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How to stay young - BBC1 Type 2 Element

caroline_92 said:
I actually have a bit of an issue with the term 'reversing' diabetes as yes, you can change your diet to get your body working properly again - very low carb worked for me 6 years ago and I didn't count a single calorie! But if you go back to your old ways you are likely to become 'diabetic' again over time. Due to fundamental metabolic issues that are often genetic. I had this debate with my GP this morning, as they had stopped calling me for an annual HbA1C blood test as the last one was 'normal'! Fantastic! But it is so easy for carbs to creep back in and the A1C to creep back up. People find a way to eat for the long term and low carb is probably the best way to do this...
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Are you still getting your annual eye screening? PHE say;-

People should be screened for diabetic retinopathy for life once there has been a definite diagnosis of diabetes

Current evidence shows that all people with diabetes should be screened for diabetic retinopathy for life once there has been a definite diagnosis of diabetes, excluding gestational diabetes. New GP Read codes were introduced in 2014 to take this guidance into account.

Before 2014, many GPs used the code ‘Diabetes resolved’ for patients whose blood sugar levels normalised following treatment, such as pancreatic transplant, or intensive weight reduction. These patients were then removed from the register of people requiring annual retinal screening – even though their risk of developing diabetic retinopathy may have increased following a rapid improvement in diabetes control.

Such patients should now be classified as ‘Diabetes in remission’. This ensures they are still invited for screening.
https://phescreening.blog.gov.uk/20...dont-slip-through-diabetic-eye-screening-net/​
 
bulkbiker said:
Very interested in this statement. I would love to hear the composition of the "Expert groups" and what evidence they will be examining.. Could you elaborate please?
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If this is the same thing a friend of mine who works as a diabetes specialist nurse has been asked by DUK if he will join a working group to look at remission/cure. I believe from what he has said that the panel is made up of various disciplines of hcps including doctors consultants nurses and dieticians etc.
 
Dark Horse said:
Are you still getting your annual eye screening? PHE say;-

People should be screened for diabetic retinopathy for life once there has been a definite diagnosis of diabetes

Current evidence shows that all people with diabetes should be screened for diabetic retinopathy for life once there has been a definite diagnosis of diabetes, excluding gestational diabetes. New GP Read codes were introduced in 2014 to take this guidance into account.

Before 2014, many GPs used the code ‘Diabetes resolved’ for patients whose blood sugar levels normalised following treatment, such as pancreatic transplant, or intensive weight reduction. These patients were then removed from the register of people requiring annual retinal screening – even though their risk of developing diabetic retinopathy may have increased following a rapid improvement in diabetes control.

Such patients should now be classified as ‘Diabetes in remission’. This ensures they are still invited for screening.
https://phescreening.blog.gov.uk/20...dont-slip-through-diabetic-eye-screening-net/​
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My diabetes was categorised at "Diabetes Resolves" in November 2014, and removed from the register. I am still called for my retinopathy screening annually, and even though I detest effect of the drops, I always go.

I'm not making a big thing of it, but to be honest the whole remission/resolved/gone away/cured or whatever seems very dependent on the doctor consulted.

It will be good, at some stage, to have official definitions for each of those.
 
AliBarnesNcl said:
Here is a link to Prof Taylor/Prof Shaw paper about beta cells in T2Dnicely summarised by Caroline_92:
http://care.diabetesjournals.org/content/39/11/2080
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Great article. Thank you. Can I pick your brains? A lot of us here would like to know how we can tell when we have lost enough weight to clear our liver and pancreas of fat. What percentage is it approx? I know we are all different so there isn't a specific number of lbs we need to lose but some kind of guidance would help me a lot. I am doing ND at the moment and would love to know when I can stop. (Especially after seeing that piece of cake Tina was eating at the start of her section of the program!!)
 
DCUKMod said:
My diabetes was categorised at "Diabetes Resolves" in November 2014, and removed from the register. I am still called for my retinopathy screening annually, and even though I detest effect of the drops, I always go.

I'm not making a big thing of it, but to be honest the whole remission/resolved/gone away/cured or whatever seems very dependent on the doctor consulted.

It will be good, at some stage, to have official definitions for each of those.
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I agree it would be great to have some official definitions.

I would keep an eye on your screening dates, though to make sure you are still being called. If your GP has coded you as 'diabetes resolved' and you do not appear on the list of diabetics patients sent to the eye screening programme at regular intervals, the eye screening programme should send your GP forms to sign to confirm this. The returned, signed forms would have the effect of removing you from the eye screening database as patients whose are coded 'diabetes resolved' should not be screened, unlike those coded 'diabetes in remission'.

Out of interest, this document gives an idea of the work involved for eye screening programmes in checking that patients are not removed from the screening database in error:-
https://www.eyescreening.org.uk/userFiles/File/Conference 2015/Diabetes_Resolved_Alyson_Jaycock.pdf
 
I got my GP to 'unresolve' me last week so they would do annual blood tests Having been diabetic when I was pregnant and then no blood tests for 12 years until I was full blown diabetic, I am a huge fan of annual A1C tests to prevent long term degeneration before it is too late...
On the issue of the amount of weight to lose, I think that depends how well your post meal blood sugars are doing - if you have found a way of eating that keeps them within range, is sustainable and your BMI is good then that is enough weight! Works for me!
 
Remember it is fat lose not weight lose that counts, so for exmaple "body building" can result in increase weight at the same time as fat lose.
 
Tannith said:
Great article. Thank you. Can I pick your brains? A lot of us here would like to know how we can tell when we have lost enough weight to clear our liver and pancreas of fat. What percentage is it approx? I know we are all different so there isn't a specific number of lbs we need to lose but some kind of guidance would help me a lot. I am doing ND at the moment and would love to know when I can stop. (Especially after seeing that piece of cake Tina was eating at the start of her section of the program!!)
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I think it is one year normal HBA1c (without medication of course!) for remission, and two years for reversal/cure. But this is from memory, I have not checked it online... (I have no idea where I read this, probably on a thread in this forum!) And yes, depends who and where you are testing from. (Country, doctor, diabetes team etc.)

Your HBA1c, at any rate, is the signaller for remission/reversal. The '50 shades of diabetes graph' - your constantly consulted check? Against your blood lipids tests.
 
@Tannith, as for de-fatting the pancreas. The idea behind ND is that everyone has a personal fat threshold, and the only way you know what that is, re normal HBA1c (reflecting a normally functioning liver and pancreas and well functioning blood glucose regulating hormones one assumes), is give it a try and test, weigh, measure, look in the mirror. The time period for the ND is classically two months isn't it? And check your blood lipids and measurements for a few months after that, going for weight loss maintenance is the idea (whatever that weight is at normal -ish BG readings). The folks who are on for a relatively really short amount of time are those that lose a lot of weight really quickly and regain normal BG readings? So they go off the ND, else they would disappear, body-wise.
 
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