Is Type 2 reversible??

[karloc]

My feeling is that T2 is an umbrella term for a number of very different but related conditions, including some with a significant genetic component, some powered very much by weight gain (general or visceral/TOFI), some characterised by insulin resistance, others which progress and various complex combinations of these and still other components!

So really I would say it depends on quite which subset of T2 you happen to have whether or not you can put your T2 into remission, reversal and whether or not it will continue to progress over time.

Interesting, that would also explain why some people can change things around and others are unable.

 

[everydayupsanddowns]

Interesting, that would also explain why some people can change things around and others are unable.

I have seen a conference presentation where the clinician suggested there are already upwards of 70 known subtypes of the main umbrella groups of T1, T2, LADA, T3c, MODY, Gestational et al. It’s a complicated business!

 

[karloc]

I have seen a conference presentation where the clinician suggested there are already upwards of 70 known subtypes of the main umbrella groups of T1, T2, LADA, T3c, MODY, Gestational et al. It’s a complicated business!

I am learning that 🙂.
I guess I need to figure out where I am to 'fix' it 🙂. I think I'm relatively simple fat and sugar abuse and whilst I might be able to make some fast changes it will also be long term.

 

[everydayupsanddowns]

I am learning that 🙂.
I guess I need to figure out where I am to 'fix' it 🙂. I think I'm relatively simple fat and sugar abuse and whilst I might be able to make some fast changes it will also be long term.

Yes I think the ‘reversible’ carrot can be a bit of a double-edged sword for T2s. There’s no glimmer of possibility as a T1 so you just have to focus on living well with your diabetes, rather than fighting to ‘get rid of it’ only to find out later that this may never have been possible for you.

Focus on good BG management, a low-spike-excellent-nutrition way of eating that you enjoy and keeping yourself as fit and active as you can would be my tip 🙂

 

[karloc]

Yes I think the ‘reversible’ carrot can be a bit of a double-edged sword for T2s. There’s no glimmer of possibility as a T1 so you just have to focus on living well with your diabetes, rather than fighting to ‘get rid of it’ only to find out later that this may never have been possible for you.

Focus on good BG management, a low-spike-excellent-nutrition way of eating that you enjoy and keeping yourself as fit and active as you can would be my tip 🙂

Thanks.
I have been working on my BG management hard. 4.7 last 3 morning and yesterday never above 5.0. I am trying to work out how my body works, responds etc. My thoughts are also atm thinking that by keeping my BG low it will give the best chance of giving my body a chance of becoming less insulin resistant. Also shedding those pounds which is going well.

 

[Drummer]

Despite keeping to my low carb way of eating, under 40 gm of carbs a day, I just do not get lower Hba1c readings - the top end of normal is probably where I am set and it would take some shaking up to get me to go lower.
The answer does really appear to be 42.

 

[Martin Canty]

Reverse/Remission/Cure/Control, a debate we have had many times, I think the issue is that we are all different, as is our D.... Personally I view myself as Well Controlled, I absolutely know that if I relax control my BG will start to rise

Now, the next question is, once you have got BG to target levels (whatever you decide them to be) is how to keep them there & what tools that you have at your disposal to monitor your progress. IMHO daily testing (even for T2's) is the only way to go; an opinion which is (unfortunately) not shared by the general medical community in the UK. using A1c just does not give the granularity needed (though it does give a great insight on how you are controlling your D)

 

[Ralph-YK]

I believe that it is reversible and that is what I am working towards, what does every body else believe ??

Depends on what you mean by reversible. As said, this comes up often. When asked at a Diabetes Support Group meeting once, the GP there said he'd not cured. If someone had "normal" consistent BG figures and not on medication, he'd call it in remission.
Some may be able to get their figures down, they're still diabetic. High BG is a symptom, not actually the condition.

 

[Ralph-YK]

My bad sorry
I had just assumed that needing insulin basically meant T1
I only know one T1 and it was not autoimmune it was the loss of her pancreas.

Thinking T2 can become T1 is common. A number of diabetics think this. Often insulin use (and hypos) = T1 is assumed in discussions. From what I've heard, even some medical people are under this impression.
I've met a couple of people who've lost insulin production because of operations (didn't discuss details or types with them) in RL, and some on here. I believe they're not classed as T1.
I wonder if in practice they're the same, even though the cause is different.

I think with T2 it's because the pancreas gets worn out, instead of "outside" agent causing damage. Or it can't keep up with insulin demands because of insulin resistance.