A return to traditional Nepali food could help reverse the country’s growing type 2 diabetes epidemic, researchers say. In Nepal, about one in five people over 40 lives with the condition, while medication remains largely unaffordable. Doctors warn diabetes often leads to severe complications and early death, creating long-term social and economic strain for families.
Studies suggest that simple meals once eaten by previous generations, especially lentils and rice known as dal bhat, can put diabetes into remission. A pilot study in Kathmandu found that 43% of patients with long-standing diabetes reversed the condition after switching to a calorie-controlled traditional diet. A larger community trial has shown similar early results, with around half of participants diabetes-free after four months and modest weight loss.
The research is led by the University of Glasgow in partnership with Dhulikhel Hospital in Nepal. Professor Mike Lean said people of south Asian heritage develop diabetes at lower weights but also need to lose less weight to reverse it. Participants followed an eight-week, low-calorie plan using local foods, supported by community groups rather than doctors.
Researchers blame rising diabetes rates on western junk food imports and reduced physical activity. A recent study found most packaged foods sold in Kathmandu exceed recommended sugar, fat, or salt limits. Funded by the Howard Foundation, the project now aims to expand prevention efforts, with experts hopeful the approach could work across south Asia.
