If someone’s carrying extra weight around their middle, fat can build up around important organs like the liver and pancreas. To understand how losing weight can help someone go into remission, we need to understand why having obesity can lead to type 2 diabetes.
How can losing weight help put your diabetes into remission? Rapid weight loss is not advised if you are a healthy weight, under 18, pregnant, breastfeeding or have ever been diagnosed with an eating disorder. Also, you may need to reduce or stop any medications – insulin or sulphonylurea, for example – before you begin losing weight.
#20 years down and forever to go professional
If you do want to start losing weight quickly to work towards remission, it's important to talk to a healthcare professional before you begin, to make sure it’s right for you. If you have obesity, you are more likely to put your diabetes into remission if you lose a substantial amount of weight – 15kg (or 2 stone 5lbs) – as quickly and safely as possible following your diagnosis. The strongest evidence we have suggests that diabetes is mainly put into remission by weight loss. It needs to be maintained and in many cases, diabetes can come back, which is why it is so important to continue your diabetes appointments while in remission. We don’t have enough evidence that remission is permanent. A lot of research is needed before we fully understand it. The magic is in what you do." Watch Shivali's story below.ĭiabetes remission is quite a new idea. But this is something that can happen to real people. If your regular blood tests show your HbA1c remaining below 48 mmol/mol or 6.5%, talk to your healthcare team to discuss diabetes remission and how this applies to you. Some people call this ‘reversing type 2 diabetes’, but we use the term remission because your diabetes can come back. This definition has been agreed by a team of international experts from here at Diabetes UK, the American Diabetes Association and the European Association for the Study of Diabetes. Remission is when your HbA1c - a measure of long-term blood glucose levels - remains below 48mmol/mol or 6.5% for at least six months. Remission means that your blood sugar levels (also known as blood glucose levels) are below the diabetes range, usually without you needing to take any diabetes medication.
Read Julie's story What is diabetes remission? I have so much energy now and I sleep like a log."
#20 years down and forever to go trial
Julie put her diabetes into remission on the NHS low calorie programme which is based on the results of the DiRECT trial we fund.
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