Free Republic
Browse · Search
General/Chat
Topics · Post Article

Skip to comments.

Type 2 Diabetes 'Remission' Is a Reality, Say Major Organizations
Medical Xpress ^ | AUGUST 30, 2021

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."


TOPICS: Business/Economy; Health/Medicine; Science
KEYWORDS: bloodsugar; cure; diabetes; remission
Navigation: use the links below to view more comments.
first previous 1-2021-38 last
To: nickcarraway

Bttt


21 posted on 09/14/2021 7:25:48 PM PDT by Guenevere (When the foundations are being destroyed what can the righteous do)
[ Post Reply | Private Reply | To 1 | View Replies]

To: nickcarraway

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.


22 posted on 09/14/2021 7:49:52 PM PDT by MayflowerMadam (“If TPTB can force you to take a shot, what CAN'T they force you to take?” - T. Carlson (paraphrased)
[ Post Reply | Private Reply | To 9 | View Replies]

To: Candor7

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,


23 posted on 09/14/2021 8:17:07 PM PDT by baclava
[ Post Reply | Private Reply | To 11 | View Replies]

To: DCBryan1

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.


24 posted on 09/14/2021 8:29:26 PM PDT by EEGator
[ Post Reply | Private Reply | To 17 | View Replies]

To: nickcarraway

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.


25 posted on 09/14/2021 8:41:35 PM PDT by Chickenhawk Warmonger (I would give my right arm for a mean tweet right now)
[ Post Reply | Private Reply | To 1 | View Replies]

To: EEGator

People who drink alcohol are healthier.


26 posted on 09/14/2021 9:12:12 PM PDT by TTFX ( )
[ Post Reply | Private Reply | To 24 | View Replies]

To: TTFX
People who drink alcohol are healthier.

Anybody ever have anything from Starlight. About to do a bottle crack.

27 posted on 09/14/2021 9:24:06 PM PDT by Stentor ( )
[ Post Reply | Private Reply | To 26 | View Replies]

To: Fred Nerks

Ping.


28 posted on 09/15/2021 4:17:09 AM PDT by Candor7 ((Obama Fascism:http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html) )
[ Post Reply | Private Reply | To 1 | View Replies]

To: TTFX

That would depend on the amount, and the corollary choices made while drinking.


29 posted on 09/15/2021 5:04:44 AM PDT by EEGator
[ Post Reply | Private Reply | To 26 | View Replies]

To: Candor7

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!


30 posted on 09/15/2021 5:17:24 AM PDT by Fred Nerks (fair dinkum!)
[ Post Reply | Private Reply | To 28 | View Replies]

To: Fred Nerks

I still have to do it, I am a type 2 er.


31 posted on 09/15/2021 7:33:15 AM PDT by Candor7 ((Obama Fascism:http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html) )
[ Post Reply | Private Reply | To 30 | View Replies]

To: Candor7

I use one of these...

https://www.kogan.com/au/buy/maysarah-blood-glucose-monitor-diabetes-testing-blood-sugar-meter-with-test-strips-kit-50-x-test-strips50-test-strips-and-50-lancets-ztntzuyfwijb/?utm_source=bing&utm_medium=cpc&utm_campaign=Bing+PLAs&utm_term=1101400107879&utm_content=Ad+group+%231

chart:

https://www.ketogenicforums.com/uploads/default/original/3X/5/f/5f1e3c8560b0d0613571c741c1af14eaae3284ec.jpg


32 posted on 09/15/2021 4:30:42 PM PDT by Fred Nerks (fair dinkum!)
[ Post Reply | Private Reply | To 31 | View Replies]

To: Fred Nerks

Yep, i have one of those little testers too, use it in the morning at at night. Ikeep a written chart.


33 posted on 09/15/2021 7:24:42 PM PDT by Candor7 ((Obama Fascism:http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html) )
[ Post Reply | Private Reply | To 32 | View Replies]

To: Candor7
I kept a chart (two hours after a meal) for almost a year. Never went over 7. Mostly 6.5. One lady GP who had an independant streak, said; don't worry unitl you get to 10.

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.

34 posted on 09/15/2021 8:44:09 PM PDT by Fred Nerks (fair dinkum!)
[ Post Reply | Private Reply | To 33 | View Replies]

To: Fred Nerks

Good for you Fred!


35 posted on 09/15/2021 8:46:54 PM PDT by Candor7 ((Obama Fascism:http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html) )
[ Post Reply | Private Reply | To 34 | View Replies]

To: Candor7

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!


36 posted on 09/15/2021 9:08:31 PM PDT by Fred Nerks (fair dinkum!)
[ Post Reply | Private Reply | To 35 | View Replies]

To: nickcarraway

“But couldn’t a person who has never had diabetes start eating like that and become diabetic? Is everyone in remission”

Excellent observation.


37 posted on 09/15/2021 9:17:26 PM PDT by TrumpetteNJ
[ Post Reply | Private Reply | To 15 | View Replies]

To: Fred Nerks

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.


38 posted on 09/16/2021 3:02:31 AM PDT by Candor7 ((Obama Fascism:http://www.americanthinker.com/2009/05/barack_obama_the_quintessentia_1.html) )
[ Post Reply | Private Reply | To 36 | View Replies]


Navigation: use the links below to view more comments.
first previous 1-2021-38 last

Disclaimer: Opinions posted on Free Republic are those of the individual posters and do not necessarily represent the opinion of Free Republic or its management. All materials posted herein are protected by copyright law and the exemption for fair use of copyrighted works.

Free Republic
Browse · Search
General/Chat
Topics · Post Article

FreeRepublic, LLC, PO BOX 9771, FRESNO, CA 93794
FreeRepublic.com is powered by software copyright 2000-2008 John Robinson