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Remission vs Reversal
I’d like to think we are at the cusp of finding a cure for diabetes. Given the immense day-to-day burden, it can’t come fast enough. Until then, it’s important to proactively manage blood sugars, macro- and microvascular changes, and long term complications. With early and aggressive intervention, it’s not impossible to achieve euglycemia in those with endogenous insulin production—usually Type 2 Diabetes (T2D). Substantial lifestyle change may even yield near “normal” glucose with little to no pharmacological intervention. While it is tempting to think of this process as a “reversal” of diabetes, a 2021 consensus report recommends the term “remission”…