Finally, it’s worth noting that type 2 diabetes is technically reversible, but it doesn’t happen very often. Bariatric surgery as well as medical weight loss have both been shown to be capable of this in some cases, but the effectiveness hinges on timing. The longer people have been diabetic, the less likely this is to happen, most likely due to longterm pancreas damage. Reducing the impact of fat cells on insulin resistance is proving successful as a treatment for type 2 diabetes.
L-glutamine, an amino acid needed in large amounts by your body, has been shown to help build lean muscle by suppressing insulin levels and stabilizing blood sugar. One study found that supplementing with L-Glutamine for six weeks improved body composition in patients with type 2 diabetes. L-glutamine has also been shown to help heal a leaky gut, which is important for digestive health and immunity. In addition to supplements, you can find L-glutamine in foods such as bone broth, grass-fed beef, cottage cheese, spirulina, asparagus, broccoli rabe, salmon, and turkey.
It provides different, and complementary, information to a single glucose concentration. Some patients may have near normal fasting glucose values but very high postprandial levels, and others may have elevated fasting levels with only moderately elevated postprandial levels. Hemoglobin A1c provides information comparable to what might be provided by having frequent glucose values throughout the day over the course of 3 months. [2, 3, 4]
If you’re of African, Mediterranean, or Southeast Asian descent or have family members with sickle cell anemia or a thalassemia, an A1C test can be unreliable for diagnosing or monitoring diabetes and prediabetes. People in these groups may have a different type of hemoglobin, known as a hemoglobin variant, which can interfere with some A1C tests. Most people with a hemoglobin variant have no symptoms and may not know that they carry this type of hemoglobin. Health care professionals may suspect interference—a falsely high or low result—when your A1C and blood glucose test results don’t match.
It is likely that early in the course of the disease process, when insulin resistance is still prominent, either energy restriction or weight loss will improve blood glucose levels. But as the disease progresses and insulin deficiency becomes more prominent, it may be too late for weight loss to be helpful. In fact, at later stages of the disease, when medications, including insulin, need to be combined with nutrition therapy, prevention of weight gain often becomes the goal. However, glycemic control should take precedence over concerns about weight.
For monitoring glucose control, A1c is currently reported as a percentage and, for most people with diabetes, it is recommended that they aim to keep their hemoglobin A1c below 7%. The closer they can keep their A1c to the American Diabetes Association (ADA)'s therapeutic goal of less than 7% without experiencing excessive low blood glucose (hypoglycemia), the better their diabetes is in control. As the A1c increases, so does the risk of complications.
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Mohanraj, R., & Sivasankar, S. (2014, June). Sweet Potato (Ipomoea batatas [L.] Lam) – a valuable medicinal food: A review. Journal of Medicinal Food, 17(7), 733–741. Retrieved from https://www.researchgate.net/profile/Remya_Mohanraj2/publication/263096030_Sweet_Potato_Ipomoea_batatas_L_Lam_-_A_Valuable_Medicinal_Food_A_Review/links/54ee2b8b0cf2e55866f22c1a.pdf