…Diabetes remission becomes the norm and remission and hope become mutually reinforcing dance partners in a more metabolically healthy society…
Feb. 26, 2025
Medication-free remission from Type 2 Diabetes is possible and sustainable, and there’s no question about it.
Well, that’s not entirely true.
We know it’s possible and sustainable, but what are the key ingredients for long-term success?
What does a person need to go from having out of control blood sugar and metabolic dysfunction to getting their blood sugar under control, their metabolic health in order, and off medications?
That’s the core question to which we will build in this letter, after reviewing important data published on a 5-year study from Virta Health assessing diabetes remission among 120 incredible humans.
Without further a-dough-nut, let’s delve into it.
It does not mean that, at some point, you can go back to eating endless breadsticks at the Olive Garden or Munching on Munchkins at Dunkin Donuts. You do not develop metabolically gifted adipocytes or a superhero pancreas.
But provided you’re happy to stick with the lifestyle that brought you to remission—in this case, a low-carb ketogenic diet—then your organs and overall health are thought to be protected against the devastations of a disease that can otherwise lead to amputations, nephropathy, neuropathy, retinopathy, heart disease, dementia and a multitude of other disastrous consequences.
There is a telemedicine care team that advises participants on nutrition therapy and manages diabetes medication.
The dietary therapy includes advising patients to consume < 30 g carbohydrates per day, 1.5 g protein per kg body weight, and fat intake to satiety.
Otherwise, the diet plan is individually tailored—be your personal preference a tomahawk in tallow or tarragon tofu. I don’t know if that’s actually a thing, but I like alliteration, and I have ChatGPT. So, this is what you get.
Anyway, Virta has previously published the results of its prior controlled trial comparing the Virta (CCI) vs Usual Care, with Virta yielding far superior results in terms of blood sugar control, including large drops in HbA1c, fasting blood glucose and fasting insulin as compared to usual care.
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