Learning Objectives:
- Define the criteria for type 2 diabetes (T2D) remission
- Describe key dietary intervention features to induce T2D remission
- Identify weight loss targets to use in helping patients achieve T2D remission
- Identify appropriate labs to gauge the likelihood of T2D remission
“The engagement, endorsement and support of multiple stakeholder groups and individuals on these expert consensus statements demonstrate the value and applicability of the therapeutic use of whole food, plant predominant dietary interventions for remission of Type 2 diabetes.”
Dietary Interventions to Treat Type 2 Diabetes in Adults with a Goal of Remission: An Expert Consensus Statement from the American College of Lifestyle Medicine
Objective: The objective of this Expert Consensus Statement is to assist clinicians in achieving remission of type 2 diabetes (T2D) in adults using diet as a primary intervention.
Methods: Using a modified Delphi process, panel members expressed levels of agreement with the statements, resulting in classification as consensus, near-consensus, or non-consensus. Results. After three iterations of the Delphi survey, 69 statements met the criteria for consensus, five for near consensus, and 60 for no consensus.
Consensus was reached on several key issues:
- (a) Remission of T2D requires achieving, for a specified minimum time, normal glycemic measures, defined as HbA1c <6.5% and normal fasting blood glucose with no metabolic surgical interventions, endoscopic weight-loss devices, or active pharmacologic therapy for the specific purpose of lowering blood glucose;
- (b) Diet as a primary intervention for T2D can achieve remission in many adults with T2D and is related to the intensity of the intervention; and
- (c) Diet as a primary intervention for T2D is most effective in achieving remission when emphasizing whole, plant-based foods with minimal consumption of meat and other animal products.
Conclusion: Clinicians can use these statements to improve quality of care, inform policy and protocols, and identify areas of uncertainty.
This learning activity consists of one AJLM article and one quiz.
Duration: 1 hour
Assessment and Measurement: A score of 80% or higher on the quiz is required to pass the learning activity.
Specifications: This course can be viewed on desktop, tablet or mobile device.
Term of Approval: June 1, 2022 – June 1, 2025
Participant User Agreement (Terms of Use and Copyright): Before registering for a Continuing Education/Continuing Medical Education Course (“Training”) for the first time, carefully review the following conditions of usage at https://lifestylemedicine.org/terms-of-use-and-copyright-cme-ce/.
Registering for an American College of Lifestyle Medicine Course indicates your acceptance of the Participant User Agreement and its terms and conditions.
Enrollment: Access to online material is granted through the term of approval which ends June 1, 2025.
Accreditation Statement:
In support of patient care, Rush University Medical Center is jointly accredited by the American Nurses Credentialing Center (ANCC), the Accreditation Council for Pharmacy Education (ACPE), and the Accreditation Council for Continuing Medical Education (ACCME) to provide continuing education for the healthcare team.
Designation Statement:
Rush University Medical Center designates this enduring material for a maximum of 1.0 AMA PRA Category 1 Credit(s)™. Physicians should claim only credit commensurate with the extent of their participation in the activity.
Rush University Medical Center designates this enduring material activity for a maximum of 1.0 nursing contact hour.
This activity is being presented without bias and without commercial support.
Rush University Medical Center designates this knowledge-based enduring material for a maximum of 1.0 contact hour for pharmacists.
Rush University Medical Center designates this knowledge-based enduring material for 1.0 CE credit in psychology.
Rush University is an approved provider for physical therapy (216.000272), occupational therapy, respiratory therapy, social work (159.001203), nutrition, speech-audiology, and psychology by the Illinois Department of Professional Regulation.
Rush University designates this enduring material for a maximum of 1.0 continuing education credit for physical therapists, occupational therapists, respiratory therapists, social workers, nutritionists, speech pathologists, audiologists, and/or psychologists.
This activity has been approved by The Commission on Dietetic Registration for 1 CPEUs.
The American Board of Lifestyle Medicine has approved 1.0 maintenance of certification credit for this learning activity.