Once you have diabetes, you may have to live with diabetes for the rest of your life. Therefore, many patients hope to reverse their diabetes and get rid of it.
Whether it can reverse diabetes can be assessed using the following 5 letters.
aRefers toAntibody.
If glutamate decarboxylase antibody (GADA) and other islet-related antibodies are negative, it means that the patient does not have an immune response to the destruction of its own pancreatic islets, and there is a possibility of reversalHowever, if the antibody is positive, there is no possibility of reversal.
A has a veto power, that is,If the antibody is negative, reversal cannot be achieved even if all other conditions are met.
bRefers to body mass index（bmi）。
If the patient'sbmi≥2kg/㎡，orMaleWaist circumference90cm, femaleWaist circumference＞85cmThe probability of reversal is relatively high, and after active weight loss, diabetes may be reversed after the weight falls within the standard range.
c has two meanings, on the one hand, it refers to:C-peptide, on the other hand, refers toComplication review
WhenFasting C-peptide 11 ng ml, 2 h postprandial C-peptide 25ng/ml, indicating that the function of pancreatic islet cells is still alive, and there is a basis for reversing diabetes.
In addition, the presence and severity of complications also have an impact on the success rate of reversal. If there are no complications or if the complications are mild, the probability of reversal is higher.
dRefers toDuration
Duration of disease 5 years of type 2DiabetesPatients have a high probability of reversal;Patients with a disease duration of more than 5 years will have a lower probability of reversal, but it does not mean that it is completely impossible to reverse.
sRefers toSubmission
If the patient actively intervenes as soon as he or she notices an elevated blood glucose, the likelihood of diabetes reversal is greater, and the likelihood of reversal is less if the patient's adherence is high.
To sum it up,aand cC-peptideis the core condition,If one of these two conditions is not met, there is no possibility of reversal, and there is a veto;The complication assessment, D and S in B and C are all plus points, and if the target can be met, the possibility of reversal is greater, but failure to meet the target does not mean that there is no possibility of reversal.