 Namaste I am Dr. A. Sharda here. Namaste I am Dr. Priya Chinappa. We are both from the department of endocrinology and diabetes from Manipal Hospital Millers Road. We are here to discuss what is new in diabetes and what are the updates in the drugs which are available for treating diabetes. So Dr. Priya before we move on to drugs what is this I hear very fashionable word reversal of diabetes. Is it possible? Yeah it's actually true lot of patients keep coming to my OPD and asking me about reversal of diabetes. It is possible and there is a science behind it. What actually happens is over time and periods of excess calorie intake leads to fat deposition in the liver decreased insulin sensitivity at that level spillover to the pancreas and fat deposition in the pancreas and decreased insulin secretion which actually leads to diabetes. So is it possible to reverse the diabetes? Yes so they believe the science behind it is the same process that causes the diabetes can be reversed by I said excess calorie intake. So a calorie deficit by eating a balanced low calorie diet and achieving weight loss they can actually achieve diabetes remission now actually it's better to use the word diabetes remission don't you think because using the word reversal patients might feel that they're cured of diabetes but they never actually achieve a cure it is only remission and they have to be careful because if they go back to old habits and regain the weight they can you know get diabetes again so they will have to be on a watch. So basically we can reverse diabetes only in people who are obese not people who are already thin that's right exactly and I think that's very important for viewers to even understand that they need to lose a weight of at least 15 kilograms to achieve diabetes remission now you know so that means somebody who's already thin they don't have the 15 kilograms to lose so they will not be able to achieve remission and this of course doesn't apply to type 1 diabetic patients