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People with Type 2 diabetes can reverse their condition with diet and exercise, although remission is not very common, according to a new study from the Centers for Disease Control and Prevention.
Type 2  diabetes has traditionally been seen as a progressive disease that is managed rather than cured.
However, until this study, little was known about the rate of long-term diabetes reversal without surgery or extreme dieting. The study confirms that complete Type 2 diabetes remission is rare, but that partial remission is an obtainable goal for some patients, the researchers said.
Experts said that, because the definitions of complete or partial diabetes remission are arbitrary, researchers should not focus on these measures. The study involved about 4,500 obese adults with Type diabetes ages 45 to 76, who were followed for four years.

Rates of remission were about 15 to 20 percent higher among those who lost substantial weight, improved fitness, had lower blood glucose levels at the study start, or had been diagnosed with diabetes more recently, compared to those who did not meet these criteria.
It's important to note that people in the study had been living with Type 2 diabetes for an average of five years before it began. So far, improving blood sugar levels through diet and exercise has not been shown to reduce the risk of heart attack and stroke in people with diabetes.
Recent studies have suggested it can be reversed with weight loss surgery, or by following an extreme diet that mimics surgery. About 26 million Americans have diabetes, according to the Centers for Disease Control and Prevention. After four years, the rate of partial diabetes remission in the counseling group declined slightly, to 7 percent.

The rest of the participants were offered just three sessions on diet and physical activity per year, and did not have any goals to meet. Patrick O'Connor, of the HealthPartners Institute for Education and Research in Minneapolis, said the results underscore the need to prevent, rather than treat, diabetes.

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