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By Dr. Sayantan Banerjee

The Type-II Diabetes Remission Strategy

You’re Treating the Numbers. But Are You Treating the Cause?
Discover a different science-based approach to reverse insulin resistance and lower HbA1c.

About this book

You're treating the numbers. But are you treating the cause?

Most type 2 diabetes care is built around bringing glucose down with medicine. That matters. But for many people, especially in the first years after diagnosis, the condition itself can be pushed into remission. In the UK DiRECT trial, 46% of people on a structured weight-loss programme were in remission after one year.

The Type II Diabetes Remission Strategy explains why that happens and turns the research into a plan you can follow at home, alongside your usual medical care.

Who this book is for

  • Adults with type 2 diabetes who want to lower their HbA1c (A1C) and reduce medication with their doctor's help

  • People recently diagnosed who want to act while remission is most likely

  • Anyone who has cut out sugar and still can't understand why their numbers won't move

  • Family members and carers who want to understand the science

What's inside

  • A 7-step framework for working towards remission

  • Four practical strategies: everyday nutrition, strategic intermittent fasting, progressive exercise, and daily habits such as sleep and stress control

  • A 16-week Diabetes Remission Diet Plan

  • A Diabetes Tracker Journal for your HbA1c, readings and habits, to take to appointments

  • Plain-language explanations of insulin resistance, liver fat, beta cells and GLP-1

About the author

Dr. Sayantan Banerjee is a health scientist and former Visiting Scientist at the National Institutes of Health (NIH), USA. He writes evidence-based books on metabolic health. This is Book 3 of The Diabetes and Obesity Remission Series.

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Type 2 diabetes remission: questions readers ask

Can type 2 diabetes go into remission, even after many years? For many people, yes. In the DiRECT trial, almost half of participants (46%) reached remission after one year of structured weight loss. Chances are best in the first years after diagnosis, but blood sugar can improve at any stage. The Type II Diabetes Remission Strategy explains why and gives you a 7-step framework to work towards remission.

What does "diabetes remission" actually mean? Experts define remission as an HbA1c below 6.5% (48 mmol/mol) for at least 3 months after stopping glucose-lowering medicine. It is not a cure, so blood sugar still needs regular checks. The book's Diabetes Tracker Journal helps you record your HbA1c, readings and habits along the way.

I've cut out sugar, so why is my HbA1c still high? Sugar is only part of the picture. Insulin resistance, fat in the liver, tired pancreatic beta cells and weak natural GLP-1 signalling can all keep blood sugar high. This book looks at all of them, not just sugar restriction, so you can work on the cause instead of only the numbers.

Can I come off metformin or other diabetes medicines? Some people can reduce or stop medication as their blood sugar improves, but only with their doctor's guidance. Never stop a prescribed medicine on your own. The book's structured 16-week programme is designed to be followed alongside your medical care, giving you progress data to discuss with your doctor.

Do I need keto or extreme fasting to reverse type 2 diabetes? No. The book uses four practical strategies: everyday nutrition, strategic intermittent fasting, progressive exercise and simple daily habits such as sleep and stress control. A 16-week Diabetes Remission Diet Plan is included, so you know what to eat without extreme rules. If you take insulin or sulfonylureas, talk to your doctor before fasting.

How long does it take to see results? HbA1c reflects about 3 months of blood sugar, so lasting change takes time to show. The book's 16-week programme brings changes in gradually, and many people notice better daily glucose readings, energy and waist size before their next HbA1c test.

Who wrote this book? Dr. Sayantan Banerjee, a health scientist and former Visiting Scientist at the National Institutes of Health (NIH), USA. It is Book 3 of The Diabetes and Obesity Remission Series.

Is this book medical advice? No. It is an evidence-based guide to help you understand your metabolism and have better conversations with your healthcare team. Always talk to your doctor before changing medicines, diet or exercise.