I’m not sure that the terminology “cure”, “remission” or “reversal” are entirely relevant to T2 diabetes, which is why there are so many confusing opinions on the matter.
Let’s take an analogy. You love gardening, so did your parents, you seem to have a genetic pre-disposition to getting out there and getting your hands covered in soil. When you come in from gardening, your partner exclaims, “Look at the state you’re in, go and wash, now!” Some time later, you are spotlessly clean. Have you been cured of a love of gardening? Are you in remission from the state of dirty hands? If you stick your hands in soil tomorrow, will they emerge clean? Silly questions.
My feeling is that T2 is a “state” or “condition”, like dirty hands. You have probably inherited a pre-disposition towards T2, along with a possible love of gardening, from your parents. If you put on excess weight (that is excess for you, passing your trigger point) and you eat too many carbs and too much sugar, it’s the equivalent of the gardener being given a fine day and a trowel. Hands will get mucky and blood sugar will rise.
The biggest downside of being in a T2 state is that raised sugar levels in the blood damage many parts of the body. Because much medical opinion and past experience has shown that people do not “wash their hands” of the T2 state, it has been described as irreversible and progressive, with more and more sugar damage occurring – unto death. Many, on this forum and beyond, have shown that, like the gardener, you can wash your hands of the T2 state and bring sugar levels down to normal. Therefor you can stop the progress of sugar damage. Also, the body is such an amazing thing that some of the past damage (depending on how extreme and for how long) may even reverse, over time.
Passing or failing an Oral Glucose Tolerance Test is an irrelevance. It’s the equivalent of a gardening lover, who wants to keep clean hands, leaping into a big muddy puddle. Why do it?
Sally