T2 remission? What does the team think??

ianf0ster said:

but my DP still kicks in every morning FBG has never been below 6.9mmol

Click to expand...

lucylocket61 said:

my fbg is always still around 8. It's what my body does. This is not unusual. Fbg isn't a good indication of control.

Click to expand...

Point taken, HbA1c & TIR will always trump FBG.

On another note before 1997 FBG was the primary diagnostic tool used, sometimes alongside the OGTT.
I believe 7.8(140) was the cutoff with no such thing as pre-diabetes.
I wonder how many people got a diagnosis cause of DP yet could of had non-diabetic A1cs.

The target is being set at a level that still has elevated mortality and nerve damage...

Ronancastled said:

There would be my definitions.
Remission = Off All Meds + FBG < 5.6 + A1c < 5.7%
Reversal = Off All Meds + FBG < 5.6 + A1c < 5.7% + OGTT < 7.8 @ 2 Hours

Click to expand...

Agree with this, except that FBG might have a bit wider range of natural variation.
<6.5% would be better referred to as "managed" than remission.

Edit: Although hopefully this starts to move clinical care from "eat potato and metformin" to "seek to achieve remission in the next 6 months" as the default.