上海4197龙凤

Don’t take medicine, don’t take the needle, can diabetes can reverse?

Type 2 diabetes is considered lifelong disease, it is necessary to take medicine, or even inject insulin to treat.

However, in recent years, many "diabetes reversal mechanisms" have occurred on the market, and the "reversible diabetes" is promoted by nutrient meals, exercise and drug treatment.

Recently, the American Diabetes Association (ADA) released "2021 consensus report: relieves and explains 2 diabetes".

"Consensus" is recommended to use "diabetes 上海闵行kb relief" to describe 2 diabetes patients’ metabolic to the normal level.

One time, reverse and relieve 2 diabetes into the focus of public attention.

It is then clinically, how to reverse the truth of diabetes and to relieve diabetes? The reporter special interview with authoritative experts give a detailed answer. The mission activity "reversal" "reversal" is almost impossible to say: "Reverse", that is, we usually cure. But in fact, there is a big controversy for "reverse" diabetes.

Chen Hong, deputy director of the Guangdong Provincial Medical Association Department, Director Chen Hong, Director of the Department of Endocrinology, Zhujiang Hospital, Guangdong Province, pointed out that the selection of terms may have an important impact on clinical practice and policy decisions.

Multiple terms have been proposed, such as ‘eliminating’ ‘reverse’ ‘mitigation’ and ‘cure’. US "2021 Consensus Report: Debuting the definition and explanation of type 2 diabetes" believes that diabetes mitigation is the most suitable term. It has achieved appropriate balance, indicating that diabetes may not always be active and carried out, but this also means that significant improvements may not be permanent.

In my country, "Minding Type 2 Diabetes Chinese Experts" clearly pointed out that "There is currently no evidence of type 2 diabetes," 2 diabetes’ mitigation ", even if the relief measures are still maintained, there are still some patients Blood glucose levels can be raised again to the need to use hypoglycemic drug control.

"Map / Visual China" In a sense, reversal is to make the pathophysiological mechanism of diabetes, let the insuli function recovery, similar to diabetes cure, although there is a patient after strict treatment, it can enter the injection Take medicine is still normal, but this case is not much now. The natural long-term relief rate of type 2 diabetes is about only one thousandth.

A doctor who has long been engaged in diabetes. If a lifetime can serve 100,000 types of diabetic patients, it is estimated that the 10 patients can have long-term mitigation, most patients still need to perform long-term treatment.

Chen Hong said.

At present, the "consensus" of the United States also recommends that "diabetes relief" is used to describe the continuous improvement of diabetes patients to close to normal level.

Two types of patients can achieve clinical relief. Since the clinical reversal of large-scale diabetes patients is unlikely, it is still possible to achieve 2 diabetes mitigation.

So, what is the concept of alleviation? Chen Hong pointed out that type 2 diabetes relief refers to blood sugar in a condition or normal in the case of no evil-sugar drug treatment. Specific means: After at least 3 months of deactivation,% is a diagnostic criterion for T2DM mitigation.

At present, most scholars use "mitigation" to describe 2 diabetes patients continue to improve to normal.

Chen Hong said, first, obese type 2 diabetes patients can reach clinical relief. Studies have confirmed that patients with intensive lifestyle intervention, drug treatment (including strengthening insulin therapy and oral hypoglycemic treatment) and metabolic surgery can be achieved.

For example, the British has done a study, and the intervention of 298 BMI (body index) at 27 ~ 45, the disease reached 2 diabetes patients with obesity, found through their weight loss process, weight loss 15 kg or more, 86 % Of diabetes patients can reach clinical relief, and do not even take medicine. Weight loss 10 ~ 15 kg, 57% of people do not need to take medicine.

"Another class can achieve a new diagnosis of type 2 diabetes, and there is a symptom of multi-eat multiur, weight loss in the short term. This often suggests that patient is an islet beta cell caused by sugar toxic to enter into degenerate ‘sleep. ‘State, at this time, it can be treated with insulin. "Wake the’ sleepy islet cells." Chen Hong said, "This type of patient is often not old, the disease is not long, the improvement treatment of insulin in the short term can achieve disease relief .

"Nutritional doctor gives diet to patients to guide careful business institutions to steal the concepts, regardless of the weight loss means, as long as it can reduce the functions of insulin and glucagon such as insulin and glucagon, it is possible to realize it. Clinical relief, that is, can not take a needle, no medicine, blood sugar can still be controlled in a reasonable level.

On the market, many dining nutrition institutions, weight loss, and medical clinics. After a variety of ways have reduced diabetes, blood sugar has dropped, and clinically relieved in a period of time.

However, this is not called reversal.

Chen Hong pointed out that "the concept of mitigation and reversal can not be used, now many commercial institutions, stealing concepts, using ‘reverse’ to attract diabetes patients, declare that hundreds of thousands of yuan can cure, even deceived elderly diabetes patients with longer course of disease or There are many diabetic patients with many complications.

"Experts believe that by using drugs or lifestyle intervention or metabolic surgery, the blood glucose levels of typical type 2 diabetes patients can be restored normally or close to normal. In this case, the frequency of continuous metabolism improvement, and it may duration and In general, Chen Hong believes that Chen Hong believes that the current diabetes is still a "can know" disease, but also don’t dare to reverse the diabetes, but you can clearly tell the vast cases, some The patient can get a long time clinical relief, which is already a huge progress in diabetes treatment.

Patients that may get alleviation require strict conditions, such as overweight or obese people, have good islet cell 上海贵族宝贝花千坊 function, shortest range (less than 5 years), no serious complications, etc.

The means is to strengthen lifestyle interventions, reduce weight drugs, metabolic surgery, and insulin or non-insulin hypoglycemic drugs.