{"id":21907,"date":"2021-10-18T10:45:22","date_gmt":"2021-10-18T15:45:22","guid":{"rendered":"https:\/\/saluddigital.com\/?p=21907"},"modified":"2025-10-21T11:53:38","modified_gmt":"2025-10-21T17:53:38","slug":"consensus-report-definition-and-interpretation-of-remission-in-type-2-diabetes","status":"publish","type":"post","link":"https:\/\/saluddigital.com\/en\/resumen-de-cursos\/consensus-report-definition-and-interpretation-of-remission-in-type-2-diabetes\/","title":{"rendered":"Consensus Report: Definition and Interpretation of Remission in Type 2 Diabetes"},"content":{"rendered":"<div data-elementor-type=\"wp-post\" data-elementor-id=\"21907\" class=\"elementor elementor-21907\" data-elementor-post-type=\"post\">\n\t\t\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-6f34e246 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"6f34e246\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-51e1960a\" data-id=\"51e1960a\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-5139b4eb elementor-widget elementor-widget-text-editor\" data-id=\"5139b4eb\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"text-editor.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<p><strong>Key points<\/strong><\/p><ul><li>In some patients with Type 2 Diabetes (T2D), glucose levels improve to normal or close to normal values.<\/li><li>This improvement can occur spontaneously (rare) or after a change in lifestyle, pharmacological or surgical intervention.<\/li><li>In some susceptible patients, a transient event of hyperglycemia may occur conditioned by temporary insulin resistance, precipitated by physiological factors such as pregnancy, glucocorticoid intake or acute illness. In most cases, when the precipitating event is resolved, glucose levels return to normal parameters; however, the risk of presenting T2D in the future remains.<\/li><li>Correct term: <em>Remission.<\/em><\/li><li>In the vast majority of cases of remission, this is accompanied by loss (whether voluntary or involuntary) of body weight and adipose tissue.<\/li><li>Definition of referral: <strong>a glycated hemoglobin (HbA1c) &lt; 6.5% that persists for at least 3 months after discontinuation of hypoglycemic drug therapy<\/strong>. It is essential to have an HbA1c measurement prior to the intervention.<\/li><li>Remission is considered a state in which T2D is not present, however, the patient must be kept under constant monitoring because it is not known when hyperglycemia may recur and\/or present complications due to previous exposure. Mechanisms by which hyperglycemia could recur are weight gain, acute stress, continued decline in beta cell function.<\/li><li>The patient in &quot;remission&quot; should be recommended to maintain a healthy lifestyle, with a meal plan and physical activity; with special interest in maintaining a healthy weight.<\/li><li>The duration of remission and the long-term effects on the characteristic complications of T2D are still unknown.<\/li><li>Target organ damage (eg, nephropathy) may be found in patients without a current diagnosis of diabetes who were chronically exposed to hyperglycemia in the past.<\/li><li>After documentation of remission, check-ups should be performed annually along with the necessary revisions to prevent the classic complications of T2D (retinopathy, nephropathy, neuropathy, cardiovascular disease).<\/li><\/ul>\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t<div class=\"elementor-element elementor-element-660f740 elementor-align-center elementor-widget elementor-widget-button\" data-id=\"660f740\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"button.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t\t\t<div class=\"elementor-button-wrapper\">\n\t\t\t\t\t<a class=\"elementor-button elementor-button-link elementor-size-md\" href=\"https:\/\/doi.org\/10.2337\/dci21-0034\">\n\t\t\t\t\t\t<span class=\"elementor-button-content-wrapper\">\n\t\t\t\t\t\t\t\t\t<span class=\"elementor-button-text\">See more<\/span>\n\t\t\t\t\t<\/span>\n\t\t\t\t\t<\/a>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<section class=\"elementor-section elementor-top-section elementor-element elementor-element-46b5a8e7 elementor-section-boxed elementor-section-height-default elementor-section-height-default wpr-particle-no wpr-jarallax-no wpr-parallax-no wpr-sticky-section-no wpr-equal-height-no\" data-id=\"46b5a8e7\" data-element_type=\"section\" data-e-type=\"section\">\n\t\t\t\t\t\t<div class=\"elementor-container elementor-column-gap-default\">\n\t\t\t\t\t<div class=\"elementor-column elementor-col-100 elementor-top-column elementor-element elementor-element-70d68044\" data-id=\"70d68044\" data-element_type=\"column\" data-e-type=\"column\">\n\t\t\t<div class=\"elementor-widget-wrap elementor-element-populated\">\n\t\t\t\t\t\t<div class=\"elementor-element elementor-element-101b9c0e elementor-widget elementor-widget-toggle\" data-id=\"101b9c0e\" data-element_type=\"widget\" data-e-type=\"widget\" data-widget_type=\"toggle.default\">\n\t\t\t\t<div class=\"elementor-widget-container\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle\">\n\t\t\t\t\t\t\t<div class=\"elementor-toggle-item\">\n\t\t\t\t\t<div id=\"elementor-tab-title-2701\" class=\"elementor-tab-title\" data-tab=\"1\" role=\"button\" aria-controls=\"elementor-tab-content-2701\" aria-expanded=\"false\">\n\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon elementor-toggle-icon-left\" aria-hidden=\"true\">\n\t\t\t\t\t\t\t\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-closed\"><i class=\"fas fa-caret-right\"><\/i><\/span>\n\t\t\t\t\t\t\t\t<span class=\"elementor-toggle-icon-opened\"><i class=\"elementor-toggle-icon-opened fas fa-caret-up\"><\/i><\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t\t<\/span>\n\t\t\t\t\t\t\t\t\t\t\t\t<a class=\"elementor-toggle-title\" tabindex=\"0\">FONT<\/a>\n\t\t\t\t\t<\/div>\n\n\t\t\t\t\t<div id=\"elementor-tab-content-2701\" class=\"elementor-tab-content elementor-clearfix\" data-tab=\"1\" role=\"region\" aria-labelledby=\"elementor-tab-title-2701\"><p>Source: <a href=\"https:\/\/care.diabetesjournals.org\/content\/early\/2021\/08\/17\/dci21-0034\">https:\/\/care.diabetesjournals.org\/content\/early\/2021\/08\/17\/dci21-0034<\/a><\/p><p><em>This content is created by PAES PROVITA S DE RL<\/em><\/p><\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t\t\t\t<\/div>\n\t\t\t\t\t\t<\/div>\n\t\t\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/div>\n\t\t\t\t\t<\/div>\n\t\t<\/section>\n\t\t\t\t<\/div>","protected":false},"excerpt":{"rendered":"<p>Puntos Clave En algunos pacientes con Diabetes Tipo 2 (DT2), se logra la mejor\u00eda de los niveles de glucosa hasta valores normales o cercanos a los normales. Esta mejor\u00eda se puede dar de manera espont\u00e1nea (raro) o tras una intervenci\u00f3n de cambio en el estilo de vida, farmacol\u00f3gica o quir\u00fargica. En algunos pacientes susceptibles se puede presentar un evento transitorio de hiperglucemia condicionado por una resistencia a la insulina temporal, precipitada por factores fisiol\u00f3gicos como el embarazo, ingesta de glucocorticoides o enfermedad aguda. En la mayor\u00eda de los casos al resolverse el evento precipitante los niveles de glucosa vuelven a par\u00e1metros normales; sin embargo, el riesgo de presentar DT2 en el futuro permanece. T\u00e9rmino correcto: Remisi\u00f3n. La gran mayor\u00eda de los casos de remisi\u00f3n, \u00e9sta se acompa\u00f1a de p\u00e9rdida (ya sea voluntaria o involuntaria) de peso corporal y tejido adiposo. Definici\u00f3n de remisi\u00f3n: una hemoglobina glucosilada (HbA1c) &lt; 6.5% que persiste por lo menos 3 meses despu\u00e9s de suspender la farmacoterapia hipoglucemiante. Es fundamental tener una medici\u00f3n de HbA1c previa a la intervenci\u00f3n. La remisi\u00f3n se considera un estado en el que la DT2 no est\u00e1 presente, sin embargo, se debe de mantener al paciente en constante monitorizaci\u00f3n porque no se sabe cu\u00e1ndo puede recurrir la hiperglucemia y\/o presentar complicaciones por la exposici\u00f3n previa. Los mecanismos por los cu\u00e1les podr\u00eda volver a presentar la hiperglucemia son aumento de peso, estr\u00e9s agudo, disminuci\u00f3n continua de la funci\u00f3n de las c\u00e9lulas beta. Se debe de recomendar al paciente en \u201cremisi\u00f3n\u201d mantener un estilo de vida saludable, con un plan de alimentaci\u00f3n y actividad f\u00edsica; con especial inter\u00e9s en mantener un peso saludable. La duraci\u00f3n de la remisi\u00f3n y los efectos a largo plazo sobre las complicaciones caracter\u00edsticas de DT2 es a\u00fan desconocida. Se puede encontrar da\u00f1o en \u00f3rgano blanco (por ejemplo, nefropat\u00eda) en pacientes sin diagn\u00f3stico actual de diabetes, que estuvieron expuestos en el pasado a hiperglucemia de manera cr\u00f3nica. Despu\u00e9s de la documentaci\u00f3n de la remisi\u00f3n, se deben de realizar chequeos de manera anual junto con las revisiones necesarias para prevenir las complicaciones cl\u00e1sicas de DT2 (retinopat\u00eda, nefropat\u00eda, neuropat\u00eda, enfermedad cardiovascular). Ver m\u00e1s FUENTE Fuente: https:\/\/care.diabetesjournals.org\/content\/early\/2021\/08\/17\/dci21-0034 Este contenido es creaci\u00f3n de PAES PROVITA S DE RL<\/p>","protected":false},"author":1,"featured_media":0,"comment_status":"open","ping_status":"open","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[3398],"tags":[],"class_list":["post-21907","post","type-post","status-publish","format-standard","hentry","category-resumen-de-cursos"],"aioseo_notices":[],"_links":{"self":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/21907","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/comments?post=21907"}],"version-history":[{"count":0,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/posts\/21907\/revisions"}],"wp:attachment":[{"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/media?parent=21907"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/categories?post=21907"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/saluddigital.com\/en\/wp-json\/wp\/v2\/tags?post=21907"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}