Posted on 08/31/2021 10:39:32 AM PDT by ConservativeMind
People with type 2 diabetes can achieve "remission" by sustaining normal blood sugar levels for at least three months without taking diabetes medication. There is still a lot of uncertainty around how long remission will last and what factors are associated with a relapse. A person may require ongoing support to prevent a relapse or a hyperglycemic episode, and the long-term effects of remission on mortality, heart health and quality of life are not well understood.
The authors developed the following criteria to help clinicians and researchers evaluate and study diabetes remission using more consistent terminology and methods:
1. Remission should be defined as a return of HbA1c to less than 6.5% that occurs spontaneously or following an intervention and that persists for at least three months in the absence of usual glucose-lowering pharmacotherapy.
2. When HbA1c is determined to be an unreliable marker of long-term glycemic control, fasting plasma glucose of less than 126 mg/dL (<7.0 mmol/L) or estimated HbA1c less than 6.5% calculated from CGM values can be used as alternate criteria.
3. Testing of HbA1c to document a remission should be performed just prior to an intervention and no sooner than three months after initiation of the intervention or withdrawal of any glucose-lowering pharmacotherapy.
4. Subsequent testing to determine long-term maintenance of a remission should be done at least yearly, together with the testing routinely recommended for potential complications of diabetes.
"Diabetes remission may be occurring more often due to advances in treatment," said Amy Rothberg of the University of Michigan in Ann Arbor, Mich. Rothberg represents the Endocrine Society as a member of the Diabetes Remission Consensus writing group. "More research is needed to determine the frequency, duration and effects on short- and long-term medical outcomes of remission of type 2 diabetes using available interventions."
(Excerpt) Read more at medicalxpress.com ...
Covid cured it.
I will find it...
read a report that some diabetic meds may increase AC2 expression as a side effect of down-regulating AC1
Think about that.
Why are diabetics prone to SARS? What exactly is the technical cause?
Definitely, intermittent fasting is a key method, too.
My wife and I do both.
Excellent article. Thank you
bump for later
My diabetic insulin dependent husband does Keto and is no longer taking insulin. His endocrinologist released him. He sees our primary care 2x a year for bloodwork and so far after 3 years is doing fine.
I also skip the berries and fruits but there are some with fewer carbs than others.
Keto/low carb and IF are definitely working in my favor. I’m currently on day 2 of a 3 day fast for this week and I feel fine. My longest fast has been for 7 days.
It was nice to find a GP who heartily supports keto/low carb and IF. Ultimately, it wouldn’t have mattered what any of my doctors said as I was going to smile, thank them, and do it anyway.
Peach
Bkmk
“Low Carb” or “Keto” isn’t a destination they are just methods of transportation as it were, what the issue here is, what is proven to reverse type II Diabetes is shedding the excess fat, and calorie restriction (in one form or another) is the only way to do that.
I managed to lose 60 pounds just over 2 years ago (and keeping it off) and I didn’t (and don’t) particularly pay much attention to carbs. I’m not Diabetic but I don’t want to push my luck. In the vast majority of people, Obesity or being fat is a choice. I’m not going back again, I’m not going to be obese, or even overweight again. But I’m realistic, there is room for some carbohydrate within a reduced calorie intake.
Within the realm of “healthy eating” (defined as a sane number of daily calories based on exertion) I can choose to eat more filling or substantial meals with a good mix of protein or fat, or I can choose high carb foods. My body never fails to inform me this was a poor choice. Over time people will naturally gravitate towards better nutrient mixes if they are serious about losing fat and keeping it off.
In general I agree that everything is being dumbed down across the board, to enable failure or excuse it, to enshrine mediocrity for various reasons, none of them particularly good. “It’s too hard!” is not a prescription for success in any endeavor.
Type II is also being insulin-resistant, even if your pancreas is producing sufficient amounts, you can still be resistant
If they could only find a cure for peripheral neuropathy and painful feet. Consulted podiatrists and “neuropathy centers” and other snakeoil salesmen to no avail. My A1/c has been 5.7 for the past 6 months(which puts me in the safe range), yet I am home-bound because of foot pain.Underwent surgery, electrotherapy, injections without any improvement while most procedures and doctor visits are not covered by healthcare. The “neuropathy centers” are a real racket and I advice FReepers to stay away from them.
What supplements have you tried?
“Type II is also being insulin-resistant, even if your pancreas is producing sufficient amounts, you can still be resistant”
Yep. Point well made.
The ADA’s “high carb diet” was not reversing anyone. It kept blood sugar and insulin levels high, being reduced by increasing amounts of drugs until the person ate themselves to death from bodily dysfunction.
>>. I feel fine, but my Doc put me on Metformin..<<
Do some research on “Berberine”(YouTube)
My charge: a 6-pack of Heineken.
Neuropathy pain...I suggest you research Alpha Lipoic Acid.
Thanks. Done that.
I think I’ll ping my list on this one - been a while. Thanks for posting!
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