Once you have diabetes, you may have to live with diabetes for the rest of your life. Therefore, many patients hope to reverse their diabetes and get rid of it.
Whether it can reverse diabetes can be assessed using the following 5 letters.
A
A指抗体（Antibody）。
If glutamate decarboxylase antibody (GADA) and other islet-related antibodies are negative, the patient does not have an immune response to the destruction of its own islets and is likely to be reversed, but if the antibody is positive, there is no possibility of reversal.
A has a veto, which means that if the antibody is negative, it cannot be reversed, even if all other conditions are met.
B
B refers to body mass index (BMI).
If the patient's BMI ≥ 24kg/㎡, or the waist circumference of men > 90cm, and the waist circumference of women >85cm, the probability of reversal is relatively large.
C
C包含两层含义，一方面指C肽，另一方面指并发症评估（Complication review）。
When the fasting C-peptide ≥ 1.1 ng/ml and the C-peptide 2 hours after meal ≥ 2.5 ng/ml, it indicated that the function of pancreatic islet β cells still existed, and there was a basis for reversing diabetes.
In addition, the presence and severity of complications also have an impact on the success rate of reversal. If there are no complications or if the complications are mild, the probability of reversal is higher.
D
D指病程（Duration）。
Patients with type 2 diabetes with a course of ≤ 5 years have a higher probability of reversal, while patients with a disease duration of more than 5 years have a lower probability of reversal, but this does not mean that it is completely impossible to reverse.
S
S指依从性（submission）。
If the patient intervenes aggressively as soon as he or she notices an elevated blood glucose level and has a high degree of adherence to treatment, the likelihood of diabetes reversal is greater, and vice versa.
To sum up, the C peptide in A and C is the most core condition, if one of these two does not meet the conditions, there is no possibility of reversal, there is a veto, and the complication assessment in B and C, D and S are all plus points, if the standard can be reached, the possibility of reversal is greater, but not meeting the standard does not mean that there is no possibility of reversal.