In patients with diabetic nephropathy, can it be reversed by exercise alone? What do doctors say?

In patients with diabetic nephropathy, can it be reversed by exercise alone? What do doctors say?

1.Diabetic nephropathy is a serious complication of diabetes, which can be alleviated through exercise, but it is difficult to completely reverse the disease. Exercise can help lower blood sugar, blood pressure, and blood lipids, but the effect is limited, and exercise alone can hardly achieve the expected effect, and drugs need to be initiated to control the condition.

2.Long-term exercise can reverse some diabetic patients, because some diabetic patients are mainly caused by their own overweight and obesity, as well as some unhealthy lifestyles. Some diabetics can increase muscle mass, reduce body fat content, and increase metabolic rate through long-term exercise.

In this state, some patients can improve insulin sensitivity and insulin resistance, and blood sugar can indeed return to normal. But also be aware that these patients have elevated blood sugar because of their lifestyle, sometimes combined with genetic background. If there is a family history of diabetes, even if these patients' blood sugar does reverse, it is necessary to strengthen blood glucose monitoring in the later stage to understand the changes and trends of blood glucose.

3.Doctors say exercise alone is irreversible. The survival time varies from patient to patient, ranging from 10 to 20 years, and is mainly determined by the progression of diabetic nephropathy.

Some people with diabetes have already developed diabetic nephropathy or have reached the stage of renal insufficiency. However, due to good control of blood sugar and blood pressure, and regular medications, kidney disease may stabilize at this level. If progress is not continued, these patients may survive for about 20 years.

If diabetic patients are complicated by kidney disease, such as renal insufficiency, blood pressure and blood sugar control are not well controlled, **irregular. Creatinine continues to rise, and soon uremia is reached, requiring dialysis**. The survival time of these patients is relatively short.

It cannot be reversed by exercise alone, because the patient's condition is already more serious at this time, but this habit should not be abandoned, because exercise can improve physical fitness, enhance resistance and immunity, and have a certain auxiliary effect on the recovery of physical state.

It's impossible to reverse it with exercise alone; It is necessary to go to the hospital frequently for physical examinations, take medication on time, and control the diet, plus exercise, so that it is okay.

Exercise can help the body lower blood sugar, blood pressure and blood lipids, but there is no way to reverse it by exercise alone.

I started running in April, and I started running 5 kilometers on an empty stomach every morning, which took me from one hour at the beginning to 34 minutes now. The morning before yesterday, I ate three meat buns and a bowl of tofu brain, and measured my postprandial blood sugar. Jogging can indeed lead to a lot of chronic diseases, and I know a man who, five or six years ago, was diagnosed with terminal cancer.

But he is not pessimistic at all, insists on moderate long-distance running and cycling, and now he is living a good life, and has participated in the organization of many municipal bicycle races.

In fact, a few kilometers is not the key, the key is time, if you want to lower your blood sugar, you have to go at least 40 minutes later, the best is 1 hour, you can walk quickly. Hold on, you will definitely be able to counterattack. Even more important than that is to keep your mouth shut.

I don't know if I can run, why don't I say that my friends pull, I heard about it and so on, as far as I am concerned, this year is 34, two years ago our unit organized a physical examination, I found out 2 sugars, the indicators at that time were fasting, glycation, proteinuria 3+, urine occult blood +1, my height, weight 240 at that time.

If diabetes (type 2) is identified, reversal is not possible. If it is not very serious, it is possible to reach the level of a normal person by controlling the diet and exercising continuously. My own experience.

At that time, I was fasting 17 and glycation was 13, and the doctor asked me to be hospitalized immediately. Then went to the stadium in the evening. Ten kilometers a day, from one and a half hours at the beginning, to fifty minutes later.

I am impaired with blood sugar, as long as I don't eat sugar, I can eat fruits and vegetables, control staple foods, exercise every day, I don't have to run every day, I basically walk more than 10,000 steps a day, I lost 6 pounds in three months, my waist circumference has been thin, and now my blood sugar is below fasting, less than two hours after meals, I have friends around me who insist on running for 10,000 meters every day or swimming in the gym, and I used to take insulin Now I don't need to check all the indicators normally.

In the "Guidelines for the Prevention and Treatment of Type 2 Diabetes in China", the statement that type 2 diabetes is a lifelong medication disease has been deleted, and in 2021, the first edition of China's "Expert Consensus on the Alleviation of Type 2 Diabetes" was released, which has pointed out that the disease can be reversed. Suitable for light to moderate intensity aerobic exercise.

The reversal here refers to the fact that the patient's blood sugar is still in a target or normal state without the use of hypoglycemic drugs. Reversal also has different stages, mainly divided into partial reversal, complete reversal and long-term reversal.

Partial inversion ** without medication and for at least one year, fasting blood glucose 7 mmol l

Complete reversal of ** without medication and for at least 1 year, fasting blood glucose.

Long-term reversal of the complete reversal of ** persists for more than 5 years (regular check-ups and weight vigilance are still required to avoid **).

If patients with type 2 diabetes want to reverse it, they must make efforts in three aspects.

One is to work hard to lose weight and maintain a healthy weight, and insulin secretion will increase.

The second is to follow your doctor's instructions and start strengthening blood sugar as soon as possible**, such as taking hypoglycemic drugs or insulin injections to control blood sugar within a reasonable range.

The third is to adjust the lifestyle to a healthy and regular lifestyle, control the diet, insist on exercise, quit smoking and alcohol.

Long-term physical activity can be a good way to control blood sugar at a stable level, but diabetes is a long-term disease process. Therefore, it is important to cooperate with the doctor's guidance on medications**, as well as exercise for body weight control. Exercise can lower blood sugar and control it well, but it cannot replace medicine for diabetes.

Diabetes can be reversed, but only if you take medicine for a period of time to control your blood sugar before you can exercise.

Patients cannot reverse diabetes, because diabetes is long-lasting, and it is necessary to exercise more and eat less sugary things.

Long-term physical exercise can reverse diabetes, because exercise can make the body better, and many diseases can be recovered through exercise.

This is certainly possible, you should exercise more on a regular basis, and you must pay more attention to your diet.

Effective diabetes control requires daily exercise in addition to a proper medication regimen and a healthy and regular diet. Long-term regular exercise of diabetic patients can enhance physical fitness, effectively improve the oxidative metabolism of muscle glycogen and cardiovascular functions, effectively improve the body's ability to resist viruses, and reduce the occurrence of diabetic complications. Obese diabetic patients can lose weight through exercise, and continuous exercise can increase the rate of insulin receptivity, and the insulin receptors in the body can be increased through exercise, which can reduce the daily insulin injection.

You can have a good reversal of diabetes, or you can make your condition milder and milder, and eventually you can reverse diabetes.

Can diabetic nephropathy be reversed by exercise alone? On what basis?

1.Long-term exercise can be reversed in some diabetic patients, because some diabetes occurs mainly due to overweight, obesity, and some unhealthy lifestyles. Some diabetics can increase their muscle mass, reduce body fat, and increase their metabolic rate through long-term exercise.

In this state, some patients improve their insulin resistance and blood sugar can indeed return to normal. However, it is also necessary to pay attention to the elevated blood sugar caused by the lifestyle state of these patients, even if the blood sugar of these patients is indeed reversed, but the blood glucose monitoring should be strengthened in the later stage.

2.Diabetics can't rely on exercise**, but exercise is good for the condition, and you can exercise appropriately every day. It is recommended that patients with diabetic nephropathy adjust their mentality, actively cooperate with doctors**, and go to the hospital for regular check-ups.

At the same time, you should control yourself in your daily diet and avoid eating foods that are high in fat, calories and sugar. Some people with diabetes can successfully reverse their diabetes with rigorous exercise, but it is uncommon. It mainly refers to this subset of obese type 2 diabetic patients, as obesity and insulin resistance are the main causes of diabetes.

Through strict dietary control and a year of exercise, the patient's weight was controlled in a relatively normal range, the fat content was significantly reduced, the muscle content was significantly increased, and the insulin resistance was reduced.

3.Diabetes itself is a group of metabolic diseases characterized by hyperglycemia, defective insulin secretion, or impaired biological effects, or both, which lead to the development of diabetes. For diabetic patients, under the guidance of a doctor, the relevant blood sugar levels should be actively monitored, and the blood sugar level of the body should be controlled within a reasonable range through the use of drugs and other methods.

Only in this way can the damage and complications associated with diabetes be effectively mitigated. Proper exercise is beneficial for controlling blood sugar in people with diabetes, but in general, it will not bring their blood sugar levels back to normal completely.

This should be very difficult, if the problem is very serious, you have to control it with medication, otherwise it will cause a lot of damage to your kidneys.

Exercise cannot be completely solved, it should be this reasonable ** plan, so there is no basis for it.

Yes, indeed; Because there are some diabetic nephropathies, mainly because the person's own lifestyle is not particularly good, and exercise can promote metabolism.

Diabetic nephropathy is due to perennial poor blood sugar control, damage to the kidneys involved, symptoms such as protein, renal insufficiency and even uremia, uremia is the manifestation of the most serious stage of diabetic nephropathy, but when the condition is stable or can be controlled, appropriate exercise is good for enhancing the patient's physique and regulating the mind, but patients with diabetic nephropathy should appropriately reduce the exercise intensity and exercise time when exercising**, if there are the following conditions, it is not suitable for exercise**:

1) Poor blood pressure control. Diabetes often causes more severe high blood pressure after kidney damage, and blood pressure is difficult to control, so it is not advisable to exercise when your blood pressure has not been satisfactorily controlled**.

2) Severe renal insufficiency. When renal insufficiency is already severe, and the symptoms of uremia toxin accumulation appear, such as poor appetite, abdominal distension and nausea, itching, anemia, etc., it is not suitable to exercise**.

3) Recurrent edema. Neuroendocrine changes during exercise can promote the accumulation of water and salt in the body, which can aggravate edema. Therefore, if there is already recurrent edema, or after exercise, the fatigue is severe, and the lower limbs and facial edema appear, exercise should be stopped**.

4) Persistent profuse proteinuria. More strenuous exercise can increase the excretion of protein in the urine, and the increase in the amount of protein in the urine itself can worsen the damage to the kidneys.

Moderate exercise is beneficial to health and recovery in patients with diabetic nephropathy, but strenuous exercise can aggravate proteinuria, so strenuous exercise is not recommended. The best forms of exercise are brisk walking, tai chi, etc.

Diabetic nephropathy is a very serious complication of diabetes, and exercise is an important non-pharmacological approach to diabetes. So how does exercise ** reverse diabetic nephropathy? It is an important technical achievement brought back by the expert group from the 2014 annual meeting of the International Endocrine Society.

Increased physical activity in people with type 2 diabetes can reduce the risk of chronic kidney disease and even reverse damaged kidney function. However, what kind of exercise, how much exercise, and how long to exercise are all formulated according to the different conditions of each diabetic person.

Exercise intensity is the most important indicator of exercise in diabetic nephropathy**.

A total of 5,700 patients with type 2 diabetes with normal kidney function, with an average age of 61 years, were enrolled in the Diabetic Nephropathy Exercise** study in which scientists from multiple countries participated, and all of them passed the exercise stress test. Patients will be classified as energy metabolic equivalents (METs) by activity intensity: minimum intensity (METS), low intensity (METS), moderate intensity (METS), and high intensity (> mets).

As the intensity of activity increases, the prevalence of CKD and the risk of mortality decrease. Researchers say the prevalence of CKD decreases dramatically when patients have the lowest to lowest activity intensity. This suggests that exercise intensity is an important factor in reducing the risk of diabetic nephropathy and alleviating symptoms and reversing indicators.

In the exercise method of diabetic nephropathy, the individualized adjustment of the number and duration of exercise is the second major factor in regulating glomerular filtration rate (EGFR) and controlling and reversing diabetic nephropathy.

This exercise reversal study in diabetic nephropathy evaluated the effect of exercise duration on glomerular filtration rate (EGFR). The researchers evaluated patients who completed 12 weeks of aerobic exercise or endurance training, and measured peak exercise capacity, biochemical markers, and blood pressure at baseline and after the end of the exercise program, respectively. It was shown that patients also had changes in exercise capacity and EGFR after the end of the exercise program.

The results of these diabetic nephropathy exercise studies show that enhancing cardiopulmonary function is an important non-pharmacological adjunct to renal insufficiency. A team of experts from different disciplines (endocrinology, renal, exercise, cardiac, etc.) develops exercise assessment and adjustment plans according to each patient's condition

According to the situation of each patient, gradually increasing the number of exercises and appropriately extending the exercise time are effective ways to control and reverse diabetic chronic kidney disease.