Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up

Type 2 diabetes (T2D) is a chronic metabolic disorder that affects millions of people worldwide, particularly the elderly population. Remission of T2D in elderly patients through lifestyle modifications has been well documented, especially in newly diagnosed patients with good glycemic control and w...

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Main Authors: Pramod Tripathi, Diptika Tiwari, Milanjeet Kaur Raizada, Nidhi Kadam
Format: Article
Language:English
Published: Bioscientifica 2025-02-01
Series:Endocrinology, Diabetes & Metabolism Case Reports
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Online Access:https://edm.bioscientifica.com/view/journals/edm/2025/1/EDM-24-0089.xml
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author Pramod Tripathi
Diptika Tiwari
Milanjeet Kaur Raizada
Nidhi Kadam
author_facet Pramod Tripathi
Diptika Tiwari
Milanjeet Kaur Raizada
Nidhi Kadam
author_sort Pramod Tripathi
collection DOAJ
description Type 2 diabetes (T2D) is a chronic metabolic disorder that affects millions of people worldwide, particularly the elderly population. Remission of T2D in elderly patients through lifestyle modifications has been well documented, especially in newly diagnosed patients with good glycemic control and without obesity. It is also common in patients with obesity undergoing bariatric surgery. In this report, we present the case of a 66-year-old male patient with a 30-year history of T2D and mild obesity who achieved remission of T2D through customized integrated intensive lifestyle modifications, including a vegan diet, exercise and psychological support. The patient showed an improvement in HbA1c (7.7 to 5.3%) and insulin resistance (HOMA-IR; 6.2 to 1.8) and a shift in BMI (25.3 to 23.7 kg/m2) through weight loss (73 to 67 kg). The patient remains in remission 33 months after the completion of the intervention. This case suggests the possibility of long-term remission with lifestyle changes in patients with advanced age, a longer duration of diabetes and mild obesity.
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series Endocrinology, Diabetes & Metabolism Case Reports
spelling doaj-art-89b027ecd2ec422a9b4213eaadbf117a2025-02-10T16:57:40ZengBioscientificaEndocrinology, Diabetes & Metabolism Case Reports2052-05732025-02-012025110.1530/EDM-24-00891Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-upPramod Tripathi0Diptika Tiwari1Milanjeet Kaur Raizada2Nidhi Kadam3Department of Research, Freedom from Diabetes Research Foundation, Pune, Maharashtra, IndiaDepartment of Research, Freedom from Diabetes Research Foundation, Pune, Maharashtra, IndiaDepartment of Research, Freedom from Diabetes Research Foundation, Pune, Maharashtra, IndiaDepartment of Research, Freedom from Diabetes Research Foundation, Pune, Maharashtra, IndiaType 2 diabetes (T2D) is a chronic metabolic disorder that affects millions of people worldwide, particularly the elderly population. Remission of T2D in elderly patients through lifestyle modifications has been well documented, especially in newly diagnosed patients with good glycemic control and without obesity. It is also common in patients with obesity undergoing bariatric surgery. In this report, we present the case of a 66-year-old male patient with a 30-year history of T2D and mild obesity who achieved remission of T2D through customized integrated intensive lifestyle modifications, including a vegan diet, exercise and psychological support. The patient showed an improvement in HbA1c (7.7 to 5.3%) and insulin resistance (HOMA-IR; 6.2 to 1.8) and a shift in BMI (25.3 to 23.7 kg/m2) through weight loss (73 to 67 kg). The patient remains in remission 33 months after the completion of the intervention. This case suggests the possibility of long-term remission with lifestyle changes in patients with advanced age, a longer duration of diabetes and mild obesity.https://edm.bioscientifica.com/view/journals/edm/2025/1/EDM-24-0089.xmldiabetes remissionlifestyle interventionlong-standing type 2 diabetesgeriatric patientsmild obesity
spellingShingle Pramod Tripathi
Diptika Tiwari
Milanjeet Kaur Raizada
Nidhi Kadam
Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
Endocrinology, Diabetes & Metabolism Case Reports
diabetes remission
lifestyle intervention
long-standing type 2 diabetes
geriatric patients
mild obesity
title Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
title_full Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
title_fullStr Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
title_full_unstemmed Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
title_short Type 2 diabetes remission through lifestyle intervention in a geriatric patient with long-standing diabetes and at thirty-three-months follow-up
title_sort type 2 diabetes remission through lifestyle intervention in a geriatric patient with long standing diabetes and at thirty three months follow up
topic diabetes remission
lifestyle intervention
long-standing type 2 diabetes
geriatric patients
mild obesity
url https://edm.bioscientifica.com/view/journals/edm/2025/1/EDM-24-0089.xml
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AT milanjeetkaurraizada type2diabetesremissionthroughlifestyleinterventioninageriatricpatientwithlongstandingdiabetesandatthirtythreemonthsfollowup
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