Consensus report: Definition and interpretation of remission in type 2 diabetes

Abstract

A consensus report of a particular topic contains a comprehensive examination and is authored by an expert panel (i.e., consensus panel) and represents the panel's collective analysis, evaluation, and opinion. The need for a consensus report arises when clinicians, scientists, regulators, and/or policy makers desire guidance and/or clarity on a medical or scientific issue related to diabetes for which the evidence is contradictory, emerging, or incomplete. Consensus reports may also highlight gaps in evidence and propose areas of future research to address these gaps. A consensus report is not an American Diabetes Association (ADA) position but represents expert opinion only and is produced under the auspices of the ADA by invited experts. A consensus report may be developed after an ADA Clinical Conference or Research Symposium.

Roux‐en‐Y gastric bypass, sleeve gastrectomy, or one‐anastomosis gastric bypass? A systematic review and meta‐analysis of randomized‐controlled trials

“…Our analysis regarding remission of type 2 diabetes has several limitations. First, according to the American Diabetes Association (ADA), type 2 diabetes remission should be considered after maintaining normal blood sugar levels for 3 months or more (68). However, we can notice that the definition varies among the studies, as reported in Supporting Information Table S15.…”

Not Control but Conquest: Strategies for the Remission of Type 2 Diabetes Mellitus

“…In the initial consensus from 2009, partial remission and complete remission were diagnosed for prediabetes and normal blood glucose levels, respectively, and criteria subdivided into prolonged remission were presented when complete remission status was more than 5 years [ 13 ]. However, in the new consensus from 2021, remission was changed to a single diagnostic standard, and the classification of the period was removed considering the complexity and lack of evidence for the standards of blood glucose level and maintenance period [ 14 ].…”

“… Adapted from Buse et al [ 13 ], and Riddle et al [ 14 ], with permission from Oxford University Press. …”

“…Therefore, expert consensus introduced the concept of remission as a common term to express this phenomenon in 2009 [ 13 ]. Throughout this article, we introduce the recently updated consensus statement on the remission of T2DM in 2021 [ 14 ] and share our perspective on diabetes remission.…”

Taking back control

“…Finally, in this issue, we publish the consensus definition of diabetes remission and look forward to publishing literature contributing to the basic and clinical science evidence base to better understand remission. 9 It is important to note that all care processes must be continued for people in remission, with potential impact on the cost-effectiveness of interventions supporting remission, and it is unclear whether, and by how much, remission impacts cardiovascular risk. These important questions can now be addressed using an agreed definition to ensure homogeneous reporting.…”