Diabetes Care Community

Category: Type 2 diabetes

Type 2 diabetes definition and overview

  • The top 10 differences between type 1 and type 2 diabetes

    The top 10 differences between type 1 and type 2 diabetes

    [vc_row][vc_column][vc_column_text]People who aren’t familiar with the disease tend to lump type 1 and type 2 diabetes together. However, nothing could be more misguided! While some of the principles of management may be the same, there are many differences between type 1 and type 2 diabetes. Here are the top 10 differences between type 1 and type 2 diabetes.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    1. The Cause

    Type 1 diabetes is known as an autoimmune disorder. It happens when the body’s own immune system destroys the beta cells in the pancreas. As a result, the pancreas can no longer produce insulin.

    Type 2 diabetes is not an autoimmune disorder. Rather, there are two reasons why type 2 diabetes occurs: 1) The body still makes insulin, but can’t use it properly (this is called insulin resistance); and 2) Insulin production in the pancreas decreases (this is called insulin deficiency). Some of the main risk factors for type 2 diabetes are:

    • Being 40 years of age or older
    • Having a close family members with diabetes (for example, your mother, father, brother or sister)
    • Either or both of your parents are of Aboriginal, African, Asian, Hispanic or South Asian descent
    • You are overweight, and carry this excess weight around your tummy

    2. Age of diagnosis

    Type 1 diabetes is usually diagnosed in childhood, adolescence or early adulthood. While it can be diagnosed in people who are over 40 years old, this is very rare.

    Type 2 is usually diagnosed in adulthood. One of the major risk factors for type 2 diabetes is age (over 40 years old). However, because type 2 diabetes has become epidemic around the world due to people being overweight and inactive, the age at diagnosis is decreasing; many people in their 30s or even 20s have been diagnosed with type 2 diabetes.

    3. Body weight

    In type 1 diabetes, people who are diagnosed with the disease are generally lean or thin (i.e. they don’t carry excess body weight).

    Type 2 diabetes is associated with excess body weight. In fact, being overweight or obese is one of the main risk factors for type 2 diabetes.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    4. Treatment

    People with type 1 diabetes must inject insulin multiple times each day to manage the condition, because their pancreas no longer produces insulin.

    People with type 2 can sometimes manage their condition through lifestyle changes (for example, increased physical activity and dietary changes). However, many people with type 2 diabetes take oral medications, injectable medications or insulin, depending on the degree of blood glucose control.

    5. Hypoglycemia (low blood sugar levels)

    In type 1 diabetes, episodes of hypoglycemia can be very common.

    In type 2 diabetes, episodes of hypoglycemia are less common; however, people who take sulfonylurea medications or insulin may experience episodes of hypoglycemia more often than people with type 2 diabetes who don’t take these medications.

    6. Former names

    Type 1 diabetes used to be known as either insulin-dependent diabetes mellitus (IDDM) or juvenile-onset diabetes. Type 2 diabetes was formerly known as non-insulin-dependent diabetes mellitus (NIDDM) or adult-onset diabetes.

    None of these former names are accurate! This is because type 1 diabetes can occur in young adulthood, while type 2 diabetes can occur in adolescents. Furthermore, people with type 2 diabetes can sometimes be dependent on insulin to manage their condition.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont3′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    7. Incidence

    Type 1 diabetes is the less common type of diabetes, and accounts for about 10% of all cases of diabetes around the world. Conversely, type 2 diabetes is far more common, and accounts for about 90% of all diabetes cases around the world.

    8. Prevention

    Type 1 diabetes cannot be prevented, as it is an autoimmune disease. Type 2 may be prevented or delayed. This is because three of the major risk factors for type 2 diabetes can be modified. These include:

    1. Being overweight: the more fatty tissue you have, the more resistant your cells become to insulin.
    2. Fat distribution: if your body stores fat primarily in your abdomen, your risk of type 2 diabetes is greater than if your fat is stored elsewhere, such as your hips and thighs.
    3. Inactivity. The less active you are, the greater your risk of type 2 diabetes. Physical activity helps you control your weight, uses up glucose as energy and makes your cells more responsive to insulin.

    9. Onset

    Type 1 diabetes has a very rapid onset. The time that the pancreas stops producing insulin and the start of dangerous symptoms is very short, usually just a few weeks or a month at most. In the worst case, untreated type 1 diabetes can result in a dangerous condition called diabetic ketoacidosis. For more information about ketoacidosis, click here.

    It can sometimes take months or even years for a person to be diagnosed with type 2 diabetes. This is because people may not even experience or recognize the early symptoms of diabetes. In fact, it is estimated that, around the world, about 45% of all type 2 diabetes cases in adults, remain undiagnosed. (For more information, click here.)

    10. Symptoms

    The symptoms of type 1 and type 2 diabetes are generally very similar. These include:

    • Feeling very thirsty, and drinking a lot of fluids
    • Needing to urinate frequently
    • Feeling very hungry
    • Tiredness
    • Losing weight
    • Blurred vision
    • Having cuts or sores that are slow to heal

    Symptoms that are specifically associated with type 2 diabetes also include:

    • Having frequent infections
    • Numbness or tingling in the hands or feet

    Learn more about type 1 diabetes symptoms.

    Learn more about type 2 diabetes symptoms.[/vc_column_text][/vc_column][/vc_row]

  • Type 2 diabetes self-diagnosis in Canada

    Type 2 diabetes self-diagnosis in Canada

    [vc_row][vc_column][vc_column_text]If you suspect that you have type 2 diabetes, there are some things you can do to help confirm your suspicions before you visit your healthcare team. Read on to learn more about diabetes self-diagnosis.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    Risk factors for diabetes

    Knowing the risk factors for diabetes is important, as it can help you determine how high your risk may be. There are 2 types of risk factors for type 2 diabetes: those you cannot control and those you may be able to control.

    Risk factors that are beyond your control include:

    • Being over 40 years of age
    • Having a close relative with diabetes (for example, a parent, brother or sister)
    • Being of African, Arab, Asian, Hispanic, Indigenous or South Asian descent

    Read more about diabetes risk factors here.[/vc_column_text][vc_column_text]Risk factors that you may be able to control include:

    • Having high blood pressure or high cholesterol levels
    • Being overweight (especially if the excess weight is mostly around your stomach)
    • Having prediabetes
    • Having polycystic ovary syndrome
    • Having a psychiatric disorder (for example, schizophrenia, depression or bipolar disorder)
    • Having obstructive sleep apnea
    • The appearance of darkened patches of skin (called acanthosis nigricans), which typically occur in skin folds around your groin, armpit or neck

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    The CANRISK questionnaire and self-diagnosis

    The Public Health Agency of Canada developed the Canadian Diabetes Risk Questionnaire (CANRISK), a validated self-assessment tool to help Canadians identify their risk of prediabetes or type 2 diabetes.

    Completing the questionnaire gives people an overall score that shows their risk for prediabetes or diabetes. There are 11 sets of questions, and it takes only 5 or 10 minutes to complete.

    Some of the topics include information about your age, weight, family history of diabetes, eating habits and physical activity. You can complete the CANRISK questionnaire here.

    If you feel that you have a number of risk factors for diabetes – and the CANRISK questionnaire confirms that you are at higher risk – it’s a good idea to book an appointment with your healthcare team to discuss your situation.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    Do you have symptoms?

    Many people have type 2 diabetes and don’t know it. This is because they often have no obvious symptoms at first, or have very mild symptoms that go unnoticed.

    The most common symptoms of type 2 diabetes are:

    • Feeling very thirsty
    • Urinating (peeing) more than usual
    • Unexplained weight loss or weight gain
    • Feeling very tired
    • Blurred vision
    • Cuts and bruises that are slow to heal
    • Frequent or recurring infections
    • Tingling, pain or numbness in your hands or feet
    • Trouble getting or maintaining an erection

    Read more about Type 2 diabetes symptoms in this article[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont3′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]If you feel you have a high risk of diabetes, and are experiencing some of the symptoms listed above, it is a good idea to get tested.

    Book an A1C test with your doctor or pharmacist

    An A1C (glycated hemoglobin) test is one of several blood tests that is used to diagnose diabetes. The test is typically done in a laboratory using a sample of your blood. Some pharmacies also provide this service by the pharmacist. Check with your local pharmacy to see if they offer A1C testing.

    The A1C test measures the amount of glucose in your blood over the last 2 or 3 months. A normal A1C is 6.0% or lower. An A1C of 6.0 to 6.4% indicates prediabetes. An A1C of 6.5% or higher means that a person likely has diabetes. With any blood test used to diagnose diabetes, a second test is required to confirm the diagnosis, especially if you have no symptoms.

    New technology – home A1C tests

    Recently, there has been an innovation in A1C testing. Home test kits are now available in some areas of Canada. Some can be ordered online, while others can be purchased at a pharmacy.

    The test allows you to take a sample of your own blood (using a finger stick), place the sample on a sheet of special paper to preserve it and then send it to a laboratory for analysis. The results are delivered to you via a secure website.[/vc_column_text][read-also-article article-slug=”how-is-diabetes-diagnosed/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]If you are concerned that you may be at high risk for diabetes, pay close attention to your risk factors and any symptoms you may be experiencing. The CANRISK questionnaire and a pharmacy or home A1C test can help you determine your next steps toward confirming a type 2 diabetes diagnosis and learning how to manage the condition. Armed with this information, you can contact your healthcare team to confirm your diagnosis, and discuss management issues such as lifestyle (diet and exercise) and medications.[/vc_column_text][/vc_column][/vc_row]

  • Newly diagnosed with type 2 diabetes? 8 things you need to know

    Newly diagnosed with type 2 diabetes? 8 things you need to know

    [vc_row][vc_column][vc_column_text]Receiving a diagnosis of type 2 diabetes can be overwhelming and bring a mix of emotions. While it might seem like uncharted territory, understanding key aspects of managing the condition can empower you to take control of your health and lead a fulfilling life. Here are eight essential things you need to know if you’ve been recently diagnosed with type 2 diabetes.

    1. Learn about healthy eating

    What is healthy eating? In its simplest form, eating well is about eating foods that have strong nutritional value, but that doesn’t mean all day every day is about munching raw broccoli. You can still enjoy a wide (and delicious!) range of foods. The trick is in its balance: Mix carbohydrates, fats and proteins for the best diet for you. What does that look like exactly? To get started check out our introduction to healthy eating.

    2. Get moving

    No, you don’t have to become a marathon runner all of a sudden, but you do have to stay active, in whatever way works best for you. Physical activity is crucial: Not only can it actually delay type 2 diabetes from developing in the first place, but regular exercise improves your body’s sensitivity to insulin and helps manage your blood glucose (sugar) levels. Get tips on how to start an exercise program here.  

    3. Education is empowerment

    Educate yourself about diabetes to empower yourself in managing the condition. Learn about what affects blood sugar levels, how medications work, and the importance of regular monitoring. Knowledge is a powerful tool that can help you make informed decisions about your health and well-being. Diabetes Care Community provides a wide range of resources, including self-management resources that will help you take charge of your diabetes journey.[/vc_column_text][read-also-article article-slug=”coping-strategies-for-a-diabetes-diagnosis/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    4. How to manage your blood sugar

    Rest easy. This sounds much more complicated than it actually is. At the outset you already understand it’s imperative for you to monitor your blood glucose (sugar) levels at any given time. This helps you determine if you have high or low blood glucose and it will further help your healthcare team make the necessary lifestyle and medication changes that will ultimately keep you healthy and happy. For more information on this process, please check out our expert blog.

    5. Discussing medication options with your doctor

    Some people who have type 2 diabetes can achieve their target blood sugar levels with exercise and diet alone, but most often many need diabetes-specific medications and/or insulin therapy. Making the right decision for you depends on several factors, so it’s always best to consult with your doctor to build a plan designed with your needs in mind. Learn more about medications for type 2 diabetes here.

    6. Remember that you’re not alone

    Build a support system that includes family, friends, and healthcare professionals. Connecting with others who have diabetes through support groups or online communities can provide valuable insights and emotional support. Sometimes the best comfort comes from knowing there are others out there who are going through the same experience as you. Who knows, new friends may also be found! Learn more about diabetes support groups here.  [/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    7. Find out about what health appointments you will need

    Good diabetes care starts with knowing what tests you need to have done to avoid any possible complications. Stay proactive in scheduling and attending these appointments to ensure ongoing care and support. Read more about recommended diabetes tests and when they’re done. 

    8. Emotional well-being matters

    The emotional impact of a type 2 diabetes diagnosis should not be underestimated. It’s normal to experience a range of emotions, including fear, frustration, or anxiety. Don’t hesitate to seek support from mental health professionals or join counseling services to address these feelings. Taking care of your emotional well-being is an integral part of managing diabetes successfully. Learn more about emotional well-being and diabetes here.[/vc_column_text][vc_column_text]A type 2 diabetes diagnosis is a life-altering event, but armed with knowledge, a supportive network, and a proactive approach to your health, you can lead a fulfilling and healthy life. Remember that managing diabetes is a journey, not a destination, and with the right tools and support, you can navigate this path successfully.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][read-also-article article-slug=”newly-diagnosed-with-type-2-diabetes-what-can-i-eat”][/vc_column][/vc_row]

  • 10 key facts about type 2 diabetes

    10 key facts about type 2 diabetes

    [vc_row][vc_column][vc_column_text]If you’re feeling overwhelmed with all the information around diabetes out there, you’ve come to the right place.

    Here are 10 facts about type 2 diabetes worth putting on your radar.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    1. It’s the most common type of diabetes

    Did you know that some 90-95% of people with diabetes have type 2? If you’re of African, Hispanic, South Asian, Asian or Aboriginal descent, you’re also more prone to developing type 2 diabetes compared to other ethnicities.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    2. Being overweight increases your risk of type 2 diabetes

    Research shows that if you’re obese, your chance of developing type 2 diabetes is 80 times greater than those of people whose body mass index (BMI) is within a normal range. The extra pounds around our middles are especially worrisome because abdominal fat disrupts the responsiveness of cells to insulin.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    3. You can develop diabetes at any age

    Yes, you can develop type 2 diabetes as a child, teen or adult. But this type of diabetes is most common in middle-aged and older people. Having a family member with the disease also increases your chances of developing type 2 diabetes.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    4. Type 2 diabetes often presents without symptoms

    About a third of people with diabetes don’t know they have the disease because type 2 diabetes often has no symptoms.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][read-also-article article-slug=”signs-and-symptoms-of-diabetes-beware-there-may-not-be-any” text=””][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    5. Diabetes is a risk factor for many diseases and health complications

    The reality is that unmanaged diabetes has been linked to a host of health-related issues such as infections, kidney disease, depression, sleep apnea, Alzheimer’s disease and even some forms of cancer. It is important to work with your healthcare team to ensure your diabetes is well managed, and speak to your healthcare provider if you have any concerns.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    6. Diabetes is the leading cause of blindness and amputation in adults  

    You are more prone to early-onset cataracts and glaucoma when you have type 2 diabetes. There are also long-term effects of diabetes on your retina, which can lead to blindness. Amputation is another major complication of the disease and results in death for 30% of Canadians with diabetes.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][read-also-article article-slug=”6-long-term-diabetes-complications-and-how-to-prevent-them/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    7. With type 2 diabetes you are 4 times as likely to develop heart disease

    Diabetes is considered one of the biggest risk factors for heart disease, and 7 in 10 people with diabetes will die of cardiovascular issues. If you have diabetes, you can also develop heart disease 10-15 years before someone without the disease. That’s because your blood vessels are more vulnerable to risk factors such as high cholesterol and high blood pressure.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    8. You’ll have at least 2 times the medical costs of someone without diabetes

    While diabetes costs the Canadian healthcare system billions of dollars each year, the costs for individuals with diabetes is also quite significant. According to Diabetes Canada, 57% of Canadians reported not being able to adhere to prescribed treatment because of the high cost of medications, devices and suppliers not covered by a health plan.

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    9. There is no one strict diet for type 2 diabetes.

    When you have diabetes, there is no particular meal plan you have to follow. But you should try and fill your body with healthy choices—paying attention to portion sizes and meal scheduling—to help keep your blood sugar levels in check. Some good options include plenty of vegetables, fruits and legumes, as well as low-fat dairy products, healthy carbs (whole grain breads) and good fats (e.g., olive oil and avocados). Find more information on what to include in your diabetes diet.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont3′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    10. You cannot cure type 2 diabetes, but you can manage it

    Unfortunately, there is no cure for this life-long disease yet, although researchers are working on it. In the meantime, by managing your blood sugar levels and sticking to a healthy diet and lifestyle, you can reduce your risk of diabetes-related complications. For example, weight loss of just 7-10% of your body weight can reduce your risk of type 2 diabetes in half. Find more tips on food choices that can help reduce your risk of diabetes complications.

    There is a lot to think about when you have diabetes. But armed with the facts, you can play a key role in managing your disease and, in turn, enjoying your life.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][read-also-article article-slug=”seven-diabetes-myths-separating-fact-fiction”][/vc_column][/vc_row]

  • Diabetes remission: is it possible?

    Diabetes remission: is it possible?

    [vc_row][vc_column][vc_column_text]If you have type 2 diabetes, you may wonder if the condition can be reversed. Read on to learn about diabetes remission, and what it means for you.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    What is diabetes remission?

    Diabetes remission means that your A1C and blood sugar levels are normal – i.e. below the levels for a diagnosis of prediabetes or diabetes – for at least one year, without needing to take any diabetes medications.

    How can I reach diabetes remission?

    The most important things you can do to achieve diabetes remission include:

    Eat healthy foods. A healthy meal plan is crucial to helping you manage your diabetes and ensuring that your blood glucose levels are controlled.

    Exercise regularly. The health benefits of regular exercise include weight loss, improved blood pressure control, lower rates of heart disease, and increased energy levels. In people with type 2 diabetes, regular exercise improves your body’s sensitivity to insulin and helps control blood sugar levels.[/vc_column_text][read-also-article article-slug=”can-exercise-cure-or-reverse-diabetes/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]Take your diabetes medications. A number of diabetes medications are available to help people with type 2 diabetes control their blood sugar levels. Taking them exactly as prescribed by your healthcare team will help to ensure that your blood sugar levels stay in their target range.

    Lose weight. Excess weight is associated with higher blood sugar levels and diabetes complications, so it’s important for people with diabetes who are overweight to lose weight and then maintain a healthy weight over the long term. The good news is that studies have shown that losing between 5% and 10% of your initial body weight can improve diabetes control and reduce the risk of complications. That means if you weigh 90 kilograms (200 pounds) and lose five to 10 kilograms (10 to 20 pounds), your risk of complications is reduced.

    Bariatric surgery

    For people with type 2 diabetes who are very obese, bariatric surgery is an option that can help you lose weight and improve your diabetes control. Bariatric surgery is done when diet and exercise haven’t worked or when you have serious health problems because of your weight. Commonly performed bariatric surgeries include:

    • Gastric bypass: this involves creating a small pouch from the stomach and connecting the newly created pouch directly to the small intestine.
    • Sleeve gastrectomy: this involves surgical removal of a large portion of the stomach to about 15% of its original size.

    Bariatric surgery in people with type 2 diabetes has been studied extensively, and researchers have noted that this surgery can result in prolonged weight loss, improved overall health, better control of blood sugar levels, and – most importantly – remission of type 2 diabetes.[/vc_column_text][read-also-article article-slug=”can-reverse-diabetes/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont3′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    Can anyone put their diabetes into remission?

    Researchers who have studied diabetes remission have found that the people most likely to reach remission had type 2 diabetes for less than 10 years and were not taking insulin to manage the condition.

    The longer you’ve had type 2 diabetes, the more difficult it is to reach remission. This is because, after an extended time, the beta cells in the pancreas can “burn out,” or lose their ability to produce insulin. After a certain period of living with type 2 diabetes, it may be impossible to restore normal insulin production.

    Talk to your diabetes healthcare team about diabetes remission and whether this is something you may be able to achieve.[/vc_column_text][read-also-article article-slug=”the-latest-on-type-2-diabetes-remission”][/vc_column][/vc_row]

  • The latest on type 2 diabetes remission

    The latest on type 2 diabetes remission

    [vc_row][vc_column][vc_column_text]We think of type 2 diabetes as a chronic disease that can negatively impact our health the longer we have it. But more and more research is showing that some people with type 2 diabetes can achieve remission (or reverse their disease) using certain interventions. Here’s a look at what type 2 diabetes remission means and what may increase your chances of getting there.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont1′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    What is type 2 diabetes remission?

    If you have type 2 diabetes and are able to get your A1C below 6% without taking any diabetes medication for at least three months, you are considered to be in remission. For those with prediabetes, A1C levels should be between 6% and 6.4% for at least three months.[/vc_column_text][read-also-article article-slug=”prediabetes-or-type-2-diabetes-how-do-i-know/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    Is type 2 diabetes remission a cure?

    No, remission is often temporary, and the chance of diabetes relapse is high. That’s why type 2 diabetes remission is considered an ongoing journey and those in remission should be checked for diabetes relapse at least every six months. Routine monitoring for diabetes-related complications should continue as well, including regular eye and kidney health tests etc.

    What are the potential benefits of type 2 diabetes remission?

    The long-term benefits of type 2 diabetes remission are still unknown. But in the short-term, achieving remission can reduce your risk of diabetes-related complications such as chronic kidney disease, heart disease and retinopathy.

    Are there any potential risks?

    Stopping certain blood glucose lowering medication(s) that help reduce heart and/or kidney disease complications may not be recommended for those with type 2 diabetes who have a history of cardiovascular disease and/or kidney disease. Keep in mind that there is also the potential for negative mental health impacts for those who don’t achieve or sustain diabetes remission. Remission is often temporary, and the chance of relapse is high.

    Ask your doctor or diabetes care team to determine if type 2 diabetes remission is appropriate for you. If the answer is yes, they can help you determine the best strategies towards reaching this goal.[/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text][ad-slot slotcode=’div-gpt-ad-lb-resp-cont2′][/vc_column_text][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]

    Who is a likely candidate for type 2 diabetes remission?

    You’re more likely to be able to achieve remission if you:

    • Were diagnosed with type 2 diabetes for a shorter time (less than 6 years)
    • Are overweight or obese with the ability to lose weight
    • Have blood sugar levels that aren’t too elevated
    • Are not taking insulin
    • Do not have a significant eating disorder or mental health condition
    • Do not have cardiovascular disease, heart failure or chronic kidney disease
    • Can work with a healthcare team with experience in this approach to type 2 diabetes management.

    What are some options for achieving diabetes remission?

    According to new Diabetes Canada Guidelines, there are three options for potentially inducing type 2 diabetes remission:

    1. Getting bariatric surgery for those with a BMI greater than or equal to 35.
    2. Following an 800-850 calorie-a-day diet (with meal replacement products), for three to five months with a goal of losing more than 33 pounds for those with a BMI of 27-45; this would be followed by a structured food re-introduction program and more physical activity.
    3. Exercise training (240-420 min/week) and a calorie-restricted diet for those with a BMI > 25.*

    *NOTE: The evidence for this last approach is not as strong as for the first 2 options.[/vc_column_text][read-also-article article-slug=”can-exercise-cure-or-reverse-diabetes/”][/vc_column][/vc_row][vc_row][vc_column][vc_column_text]While the prospect of putting type 2 diabetes into remission is exciting, the reality is that this is not an option for everyone. Even if remission is achieved, monitoring your A1C must continue for the rest of your life as diabetes often comes back. Remember that even if you can’t reach diabetes remission, optimally managing your blood sugars and reaching healthy weight-loss goals are still successful milestones for your health.[/vc_column_text][read-also-article article-slug=”can-i-reverse-diabetes-with-diet/”][/vc_column][/vc_row]