After a blood test in November 24 I was told my Hba1c was 48 so had Diabetes, over the past 3 months I have increased my exercise and changed my eating habits but not reduced it to any great extent thinking it will be a long journey to get an improvement but didn't want to unnecessarily make my eating habits a misery. I had a second blood test last week and to my surprise my Hba1c is 41 so I'm told in the normal range, does this mean I'm in Remission ? or will be classed as Remission after a period of time.
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Take a look at our new Type 2 Diabetes Remission section on the Diabetes UK website: https://www.diabetes.org.uk/diabetes-the-basics/type-2-remission
Am I now in remission ?
- Thread starter Docker
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Leadinglights
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It is usually 2 consecutive HbA1C tests without medication below 48 which counts as remission but that doesn't mean people can go back to old ways and care is still needed.
Personally I feel it should be under 42mmol/mol which would be normal. I think just being in the prediabetic range sends the wrong message but apparently it was agreed that it was under 48.
rebrascora
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Many congratulations on your HbA1c result. Well done! I'm delighted for you.
As regards remission, it is just a word. It doesn't really mean a whole lot because you have to continue to work at maintaining it, just like you have to maintain good diabetes management whether your HbA1c is down from 70 to 50 or 48 to 41. The important thing is that you continue to manage it well. It is not like you have "skinshies" from diabetes once you earn the word "Remission". But I do understand that it is nice to have a goal and I can understand wanting to claim "remission" especially when you have put a lot of hard work into achieving it.
Have they said when they will test your HbA1c again o have you not had your review yet? As @Leadinglights says, remission is officially two consecutive readings below 48 with no meds after a diagnosis. If you only had 1 HbA1c of 48 and nothing higher then it could be argued that you may not have been diabetic in the first place as NICE guidelines suggest 2 HbA1c results of 48 or more for a diagnosis, if the patient isn't symptomatic and at 48 it would be pretty unusual to have any obvious symptoms of diabetes.
As regards remission, it is just a word. It doesn't really mean a whole lot because you have to continue to work at maintaining it, just like you have to maintain good diabetes management whether your HbA1c is down from 70 to 50 or 48 to 41. The important thing is that you continue to manage it well. It is not like you have "skinshies" from diabetes once you earn the word "Remission". But I do understand that it is nice to have a goal and I can understand wanting to claim "remission" especially when you have put a lot of hard work into achieving it.
Have they said when they will test your HbA1c again o have you not had your review yet? As @Leadinglights says, remission is officially two consecutive readings below 48 with no meds after a diagnosis. If you only had 1 HbA1c of 48 and nothing higher then it could be argued that you may not have been diabetic in the first place as NICE guidelines suggest 2 HbA1c results of 48 or more for a diagnosis, if the patient isn't symptomatic and at 48 it would be pretty unusual to have any obvious symptoms of diabetes.
Thanks for this the last couple of years I increased from 44 to 46 and then 48 in November for the first time, I've had no symptoms at all. Wrongly I know now that I pretty well ignored the 44 and 46 even though I was told I had prediabetes but once Diabetes was mentioned I knew it needed to be sorted and to give the NHS its due its stepped up and since November I've been on a days course and had my eyes checked (all ok). The latest result of 41 came as result of me being part of a research programme and they will be giving me another blood test in July which will help to keep me motivated . Thanks again for the info
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harbottle
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The international criteria for remission of type 2 diabetes agreed in 2021 states:
“A person is in remission of T2DM if they have an HbA1c <48mmol/L for at least 3 months AND they have not taken any medications to control their blood glucose levels during this time”.
So yes, you’d be classed as in remission and your diagnosis code should changed to reflect this.
“A person is in remission of T2DM if they have an HbA1c <48mmol/L for at least 3 months AND they have not taken any medications to control their blood glucose levels during this time”.
So yes, you’d be classed as in remission and your diagnosis code should changed to reflect this.