This a thousand times over.
This a thousand times over.It reminds me of that old, stupid joke. You know, the guy goes to the doctor and he's bent and twisted his arm behind his back, and he says, "Doc... when I do this, it hurts!" and the Doc replies, "Stop doing that, then", and then guy is all "I'm cured!"
If we treat our bodies badly, they break. If we stop, they recover. If we then start treating them badly (just like if we twist our arms behind our backs again), they'll just break again.
Does "cured" need to be a word we use? I feel far more empowered by the notion that I got it under control and am keeping it there. I don't need a cure: I did it for myself.
"Well, I'm cured! I can do anything I like!" they think
In the UK it's called "remission" and is formally declared (like a peace treaty in a war!) when you've had 2 HbA1c readings of less than 42 in a row. This is because, at this level you are considered to have very good control and be out of the danger zone for all the T2D nasties: as long as you stay at that level of control you will, indeed, be okay.
Where do you get the idea that 2 HbA1c's less than 42 in a row is called remission in UK? I did try to talk to my GP about this but he said it was excellent control but still diabetic. I would love a formal declaration!
In the UK it's called "remission" and is formally declared (like a peace treaty in a war!) when you've had 2 HbA1c readings of less than 42 in a row. This is because, at this level you are considered to have very good control and be out of the danger zone for all the T2D nasties: as long as you stay at that level of control you will, indeed, be okay.
But that's often a flash point for T2's: "Well, I'm cured! I can do anything I like!" they think - and they return to the Eatwell Plate and take up going to the gym twice a week (with those lovely sports drinks), and have the occasional slice of cake at birthdays and Christmas and, because they're "in remission", no-one's really looking at their control anymore... so they slip.
It's not anyone's fault. It's that until really very recently, Type 2 Diabetes was seen as a progressive, life-changing disease that had no cure and no real management strategy. The notion of remission - of the T2 Diabetic taking active control and self-managing their disease is a very recent one: we're still advised there's no need to test our BG regularly, we're still given the Eatwell Plate as an example of a healthy diet, we're still not counselled about what to actually do when we hit the magical "Remission" day.
Which is why forums like this are so important: lots of people here are in remission and have maintained their control. This forum isn't just about managing diabetes, but keeping it under control for the rest of our lives.
Congratulations to you for accomplishing the first stage of your journey!
Final thought: The "get fat again" is because people who have T2D are insulin resistant. And a sign of insulin resistance is a spare tyre many of us (not all) carry around our middles. If you have had a diagnosis of T2D and get that tyre back, it's a clear danger sign. That's all he meant.
Me too, but for some people it's the only solution.I would rather have type 2, and control it by diet and drugs, than have a gastric bypass.
I wonder if he makes all his patients get into ketosis before their ops?
it may be the only solution for some for weight loss, but for type 2 control only? if I was slim? thats what i meant. I forget to use all my words sometimes when posting lolMe too, but for some people it's the only solution.
Not quite the same surely.It's strange that a type 2 who constantly gets an hba1 of under 6.5 over two months can be classed as 'in remission', why then isn't it the same for type 1s?, if their readings also drop to under 6.5 (most likely will for those on insulin) then are they in remission? I'm guessing not because it is the insulin dropping them, but then again is it not the low carb diet that is dropping type 2's? My point being, drop the insulin and the low carbs and back it all comes.
it may be the only solution for some for weight loss, but for type 2 control only? if I was slim? thats what i meant. I forget to use all my words sometimes when posting lol
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