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Questions

Diabetes Remission: Common Questions

Blood glucose returning to non-diabetic levels without glucose-lowering medication.

Last revised

Diabetes Remission: the questions people actually ask, answered from published guidance.

Key takeaways

  • Usual definition: HbA1c below 48 mmol/mol for at least 3 months without medication
  • Most associated with: substantial weight loss, often 10-15kg
  • Most useful single change: Ask your GP whether a remission programme is available locally.
  • Commonest mistake: Attempting a very low calorie diet without medical supervision.
  • See a doctor if any of the signs under "When to get help" below apply to you.

What is Diabetes Remission?

Blood glucose returning to non-diabetic levels without glucose-lowering medication.

Why does it matter?

It is achievable for some people with type 2 diabetes, particularly early after diagnosis, and it is not the same as being cured.

Usual definition for Diabetes Remission?

HbA1c below 48 mmol/mol for at least 3 months without medication.

Most associated with for Diabetes Remission?

Substantial weight loss, often 10-15kg.

Most likely for Diabetes Remission?

Within the first few years after diagnosis.

Monitoring continues for Diabetes Remission?

Annual checks remain necessary.

What is the single most useful thing to do?

Ask your GP whether a remission programme is available locally.

What is the most common mistake?

Attempting a very low calorie diet without medical supervision.

When should I see a doctor?

Never stop or reduce diabetes medication without medical advice — doses need adjusting as glucose falls, particularly insulin and sulfonylureas, to avoid hypoglycaemia. Seek urgent help for symptoms of very high or very low glucose. Remission can be lost, so report rising glucose promptly.

Where to go next

When to get help

Never stop or reduce diabetes medication without medical advice — doses need adjusting as glucose falls, particularly insulin and sulfonylureas, to avoid hypoglycaemia. Seek urgent help for symptoms of very high or very low glucose. Remission can be lost, so report rising glucose promptly.

Where this comes from

How this page was put together

Every figure, recommendation and warning above is taken from the guidance named in Where this comes from. Nothing on this page is inferred, summarised or generalised beyond what those bodies publish: where they give a number, it is their number, and where they are silent, so are we. Pages are rebuilt whenever the underlying record changes. Sign-off by a named clinician, where it has happened, is shown at the top of the page along with the date.

Medical disclaimer

This article is general information, not medical advice. It cannot account for your own history, medication or circumstances. Always speak to a GP, pharmacist or another qualified health professional before making changes that affect your treatment, and never delay seeking medical advice because of something you have read here. In an emergency, call 999.

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