Research

Energy balance

Achieving type 2 diabetes remission is possible through significant weight loss (≥15 kg) induced by a very low-calorie diet (825–853 kcal/day) without surgery.

To potentially reverse type 2 diabetes, you must lose a significant amount of weight (at least 15 kg or 33 lbs). This requires a strict, medically supervised very low-calorie diet (around 850 calories/day) for 3-5 months, followed by a careful reintroduction of food. This is not a standard diet but a specific medical intervention proven to put diabetes into remission for many people.

StrongSupportsHIGH confidence
Among people with type 2 diabetes in primary care who were randomised to either a diet very low in energy (very low calorie diet) or usual care, mean body weight fell by 10 kg in the intervention group and 46% remained free of diabetes (i.e. in remission; HbA1c <48 mmol/mol [<6.5%]) at 1 year and off all glucose-lowering and antihypertensive medications [21].
Andreas Niehaus · Nikephoros: Zeitschrift für Sport und Kultur im Altertum · 2005

Why this rating

Based on the DiRECT trial, a randomized controlled trial (RCT) cited as proof of principle.

Source

'Herz und Schwimmen sind eins': Anmerkungen zum Schwinmmen in Japan als militärische tradition

Andreas Niehaus · Nikephoros: Zeitschrift für Sport und Kultur im Altertum · 2005

DOI 10.1007/s00125-023-05873-z

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DOI resolved against Crossref · corpus check 2026-06-10

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