In the past 40 years, the incidence of type 2 diabetes has increased year by year, and the age is getting younger and younger, which is related to the increase in the rate of overweight and obesity caused by lifestyle changes, and the incidence of type 2 diabetes increases with weight gain.
After a diagnosis of type 2 diabetes, many people are concerned about the need for lifelong medication. In fact, for some patients with type 2 diabetes, it is possible to achieve remission after early positive**.
What is type 2 diabetes remission.
Remission of type 2 diabetes refers to the fact that blood glucose can still be in a target state or normal state in the absence of hypoglycemic drugs**.
Glycosylated hemoglobin (HBA1C) <65% as diagnostic criteria for remission.
Conditions for remission of type 2 diabetes.
The following 5 conditions need to be met at the same time to achieve remission.
Negative diabetic autoantibodies: negative GADA, ICA, IAA antibodies, etc. can rule out type 1 diabetes;
Body mass index (BMI) 25 kg m2, or waist circumference 90 cm for men and 85 cm for women: overweight patients with type 2 diabetes may achieve remission with **, and underweight patients are not suitable;
The function of pancreatic islets is acceptable: fasting C-peptide 11 g L, 2 h postprandial C-peptide 2At 5 g l, it indicates that there is a certain basis for the reversal of pancreatic islet cell function;
No serious complications: patients with type 2 diabetes mellitus such as cardiovascular disease, severe retinopathy, chronic kidney disease, etc., are not suitable for high-intensity intervention**;
Duration of diabetes 5 years: Patients with type 2 diabetes who have a course of 5 years have a higher chance of remission after intervention.
How to achieve remission.
If you want to achieve diabetes remission, you need to standardize blood sugar lowering** early, strengthen lifestyle intervention, and control your weight in a short period of time, if you lose 10% of your body weight within 1 year, it is the key to achieve remission of type 2 diabetes.