Posted on 09/14/2021 5:20:25 PM PDT by nickcarraway
People with type 2 diabetes should be considered in remission after sustaining normal blood sugar levels for three months or more, according to a new consensus statement from the Endocrine Society, the European Association for the Study of Diabetes (EASD), Diabetes UK and the American Diabetes Association, and co-published in Journal of Clinical Endocrinology & Metabolism, Diabetologia, Diabetic Medicine and Diabetes Care.
pulation has diabetes, and these numbers continue to rise. 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.
"Our international group of experts suggest an HbA1c (average blood sugar) level of less than 6.5% at least three months after stopping diabetes medication as the usual diagnostic criterion for diabetes remission," said statement author and Endocrine Society member Matthew Riddle of Oregon Health & Science University in Portland, Ore. Riddle is chair of the Diabetes Remission Consensus writing group that developed the statement. "We also made suggestions for clinicians observing patients experiencing remission and discussed further questions and unmet needs regarding predictors and outcomes."
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."
Bttt
She didn’t take medication at all.
One day, cold turkey, she cut out ALL sugar, pasta, bread (her favorite thing), rice, etc.
She tested her sugar twice a day, which she hated. I’d often have to walk down the road and do it for her. Her sugar level dropped slowly and at a steady pace. Her weight did the same.
Sadly, two years later she died of metastatic breast cancer. I still wonder if the drastic change in her lifestyle had anything to do with it. Probably not.
I agree
My Aic went from 7.0 to 5.0 on the keto regime, and lost 70 lbs in last 6 months. No exercise, just more active and eating the right stuff.
LDL, the bad one, went from 200 to 70.
No desire to ever go back, i still use half&half in my coffee, life is good
Had to buy all new clothes though,
It’s hard to lose weight while drinking.
Aside from the calories, there are sleep issues (No REM), and your liver isn’t breaking other things down when dealing with ethanol. I think it also has an effect on testosterone to estrogen ratio.
i’ve dropped my A1C from 9.6 to 6.0 in 6months, am no longer on insulin (was on 56 units/day originally), and only take 1 oral diabetic pill (was on 3). AND have lost 45 lbs in 6 months. No special treatments or meds, just a strict keto diet and monitoring blood sugars and blood ketone levels daily.
People who drink alcohol are healthier.
Anybody ever have anything from Starlight. About to do a bottle crack.
Ping.
That would depend on the amount, and the corollary choices made while drinking.
GP recommended a glucose test, as a result of which he wrote me a prescription, which I promptly filed in the little round receptacle beside my desk. I cut out carbs for a month, ate brown rice and vegetables, and presto, type 2 gone!
I still have to do it, I am a type 2 er.
I use one of these...
chart:
Yep, i have one of those little testers too, use it in the morning at at night. Ikeep a written chart.
I was 11 after the glucose test (blech) and refused to take the medication, went down to 5.6 in a month after reducing carbs and lost 10 pound.
Good for you Fred!
And...even after that, I’m still carrying too much upholstery around the middle. The older you get, the harder it is to get rid of it.
PS. I love pasta!
“But couldn’t a person who has never had diabetes start eating like that and become diabetic? Is everyone in remission”
Excellent observation.
And...even after that, I’m still carrying too much upholstery around the middle. The older you get, the harder it is to get rid of it.
PS. I love pasta!>>>>>>>>>>>>>>>>>>>>>>>>
Fish, brown rice , miso,and tofu will be slavation for me.Walking will remove most of the upholstery, But I do not reserve enough time for myself to do it all.Thats the kicker.
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