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<blockquote data-quote="KennyA" data-source="post: 2707863" data-attributes="member: 517579"><p>Yes, and since the definition of remission was altered (consensus report, 2021, link below) it's very possible to be officially "in remission" while still having blood glucose levels that are well out of normal range. </p><p></p><p>[URL unfurl="true"]https://link.springer.com/article/10.1007/s00125-021-05542-z[/URL]</p><p></p><p>For this definition, you would only have to have a BG level of under 48 mmol/mol and not had any glucose-lowering medication in the previous three months. No mention of being symptom-free or anything else. In my case I had a large number of symptoms while my BG was in the mid-40s, so I could, according to this definition, have technically been "in remission" while still having symptoms and being quite unwell. I don't therefore find this definition satisfactory, although it is one that would be very easy to have a payment attached to it "for success".</p><p></p><p>In contrast the definition my GP used was a full calendar year at normal BG levels (ie below 42) with no glucose-lowering medication in that time. </p><p></p><p>I like "kind of healthy" - it's like that. I have some permanent nerve damage, which I guess after over four years is not going to get any better. All of the acute symptoms have gone, and I have had normal BGs since my last diabetic reading in January 2020. I've lost about a third of my starting body weight - around 40 kilos. And I still aim for around 20g carb/day. I'm diabetic and always will be, but controlled. Kind of healthy.</p></blockquote><p></p>
[QUOTE="KennyA, post: 2707863, member: 517579"] Yes, and since the definition of remission was altered (consensus report, 2021, link below) it's very possible to be officially "in remission" while still having blood glucose levels that are well out of normal range. [URL unfurl="true"]https://link.springer.com/article/10.1007/s00125-021-05542-z[/URL] For this definition, you would only have to have a BG level of under 48 mmol/mol and not had any glucose-lowering medication in the previous three months. No mention of being symptom-free or anything else. In my case I had a large number of symptoms while my BG was in the mid-40s, so I could, according to this definition, have technically been "in remission" while still having symptoms and being quite unwell. I don't therefore find this definition satisfactory, although it is one that would be very easy to have a payment attached to it "for success". In contrast the definition my GP used was a full calendar year at normal BG levels (ie below 42) with no glucose-lowering medication in that time. I like "kind of healthy" - it's like that. I have some permanent nerve damage, which I guess after over four years is not going to get any better. All of the acute symptoms have gone, and I have had normal BGs since my last diabetic reading in January 2020. I've lost about a third of my starting body weight - around 40 kilos. And I still aim for around 20g carb/day. I'm diabetic and always will be, but controlled. Kind of healthy. [/QUOTE]
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