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"Complete diabetic remission!"

Discussion in 'Success Stories and Testimonials' started by Ceres, Jan 25, 2016.

  1. Ceres

    Ceres I reversed my Type 2 · Well-Known Member

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    I just got back from my first appointment with an endocrinologist, and, subsequent to my latest test results, he says that he considers me to be in "complete diabetic remission"!

    My latest fasting glucose was 4.4 mmol/L and my HbA1c was 27 (4.6%). Essentially, I was told it's likely that if I maintain my current weight, or (preferably) continue losing weight, as well as maintain my current diet (lowish carb/lower GI), I can ward off the diabetes for many years, though I am obviously more at risk of it returning than someone who has never been diagnosed with diabetes.

    Anyway, I just wanted to share my good news! Needless to say, I'm thrilled! :)
     
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  2. Brunneria

    Brunneria Other · Moderator
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    Well done!
    That is brilliant news. :)

    We get a lot of debate on here about the terminology of cure/reversal/remission - but with an HbA1c like that, you have cracked it (whatever 'it' is!)

    :D:D:D
     
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  3. Arab Horse

    Arab Horse Type 2 · Well-Known Member

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    That's brilliant news, very well done. Can you share how you did it with us, please?
     
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  4. brettsza

    brettsza Type 2 · Well-Known Member

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    Very well done. All the best.
     
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  5. AndBreathe

    AndBreathe I reversed my Type 2 · Expert
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    That's a fabulous result, and interesting where your current BMI is.

    What are your personal objectives from here, going forward?
     
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  6. Prem51

    Prem51 Type 2 · Expert

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    Well done @Ceres! That's a great result.
     
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  7. November1115

    November1115 Type 2 · Well-Known Member

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    Wowwww........ fantastic news!!! :)

    Do share how you did it! :happy:

     
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  8. DiabetesDestroyer

    DiabetesDestroyer Type 2 · Active Member

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    Forgive my sceptism, but an Hba1c of 39 is not diabetes.

    "Diagnosed T2 Sept 2015

    [Sep. 2015] HbA1c 39 (5.7%) || FBG 7.6 || GTT: 1hr 10.5; 2hrs 11.6 || BMI 38
    [Jan. 2016] HbA1c 27 (4.6%) || FBG 4.4 || BMI 32"

    You may have had a high FBG but, I don't think tthat you were a proper diabetic. Prediabetes is diagnosed at 42 and above and diabetes at 48 and above.
     
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  9. 13lizanne

    13lizanne Type 2 · Expert

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    Thrilled for you @Ceres fabulous results
     
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  10. November1115

    November1115 Type 2 · Well-Known Member

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  11. Neohdiver

    Neohdiver Type 2 · Well-Known Member

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    In the US, if 7.6 was a second FBG that high - or a confirmation that the first test was accurate, it would create a diagnosis of diabetes.

    (There are multiple criteria - one of which is two FBG tests equal to or greater than 7 (126 mg/dl) - even if the A1C isn't above 6.5% (the US standard for diagnosis by A1C), or the GTT is not above 11.11 (the US standard for diagnosis by GTT))
     
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  12. DiabetesDestroyer

    DiabetesDestroyer Type 2 · Active Member

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    Check this site and Google for the HbA1c indictators and range.

    The term HbA1c refers to glycated haemoglobin. It develops when haemoglobin, a protein within red blood cells that carries oxygen throughout your body, joins with glucose in the blood, becoming 'glycated'.

    By measuring glycated haemoglobin (HbA1c), clinicians are able to get an overall picture of what our average blood sugar levels have been over a period of weeks/months.

    For people with diabetes this is important as the higher the HbA1c, the greater the risk of developing diabetes-related complications.
    HbA1c mmol/mol %
    Normal
    Below 42 mmol/mol Below 6.0%
    Prediabetes
    42 to 47 mmol/mol 6.0% to 6.4%
    Diabetes
    48 mmol/mol or over 6.5% or over

    I rest my case.
     
  13. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    HbA1c is not an exact science. An HbA1c result depends on how long your red blood cells are around before they die/get replaced. The shorter the cells live, the lower the HbA1c for a particular level of average blood glucose. So an HbA1c value is not an exact correlation to a person's average blood glucose level. In other words, a person could have a supposedly non-diabetic HbA1c, yet have diabetes, and vice versa. The OGGT is a much better indication of whether a person has type 2 diabetes or not.

    To give some perspective on the HbA1c test, here's a graph showing average blood glucose versus HbA1c:

    HbA1c_EMBG.jpg

    It's not particularly helpful to tell someone who failed an OGTT that they were not diabetic. Clearly they were.
     
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  14. DiabetesDestroyer

    DiabetesDestroyer Type 2 · Active Member

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    Anyone can fail one, maybe they hadn't fasted for the required period of time, or smoked a cigarette etc. In the UK, my GP surgery bases a diabetes diagnosis on the HbA1c reading. This reading also depends on whether or not you are given meds and which meds you are prescribed.
     
  15. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    Your GP surgery is partially right. Type 2 can be diagnosed from an HbA1c, but a normal HbA1c does not rule out diabetes. Similar with a fasting blood glucose. An OGTT is pretty much the gold standard for diagnosis. Using only HbA1c is kind of lazy, but it does save money. Unfortunately it will result in some false positives and negatives (see graph above). If you have some kind of evidence that smoking or not fasting would result in failing an OGTT, that would be interesting. A prolonged very low carb diet can result in failing an OGTT, but I don't think this is the case here.
     
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  16. NoCrbs4Me

    NoCrbs4Me I reversed my Type 2 · Well-Known Member

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    Depends what kind of tests. You can do an HbA1c anytime. Personally I'd never do an OGTT except for an initial diagnosis. If it's a lipid panel, I'd wait until my weight had stabilized for a month or so.
     
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  17. mogzilian

    mogzilian Type 2 · Well-Known Member

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    I bought the book the other day - still not got around to reading it!
     
  18. Southbeds

    Southbeds Type 2 · Well-Known Member

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    Well done
     
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  19. mogzilian

    mogzilian Type 2 · Well-Known Member

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    Thanks! I might just do that! XX
     
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  20. Ceres

    Ceres I reversed my Type 2 · Well-Known Member

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    Yikes, apologies, guys! I've been away on holiday and have been neglecting this forum!

    Thank you to everyone for their kind words and encouragement. It is pretty much solely because of all of you that I've managed to get to this point. This forum was a lifesaver for me when I was first diagnosed and in a pretty bad place emotionally. Honestly, I cannot thank you enough.

    To answer a couple of questions:

    Initially, I went super low-carb (<20g of carbs per day, predominantly from vegetables) and dropped some weight. Unfortunately, a couple of months of being in ketosis seemed to exacerbate some sensitive bladder issues!, so I began to reintroduce some lower GI carbs, such as pasta and wholemeal bread--up to 100g per day. To my surprise, I found that I could tolerate them quite well. This tolerance keeps improving as I lose more weight (e.g. I ate an 80g serving of pasta last night and the highest number I saw was 5.6, and I was back to 4.5 after 3 hours). Since diagnosis, I have lost about 30kg. From my highest weight, I have lost 46kg in total. I also exercise regularly, though I wasn't exercising at all when I was low-carbing. My current regime is a 30-40 minute moderately-paced walk, a couple of aerobics classes, and a few gym sessions per week. I should reiterate, though, that my numbers were already quite good when I started exercising, so whilst exercise is a fantastic tool in the diabetic toolbox, diet (in my case, low carb) is the sledgehammer!

    I think I was lucky in some ways, because if you look at my numbers at diagnosis, I had essentially just tipped over the line between prediabetes and diabetes. Add in the fact that I had so much weight to lose (I still have about 15kg to go to be at the top end of my 'ideal' weight range), and possibly my age (30s), I was in a fairly good position to 'reverse' the diabetes.

    Lose the rest of the weight! At least 15kg, to get to a healthy BMI. Continue with regular exercise. And, probably most importantly, not slip back into my previous eating habits (I was a terrible emotional/binge eater). I plan to be on a lower-carb diet for life, sticking to lower GI carbs as much as possible.

    And, uh, for those of you who may be questioning my initial diagnosis, I first received a 7.8 fasting BG during a regular 'check-up' blood test. That alerted my GP to the potential diabetes diagnosis. I was then referred to take the OGTT, for which I received the below results (including a fasting BG of 7.6). I had not been low carbing in the week leading up to the test, nor do I suffer from any medical conditions, or take any medication that may adversely affect BG. I was fasting for the appropriate time prior to the test and I am not a smoker. I was obese at diagnosis, and I have a very strong family history of diabetes type 2. I hope that helps clarify things. :)
     
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