VOLUME 32, NUMBER 11, NOVEMBER 2009 | John B. Buse, MD, PhD1, Sonia Caprio, MD2, William T. Cefalu, MD3, Antonio Ceriello, MD4, Stefano Del Prato, MD5, Silvio E. Inzucchi, MD6, Sue McLaughlin, BS, RD, CDE, CPT7, Gordon L. Phillips II, MD8, R. Paul Robertson, MD9, Francesco Rubino, MD10, Richard Kahn, PhD11, M. Sue Kirkman, MD11
The article discusses the definition of "cure" and "remission" in the context of diabetes, emphasizing the complexity and challenges associated with these terms. The American Diabetes Association's mission to prevent and cure diabetes is highlighted, along with the increasing use of "remission" and "cure" in scientific and medical literature. The authors, a consensus group of experts, explore the difficulties in defining these terms, particularly for chronic illnesses like diabetes, where hyperglycemia exists on a continuum and can be influenced by various factors.
The group considered whether it is accurate to say that a chronic illness is cured, the definitions of management, remission, or cure, and the implications for comorbid conditions and screening for complications. They concluded that while "remission" may be more accurate for chronic illnesses, the term "cure" is often preferred by patients and can be operationalized as prolonged remission.
The article provides specific definitions for remission and complete remission, distinguishing between partial and complete remission based on glycemic measures and the duration of normoglycemia. It also addresses the ongoing need for diabetes-specific treatment goals and screening protocols for complications, especially in the context of prolonged remission.
The authors acknowledge the limitations of their consensus and the need for further discussion and deliberation as new therapies and scientific evidence emerge.The article discusses the definition of "cure" and "remission" in the context of diabetes, emphasizing the complexity and challenges associated with these terms. The American Diabetes Association's mission to prevent and cure diabetes is highlighted, along with the increasing use of "remission" and "cure" in scientific and medical literature. The authors, a consensus group of experts, explore the difficulties in defining these terms, particularly for chronic illnesses like diabetes, where hyperglycemia exists on a continuum and can be influenced by various factors.
The group considered whether it is accurate to say that a chronic illness is cured, the definitions of management, remission, or cure, and the implications for comorbid conditions and screening for complications. They concluded that while "remission" may be more accurate for chronic illnesses, the term "cure" is often preferred by patients and can be operationalized as prolonged remission.
The article provides specific definitions for remission and complete remission, distinguishing between partial and complete remission based on glycemic measures and the duration of normoglycemia. It also addresses the ongoing need for diabetes-specific treatment goals and screening protocols for complications, especially in the context of prolonged remission.
The authors acknowledge the limitations of their consensus and the need for further discussion and deliberation as new therapies and scientific evidence emerge.