Pune: On the occasion of World Diabetes Day, Dr Reema Kashiva, Director of Medicine and Director, Centre of Excellence for Diabetes and Obesity, Noble Hospitals and Research Centre, Pune, emphasised that individualised treatment, early intervention and sustainable lifestyle changes are essential to effectively managing diabetes, particularly among children, adolescents and young adults.
With Type 2 diabetes increasingly affecting younger populations, the risk of long-term complications makes early diagnosis and timely management critical. Individualisation of treatment should extend beyond medication to include diet, exercise and weight management. Even at an early stage, appropriate dietary changes and physical activity can significantly improve blood sugar levels and overall health.
Dr Kashiva highlighted that obesity is one of the major risk factors for Type 2 diabetes. Newer medications, including injectable therapies, can help manage weight and blood sugar, while metabolic and bariatric surgery may be a life-changing option for eligible patients with severe obesity. Weight loss can also improve blood pressure and cholesterol, and better management of diabetes.
Practical lifestyle measures such as balanced meals, regular walking, strength-building exercises, adequate sleep and avoiding sugary drinks.Dr Kashiva added that there should be better awareness about some misconceptions that obesity is merely laziness, that thin people cannot develop diabetes or that insulin indicates an advanced stage of the disease .
Highlighting the importance of mental and social well-being, she said stress, excessive screen time and reduced outdoor activity are emerging concerns among youngsters. Telemedicine can further improve diabetes awareness, counselling and access to care in rural areas.
“Do not wait for symptoms. Diabetes can remain undetected for years. Check early, act early and remember that with the right guidance and consistent care, people with diabetes can lead healthy, fulfilling lives,” she said.
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