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Diabetes Remission Possible With Diet, Exercise *Image courtesy: © Thinkstock photos/ Getty Images

*Text courtesy Reuters Health

(Reuters) - One in nine people with diabetes saw their blood sugar levels dip back to a normal or "pre-diabetes" level after a year on an intensive diet and exercise program, in a new study.

"Kind of a long-term assumption really is that once you have diabetes there's no turning back on it, and there's no remission or cure," said Edward Gregg, the lead author on the report from the Centers for Disease Control and Prevention.

The research, he told Reuters Health, "is a reminder that adopting a healthy diet, physically-active lifestyle and reducing and maintaining a healthy weight is going to help manage people's diabetes better."

The original goal of the research was to look at whether that intervention lowered participants' risk of heart disease (so far, it hasn't).

But the diabetes improvements are in line with better weight loss and fitness among people in the program versus those in a comparison group who only went to a few annual counseling sessions, Gregg's team reported Tuesday in the Journal of the American Medical Association.


"Clearly lifestyle intervention is good for people with diabetes," said Dr. John Buse, a diabetes researcher from the University of North Carolina at Chapel Hill School of Medicine.

"The question is how cost-effective is it, what are the long-term consequences (and) how would it really compare with alternative approaches like bariatric surgery and drug therapy?" Buse, who wasn't involved in the new study, told Reuters Health.

Arterburn, who co-wrote an editorial published with the new study, said anyone with diabetes - or at high risk - should consider either lifestyle interventions or surgery, if they're eligible, to reduce future health risks.

Gregg said his team was working on a cost-analysis of the current program, but that it was fairly "resource-intensive."

"If people have access to the support to make these sorts of changes, they may have the benefits that we've seen here," he said. But, "What we should remember is that more modest changes in lifestyle are also effective."
