Causes of remission lapse

[chrisjohnh]

I am a T2D of some 30 years now, and I am a contemporary of yours. I used to run happily on high octane blood sugars (HbA1c above 100) but 8 years ago decided to take it seriously especially since my mother was taken by T1D at age 54. So I have been a low carber since that decision. I lost 8 stone weight and am steady at 10 stone with a BMI of 21 or 22. I have been below 48 on all my HbA1c;s since decision day, but I do not consider myself in remission. I did have 2 doctors declare me in remission, but I was in hospital at the time and Eatwell guaranteed that it was short lived. I am happy taking minimum dose of a medication which is a lot less thn I was tking 8 years ago. I am just happy to have not progressed as had been predicted.

Truly inspiring, thank you.

 

[Oldvatr]

Truly inspiring, thank you.

Thank you. I was inspired by this forum, as I believe you are too. It is indeed a life preserver.

 

[Resurgam]

I am hoping to stay in remission, but when I consider how long I was pushed to eat carbs - from my early 20s to 65, there must have been some consequences.
The constant bombardment of insults about my non compliance has also had an effect on my ability to deal with the attitudes people have towards weightloss.

 

[Ronancastled]

It seems to vary widely person by person.
There's a guy I follow on Reddit, he has a blog that he keeps religiously, he's been in remission over 20 years.
There is also a T2 couple I corresponded with that have 45 years remission between them, great support structures.
In both cases it's been maintained weight loss & low carb diets that they attributed to their remission longevity.
Indeed the husband of the couple told me that a Junior Doctor told him about low carb the day he was diagnosed but asked never to be quoted on it for fear of his medical licence.

As far as hard data on remission goes there are long term studies such as the Swedish Obese Subjecys Study, ran for 20+ years.
As you can see bariatric surgery weight loss results varied based on the procedure.



There was large scale remission of T2 in the first few years, this decayed about 50% over 10 years as shown.



Now remember this data goes back years, long before low carb was even a thing.
I do remember seeing that the greatest factor for remission was duration of T2 before surgery & whether or not you'd already progressed to insulin.
Anyway, remission doesn't sell meds so pharma are not interested.