Putting Type 2 Diabetes into remission
Note: This page was written using AI as a supportive tool, all clinical content has been fact checked by a clinical professional.
Some people with Type 2 Diabetes can reach a stage called remission. Remission means your HbA1c has returned to a healthy range (less than 48mmol/mol), without the need for diabetes medication, for 3 months or more.
It doesn’t mean that diabetes is “cured”, but it does mean your body is working well enough that you no longer need tablets or injections to control your blood glucose levels. Even if you do not get into remission, any reduction in HbA1c will be better for your future health.
How remission happens
Remission is usually achieved by:
- losing weight (if you live with overweight or obesity)
- eating a healthier diet
- increasing physical activity
- reducing alcohol
- improving sleep and reducing stress
These changes help your body use insulin better and reduce the fat stored in and around the liver and pancreas, which can improve how your body controls the blood glucose levels.
Who can go into remission?
Not everyone will achieve remission, but many people can, especially:
- if they are early in their type 2 diabetes diagnosis (within the first 6 years)
- if they can lose weight safely and maintain that loss
- if they receive support from their healthcare team
It’s important to know that everyone’s body responds differently and even small improvements in health make a big difference.
What does is involve?
For a short period of time, you would replace your meals with soups and shakes, designed to give your body all the nutrients it needs, but much lower calorie. You would then gradually reintroduce food with the support of a dietitian.
Is remission safe?
Yes, but always do it with support. If you are aiming for remission, your GP or Diabetes team will:
- review your medications
- make sure your blood glucose levels don’t go too low
- help you choose a safe and realistic plan
- monitor your progress regularly
Never stop medication on your own, always speak to a healthcare professional first.
Can remission last?
For some people remission lasts for years, for others, diabetes may return.
This is normal and doesn’t mean you’ve failed, type 2 diabetes is a long-term condition, and your needs may change over time.
The aim is to support you to stay as healthy as possible, for as long as possible.
Where to get help
- Speak to your GP practice about support options and if it is safe for you to try and put your diabetes into remission
- Your GP practice may be able to refer you to the NHS Type 2 Diabetes Path Remission Programme
- NHS England: NHS Type 2 Diabetes Path to Remission Programme
