To my mind anything we are doing and which would lead to a full blown return to a diabetic state if we stopped doing it is a therapeutic intervention and should be counted as such. I see far too many people equating reversal / remission (or whatever else we want to call it) with a return to being able to eat whatever they wantSorry, disagree. I don't think you can put stopping doing something damaging to your health in the same bracket as taking medications or having surgery. Many of us change our diet at various times in our lives (eg adopt or give up vegetarianism, learn to cook or live out of the local takeaway). Stopping doing something that is bad for you (and arguably for most people, diabetic or not) is simply a lifestyle choice.
Sally
In my view, it's all about what you consider to be normal. We consider our present eating habits to be normal. At the time, we regarded our eating habits of a few years ago to be normal. There is no sense of loss, being deprived or a wish to return to the past. Our thoughts and tastes have developed and changed and we feel great on it, it's not therapy, it's what we do, just as a vegetarian doesn't eat meat or some religions don't eat pig and others eat fish on a Friday.To my mind anything we are doing and which would lead to a full blown return to a diabetic state if we stopped doing it is a therapeutic intervention and should be counted as such. I see far too many people equating reversal / remission (or whatever else we want to call it) with a return to being able to eat whatever they want
It's all a bit of a mental tongue-twister, but I actually don't think there is a typo:A bit confused here. In the quote above it refers to "no active hypoglcaemic therapy" etc. But in the references used to reach this definition it says "(anti-hyperglycemic medications, immunosuppressive medications) or surgical (ongoing procedures such as repeated replacements of endoluminal devices) therapy. So is the "active hypoglycaemic" a typo for "active hyperglycaemic"
Go on be brave and change it, I cant wait for the day I can change mine.... as others have said its encouraging for others and will be your reminder (not that you will need one) that you have come so farI have logged into my profile several times to change my diabetic classification, and hovered over the Type 2 (in remission) button. There is also a ‘Reversed’ option too. I don’t really like either term as I just consider myself very well controlled with my last three HbA1cs in the mid 30s. I feel I deserve one of the alternative classifications (sorry, blowing my own trumpet) and I think I prefer ‘In Remission’. Shall I change it or shan’t I? What do you all think?
I also eat low carb and feel good on it but it still isnt a cure, its a management strategyIn my view, it's all about what you consider to be normal. We consider our present eating habits to be normal. At the time, we regarded our eating habits of a few years ago to be normal. There is no sense of loss, being deprived or a wish to return to the past. Our thoughts and tastes have developed and changed and we feel great on it, it's not therapy, it's what we do, just as a vegetarian doesn't eat meat or some religions don't eat pig and others eat fish on a Friday.
What we choose to eat is our choice, something we do without the intervention of others or the need for specialist input. Medications and surgery are things done to you by others and are, thus, quite different.
Sally
It's all a bit of a mental tongue-twister, but I actually don't think there is a typo:
I read a hypoglycemic therapy as being one that reduces sugar, a therapy towards hypoglycemia and therefore the same thing as an anti-hyperglycemic medication being one that is acting against high sugar.
The researchers are listed as German and Mexican, possibly some confusion in translation???
Sally
I believe doctors typically use an Oral Glucose Tolerance Test (OGTT) as a method which can help to diagnose instances of diabetes or insulin resistance.
In this test you take a fixed dose of glucose of about 70 grams (after fasting for 12 hours); then;
People without diabetes
Fasting value (before test): under 6 mmol/L
At 2 hours: under 7.8 mmol/L
People with impaired glucose tolerance (IGT)
Fasting value (before test): 6.0 to 7.0 mmol/L
At 2 hours: 7.9 to 11.0 mmol/L
Diabetic levels
Fasting value (before test): over 7.0 mmol/L
At 2 hours: over 11.0 mmol/L
I would say anyone achieving the non diabetic range after this test has reversed the diabetes whatever their adopted diet plan.
I agree with rmz80 on this. Only let your doctor reclassify you as non-diabtetic or in remission if he can proove it with the results of an Oral Glucose Tolerance Test. While you are managing your diabetics on a low carb way of eating an HbA1C does not tell you whether you are Type 2 diabetic or not - it just tells you how well you are managing your condition.
I see far too many people equating reversal / remission (or whatever else we want to call it) with a return to being able to eat whatever they want
It's very interesting that we all have different experiences.I agree that your condition is yours to change as long as you don't reverse it back again thinking you can eat like someone without diabetes. A lot of people who have reversed their status may have only been a diabetic type 2 for a short time and those with 30 years as a type 2 although encouraged to go and stay on a low carb diet may be discouraged and really downhearted after trying really hard on a low carb diet without the same reversal. Hope yours is reversed for good and well done!
As I have, but I still don't agree that achieving non diabetic hda1c etc through good control (by whatever combination of interventions that entails) is the same as remission reversal or cure - its simply excellent control and that is worth celebrating in its own right.Yes but those people are usually the naysayers who claim that if you can't eat what made you ill in the first place then you haven't achieved reversal/remission/cure whatever anyone wants to call it.
For me and I'm guessing many others who have put effort into changing their ways of eating their old diets are precisely what they are trying to avoid.
So what is your definition? Or is it not possible in your view?As I have, but I still dontagree that achieving non diabetic hda1c etc through good control is the same as remission reversal or cure - its simply excellent control and that is worth celebrating in its own right
I have logged into my profile several times to change my diabetic classification, and hovered over the Type 2 (in remission) button. There is also a ‘Reversed’ option too. I don’t really like either term as I just consider myself very well controlled with my last three HbA1cs in the mid 30s. I feel I deserve one of the alternative classifications (sorry, blowing my own trumpet) and I think I prefer ‘In Remission’. Shall I change it or shan’t I? What do you all think?
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