroke, microvascular, and cardiovascular disease complications.

Managing blood pressure through diet

A low carb diet may help control high blood pressure by fixing issues with how our body handles sugar and salt. It encourages the body to eliminate more salt during urination, which can help in lowering the blood pressure.

If you have high blood pressure, it’s a good idea to eat foods that are good for your heart, even if you’re taking medication. Consuming foods that contain minerals like potassium and magnesium is also great for lowering blood pressure.

Now, let’s talk about carbohydrates. While they give us energy, some studies suggest cutting down on carbs can help in managing high blood pressure. A diet with fewer carbs usually includes a decent amount of proteins and lots of good, healthy fats. So, if you choose the right kind of carbohydrates in moderation, it won’t just benefit your blood pressure. It will also help to keep your weight in check and reduce the risk of heart disease and diabetes.

Treating hypertension

Treating hypertension, or high blood pressure, involves a combination of lifestyle modifications and, if necessary, medication.

It starts with a healthy diet. Follow a heart-healthy diet such as one packed with fruits, vegetables, whole grains, poultry, fish, and low-fat dairy foods. Limiting sodium (salt), sugars, and red meats can also be beneficial.

Engaging in physical activity like brisk walking, jogging, swimming, or cycling for 30 minutes every day, can also help lower your blood pressure. It also helps you maintain a healthy weight which can further help control or reduce blood pressure.

Regularly monitoring your blood pressure at home with a home blood pressure monitor can help you keep track of your blood pressure levels. If lifestyle changes aren’t enough, your doctor may prescribe medication to lower your blood pressure. Medications include diuretics, beta-blockers, ACE inhibitors, calcium channel blockers, and others.

Remember, it’s important to work closely with your healthcare provider. High blood pressure, or hypertension, can lead to serious health problems if left untreated. Before you make any lifestyle changes, book an appointment with cardio specialist Dr Konrad Grosser. After an initial assessment, he will present a tailored treatment plan to bring your blood pressure safely under control.