Doctors say Nepal could reverse its growing type 2 diabetes crisis by returning to traditional foods such as lentils and rice. About one in five Nepalis over 40 has diabetes, while medication remains largely unaffordable. Experts warn the condition often leads to severe complications and early death.
Small studies in Kathmandu and nearby communities show promising results. Nearly half of participants with long-term diabetes entered remission after following a calorie-controlled traditional diet. The approach relies on simple meals like dal bhat, community support, and basic portion control. Researchers say patients lost only modest weight yet saw major health improvements.
Prof Mike Lean from University of Glasgow leads a wider four-year trial with Dhulikhel Hospital. He says people of south Asian heritage develop diabetes at lower weights but can also reverse it with smaller weight loss. The team designed the programme using cheap, local foods and support from community health volunteers.
Researchers blame rising diabetes rates on western processed foods and reduced physical activity. A recent study found most packaged foods sold in Kathmandu exceed healthy limits for sugar, fat, or salt. Lean says the traditional diet proves more effective than drugs and hopes success in Nepal will inspire similar programmes across the region.
