To mark World Diabetes Day, a scientific roundtable in Kolkata brought together leading endocrinologists and nutrition experts to explore how evidence-based nutrition can translate awareness into measurable progress in diabetes management. With over 101 million people in India living with diabetes, there is growing recognition that long-term success in managing the condition depends not only on medical treatment, but also on nutrition and lifestyle choices. Studies indicate that three out of four people with diabetes struggle to maintain optimal glycaemic control, often due to factors such as poor dietary habits, genetic predisposition and sedentary lifestyles. Central obesity further compounds these challenges, leading to fluctuating blood sugar levels and increased cardiovascular risk.
“Diabetes outcomes improve most when we move beyond a one-size-fits-all approach,” said Dr. Prof. Shashank Joshi, Endocrinologist and Diabetologist, Lilavati Hospital and Research Centre; President of the Indian Academy of Diabetes. “The focus today is on an optimized nutrition plan that helps with insulin sensitivity, and maintaining glucose stability through evidence-based dietary and lifestyle strategies. When patients understand these nuances, diabetes becomes a condition to manage; not a limitation to live with.”
Emerging evidence highlights the role of specific nutrients and structured dietary interventions in improving outcomes. Myo-inositol, a naturally occurring carbohydrate found in fruits, beans, grains, and nuts, has demonstrated insulin-mimicking properties in clinical studies. When combined with healthy diet and lifestyle changes, it can help lower fasting glucose and HbA1c in individuals with poorly controlled type 2 diabetes. Reflecting on this growing evidence, Dr. Jeffery Mechanick, Endocrinologist and Professor of Medicine at Mount Sinai Hospital, USA, noted that effective diabetes care must move beyond medication alone. “For individuals with diabetes who struggle to maintain optimal glycaemic control, incorporating myo-inositol, that may mimic insulin actions and improve insulin sensitivity into a balanced diet, alongside healthy lifestyle changes, can help lower fasting glucose and HbA1c. It is not a replacement for standard diabetes care and should be used under medical guidance,” he said.