Mixed
Significant weight loss (induced by metabolic surgery, very-low-calorie diets, or intensive insulin therapy) prior to irreversible beta-cell damage can induce durable remission of type 2 diabetes, defined as HbA1c <6.5% without medication.
If you have recently been diagnosed with Type 2 Diabetes, especially if overweight, aggressive intervention is critical. This may involve significant weight loss through very-low-calorie diets, metabolic surgery, or short-term intensive insulin therapy. The goal is to restore beta-cell function before damage becomes irreversible, potentially allowing you to stop medication and maintain normal blood sugar levels.
Remission appears to be prompted by proactive treatment for hyperglycemia and significant weight loss prior to irreversible β-cell changes.
Why this rating
Based on multiple RCTs and meta-analyses cited, though long-term durability varies.
Source
Not Control but Conquest: Strategies for the Remission of Type 2 Diabetes Mellitus
Jinyoung Kim et al. · Diabetes & Metabolism Journal · 2022
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