ABSTRACT:
An 18-year-old male, was diagnosed with Type-2 Diabetes Mellitus in September 2021 with HbA1c-14%. His
physician prescribed insulin administration starting immediately due to his high HbA1c levels. However, the patients’ parents were
reluctant to initiate lifelong medications at such a young age. So, they chose conservative management of lifestyle modification by
enrolling in ‘World free of Obesity and Diabetes’ campaign that advised ‘two meals a day and exercise’ for diabetes remission. He
followed the plan very meticulously and his HbA1c was successfully reduced by 8% (HbA1c- from 14% to 6%) within 3 months
without any medications. Diabetes remission by lifestyle modification is a healthier option especially for young adolescents. When
encouraged and counselled this can be an effective way to manage diabetes in young patients and prevent further complications.
American Diabetes Association (ADA) suggests that, metformin should be started to the pre-diabetes and newly diagnosed group
of patients along with lifestyle modifications. But there are evidences of complete diabetes reversal of the patients with HbA1c
ranging from 8- 15% by just lifestyle modification among the patients registered under ‘World free of obesity and diabetes’
campaign.
KEYWORDS:
HbA1c, Lifestyle modification, Type 2 Diabetes, Adolescent
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