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Trial to see if type 2 diabetes can go into remission started in Hackney UK

Hi everyone,

I thought that some of you might find this interesting, it's a trial at the new Hackney Diabetes centre aimed at making type 2 Diabetes go into remission with a low calorie diet for 3 months followed by a healthy diet plan. This is the first one in the country so let's hope it's a success.

bbc.co.uk/news/av/uk-englan...

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Does not seem to be a big deal! With Such a low calories liquid diet of 800 kcal which is 40% less than an adult BMR of 1200 Kcal, it could definitely be possible to go into remission.

With a strict LCHF diet of 1200 kcal one can go into remission.

In fact even with healthy balanced diet (Moderate restricted Carb) of 1000-1200 kcal per day divided in to 4-5 mini meals , one can achieve good blood sugar control with suitable exercise or brisk walk 3 times a day post meal.

Only sustainability could be an issue in the long run.

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This pretty much follows my own path since October 2018 having been diagnosed type 2 in July 2018. I restricted myself to 1,500 calories per day, which turned out to be slightly less upon measurement, and 150 grams of carbohydrate per day. It was not so much a diet than a lifestyle change, consciously excluding chocolates, sweets, desserts, biscuits, crisps - in other words, most of the junk foods I was consuming, and concentrating on eating more basic home cooked foods such as broccoli, cauliflower, carrots, peas, potatoes, chicken. After July HbA1c reading of 56, my November reading was 41, below even the pre-diabetic number. I was so elated. I also started Couch to 5K NHS jogging programme mid October and finished it 5Jan2019. I continue with Bridge to 10K, and have lost a total of 12kg since 1Oct2018. No doubt there will be some people for who this doesn't work - I feel very lucky - but I would put money on it putting at least half of those who stick to diet and exercise getting into remission. The 800 calorie restriction every day may be a bit severe, but then again, if anyone is morbidly obese and is in danger of passing away, then I would also support that shock approach. I recently read Dr Michael Mosley's book The 800 Plan, and it looks like the NHS has adopted his approach, based on extensive evidence from controlled research studies around the world.

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Well. Remission is the word used for a disease free period during which the patients do not show signs of illness and has not to take medications. So in strict sense t2d can't remit. T2d have to control their condition preferably with diet and with medications ( not recommended unless compulsorily required as in some medical condition like fever and during perisurgical periods).

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Hi. I refused metformin and my gp afreed 3 months with no tablets. Is that remission?

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Remission is when you don't take any drugs and not doing idm and still your bs and a1c are within normal range. There's temporary remission the period of which is undefined - can be of few days, weeks or months and permanent remission, the definition of which is not defined but if the remission extends beyond reasonable long period ( again not defined )can it be considered.

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