Nutrinex

03/12/2025

Sarcopenia in Diabetes: When Strong Muscles Become Weak from the Inside

Most people think diabetes only affects blood sugar. But in truth, diabetes is also a muscle-damaging disease. One of the clearest examples is a deep back muscle called the psoas muscle.

In a healthy person, this muscle is usually as thick as the wrist. It helps us stand, walk, and keep good posture. But in long-standing diabetes, this same muscle can shrink and become as thin as a finger. This dangerous muscle loss is called sarcopenia.

Why Does Sarcopenia Develop in Diabetes?

Three main reasons drive muscle loss in diabetic patients:
1. Insulin resistance – muscles cannot use sugar properly to build strength
2. Chronic inflammation – silently breaks down muscle tissue
3. Physical inactivity – weakens muscles even faster

Scientific studies clearly show that people with diabetes have a much higher risk of sarcopenia and disability

https://pmc.ncbi.nlm.nih.gov/articles/PMC10239259/

CT-scan studies using the psoas muscle area confirm that smaller psoas size is strongly linked with weakness and poor survival

https://link.springer.com/article/10.1186/s12885-024-12524-y

Why Is This Serious?

Sarcopenia leads to:
• Weakness and fatigue
• Falls and fractures
• Back pain and poor mobility
• Faster aging and higher heart risk
• Poor sugar control despite medicines

How Nutrinex Reverses Sarcopenia

At Nutrinex, we treat the root cause, not just the sugar number. We reverse sarcopenia by targeting the three true causes:

✅ Medical Nutrition Therapy – to fix insulin resistance
✅ Clinical Exercise Therapy – to rebuild lost muscle safely
✅ Doctor-led Lifestyle Modification – to reduce inflammation and inactivity

With the right nutrition, strength training, and medical supervision, even “finger-thin” muscles can grow strong again.

Nutrinex doesn’t just control diabetes — we restore strength, movement, and life.

24/11/2025

Reversing diabetes is not guesswork — it’s detective work.
Before trying to “reverse” anything, we must check whether the patient has insulin resistance (the main engine that drives type 2 diabetes) and how powerful that engine is.

Think of insulin resistance like a stubborn gatekeeper:
Your insulin is knocking politely,
but your muscle and liver cells are like,
“Sorry sir, we don’t recognize you.”

So sugar stays outside in the blood and the glucose meter starts screaming.

Why checking insulin resistance matters

If we don’t know the cause, how can we fix the problem?
Talking about “reversal” without first identifying insulin resistance is like trying to fix a car without opening the bonnet.

Diabetes treatment ≠ sugar-lowering only

Just treating the blood sugar number is like turning off the fire alarm without putting out the fire.
To genuinely reverse diabetes, we must treat:
• the sugar
• and the insulin resistance that caused the sugar to rise

🧪 What the research says
• Up to 90–95% of people with type 2 diabetes have insulin resistance – American Diabetes Association, 2022
https://diabetesjournals.org/care/article/45/Supplement_2/S125/147347
• Insulin resistance strongly predicts diabetes progression and complications – Shulman GI, J Clin Invest (2000)
https://www.jci.org/articles/view/10842
• Reducing insulin resistance improves remission rates – DiRECT Trial (2018)
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)33102-1/fulltext
• Lifestyle changes significantly improve insulin sensitivity – Look AHEAD Trial
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606825/

The Bottom Line

If you want real diabetes reversal — not “Facebook reversal” — you must measure insulin resistance and treat insulin resistance.

That’s where structured Medical Nutrition Therapy + Clinical Exercise Therapy, like at Nutrinex, can switch off the fire and stop it from coming back.

24/11/2025

Reversing diabetes is not guesswork — it’s detective work.

Before trying to “reverse” anything, we must check whether the patient has insulin resistance (the main engine that drives type 2 diabetes) and how powerful that engine is.

Think of insulin resistance like a stubborn gatekeeper:
Your insulin is knocking politely,
but your muscle and liver cells are like,
“Sorry sir, we don’t recognize you.”

So sugar stays outside in the blood and the glucose meter starts screaming.

Why checking insulin resistance matters ?

If we don’t know the cause, how can we fix the problem?
Talking about “reversal” without first identifying insulin resistance is like trying to fix a car without opening the bonnet.

Diabetes treatment ≠ sugar-lowering only

Just treating the blood sugar number is like turning off the fire alarm without putting out the fire.
To genuinely reverse diabetes, we must treat:
• the sugar
• and the insulin resistance that caused the sugar to rise

🧪 What the research says
• Up to 90–95% of people with type 2 diabetes have insulin resistance – American Diabetes Association, 2022
https://diabetesjournals.org/care/article/45/Supplement_2/S125/147347

• Insulin resistance strongly predicts diabetes progression and complications – Shulman GI, J Clin Invest (2000)
https://www.jci.org/articles/view/10842

• Reducing insulin resistance improves remission rates – DiRECT Trial (2018)
https://www.thelancet.com/journals/lancet/article/PIIS0140-6736(17)33102-1/fulltext

• Lifestyle changes significantly improve insulin sensitivity – Look AHEAD Trial
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5606825/

The Bottom Line

If you want real diabetes reversal — not “Facebook reversal” or Lecture reversal — you must measure insulin resistance and treat insulin resistance.

That’s where structured Medical Nutrition Therapy + Clinical Exercise Therapy, like at Nutrinex, can switch off the fire and stop it from coming back.

Please read original google reviews how Nutrinex clinic helps patients to reverse their diabetes and many other Metabolic Diseases 👇💪

https://maps.app.goo.gl/Knz2QseK3FG2Z7zc8?g_st=ipc

Visit Nutrinex Website

https://nutrinex.org/

Read blog articles about Diabetes and about reversal

- https://nutrinex.org/can-diabetes-be-reversed-nutrinex-sri-lankaes/

- https://nutrinex.org/diabetes-reversal-science-nutrinex-guide/

Can Type 2 Diabetes Be Reversed? Science-Backed Guide to Diabetes Remission | Nutrinex For many years, people believed Type 2 diabetes was a permanent condition. However, modern research shows something far more encouraging: diabetes reversal is possible. With early intervention and a structured lif...

17/11/2025

Reverse Your Diabetes: Yes, It’s Possible — And Here’s How

You heard it right: with the right approach, even people using insulin can turn things around.

At Nutrinex, our goal isn’t just controlling diabetes — it’s reversing it. Let’s talk about how, and more importantly, who has the best shot at it.

✅ Who has the best chances?

There are four major “good-news” signals that you’re in a strong position to reverse your diabetes and potentially stop insulin altogether.
At the same time, these are the bottlenecks if they’re not in your favour.

1. Short duration of diabetes (fewer years since diagnosis)
– Research shows that people diagnosed more recently have much higher chances of remission. For example: an article in Diabetes Care states that remission is more likely if diabetes duration is shorter.

 https://diabetesjournals.org/care/article/47/1/47/154002/Type-2-Diabetes-Remission-A-New-Mission-in

– At Nutrinex, the sooner we intervene, the better.

2. Good sugar-control from the start (e.g., HbA1c < 6.5 in the early years)
– Those early years matter a lot. If your HbA1c was kept low fairly early after diagnosis, your pancreatic “reserve” and insulin sensitivity are stronger.

 https://www.frontiersin.org/journals/endocrinology/articles/10.3389/fendo.2023.1213954/full

– That’s why we emphasise early intensive support — lifestyle + diet + Exercises + metabolic reset — rather than waiting years.

3. Younger age
– Being younger gives your body more capacity to “bounce back” — less wear-and-tear, better muscle mass, better organ resilience.

https://www.researchgate.net/publication/396656318_The_Cardiovascular_and_Macrovascular_Benefits_of_Achieving_Early_Type_2_Diabetes_Remission

– We tailor programmes differently for younger vs older clients, but it’s always “better earlier than later”.

4. Minimal kidney (or other organ) damage
– If your kidneys (or other organs) have already suffered, the reversal path becomes slower and more challenging.

 https://sjdem.sljol.info/articles/10.4038/sjdem.v15i2.7553

– We always include organ-health checks, because healthy organs make the reversal process smoother.

🎯 Why does it work? The science behind it
• The idea of “diabetes = forever” is outdated. Recent work says: yes, remission (not just control) is possible. 
• Some of the key mechanisms: reducing fat in liver and pancreas, improving insulin sensitivity, restoring first-phase insulin secretion.

 https://pmc.ncbi.nlm.nih.gov/articles/PMC10318898/

• Intensive early interventions (diet + lifestyle + sometimes insulin-based resets) have shown remission rates of 30-50% in certain trials. 

https://www.mdpi.com/2673-4540/6/10/120

• But: it’s not guaranteed for everyone, and sustaining it takes ongoing effort. 

https://www.thelancet.com/journals/landia/article/PIIS2213-8587(25)00134-2/abstract

💡 Here’s how we translate this into your action plan:
• Act early: If you’re recently diagnosed (within 5-6 years), you’re in the “sweet spot”.
• Aim for excellent early control: We’ll help you get HbA1c into the target and keep it there — it’s not just about “good enough”.
• Lifestyle is front-and-centre: We integrate nutrition, physical movement, stress & sleep optimisation — because insulin alone isn’t the whole answer.
• Comprehensive organ-health screening: Kidney, liver, cardiovascular checks. If organ damage is minimal, reversal becomes more realistic.
• Clear goals: The aim isn’t “just reduce insulin” — it’s “return to metabolic health so insulin may genuinely come off”.
• Ongoing support: Reversal doesn’t mean “done and dusted” with no follow-up. We build in long-term habits and support so that remission lasts.

15/11/2025

Shout out to my newest followers! Excited to have you onboard!

15/11/2025

Can Diabetes Completely reversed ? 👇

Please read the Blog article by Dr Julian Subash Mendis
MBBS
MSc in Human Nutrition

https://nutrinex.org/can-diabetes-be-reversed-nutrinex-sri-lankaes/

09/11/2025

Medical Nutrition Therapy: More Than Just Another “Internet Diet”👇

05/11/2025

Medical Nutrition Therapy: More Than Just Another “Internet Diet”

These days, if you type “best diet for diabetes” or “how to lower blood pressure fast” on Google, you’ll get millions of diet plans — keto, paleo, detox, intermittent fasting, juice-only miracles, and even cabbage soup challenges! 🥴
But let’s be honest — if internet diets really worked for everyone, hospitals would be empty, and doctors would be on holiday all year round!

So, what makes Medical Nutrition Therapy (MNT) different from all those trendy plans floating around social media?

1. MNT is science, not a social media challenge

Medical Nutrition Therapy is a scientifically designed nutrition program that treats or even reverses diseases such as diabetes, hypertension, and heart disease.
It’s not based on guesswork or celebrity opinions — it’s based on solid medical evidence. Every recommendation is backed by research and proven to work in real patients.

2. It’s personalized — because your body isn’t a copy-paste
Unlike one-size-fits-all Facebook/ Instagram diets, MNT is tailor-made just for you.
Your Nutrition doctor will look at your medical reports, blood sugar levels, kidney and liver function, medications, Body Fat/ muscles Levels and even your personal preferences before planning your diet.
Because, let’s face it — what works for your gym buddy may not work for you (especially if your gym buddy secretly eats donuts after workouts 🍩).

3. Proper evaluation and follow-up — not “eat this and pray”
Before starting MNT, you’ll go through a complete medical evaluation.
During the program, your doctor will regularly monitor your progress — blood sugar, cholesterol, weight, blood pressure — and adjust your plan as your body improves.
This isn’t a “set it and forget it” plan — it’s more like having a personal health GPS that keeps recalculating the route until you reach your destination.

4. Done by qualified medical professionals
MNT is always conducted by medical doctors or trained in nutrition.
They understand how your medications, lab results, and diseases interact — so your diet is safe, effective, and fits perfectly with your overall treatment.
You wouldn’t let a TikTok dancer do your heart surgery, right? 😅
So why let random influencers decide your medical diet?

5. The goal isn’t just weight loss — it’s disease reversal
The main purpose of MNT is to reverse or control metabolic diseases like diabetes, high blood pressure, and heart disease.
With the right diet, exercise, and medical follow-up, many patients can reduce — and sometimes even stop — their medications under their doctor’s supervision.

Medical Nutrition Therapy isn’t just another diet plan — it’s medicine in the form of food, prescribed with science, care, and follow-up.
It helps you heal from the inside out, one meal at a time. 🍽️💪

So next time someone sends you a “miracle 7-day detox plan,” smile and say:

“No thanks — I’m on a doctor-approved, evidence-based, life-changing plan!” 😄

Dr Julian Subash Mendis
MBBS, MSc Human Nutrition
Founder & Lead Advisor

30/10/2025

21/02/2025

What is HOMA-IR (Homeostatic Model Assesment of Insulin Resistance ) Test ?

This test is increasingly used to quantify someone's level of Insulin Resistance .
This is calculated by using Fasting Blood Sugar levels and Fasting Insulin levels taken from same Blood sample and performing certain calculations.

Interpretation (can vary by lab):
• < 2.0: Healthy (normal insulin sensitivity)
• 2.0–2.9: Early insulin resistance
• ≥ 3.0: Significant insulin resistance