Type-2 Diabetes
Type-2 diabetes can be put into remission (reversed without medicines) for some people at the earlier stages (usually within 6-10 years of diagnosis) with the right support to achieve weight loss and lifestyle changes. Many factors contribute to developing diabetes including genetic risk, nutrition, hormone status, levels of activity, poor sleep, some prescribed medicines and stress. We can assess the drivers of your diabetes and help create a plan to achieve remission, fewer medicines or just better blood sugars, mood, energy and overall health.
Your Type-2 Diabetes Appointment
We will assess your family history, current medical issues and prescriptions, lifestyle and nutrition as well as body composition to come up with a personalised plan to achieve your goals whether this is improved blood sugars, energy and mood, reliance on fewer medicines or remission without the need for medications. I am able to support those currently on insulin to carefully reduce doses if needed and aim to stop insulin treatment for those who are able to maintain normal blood sugars through lifestyle changes or weight loss.
Assessment
We will make a detailed assessment of your family history, medical issues, prescription and treatments to date. We will assess your dietary patterns and nutritional status, body composition and fitness. We can use continuous glucose monitoring if you wish (Freestyle Libre) so we can monitor what impacts your blood sugar and help to safely reduce medicines (particularly insulin), if lifestyle changes and weight loss is achieved. We will assess sleep quality and hormone status in case these are also impacting your blood sugars. We will also assess other health risk factors such as blood pressure, kidney function, blood fats and weight.
Treatment options
I can support down-titration of medicines during weight loss (particularly for insulin) with continuous glucose monitoring. I can support you with the best dietary approaches to reduce blood sugars that fit in with your preferred eating habits and lifestyle. This includes using meal-replacements, Mediterranean, low-carb, plant-based, ketogenic, fasting mimicking and intermittent fasting approaches.