1- remission diabetes

Question 1

what would be remission of type 2 diabetes?

Answer 1

HbA1c under 48mmol/mol and on no diabetic medication

Question 2

what was done in direct diabetic remission clinical trial?

Answer 2

1. complete diet replacement (very low calorie diet with set shakes)
2. then do stepped food reintroduction →slowly & supervised adding up to suitable calories and help with maintaining the healthy weight

*it worked well, people lost weight & went into remission

Question 3

what are the 2 main concerns about T2DM remission?

Answer 3

1. metformin is 1st line T2DM treatment. there’s now known CV benefit of metformin so people worry about taking off metformin
2. if tell people in remission, will they make poorer lifestyle choices e.g. bad old habits, stop engaging with healthcare system