Dr. Sunil Mishra, Director of Endocrinology and Diabetology at Medanta shares how this is a common occurrence. “If there are no immediate complications to begin with despite high readings, patients are not willing to treat diabetes with medication. However, it should be noted that long-term asymptomatic diabetes is good enough to create a complication. We know to a large extent that type 2 diabetes is not curable. Additionally, scientific studies have shown that the golden age for treating diabetes is in the first 5 to 10 years. This is considered the golden period because if it is treated well from the beginning, the long-term complications of diabetes are low. “There are some people who when they lose weight (30-50% with lifestyle modifications) can reverse the diabetes.
Dr Shraddha Bhure, Chief Medical Officer, Boehringer Ingelheim, India, adds: “Increased awareness and debunking of myths about diabetes can go a long way in convincing people to take appropriate action. For example, some people believe that diabetes is not a serious condition and therefore avoid medications, as they are unaware of the complications that can occur if the disease is not managed properly. Also, some patients avoid diabetes medications due to fear of side effects and switch entirely to alternative therapies. Alternative therapy options such as ayurveda or homeopathy can complement the treatment of diabetes. Each alternative therapy has multiple approaches to offer, but eventually it is up to the physician to decide what is best for the patient. ”
Dr. Kushal Banerjee, a second-generation homeopath at Dr. Kalyan Banerjee’s Clinic, recommends that all patients consider homeopathy as an important option for managing their diabetes. In the early stages, along with strict lifestyle control, most patients can stop taking all medications for life. He adds: “Regardless of the medication system you take, lifestyle changes, including diet, meal times, exercise, sleep pattern, and stress management are key to improving your health.”
The diabetes journey lasts a lifetime and poses a risk of a multitude of complications if left untreated. It is not simply a question of high blood glucose, but of the associated risk of complications, adverse events and even premature mortality, which is a priority for careful and sustained care. Commonly known type 2 diabetes mellitus (DM2) is the result of the imbalance between the metabolic load and the physiological capacity of the body. Unhealthy lifestyle practices with excessive calorie intake in the diet and limited physical activity, poor stress management, as well as genetic and constitutional factors, predispose to the risk of DM2 and associated complications. The approach to good diabetes care is based on a few fundamental principles, which may be easy to understand, but need a committed effort to maintain them long-term, adds Dr. Bhure.
Below are the ABCDEFs of diabetes care:
A1c control (hemoglobin A1c represents long-term blood glucose control)
Control of blood pressure
Diet and Drugs
Exercise and eye care
In short, diabetes care is not a short walk, but a long journey through life, requiring a demonstration of will, motivation, and optimism at all times! It’s not about risk, but about our actions to address risk, which makes the difference.