Evidence mapPaperPMID 41874949Full record

ArticleDiabetes therapy : research, treatment and education of diabetes and related disorders2026

Clinical and Metabolic Characteristics of Spontaneous Remission in Type 2 Diabetes: A Real-World Study from South India.

Saravanan Jebarani, Bhavadharini Balaji, Viswanathan Baskar, Raghavan Bhuvaneswari, Coimbatore Subramanian Shanthi Rani, AnandaPerumal Lavonya, Sadasivam Ganesan, Ananthakrishnan Subramanian Akshay, Manodip Acharyya, Phillips Routray and 3 more

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Article in Diabetes therapy : research, treatment and education of diabetes and related disorders, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.

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1 · What the graph read from it

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2 · The registry

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4 · The record

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5 · Who and what money

Authors and funding

13 authors.

Saravanan JebaraniMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Bhavadharini BalajiMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Viswanathan BaskarMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Raghavan BhuvaneswariDr. Mohan's Diabetes Specialities Centre (IDF Centre of Excellence in Diabetes Care), Chennai, Tamil Nadu, India.
Coimbatore Subramanian Shanthi RaniMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
AnandaPerumal LavonyaMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Sadasivam GanesanMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Ananthakrishnan Subramanian AkshayDr. Mohan's Diabetes Specialities Centre (IDF Centre of Excellence in Diabetes Care), Chennai, Tamil Nadu, India.
Manodip AcharyyaDr. Mohan's Diabetes Specialities Centre (IDF Centre of Excellence in Diabetes Care), Chennai, Tamil Nadu, India.
Phillips RoutrayDr. Mohan's Diabetes Specialities Centre (IDF Centre of Excellence in Diabetes Care), Chennai, Tamil Nadu, India.
Ranjit UnnikrishnanDr. Mohan's Diabetes Specialities Centre (IDF Centre of Excellence in Diabetes Care), Chennai, Tamil Nadu, India.
Viswanathan MohanMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India.
Ranjit Mohan AnjanaMadras Diabetes Research Foundation (ICMR-Collaborating Centre of Excellence), No 4, Conran Smith Road, Gopalapuram, Chennai, Tamil Nadu, 600 086, India. dranjana@drmohans.com.ORCID http://orcid.org/0000-0002-4843-1374

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

introductionThis study aimed to evaluate clinical characteristics and outcomes of individuals with type 2 diabetes (T2D) who achieved spontaneous remission without structured intervention.

methodsWe examined electronic medical records of 243,400 adults with T2D attending a tertiary care center in India between 1993 and 2018. Spontaneous remission was defined as achieving glycated hemoglobin (HbA1c) < 6.5% for at least 3 months without glucose-lowering medication in those who earlier had HbA1c ≥ 6.5%. A matched group without remission was selected for comparison.

resultsAmong 243,400 individuals with T2D, 275 (0.11%) achieved spontaneous remission. Remission occurred in 0.34% of individuals with baseline HbA1c < 7.0%, 0.13% with HbA1c 7.0-7.9%, and 0.08% with HbA1c ≥ 8.0%. Diabetes recurred in 69%, 80%, and 87% of these respective groups, after a median remission duration of 2.1 years. Sustained remission was observed in 55 individuals (0.02%). Individuals who achieved remission were older, had lower body weight and glucose levels, shorter duration, higher C-peptide, and greater physical activity. Relapse was associated with higher body weight and postprandial glucose levels. Individuals who had longer remission had greater weight loss.

conclusionSpontaneous remission of T2D is rare and mostly transient. Higher baseline HbA1c predicts relapse, while sustained weight loss is strongly associated with long-term remission.

Indexed as

Asian IndiansDiabetes relapseSpontaneous remissionType 2 diabetesWeight loss

Identifiers

PMID41874949
PMCPMC13156381

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the Socratic graph.