Global Journal of Medical Research, F: Diseases, Volume 23 Issue 2

diet, antibiotics, and other factors, as well as a decrease in the synthesis of the short-chain fatty acid butyrate, which helps control blood sugar. Studies shows that a high fibre-based diet helped to reverse diabetes despite no weight loss occurring implying the type of food consumed impacted blood sugar regulation. (Trapp et al. 2010; Oputa and Chineye, 2015). The study's observations of changes occurred quickly. The participant receiving one call and two texts each week as follow-up for rewards and long-term health education might be the cause of this. They were reminded to take daily blood sugar readings, keep a chart, and follow the research protocol during the calls, which served as the psychological support and interactions they needed to deal with worries during the study time (Akoko et al, 2022). Additionally, it assisted in keeping an eye on potential problems both inside and across groups. If long-term lifestyle interventions are not supported, sustainable improvements may be phased out due to a lack of an adequate support structure and unfavorable environmental factors, such as no immediate financial advantage to the hospital where the study was conducted. According to Van Ommen et al. (2017), the theory and practice are different, and we are facing a multifaceted dilemma that calls for removing obstacles on the basis of the economy, society, psychology, and biology. The study provides some evidence that weight loss can improve glycaemic control and insulin sensitivity, returning to normal blood sugar levels in patients with T2DM and caloric restrictions to 1,200 kcal per day. As a result, doctors are encouraged to emphasize the need for selfcare in these patients once again. The limited sample size and persistence of the glycaemic control after achieving blood sugar control for six months are the study's shortcomings. When standard of care variables were taken into consideration, the study demonstrated the viability of diet in weight loss and glycemic management (control group). Evidence may be seen in the analysis of covariance for the FBS (Tables 6), BMI (Tables 7) and waist circumference (Tables 8). It is advised to conduct more research to determine the longevity of the Nigerian diet's ability to maintain remission and ameliorate organ effects of poorly controlled T2DM V. C onclusion In keeping with the definition of remission, fourteen of the 23 participant who has normal BMI maintained normal HBA1c for 6 months. Normalizing BMI with caloric restriction is an effective means of controlling blood glucose and type 2 diabetes mellitus. The Authors of this study declares no conflict of interest. The authors also acknowledge the limitations with the study as some results were self-reported by study Participants. R eferences R éférences R eferencias 1. John W. Can diet reverse type 2 diabetes? Medscape, 2018, Accessed online on November 28, 2020. 2. John K and Jeni S. The Foundations of Lifestyle Medicine Board Review, 2nd Edition, 2018, Textbook. 3. Chinenye S, Onyemelukwe GC, Johnson TO, Oputa RN, Oluwasanu M. Diabetes Advocacy and Care in Nigeria. Port Harcourt, Nigeria: Diabetes Association of Nigeria, 2014. 4. Barbagallo M & Dominguez LJ. Type 2 diabetes mellitus and Alzheimer's disease. World journal of diabetes, 2014, 5(6), 889–893. https://doi.org/ 10.4239/wjd.v5.i6.889 5. Singh AK, Singh R, Kota SK. Bariatric surgery and diabetes remission: Who would have thought it?. Indian J EndocrMetab, [serial online]. [cited 2020 Nov 12]; 2015, 19:563-76. Available from: https://www.ijem.in/text.asp?2015/ 19/5/563/163113 6. Schauer PR., Bhatt DL, Kirwan JP, Wolski K, Aminian A, Brethauer SA, Navaneethan SD, Singh RP, Pothier CE, Nissen SE, Kashyap SR & STAMPEDE Investigators. Bariatric Surgery versus Intensive Medical Therapy for Diabetes-5-Year Outcomes. The New England journal of medicine, 2017, 376(7), 641–651. https://doi.org/10.1056/ NEJMoa1600869 7. Sjöström L. Review of the key results from the Swedish Obese Subjects (SOS) trial - a prospective controlled intervention study of bariatric surgery. Journal of internal medicine, 2013, 273(3), 219–234. https://doi.org/10.1111/joim.12012 8. Milton G. Crane & Clyde Sample. Regression of Diabetic Neuropathy with Total Vegetarian (Vegan) Diet, Journal of Nutritional Medicine, 1994, 4:4, 431- 439, DOI: https://doi.org/10.3109/135908494090035 92 9. Kempner W, Peschel RL and Schlayer C. Effect of rice diet on diabetes mellitus associated with vascular disease. Postgraduate medicine, 1958, 24(4), 359–371. https://doi.org/10.1080/00325481. 1958.11692236 10. Fuhrman J, Sarter B, Glaser D &Acocella S. Changing perceptions of hunger on a high nutrient density diet. Nutrition journal, 2010, 9, 51. https://doi.org/10.1186/1475-2891-9-51 11. Granic I, Dolga A, Nijholt IM, van Dijk G, & Eisel ULM. Inflammation and NF-kappa B in Alzheimer's Disease and Diabetes. Journal of alzheimers disease, 2009, 16(4), 809-821. https://doi.org/ 10.3233/JAD-2009-0976 12. Katula JA, Vitolins MZ, Morgan TM, Lawlor MS, Blackwell CS, Isom SP, Pedley CF, & Goff DC Jr. The Healthy Living Partnerships to Prevent Diabetes study: 2-year outcomes of a randomized controlled 53 Year 2023 Global Journal of Medical Research Volume XXIII Issue II Version I ( DD ) F © 2023 Global Journals Type 2 Diabetes Mellitus Remission in Patients with Ideal BMI in Rivers State, Nigeria