Get informed on what you are really treating diabetes

by Josh
(wasaga, canada)




Quick Answer
An HbA1c of 5.0% while taking metformin and making lifestyle changes shows excellent glucose control, but it does not prove that type 2 diabetes has been cured. Metformin does not block the pancreas from producing insulin or make diabetes progress. If the laboratory result was high creatinine, it needs a kidney-function review; it is not evidence that the body is “repairing itself.” Diet, exercise and weight loss may help some people achieve remission, but herbs and detox cleanses have not been proven to cure diabetes or replace prescribed treatment.



QUESTION / READER EXPERIENCE

Submitted by Josh, Canada


I was diagnosed with type 2 diabetes in December 2011 and started metformin. I also changed my diet, exercised and used herbs. After three months, my HbA1c reached 5.0%, but a laboratory test showed high “creatine” or creatinine.


I came to believe that my body was repairing itself while metformin interfered with the process. Can type 2 diabetes be cured with diet, exercise, herbs and cleansing? Can metformin raise creatinine by blocking natural insulin production?




Answer by Dr. Albana Greca, MD, MMedSc



Hi Josh,



Your improvement is encouraging. However, several conclusions in the original experience are medically inaccurate and could lead readers to stop effective treatment.



Does an HbA1c of 5% Mean Diabetes Is Cured?



No. An HbA1c of 5.0% while taking metformin indicates that glucose was well controlled during that period. It does not show whether the result came from metformin, weight loss, food changes, activity or a combination of them.



The accepted term is remission, not cure. It is generally defined as HbA1c below 6.5% for at least three months without glucose-lowering medicine. Glucose can return to the diabetes range, so monitoring continues. Our article on natural diabetes approaches and remission explains the difference.




Good control is still a success. Needing medicine does not mean that you have failed, and a normal HbA1c on treatment does not mean that the treatment is unnecessary.


Does Metformin Block Natural Insulin Production?



No. Metformin mainly reduces excess liver glucose release and improves the body's response to insulin. It does not hinder normal insulin production or weaken pancreatic beta cells.



Metformin remains a well-studied type 2 diabetes medicine. Its role alongside lifestyle care is described in our diabetes medication guide.



Creatine and Creatinine Are Different



Creatine is found in muscle and sold as a sports supplement. Creatinine is measured in blood to help estimate kidney filtration. Confirm which test was abnormal.



High creatinine is not evidence that the body is healing or that metformin is blocking insulin. It may reflect reduced kidney filtration, dehydration, muscle mass, strenuous exercise, creatine supplements or another factor. Interpret it with eGFR and repeat it when appropriate.



Metformin is cleared through the kidneys and is contraindicated when eGFR is below 30 mL/min/1.73 m². Do not stop it because of one unexplained value without medical guidance.




Contact your clinician promptly if creatinine is elevated, especially with reduced urination, swelling, vomiting, dehydration, severe weakness or shortness of breath. Bring every medicine, herb and sports supplement to the review.


Can Lifestyle Changes Put Type 2 Diabetes Into Remission?



Remission is possible for some people, particularly after substantial, sustained weight loss and earlier in the course of type 2 diabetes, but it is not guaranteed.



Exercise supports insulin sensitivity, heart health and weight management. An hour of daily cardio plus frequent weights is not required and may be unsafe with some complications. A sustainable plan is better than an extreme routine.



What About Herbs and Cleansing?



No herb or detox cleanse has been proven to cure type 2 diabetes. Some supplements can alter glucose, interact with medicines or affect the liver and kidneys.



Before using a concentrated product, review our herb and supplement safety guide and tell the clinician about every product, especially when a kidney test is abnormal.



What Should Be Checked?




  • the original diabetes diagnostic results and current HbA1c;

  • glucose readings and current HbA1c;

  • creatinine, eGFR and urine albumin-to-creatinine ratio;

  • blood pressure, cholesterol and weight;

  • the metformin dose and every supplement used;

  • recommended eye, foot and kidney screening.



Any medication reduction should be based on current results and agreed with the prescriber.



My Advice



Continue the healthy habits that helped you, but separate evidence-based treatment from unsupported claims. An HbA1c of 5% on metformin is excellent control, not proof that the medicine interfered with recovery.



Clarify whether the test was creatine or creatinine before changing medicines or supplements. Claims that medicines deliberately worsen diabetes or that cures are hidden for profit are unsupported and should not be republished as health guidance.



Hope this helps.



Dr. Albana Greca



Related Questions




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References





Educational only — not personal medical advice. Do not stop metformin or begin herbs, detox products or high-dose supplements without reviewing glucose control, kidney function and possible interactions with a qualified clinician.


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