Type 2 diabetes was once seen as a lifelong disease that needed regular tablets or insulin. But doctors now say this idea is changing. With early diagnosis and the right treatment, diabetes can be controlled and in some cases even reversed.
Doctors explain that the main cause of type 2 diabetes is obesity, especially extra fat around the abdomen. Dr. Asis Mitra, a senior physician, said that excess belly fat leads to insulin resistance. This means the body produces insulin but cannot use it properly. In the early stage of diabetes or prediabetes, insulin levels are often normal, but the problem lies in how the body responds to it.
Over the last few years, diabetes treatment has changed. Instead of starting many medicines at once, doctors now focus first on weight reduction. Patients are guided with proper diet plans, regular physical activity, and long-term lifestyle changes. When a patient visits a diabetes clinic, doctors check body weight, blood pressure, and the condition of the heart, kidneys, and liver. Blood tests and heart tests are done if needed.
Lifestyle change is the most important part of treatment. Patients are advised to follow simple and practical diet and exercise plans for life. Medicines are given only when required and usually in small numbers.
Doctors say that if type 2 diabetes is treated within the first five to six years, it can go into remission. This means blood sugar remains normal without medicines, under medical guidance. If treatment is delayed, the disease may worsen and need lifelong medication.
Many people wrongly believe that starting diabetes treatment means taking medicines forever. Because of this fear, patients often delay treatment, which can damage the eyes, kidneys, nerves, and heart.
Diabetes is increasing fast in India. Nearly 8 percent of people have diabetes, and about 15 percent are prediabetic. Experts warn that controlling obesity can also prevent other diseases like high blood pressure, heart disease, fatty liver, joint problems, PCOD, and some cancers.
Doctors stress that with early care, healthy habits, and correct medical advice, type 2 diabetes can be prevented, controlled, and even reversed in many cases.
