Self-Care & Remission

Taking Charge of Your Health Every Day

29. Home Sugar Monitoring

Testing at home is like driving with your eyes open. It tells you how your body reacts to that specific meal.

Structured Testing: Don't just check fasting. Check 2 hours after the biggest meal of the day.

30. Is Diabetes Reversal Possible?

The correct medical term is **"Remission."**

If you lose substantial weight (10-15% of body weight) early in the disease (first 5 years), fat melts away from the liver and pancreas, and beta cells wake up. You may be able to stop medicines and maintain normal sugar levels.

Note: It comes back if weight is regained.

Deep Dive: 2025 Remission Guidelines

New guidelines from Indian and Global bodies suggest a "Golden Window" for remission:

  • The Goal: HbA1c < 6.5% for 3 months with zero medication.
  • Best Candidates: Diagnosed < 6 years ago, not on insulin, high BMI.
  • The Method:
    1. Calorie Deficit: 800-1000 kcal diet for 12 weeks (under supervision).
    2. Protein Spike: High protein intake to prevent muscle loss while losing fat.
    3. Sleep: 7+ hours is non-negotiable for metabolic reset.

31. When to Call the Doctor

  • Persistent vomiting (risk of DKA - Diabetic Ketoacidosis).
  • Sugar persistently > 300 mg/dL despite meds.
  • Unconsciousness or severe confusion (severe hypo).