have i reversed type 2

[rapiddance]

random test 27.7 in april latest tested 5.6 today is this reversed diet and exercise only

 

[Lamont D]

random test 27.7 in april latest tested 5.6 today is this reversed diet and exercise only

Good results!
But only a one time result.
Only a hba1c test will give you that answer.
But it will always be there, just because you seem to be in non diabetic numbers doesn't mean you can go back to what is termed eating 'normally'!

You can relax the reduction in carbs but as they say 'eat to your meter!'

 

[Resurgam]

Is that finger prick blood glucose tests in mmol/l?
If so then you have reduced the amount of glucose in your blood between that test and this latest one, but that is all that can be said, to be honest, other than good one.
I have consistently low BG levels, due to my diet being low in carbs, and my glycated haemoglobin level is down to normal - but I am still diabetic and if I were to go back to the carb laden cholesterol lowering diet I was on then I'd soon be back in the same state as I was before diagnosis.

 

[rapiddance]

Is that finger prick blood glucose tests in mmol/l?
If so then you have reduced the amount of glucose in your blood between that test and this latest one, but that is all that can be said, to be honest, other than good one.
I have consistently low BG levels, due to my diet being low in carbs, and my glycated haemoglobin level is down to normal - but I am still diabetic and if I were to go back to the carb laden cholesterol lowering diet I was on then I'd soon be back in the same state as I was before diagnosis.

yes it is a finger prick test in mmols. Diabetic nurse said I am reversing but just got yo wait for hba1c test now

 

[Jammer66]

I was classed as 'no longer diabetic' only after a combination of non-diabetic results from finger prick, hba1c and oral glucose tolerance tests.

Don't be disheartened though, you're doing very well!

 

[rapiddance]

Good results!
But only a one time result.
Only a hba1c test will give you that answer.
But it will always be there, just because you seem to be in non diabetic numbers doesn't mean you can go back to what is termed eating 'normally'!

You can relax the reduction in carbs but as they say 'eat to your meter!'

what is reversed definition then

 

[Resurgam]

I don't believe there is a official definition, as officially there is no way to reverse diabetes - most doctors seem to regard it as a progressive disease which will result in nasty complications and early death - but there is a growing number of type 2 diabetics with good numbers confirmed by the tests done by hospitals as well as at home.

 

[rapiddance]

I was classed as 'no longer diabetic' only after a combination of non-diabetic results from finger prick, hba1c and oral glucose tolerance tests.

Don't be disheartened though, you're doing very well!

Thanks, Dr said a group of Aborigines reversed in a study in 7 weeks after returning to their traditional homeland and diet and leaving the western diet off flour ,sugar , rice, beer , and potatoes etc

 

[Resurgam]

Thanks, Dr said a group of Aborigines reversed in a study in 7 weeks after returning to their traditional homeland and diet and leaving the western diet off flour ,sugar , rice, beer , and potatoes etc

Perhaps that is more 'left it behind them' - I have just about completely normal readings after six months not eating carbs, and I have lost weight, feel better, but I like the low carb diet so I don't really want to start to eat stodge again, even if I could cope with it.

 

[douglas99]

It was a very low GI diet, starchy tubers, but high fibre.
Very lean meat.
Low calorie density, high nutrient food.
You're never see any thing other than a fit and lean aborigine.

 

[Bluetit1802]

random test 27.7 in april latest tested 5.6 today is this reversed diet and exercise only

In what circumstances were your tests taken? Fasting? Before meals? 2 hours after a meal? Any old time?
Are you testing regularly, such as before you eat and 2 hours after your first mouthful?

I live in the high 4s and 5s most of the night and day, with short excursions to the 6s after my main meal, but I know exactly what happens if I eat a bread bun or a battered fish, or even a piece of tropical fruit. I am diet only and know I will always have to be careful what I eat.

 

[keitjones]

I don't believe there is a official definition, as officially there is no way to reverse diabetes - most doctors seem to regard it as a progressive disease which will result in nasty complications and early death - but there is a growing number of type 2 diabetics with good numbers confirmed by the tests done by hospitals as well as at home.

I have read a lot of studies and research about reversing T2. I am sure it can be done. As long as healthy eating is maintained after sugars are controlled and the body absorbs and produces insulin correctly.

 

[keitjones]

what is reversed definition then

My guess would be; normal insulin production and absorption of the insulin by the blood cells. Thus controling the blood sugars in the normal range. Maintenance of a healthy diet is key to keeping this balance. Just a guess

 

[Robbity]

I agree with the others and unfortunately I don't believe that, however well you've done, just one non diabetic result says anything other than you've done extremely well and got your diabetes well under control. The art is in actually keeping it there. I've managed to keep mine down to (apart from a single blip ) low pre-diabetic levels for three years now but I have no doubt that what triggered my diabetes is still there and if I ever went back to eating a higher carb diet I'd see high glucose levels again.

(And my GP although well pleased with my results has only ever told me I've got "good control", and just recently decided I can come off metformin.)

Robbity

 

[NoCrbs4Me]

what is reversed definition then

"Remission is defined as achieving glycemia below the diabetic range in the absence of active pharmacologic (anti-hyperglycemic medications, immunosuppressive medications) or surgical (ongoing procedures such as repeated replacements of endoluminal devices) therapy. A remission can be characterized as partial or complete.

Partial remission is sub-diabetic hyperglycemia (A1C not diagnostic of diabetes [<6.5%], fasting glucose 100–125 mg/dl [5.6–6.9 mmol/l]) of at least 1 year's duration in the absence of active pharmacologic therapy or ongoing procedures.

Complete remission is a return to “normal” measures of glucose metabolism (A1C in the normal range, fasting glucose <100 mg/dl [5.6 mmol/l]) of at least 1 year's duration in the absence of active pharmacologic therapy or ongoing procedures."

And:

"Prolonged remission is complete remission that lasts for more than 5 years and might operationally be considered a cure."

From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768219/

 

[Bluetit1802]

"Remission is defined as achieving glycemia below the diabetic range in the absence of active pharmacologic (anti-hyperglycemic medications, immunosuppressive medications) or surgical (ongoing procedures such as repeated replacements of endoluminal devices) therapy. A remission can be characterized as partial or complete.

Partial remission is sub-diabetic hyperglycemia (A1C not diagnostic of diabetes [<6.5%], fasting glucose 100–125 mg/dl [5.6–6.9 mmol/l]) of at least 1 year's duration in the absence of active pharmacologic therapy or ongoing procedures.

Complete remission is a return to “normal” measures of glucose metabolism (A1C in the normal range, fasting glucose <100 mg/dl [5.6 mmol/l]) of at least 1 year's duration in the absence of active pharmacologic therapy or ongoing procedures."

And:

"Prolonged remission is complete remission that lasts for more than 5 years and might operationally be considered a cure."

From: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2768219/

It really ought to include a successful OGTT. We all know how unreliable fasting tests are, and for a lot of us it is the same with the HbA1c. I have never done an OGTT but I do sometimes experiment with a high carb food to see what it does to me.

 

[NoCrbs4Me]

It really ought to include a successful OGTT. We all know how unreliable fasting tests are, and for a lot of us it is the same with the HbA1c. I have never done an OGTT but I do sometimes experiment with a high carb food to see what it does to me.

Or perhaps a fructosamine test if there is a suspicion that a person's HbA1c test is inaccurate.

 

[NoCrbs4Me]

It really ought to include a successful OGTT. We all know how unreliable fasting tests are, and for a lot of us it is the same with the HbA1c. I have never done an OGTT but I do sometimes experiment with a high carb food to see what it does to me.

This is what the paper said about OGTT: "The group was unable to reach a consensus on the incremental value of oral glucose tolerance testing, beyond the more convenient A1C and FPG tests, in defining remission."

 

[Bluetit1802]

This is what the paper said about OGTT: "The group was unable to reach a consensus on the incremental value of oral glucose tolerance testing, beyond the more convenient A1C and FPG tests, in defining remission."

It makes sense to use all the tests available, fasting blood glucose, A1c, post-meal glucose and fructosamine. Out of all those I would chose the post meal glucose on an OGTT or using CGM devices to test this out. Of course, this will never happen.

 

[NoCrbs4Me]

It makes sense to use all the tests available, fasting blood glucose, A1c, post-meal glucose and fructosamine. Out of all those I would chose the post meal glucose on an OGTT or using CGM devices to test this out. Of course, this will never happen.

One drawback is that on a low carb diet, even a person that has never had diabetes can become temporarily insulin resistant.