The American Diabetes Association (ADA) supports the concept of type 2 diabetes remission, which is defined as achieving and sustaining normal blood glucose levels without medication for at least three months.
This can be achieved through various interventions, including significant weight loss via low-calorie diets, carbohydrate restriction, or bariatric surgery.
While the ADA does not use the term 'reversal' or 'cure' because recurrence is possible, they acknowledge that lifestyle changes and medical interventions can lead to a period of remission.
The ADA recommends using the term 'remission' instead of 'reversal' or 'cure' because a return to unhealthy lifestyle habits can cause the diabetes to return.
Remission is defined as having an HbA1c of less than 6.5% for at least three months in the absence of glucose-lowering medications.
Losing 5–7% of body weight can help prevent or delay type 2 diabetes. Low-calorie diets (LCD) and carbohydrate restriction: These methods have shown effectiveness in achieving remission, and the ADA supports their short-term use for weight loss.
Lifestyle changes: Regular physical activity (at least 30 minutes, 5 days a week) and adopting a healthy diet low in saturated/trans fats, cholesterol, salt, and added sugars are key components.
Patients in remission still need continued follow-up with a healthcare team to monitor their glucose levels and watch for complications. Remission is not permanent and requires ongoing commitment to lifestyle
It is crucial to consult a healthcare professional for personalized medical advice and to discuss appropriate treatment options
