The data from The US Centers for Disease Control and Prevention (CDC) has found that around 10.5 percent of the US population is dealing with diabetes. Experts have said that the month of November is marked as National Diabetes Awareness Month. While there is a focus on diabetes and pre-diabetic preclusion, many people still deal with the weight of diabetes diagnosis. Many people who are diagnosed with type 2 diabetes ask whether they can reverse their condition. Experts say that it cannot be fully cured or reversed but people can control their glucose levels. Scientists have said that a tiny fraction of people who are dealing with type 2 diabetes can achieve normal levels of blood glucose that is known as normoglycemia if they undergo bariatric or metabolic surgery or have lost a major amount of body weight. A study that has been released in 2019 has shown that in the case of type 2 diabetes, beta cells that produce insulin do not work properly. However, with a healthy lifestyle and major weight loss, patients can gain normal levels of blood glucose.
Health experts have said that patients who are dealing with type 2 diabetes are usually insulin defiant that means that cells in their bodies do not react well to insulin. These cells cannot use glucose present in the bloodstream to gain energy. They have claimed that diabetes remission might aid the beta cells to work correctly and that can shoot up insulin sensitivity. As per the scientists, the odds of facilitating the beta cells to recuperate some normal functioning works better in the early stages after a patient is diagnosed with type 2 diabetes. However, in some cases, the levels of glucose in the bloodstream might shoot up again over time if patients return to poor lifestyle behaviors and gain weight. This is the reason, it is said that type 2 diabetes cannot be reversed or fully cured. The American Diabetes Association, The European Association of the Study in Diabetes and the Endocrine Society, and Diabetes UK have issued a joint statement in August 2021 on gaining normal blood glucose levels while having type 2 diabetes. Experts have admitted that there is no regular term or definition to explain the rare events of extended normoglycemia in people who have been diagnosed with type 2 diabetes and are not having glucose-lowering drugs. Terms such as cured or reversed are often used in the case of normoglycemia. However, these terms are linked to controversial claims as well. The normal term for such a state is remission, said the experts.
Health officials have said that the average blood glucose levels of the past three months can be tracked via a blood test that is known as Hemoglobin A1C. Health care providers more often use this test to detect diabetes and find out how well patients are managing diabetes. In the joint statement, experts have termed diabetes remission as A1C levels of fewer than 6.5 percent for at least the last three months when patients are not using sugar-lowering drugs. It applies to whether it is attained through a healthy lifestyle, bariatric surgery, or other ways. Health experts have said that in case, A1C is not a consistent parameter of glycemic control due to some other health issues, a fasting glucose level of less than 126 mg/dl or a projected A1C level of fewer than 6.5 percent that is measured from constant glucose monitor value can be used as well. Experts have said that even if some patients have attained the state of diabetes remission, they need to get their usual glucose testing done as high blood glucose levels can return at any time. The incidents of high blood glucose level reoccurrence depend on a number of risk factors such as poor lifestyle, some medication, weight gain, stress, and no exercise. Experts have said that even after gaining the state of diabetes remission, people can face a number of issues linked to diabetes such as retinopathy, nephropathy, and neuropathy, and the risk of cardiovascular ailment.