Latest news on the cure for diabetes 2022

Today I will share with you the latest information on the cure for diabetes in 2022. If it happens to solve the problem you are currently facing, don't forget to follow this site. Let's start now! Is it possible to cure diabetes? It is recommended to develop good habits and dietary habits in daily life, while also strengthening physical exercise. Dietary taboos for diabetes: Avoid eating white sugar, brown sugar, glucose, sugary products, sweets, fructose, etc. Eat less potatoes, yam, lotus root, carrots, taro, cream, lard, mutton fat, butter, peanuts, melon seeds, walnuts, animal organs, etc. It is recommended to eat coarse grains (buckwheat, bean wheat, oatmeal, soy products, etc.). The treatment of diabetes includes four points and five sets of "cars" and six standards.

The four points are: Learn more, eat less, exercise more, and relax. "Learn more" means to read more books about diabetes, listen to lectures on diabetes, and increase understanding of basic knowledge and preventive methods of diabetes. Our department conducts free health education on the 10th of each month, and we hope you have time to listen. "Eat less" means to reduce daily calorie intake, especially avoiding overeating, fatty and sweet foods, smoking, and drinking alcohol. Many patients ask us if they can control diabetes by simply reducing sugar intake. In fact, apart from sugar, fat and protein foods are also culprits of elevated blood sugar and need to be controlled. Once a patient with diabetes strictly controlled sugar intake and rarely ate even rice, but blood sugar remained high. Upon careful questioning, it turned out that he would eat meat when he was hungry. How can blood sugar not be high? In fact, the daily energy supply mainly comes from carbohydrates, such as rice and steamed buns, which are starch-based foods. Therefore, diet control should focus on carbohydrates and control the total intake. "Exercise more" means to increase physical activity time and exercise intensity, engage in aerobic exercise, and avoid obesity. "Relax more" means to strive to be optimistic, open-minded, and positive. It is important to maintain a positive attitude and avoid excessive and unrealistic pursuits, maintain work-life balance, psychological balance, and avoid excessive fatigue. By achieving these "four points", the incidence of diabetes can be reduced by 50%.

The five sets of "cars" are: "The first set of cars" - education and psychological treatment of diabetes. It is important to truly understand and know how to treat diabetes. We should pay attention to it, but not fear it, and understand that diabetes is a disease that cannot be cured at present but can be controlled. "The second set of cars" - dietary treatment of diabetes. This requires us to have reasonable meals, avoid overeating, eat more high-fiber foods, ensure the intake of vitamins and trace elements, eat less fatty and sweet foods, and have a light diet. Quit smoking and limit alcohol consumption. "The third set of cars" - exercise treatment of diabetes. Long-term adherence to moderate exercise can increase calorie utilization and insulin sensitivity. We emphasize aerobic exercise, which is not only about breathing oxygen but also about achieving a certain level of exercise without causing harm to the body. Specifically, the heart rate of young people should reach more than 120 beats per minute after exercise, and the heart rate of the elderly should reach more than 100 beats per minute, and it should last for 30 minutes, at least five times a week. In a clinical trial, people who persisted in moderate exercise for a long time had an average decrease in blood sugar of 2-3mmol/L. "The fourth set of cars" - drug treatment for diabetes. When diet and exercise cannot achieve the desired blood sugar level, appropriate oral hypoglycemic drugs or insulin should be used, while also controlling blood lipids, blood pressure, and blood viscosity. Pay less attention to misleading advertisements and consult with specialized doctors for scientific treatment of diabetes. "The fifth set of cars" - monitoring the condition of diabetes. Due to the incurability of diabetes, blood sugar fluctuates due to multiple factors. Diabetic patients should have regular follow-ups and undergo relevant tests such as blood sugar, blood lipids, urine routine, fundus examination, etc., to understand the condition and follow the doctor's guidance.

The six standards are: weight, blood sugar, blood pressure, blood lipids, blood viscosity, and insulin resistance. Meeting these six standards can help prevent or delay the occurrence and development of complications and achieve effective control of diabetes. Among them, diet and exercise are the foundation of treatment.

How to cure diabetes The prevalence of diabetes in our country is increasing year by year, and there is a trend of younger onset. Rapid changes in lifestyle and the rapid increase in the prevalence of overweight/obesity are among the main reasons for the sharp increase in type 2 diabetes. It used to be believed that type 2 diabetes (T2DM) is a chronic progressive metabolic disease that requires long-term lifestyle and medication interventions. However, with the in-depth study of the pathogenesis of diabetes, new treatment targets and methods continue to emerge, providing more options for diabetes treatment.

The treatment path for relieving diabetes includes the following clinical approaches: 1. Lifestyle intervention Lifestyle intervention is a lifelong issue for diabetes patients. Results have shown that within 6 years, obese type 2 diabetes patients who undergo intensified lifestyle intervention have a remission rate of 46%. Furthermore, the more weight they lose, the higher the remission rate of diabetes. When weight loss is greater than or equal to 15 kg, the remission rate of type 2 diabetes can reach 86%. Therefore, overweight/obese type 2 diabetes patients should aim to lose at least 5% of their body weight through lifestyle intervention. The more weight they lose, the better their metabolic disease control will be, and the higher their chances of achieving diabetes remission.

2. Drug Treatment For patients who cannot achieve at least a 5% weight loss after 3 months of weight reduction intervention, the intervention measures should be adjusted. If lifestyle intervention fails, consideration should be given to drug and surgical treatments. The recommended weight loss drug is mainly Orlistat (other drugs have not been approved for marketing in China). The US Food and Drug Administration (FDA) has approved the weight reduction indications for glucagon-like peptide-1 receptor agonists (GLP-1RAs) drugs, liraglutide and semaglutide, despite the fact that both are currently not approved for weight reduction indications in China, they have been widely used for blood sugar reduction indications.

For newly diagnosed diabetes patients with severe hyperglycemia, short-term (2 weeks) insulin intensified treatment can be used initially to achieve relief. Multiple studies have shown that short-term insulin intensified treatment can improve pancreatic β-cell function and insulin resistance in newly diagnosed type 2 diabetes patients, with 66.2% of patients experiencing diabetes remission. Therefore, for overweight/obese type 2 diabetes patients who have severe hyperglycemia and significant hyperglycemic symptoms or ketoacidosis at the initial diagnosis, short-term insulin treatment is recommended.

3. Weight loss surgery For type 2 diabetes patients with a BMI≥35 (BMI=weight÷height²) (≥32.5 for Asians), metabolic surgery can be considered to alleviate type 2 diabetes. Metabolic surgery methods include various options, with the most commonly used being Laparoscopic Sleeve Gastrectomy (LSG) and Laparoscopic Roux-en-Y Gastric Bypass (LRYGB). Compared to lifestyle interventions, patients with type 2 diabetes and obesity who have not achieved satisfactory weight loss through combined drug therapy can achieve a glycated hemoglobin level of ≤6% within 3 years through surgical intervention combined with drug therapy. Among patients who undergo gastric bypass surgery, the remission rate of glycated hemoglobin can reach 38%, while for those who undergo gastric sleeve surgery, the remission rate can reach 24%, whereas the remission rate with drug therapy alone is only 5%.

4. Endoscopic Intervention Therapy If the patient's BMI is ≥37, due to the high risk of surgical complications in obese patients, it is necessary to achieve a weight loss goal of 10% before undergoing surgical treatment. This also means that not everyone can undergo weight loss surgery and there is a need to meet certain BMI criteria to improve surgical safety.

Except for some patients who do not meet the surgical indications and cannot undergo surgery, there are also many patients who hesitate to undergo weight loss surgery because it requires changing the structure of the organs. Currently, there is an innovative endoscopic intervention treatment technology called "gastric bypass stent system" in China. Unlike surgery, which can cause damage to the body, this system can be implanted through painless gastroscopy, isolating food from the intestinal wall and reducing intestinal absorption by allowing food to pass through the membrane tube. According to current clinical results, after removal after three months, patients' weight, glycated hemoglobin, liver hardness, and other metabolic disease indicators all show significant reductions.

In summary, the remission status of diabetes is not permanent. Patients in remission still need to be followed up annually to determine the duration of their remission. To date, there is no evidence of a cure for type 2 diabetes (T2DM). After remission of T2DM, even if measures that induce remission are maintained, some patients may experience a rise in blood sugar levels again and require the use of antidiabetic drugs for control. Therefore, patients with remission of type 2 diabetes still need regular follow-up, preferably every 3 months, with a maximum interval of 1 year to test glycosylated hemoglobin levels.

References: Liu Ye, Wang Haining. Interpretation of the 2021 ADA/EASD "Consensus on Diabetes Remission" and the 2022 ADA Diabetes Guidelines: Definition of Diabetes Remission and Treatment Strategies for Obesity and Weight Management in Type 2 Diabetes[J]. Journal of Clinical Internal Medicine, 2022,39(5):299-302. DOI:10.3969/j.issn.1001-9057.2022.05.003.

Can diabetes be cured through surgery? So far, there is no method in the world that can cure diabetes. Gastric bypass surgery has shown positive treatment effects for obese type 2 diabetes patients, but the principle is to control blood sugar by reducing absorption. The goal of diabetes treatment is not to cure diabetes, but to control blood sugar within a suitable range for as long as possible through diet, exercise, medication, etc., in order to prevent or delay the occurrence of diabetes complications.

Hello, I'm glad to answer your question about the 2022 diabetes medical insurance reimbursement policy. Insured residents who receive prescribed anti-hypertensive and anti-diabetic medications at secondary or lower-level designated primary healthcare institutions can be reimbursed 60% for class A drugs and 50% for class B drugs. The annual maximum payment limit is set based on different disease classifications: 260 yuan for hypertension patients, 480 yuan for type I diabetes patients, and 360 yuan for other types of diabetes patients. According to the "Implementation Measures for Basic Medical Insurance for Urban and Rural Residents in Bazhong City" (issued by the Bazhong Municipal Government [2021] No. 17), there are a total of 23 types of class 1 outpatient special diseases. Among them, diabetes is a disease with a limit settlement standard of 600 yuan.

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