Research shows that it is possible for some people with Type 2 diabetes to achieve Type 2 diabetes remission. We define Type 2 diabetes remission as an HbA1c of under 6.5% (48mmol/mol) for at least three months without the need for glucose-lowering medications. The most common ways people have achieved remission is by achieving substantial weight loss following very intensive dietary changes or through bariatric surgery. Remission is not achievable for everyone with Type 2 diabetes.

In a 2019 study, less than half of participants were able to achieve remission after one year. Remission does not mean Type 2 diabetes is cured or reversed – it simply means that people have blood glucose levels below the Type 2 diabetes levels. It is important that people in remission continue to attend regular diabetes monitoring at least annually and keep up their Annual Cycle of Care health care checks. Ongoing monitoring is required as some of the macrovascular and microvascular damage which cause long term complications has already begun. People with Type 2 diabetes who want to attempt diabetes remission should not do so without close consultation with their diabetes healthcare team, as intensive dietary and weight changes need careful management, monitoring and support. People who do not achieve or sustainremission should not feel that they have ‘failed’.

The health benefits of weight loss and a reduction in HbA1c are significant even if remission does not occur, as these reduce the risk of developing diabetes-related complications and may lead to reducing or stopping glucose-lowering medications. Diabetes Australia has developed a position statement on diabetes remission to help people with diabetes and health professionals make informed choices.