Authors
Ahmad Al-Mrabeh, Alison C Barnes, Keaton M Irvine, Tara L Kelly, Kieren G Hollingsworth, Davide Romeres, Claudio Cobelli, Roy Taylor
Publication date
2021/6/1
Journal
Diabetes
Volume
70
Issue
Supplement_1
Publisher
American Diabetes Association
Description
Type 2 diabetes (T2D) in the non-obese has been regarded as etiologically distinct from that in obese people. However, clinical observation suggests that loss of fat mass above a personal fat threshold brings about remission in the same way. ReTUNE aimed to determine what proportion of T2D people with BMI< 27kg/m 2 could achieve remission, and to assess the fat threshold for this. 25 participants have been studied to date (T2D: 4M/10F, 58.3±2.1 years, BMI 24.5±0.6 kg/m 2; matched nondiabetic controls: n= 11). Other types of diabetes were excluded by anti-islet cell antibodies and MODY gene tests (2/14). From baseline, weight loss of 5% was achieved in 2-4 weeks using low calorie diet (800 kcal/day), then 6 weeks of weight maintenance. The cycle of weight loss plus maintenance was repeated 2-3 times until the clinical end point of remission was reached (HbA1c< 6.5%). Only 2 cycles (~ 10% weight loss …