Diabetes is “weird” not only because of the fluctuations in blood sugar, but also because the diagnosis often varies considerably from day to day. So much so that some people who have had the disease for several years are still getting diagnostic tests, especially those who have only mildly elevated blood sugar. Fluctuations in blood glucose often make their diagnosis sometimes valid and sometimes difficult to determine. So it is recommended that those who are very close to the diagnosis or once the data reaches the diagnostic criteria be aware of the existence of diabetes in time, whether it is diagnosed or there is still a slight gap, to pay enough attention to avoid delaying the disease. Another strange thing about diabetes is that it is often related to weight. Some people think that you need to be fat or middle-aged to get diabetes, but it is not uncommon to find people who have just grown a “little belly” or who are in their twenties to have diabetes. Asian people often have a high body fat content (body mass index = weight (kg) / height 2 (m 2) in the same body mass index premise). Often, diabetes develops before the person grows into a fat person. And some people who are overweight and obese from a young age have high blood sugar before they reach middle age. These are due to excess body fat, especially excess visceral (trunk) fat, which prevents the body from using glucose and causes high blood sugar after eating. Recognizing this, for people who are overweight or obese, as long as they can successfully lose weight and maintain it, they can often bring down their already elevated blood sugar, and if they can maintain their ideal weight for a long time, diabetes is often “incurable”. However, please note here that both weight loss and maintenance are important. Even if you can’t lose a lot of weight at once, your blood sugar will become more normal as you lose weight gradually. So the process of fat loss is also the process of the body recovering from diabetes. Here is a short story to illustrate the importance of fat loss for diabetes recovery. I saw a 27 year old guy a few months ago who had just been married for a year. He was 5’5″ and weighed 95 kg. He said he was 95 kg when he was 18 years old and his blood pressure and blood sugar were already elevated at that time. The family sent him to the army to make him lose weight. A year of recruit training required a brisk march of 35-50 kilometers a day. He lost 25 kilograms a year this way, and his blood sugar and blood pressure were completely normal by then. But once he got married after demobilization, he gained weight again within a year, and his blood sugar and blood pressure “came back”. His diabetes was once “cured”, but with the arrival of a happy life, back again. This is the second oddity of diabetes, which is closely related to weight, and in order to treat or recover, it seems impossible not to lose weight. Weight, or to be precise, body fat, for every kilogram lost, the body’s glucolipid metabolism becomes more normalized. There are two meanings to be said here: First, for people whose blood sugar is already high, who have not reached the diagnostic criteria for a while, or who have been diagnosed at one time, and who have normalized their blood sugar after treatment, they must not relax their diet and exercise, recognizing that diabetes should be said to be a physical condition that manifests itself in a state of hyperglycemia under certain conditions, and once the conditions are relaxed, it will make hyperglycemia appear. Therefore the diagnostic criteria are only used to discover patients with, once diagnosed, there is no need to repeatedly do the confirmatory test, you should immediately follow the lifestyle requirements of diabetes for self-management, of course moderate and long-term, not overnight. In addition, once the doctor recommends medication, it should be administered in a timely manner as prescribed by the doctor. It is understandable to avoid the disease, but not to be paranoid. Another meaning is that overweight or obese people should try to make weight loss once they find that their blood sugar is increased. However, weight loss is like sailing against the current and requires continuous efforts, once the weight has repeated, do not give up on yourself. It is important to know that as long as you adhere to certain dietary principles and actively exercise, even one day will have a day’s gain. Each day of persistence, blood sugar will be more ideal day, in the long run, is not more healthy than healthy people? Even if you do not lose a lot of weight or do not lose, what does it matter? (Of course, it is best to lose).