Diabetes Remission is the medical term for achieving normal blood sugar levels without the use of diabetes medication for a sustained period.
It means that the core problems of T2D—insulin resistance and high blood sugar—have been resolved, and the body’s energy delivery system is working effectively again.
This is not a cure, but it is a powerful form of healing where you no longer meet the clinical criteria for a diabetes diagnosis.
A Crucial Note: The principles of intensive lifestyle intervention and remission discussed here apply specifically to Type 2 Diabetes (T2D). Type 1 Diabetes (T1D) is an autoimmune condition that requires insulin for survival and is managed differently.
A diagnosis of "Type 2 Diabetes" often comes with the assumption that it is a permanent, progressive disease that only gets worse. That assumption is inaccurate. The most empowering truth about Type 2 Diabetes (T2D) is that it can go into remission with intensive lifestyle change.
Achieving diabetes remission requires clear, measurable clinical milestones. You are considered to be in remission when:
Your blood glucose is at a non-diabetic level. This means lab tests show a sustained level of:
🩸 Fasting blood sugar less than 126mg/dl
🩸 HbA1c less than 6.5% (ideally less than 5.7% or non-diabetic range)
You have maintained this level for at least 3 months.
You have done this without taking any glucose-lowering medication (neither oral pills nor insulin).
How is Diabetes Remission Possible?
Type 2 Diabetes is largely driven by insulin resistance triggered by the accumulation of excess adipose (fatty tissue), especially around the internal organs. This adipose tissue directly interferes with insulin function, causing insulin resistance.
Remission is not 🟰 being cured
It is crucial to understand that diabetes remission requires ongoing effort.
The physiological susceptibility to T2D remains.
If you return to the habits that caused the condition in the first place, the high blood sugar and insulin resistance will return.