International standards for type 2 diabetes remission established (Yes, diabetes GONE)

Medical XPress / Nature Publishing Group / Diabetologia ^ | Aug 30, 2021 | Matthew C. Riddle et al

[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."

[DuncanWaring]

Educated beyond his intelligence.

[Pining_4_TX]

Not all type 2 diabetics are overweight. A1C is not as good an indicator as a 2-hour post meal glucose check is. Also, cholesterol drugs are not as advertised. In fact, these drugs do nothing for people who have never had a heart attack, and probably only benefit those people who are affected by a genetic condition that causes them to have incredibly high levels of cholesterol. These drugs are quite profitable for the manufacturers, however. Over the years, the numbers for various conditions have been changed to say that ever-increasing numbers of people are overweight, have high blood pressure, have high blood sugar, or high cholesterol. It used to be that anything under 240 was considered a normal cholesterollevel.

If There is No Benefit, Why Tolerate Any Risk?

https://abcnews.go.com/Health/story?id=3232247&page=1

I highly recommend the books by Dr. Nortin Hadler, MD. He shows that all the testing and preventive medications are not what they are cracked up to be, and carry significant risks. Books -
Worried Sick

The Last Well Person

Rethinking Aging: Growing Old and Living Well in an Overtreated Society

[Pining_4_TX]

I am a failure at any kind of fasting. I like Stephanie Laska’s approach. She is the author of Dirty, Lazy, Keto. She lost 140 pounds and has kept it off for 10 years.

We all do what we can. :-)