Can I control my diabetes without medication?
It is possible for some people to control and manage their type 2 diabetes without medications, but only if they follow a strict diet and lose weight, exercise, and the condition has only developed recently. For people of normal weight who develop type 2 diabetes, this may be harder to do. Most people will need diabetes medications along with lifestyle changes for the rest of their life.
If you are newly diagnosed with type 2 diabetes, your provider may first recommend that you manage your diabetes using lifestyle changes only.
- Follow a healthy eating plan. Eating less food, but making sure it is nutritional, will help you lose weight. Exercise will help tone your body and distract you from being hungry.
- Controlling type 2 diabetes without medication also means keeping track of your blood sugar, blood pressure and cholesterol under the supervision of your diabetes care provider.
Keeping your A1C, blood pressure and cholesterol in check may help you avoid the long-term complications of type 2 diabetes, which is what treatment is all about. These complications include:
- Heart disease
- Stroke
- Nerve damage
- Loss of vision
- Kidney failure
The National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) outlines several ways you can manage and monitor diabetes:
A1C blood tests
One way to find out if you are successfully controlling your diabetes is by keeping track of your A1C blood tests. These blood tests show your average blood sugar level over the past three months. Ask your diabetes care provider what your target should be. For many people with diabetes, the goal is to keep this number below 7%. You may also be asked to check your glucose levels at home. If you can meet your blood sugar target number with lifestyle changes, you may not need medication.
Blood pressure monitoring
It’s often recommended that people with diabetes keep their blood pressure below 140/90 mmHg, but your diabetes care provider will tell you if your target is different. This may be tested through home monitoring or visits with your provider.
Related questions
- Is obesity a major risk factor for Covid-19?
- What is the natural Mounjaro recipe for weight loss?
- Mounjaro vs Ozempic: Which is right for you?
Diet and exercise changes
Diet and exercise should help you keep your bad cholesterol levels low and your good cholesterol levels high. A diabetes meal plan is not the same for everyone, so you should work with your diabetes nutrition care provider to find out what changes you need to make. In general, you will want to:
- Eat more fruits, vegetables, whole grains, poultry and fish
- Limit red meat to lean cuts and dairy products to low-fat
- Avoid salt
- Drink more water and avoid sugary beverages
People with type 2 diabetes should aim for 30 minutes of exercise a day or more on most days of the week.
Stop smoking
You should also stop smoking if you smoke, and drink alcohol only in moderation. Not smoking is especially important. Smoking can ruin any diabetes care plan because it narrows the blood vessels that have to stay healthy to prevent diabetes complications. Just quitting smoking will lower your risk for all the long-term complications of diabetes, including amputation of your foot or leg, which is more common in smokers with diabetes due to loss of blood supply.
Bottom line
There is no cure yet for type 2 diabetes, but according to the NIDDK, recent studies show weight loss may help you avoid diabetes medication and even put your diabetes into remission, returning your blood sugar to normal.
Type 2 diabetes remission means your blood sugar levels return to normal range for at least 3 months without any use of diabetes medication. You may be in remission if your A1C is staying below 6.5 and your fasting blood sugar level remains below 126 mg/dL. Weight loss can be achieved by a diet and exercise program or by weight loss surgery, called bariatric surgery. Remission may require weight loss of about 22 pounds that is maintained for 1 to 2 years.
The bottom line is that you may be able to manage type 2 diabetes without medication, but it will require a commitment to a healthy lifestyle change and possibly significant weight loss. Having to add a diabetes medication is not unusual. Even if you need medication to control diabetes, lifestyle changes will still be key to managing diabetes and avoiding long-term complications.
References
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Managing Diabetes. December 2016. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/managing-diabetes. [Accessed September 4, 2023].
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Insulin, Medicine, & Other Diabetes Treatments. March 2022. Available at: https://www.niddk.nih.gov/health-information/diabetes/overview/insulin-medicines-treatments. [Accessed September 4, 2023].
- American Diabetes Association (ADA). International Experts Outline Diabetes Remission Criteria. August 2021. Available at: https://diabetes.org/newsroom/press-releases/2021/international-experts-outline-diabetes-remission-diagnosis-criteria [Accessed September 4, 2023].
- National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). Achieving Type 2 Diabetes Remission through Weight Loss. September 30, 2020. Available at: https://www.niddk.nih.gov/health-information/professionals/diabetes-discoveries-practice/achieving-type-2-diabetes-remission-through-weight-loss. [Accessed September 4, 2023].
Read next
Zepbound Vs Mounjaro: Complete Comparison Guide for Weight Loss and Diabetes Treatment
Comprehensive comparison of Zepbound vs Mounjaro. Learn about their uses, dosing, effectiveness, costs, and safety profiles to understand which medication might be right for you. Continue reading
Ozempic Side Effects to Watch For
The most common Ozempic side effects with Ozempic include stomach problems, like nausea, vomiting, diarrhea, stomach pain and constipation. These tend to be mild-to-moderate and usually clear up in a few weeks in most people. Low blood sugar (hypoglycemia) is also a common side effect (when used with certain other diabetes treatments) and it can be serious. Continue reading
Why am I not losing weight on Mounjaro?
It takes time, about 8 to 12 weeks to see a 6% to 8% weight loss in adults using Mounjaro. Other reasons include the need to follow a reduced calorie diet and exercise program, your dose may need to be increased, or side effects may affect your treatment. Continue reading
See also:
Qulipta
Qulipta is used to help prevent episodic or chronic migraine headaches in adults. Qulipta is an ...
Aimovig
Learn about Aimovig (erenumab-aooe) a once-monthly, injectable medication that can be ...
Ozempic
Learn about Ozempic (semaglutide) for type 2 diabetes treatment, weight management, cardiovascular ...
Ubrelvy
Ubrelvy (ubrogepant) tablets are used for the acute treatment of migraine. Includes Ubrelvy side ...
Nurtec ODT
Nurtec ODT (rimegepant) is used to treat acute migraines and prevent episodic migraines, by ...
Xeomin
Xeomin (incobotulinumtoxinA) is used to treat cervical dystonia, blepharospasm, upper facial lines ...
Dysport
Dysport (abobotulinumtoxinA) is used to treat cervical dystonia, glabellar lines and limb ...
Botox Cosmetic
Botox Cosmetic is a prescription treatment for fine lines and wrinkles. It temporarily improves the ...
Related medical questions
- How do Ozempic, Mounjaro, Wegovy, Zepbound compare for weight loss?
- Wegovy vs Ozempic: Which is Right for You?
- How long does it take for Ozempic to work?
- How long to see weight loss results with Wegovy?
- Tirzepatide vs semaglutide: How do they compare?
- Does levothyroxine cause weight gain or loss?
- Do Ozempic, Wegovy, Mounjaro & Zepbound cause hair loss?
- Does Wellbutrin XL/SR cause weight gain or loss?
- How does Ozempic work for weight loss?
- Why does Lexapro cause weight gain?
- What happens when you stop taking Ozempic?
- How much is Zepbound with or without insurance?
- Does Lyrica (pregabalin) cause weight gain?
- Does Ozempic need to be refrigerated?
- Does gabapentin cause weight gain?
- Saxenda vs Ozempic: For Weight Loss?
- Does Zoloft (sertraline) cause weight gain?
- Will my insurance cover the cost of Ozempic?
- How does Mounjaro Work for Weight Loss?
- How long does it take for Zepbound to work?
- Which GLP-1 drug is best for weight loss?
- Does Prozac cause weight gain or loss?
- Can you get tirzepatide from a compounding pharmacy?
- Does topiramate cause weight loss?
Related support groups
- Weight Loss (Obesity/Overweight) (861 questions, 1,512 members)
- Diabetes, Type 2 (513 questions, 1,429 members)