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Is "Reversed" the same as "In Remission?"
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<blockquote data-quote="DCUKMod" data-source="post: 2158227" data-attributes="member: 345386"><p>My diabetes status, on my GP medical records states "Diabetes Resolved"</p><p></p><p>I was diagnosed in October 2013, with an A1c of 73. The following February (3.5 months), my A1c was 37. I have never been higher that 33 since, with my last, my last at 27. </p><p></p><p>Conversations on remission, reversal and cur on here can become heated. To my knowledge, only the ADA has been bold enough to mention cure, in their paper, here: <a href="https://www.diabetesremission.org/our-task" target="_blank">https://www.diabetesremission.org/our-task</a> .</p><p></p><p><span style="font-size: 22px"><strong><em>“</em>Our Answer<em>”</em></strong></span></p><p>The IDDR is being developed to identify the factors, levels and interactions that increase the probability of remission in a person with diabetes. The goal is to enable the deployment of novel solutions as fast as possible. </p><p></p><p>Our first paper is being prepared, here is the abstract:</p><p></p><p><strong>Background</strong></p><p>The Diabetes Remission Project (DRP) aims to develop a protocol for remission of diabetes. Remission status is operationally defined as being able to sustain regular blood glucose levels (HbA1c < 6.5%, fasting serum glucose < 125 mg/dL) without requiring ongoing pharmacological or surgical treatment. The project has an observational, an analytical and an experimental component. This paper describes the initial findings from the observational component. Results from the analytical component -using statistical learning and large databases- will be available shortly after abstract submission, in May 2018. </p><p> </p><p></p><p><strong>Aims</strong></p><p>To identify the factors that maximize the probability of sustaining remission of diabetes, with special emphasis on non-surgical and non-pharmacological strategies. </p><p> </p><p></p><p><strong>Methods</strong></p><p>Cases of remission are identified worldwide, using clinical referrals, online forums and social networks. Participant’s non-pharmacological strategies are explored with three different approaches. Close-ended surveys are used to obtain sociodemographic data, proof of physiological condition and a brief description of non-pharmacological strategies. In-depth interviews are used to deepen on understanding the dietary, physical activity and psychological strategies utilized to sustain remission. Ecological momentary assessment and smartphone data donation is used to collect quantitative data on diet, physical activity and to collect pictures of participant’s food, and physical environment. A mixed-methods assessment is then utilized for cross-reference and quantitative assessment. Special emphasis is given to find a novel or recent physiological hypothesis on how to sustain remission.</p><p>Smartphone data donation. To perform this activity, we use of a platform that guarantees data donation in anonymity. In addition, donors can keep record of their donations using a blockchain-based registry. This system was built by <a href="http://bitmark.com/" target="_blank">Bitmark, Inc</a>. </p><p> </p><p></p><p><span style="font-size: 22px"><strong><em>“</em>Definition of Diabetes Remission<em>”</em></strong></span></p><p>Following international standards [1,2] a person goes into diabetes remission when the following conditions are fulfilled:</p><p></p><ol> <li data-xf-list-type="ol">Had a diagnosis of diabetes</li> <li data-xf-list-type="ol">Fasting Serum Glucose (FSG) is less than 100 mg/ml (5.6mmol/l) </li> <li data-xf-list-type="ol">HbA1c is less than 6.0% (42mmol/dL) </li> <li data-xf-list-type="ol">There is no active hypoglycemic therapy (either pharmacological or surgical)</li> </ol><p></p><p>We define three levels of remission:</p><p></p><ul> <li data-xf-list-type="ul">Initial. When the conditions are fulfilled for three months</li> <li data-xf-list-type="ul">Complete. When the conditions are fulfilled for one year</li> <li data-xf-list-type="ul">Operational cure. When the conditions are fulfilled for five years or mor</li> </ul><p>References: </p><p>1. Buse JB, Caprio S, Cefalu WT, Ceriello A, Del Prato S, Inzucchi SE, et al. How do we define cure of diabetes? <a href="http://care.diabetesjournals.org/content/32/11/2133" target="_blank">Diabetes Care. 2009 Nov;32(11):2133–5</a>.</p><p>2. World Health Organization (WHO). Global Report on Diabetes 2016 [Internet]. Geneva: World Health Organization; 2016. Available from: <a href="http://www.who.int/diabetes/global-report/en/" target="_blank">http://www.who.int/diabetes/global-report/en/</a>"</p><p></p><p>Based on the foregoing statements I am operationally cured. I like to think I review that on a daily basis.</p></blockquote><p></p>
[QUOTE="DCUKMod, post: 2158227, member: 345386"] My diabetes status, on my GP medical records states "Diabetes Resolved" I was diagnosed in October 2013, with an A1c of 73. The following February (3.5 months), my A1c was 37. I have never been higher that 33 since, with my last, my last at 27. Conversations on remission, reversal and cur on here can become heated. To my knowledge, only the ADA has been bold enough to mention cure, in their paper, here: [URL]https://www.diabetesremission.org/our-task[/URL] . [SIZE=6][B][I]“[/I]Our Answer[I]”[/I][/B][/SIZE] The IDDR is being developed to identify the factors, levels and interactions that increase the probability of remission in a person with diabetes. The goal is to enable the deployment of novel solutions as fast as possible. Our first paper is being prepared, here is the abstract: [B]Background[/B] The Diabetes Remission Project (DRP) aims to develop a protocol for remission of diabetes. Remission status is operationally defined as being able to sustain regular blood glucose levels (HbA1c < 6.5%, fasting serum glucose < 125 mg/dL) without requiring ongoing pharmacological or surgical treatment. The project has an observational, an analytical and an experimental component. This paper describes the initial findings from the observational component. Results from the analytical component -using statistical learning and large databases- will be available shortly after abstract submission, in May 2018. [B]Aims[/B] To identify the factors that maximize the probability of sustaining remission of diabetes, with special emphasis on non-surgical and non-pharmacological strategies. [B]Methods[/B] Cases of remission are identified worldwide, using clinical referrals, online forums and social networks. Participant’s non-pharmacological strategies are explored with three different approaches. Close-ended surveys are used to obtain sociodemographic data, proof of physiological condition and a brief description of non-pharmacological strategies. In-depth interviews are used to deepen on understanding the dietary, physical activity and psychological strategies utilized to sustain remission. Ecological momentary assessment and smartphone data donation is used to collect quantitative data on diet, physical activity and to collect pictures of participant’s food, and physical environment. A mixed-methods assessment is then utilized for cross-reference and quantitative assessment. Special emphasis is given to find a novel or recent physiological hypothesis on how to sustain remission. Smartphone data donation. To perform this activity, we use of a platform that guarantees data donation in anonymity. In addition, donors can keep record of their donations using a blockchain-based registry. This system was built by [URL='http://bitmark.com/']Bitmark, Inc[/URL]. [SIZE=6][B][I]“[/I]Definition of Diabetes Remission[I]”[/I][/B][/SIZE] Following international standards [1,2] a person goes into diabetes remission when the following conditions are fulfilled: [LIST=1] [*]Had a diagnosis of diabetes [*]Fasting Serum Glucose (FSG) is less than 100 mg/ml (5.6mmol/l) [*]HbA1c is less than 6.0% (42mmol/dL) [*]There is no active hypoglycemic therapy (either pharmacological or surgical) [/LIST] We define three levels of remission: [LIST] [*]Initial. When the conditions are fulfilled for three months [*]Complete. When the conditions are fulfilled for one year [*]Operational cure. When the conditions are fulfilled for five years or mor [/LIST] References: 1. Buse JB, Caprio S, Cefalu WT, Ceriello A, Del Prato S, Inzucchi SE, et al. How do we define cure of diabetes? [URL='http://care.diabetesjournals.org/content/32/11/2133']Diabetes Care. 2009 Nov;32(11):2133–5[/URL]. 2. World Health Organization (WHO). Global Report on Diabetes 2016 [Internet]. Geneva: World Health Organization; 2016. Available from: [URL]http://www.who.int/diabetes/global-report/en/[/URL]" Based on the foregoing statements I am operationally cured. I like to think I review that on a daily basis. [/QUOTE]
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