I am writing regarding the recently published Diabetes Canada Clinical Practice Guidelines
special articles “Remission of Type 2 Diabetes” (
2
) and “Remission of type 2 diabetes: User’s guide” (
1
). I see these articles as an acknowledgment from the mainstream medical community
that it is indeed possible to normalize blood sugars for an uncertain timespan after
a diagnosis of type 2 diabetes. I also applaud the authors’ sincere efforts at recognizing
the limitations of these approaches. I was heartened to read that the psychological
impacts of weight stigma and “failure” to achieve remission were given significant
attention in these articles. However, as a dietitian who works with patients with
diabetes, I do not agree with the Grade A Level 1A recommendation for diabetes remission
through weight loss using temporary, extremely low-calorie diets.To read this article in full you will need to make a payment
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References
- Remission of type 2 diabetes.Can J Diabetes. 2022; 46: 753-761
- Remission of type 2 diabetes: User’s guide.Can J Diabetes. 2022; 46: 762-774
- The results of treatment for obesity: A review of the literature and report of a series.AMA Arch Intern Med. 1959; 103: 79-85
- National Health and Medical Research Council. Clinical practice guidelines for the management of overweight and obesity in adults, adolescents and children in Australia--- systematic review. National Health and Medical Research Council, Melbourne, Australia2013
- Circ Cardiovasc Qual Outcomes. 2018; 11e004724
Article info
Publication history
Published online: February 23, 2023
Accepted:
February 17,
2023
Received:
February 13,
2023
Publication stage
In Press Journal Pre-ProofIdentification
Copyright
© 2023 Canadian Diabetes Association.
