Would this ever be possible with the support of a specialist, if someone can demonstrate that through tests that Type 2 is no longer present perhaps through weight loss enabling the pancreas to work more effectively or is it forever the case that you will be diagnosed as diabetic?
Ben
Difficult one
My last HBa1c was 33.
I was never built to be 19 stone,now 12.
Apparently I have been described as a fixed producer of insulin,I can't increase my insulin to handle my weight.
BUT what is pre diabetic,surely that means you are and if you lower your readings you are are off the hook,erm don't get that.
Off the hook is kind of what was implied when I asked for my latest results, or as @AdamJames says, off the register. I was told that no further action was required. hbA1c was 44, so you could say Type 2 is no longer present, but the reading is pre-diabetic, not non-diabetic, so further action IS required. I will ask for three-month bloods - I am of the 'in remission' school or, perhaps better, stasis: a predisposition to Type 2 is not likely to go away, so vigilance is still required.Difficult one
My last HBa1c was 33.
I was never built to be 19 stone,now 12.
Apparently I have been described as a fixed producer of insulin,I can't increase my insulin to handle my weight.
BUT what is pre diabetic, surely that means you are and if you lower your readings you are are off the hook,erm don't get that.
Agreed. If you get your sugars back to normal ranges, were to be considered no longer at any increased risk than the average Joe, then how does one explain the 50% risk women who have had gestational diabetes have of developing T2 within 20 years of the pregnancy?I'd agree that someone who has been diagnosed as diabetic, then through some process (e.g. weight loss) becomes no longer detectable as diabetic via any medical investigation, is not "off the hook" when it comes to needing to be careful about what they eat in order to not be diagnosed as diabetic again.
I would go along with what you have said totally. We got to be in this place for eating wrong foods and perhaps not being as active as we should be. If we went back to eating high Carbs etc after controlling our sugar levels,then surely we would end up being back in the same place as we started. Pre-diabetic or Type 2. When people used the word "Reversed" I prefer the word controlled.There are 2 codes the doctors can use if you fulfill certain criteria and, without medication, have normal HbA1c levels continuously over a period of time. One is "In remission" and this is used for long term good control with normal levels. The other is "resolved" which should only be used if the initial diagnosis was either incorrect, or BG levels were high due solely to medication such as steroids that are no longer taken and levels have returned to normal.
There doesn't seem to be a definition of "in remission" in the guidelines, so GPs have their own definitions, and each will be different. Personally, I prefer to be classed as a well controlled T2.
Off the register is effectively a policy decision: you will no longer be offered routine screenings. In times of NHS austerity, this may seem like an effective approach to managing costs by your GP (especially if your GP is of the school of thought that believes that diabetes is a progressive disease).
Oops, my bad, thanks for the correction @Bluetit1802! I should have used the word 'may' instead of 'will' be removed from the register.Someone taken off the register and coded as "in remission" (as opposed to "resolved") will remain on the list for all the screening stuff - retinal eye screening, foot checks, annual blood tests and an annual review with a DN or GP. This is a NICE directive.
Agreed. If you get your sugars back to normal ranges, were to be considered no longer at any increased risk than the average Joe, then how does one explain the 50% risk women who have had gestational diabetes have of developing T2 within 20 years of the pregnancy?
Off the register is effectively a policy decision: you will no longer be offered routine screenings. In times of NHS austerity, this may seem like an effective approach to managing costs by your GP (especially if your GP is of the school of thought that believes that diabetes is a progressive disease).
The term remission infers that it is still there, but you are doing a stellar job of keeping it under control through dietary measures. If you manage remission for the rest of your life, then you could be considered cured. But this is a determination that could only be made retrospectively after one's death.
If you haven't already, check out the work of the late Dr. Joseph Kraft. Here is a link to Ivor Cummins' @FatEmperor 's blog on Dr. Kraft and his work:
http://www.thefatemperor.com/blog/2...ork-on-type-2-diabetes-insulin-reigns-disease
Agreed, NICE recommends increased screening in this population because of the increased lifetime risk of developing T2DM:But still, for any woman who has had gestational diabetes, it's not appropriate to diagnose her as Type 2 until her medical results say that she is.
I was rather muscular and buxom in my youth
the only difference is that there are Lidl protein rolls which I know I can tolerate.
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