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Family Medicine & Diabetes Care

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Diabetes Experts


It is pretty much understood that Type 1 Diabetes is for life, but such may not be the case where Type 2 Diabetes is concerned. When we refer to “Remission” we are discussing the fact that if we can lower A1C numbers it means we are, in effect, allowing the natural production of Insulin to increase and are, in fact, achieving Remission.

To understand how this can be accomplished we must examine the “Twin Cycle Hypothesis,” which theorizes that when extra fat is deposited in the liver due to weight gain, fat accumulates in the pancreas and adversely affects the insulin-producing beta cells located there. It is believed that fat reduction in the pancreas via weight loss can help restore normal Insulin production.

Understanding that Diabetes is effected by both Genetics, Lifestyle and Weight Control, we can contribute to Remission by changing our Lifestyle in a positive way. The reason it is imperative that we do so is because if we don’t, Type 2 Diabetes can lead to an increase in risk to Kidney Failure, Strokes, Blindness, Heart Attacks and even Lower Limb Amputations.

Inasmuch as Weight Control is a major element in Remission, many experts suggest both a Low Carb and Low Calorie Diet! The reason a Diet change is beneficial is due to the fact that when we cut our caloric intake the body gets the energy it needs by burning fat that is stored under the skin. Conversely, when we consume too much food our body naturally increase the amount of fat stored to the point that the “overflow” ends up accumulating in the liver.

As important as Diet is, in itself it cannot lead to meeting the Remission Goal. Other Lifestyle Changes that will help include, but are not necessarily limit to:

  • Aim for concentrated periods of exercise, which can consist of such low-level intensity activities as walking. Preferably, we should have no more than two days of inactivity at any time.
  • Aim for a minimum of seven hours sleep per night. Also, whenever possible, have the same bed – and wake up time each day.
  • Check Blood Sugar frequently to determine how the different foods you eat affect the results.
  • Establish a low carb, healthy fat diet when possible.
  • Find additional motivations for your efforts, such as increased energy as well as weight loss.
  • Have healthy snacks available (Preferably low carb).
  • When Blood Sugars are high take a walk and drink a glass of water!

Studies show that the longer you have had Type 2 Diabetes the less chance Remission can take place. Too, the more severe the A1C scores, the less chance for Remission as well. It should be noted that once Remission has been accomplished, resorting back to your “old” life style may prove detrimental, especially if it should result in weight gain.

Positive Lifestyle Changes are beneficial in general, and especially for those who have Type 2 Diabetes. As a result, we strongly suggest that you take the necessary steps to implement them to your daily regimen at your very earliest convenience!


If you, or someone you know, needs help in managing their Diabetes, please call AVEON HEALTH at 480-300-4663 to make an appointment with a member of our staff and allow them to escort you down the path to an improved quality of life for you and your loved ones!

This Blog was written, in part, with information gleaned from the following sources: