Is T2 Diabetes progressive ?

The answer to this simple question is not so simple. It depends on which side you look at it from. The official medical-world wisdom says, IT IS. They look at it from a pathophysiological view point, the emphasis being on what drug should be used for control of blood glucose ? This, in our view is the wrong question to start with. This approach only leads to pancreatic β-cell deterioration & increasing hyperglycemia.

There is no doubt that Diabetes is a chronic disease. That means that it can only come in and not go out. So any thoughts on a “reversal” of the condition can be safely set aside, at least for now, till science has better alternatives. So diabetics are left with one choice only – to “control" this pathological beast.

At the Diabetic Pub it means keeping your BG below 140 mg/dl (7.8 mmol/l) at all times & keeping your Hb-A1c below 6.0 %. Why do we suggest these limits ? Because many studies indicate that serious damage occurs at levels above this number.

In the pharma-medical world good control is defined as A1c of around 7.0 %. This figure translates to an average of 172 mg/dl (9.5 mmol/l). That “average” means that you would be over 200 mg/dl (11.1 mmol/l) many times during the day. That is no control.

So when you control the chronic condition, and remain within the suggested BG range, it means lesser and lesser dependence on the insulin secretion by your pancreatic β-cells, giving them a well-deserved rest. “A well-rested organ deteriorating over time” is logically not possible, though eventually age does catch up with every organ in the body. But that’s another argument.

Most of the Diabetic Pub members have controlled their diabetes for over half a decade now, with lifestyle changes alone. These changes include a carbohydrate restricted diet, exercise and minimal dependence on safe drugs, when required. We believe that a controlled condition should not be progressive.