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Aug 30, 2021 · A level of HbA 1c <6.5% (<48 mmol/mol) and/or fasting plasma glucose (FPG) 100–125 mg/dL (5.6 to 6.9 mmol/L) were used to define a partial remission, while “normal” levels of HbA 1c and FPG (<100 mg/dL [5.6 mmol/L]) were required for a complete remission.
Apr 22, 2020 · Complete remission is defined as having fewer than than 5% blast cells in the bone marrow, blood cell counts that are normal and absence of any disease signs or symptoms.
- Staff Writer
Mar 24, 2022 · Remission appears to be prompted by proactive treatment for hyperglycemia and significant weight loss prior to irreversible β-cell changes. T2DM is not a diagnosis for vulnerable individuals to helplessly accept. We attempt to explain how remission of T2DM can be achieved through a personalized approach.
- Jinyoung Kim, Hyuk-Sang Kwon
- Diabetes Metab J. 2022 Mar; 46(2): 165-180.
- 10.4093/dmj.2021.0377
- 2022/03
- Overview
- Types of remission
- Factors that contribute to remission
- How to tell if you’re in remission
- How to stay in remission
- How long does remission last?
- Relapses
- The takeaway
People living with Crohn’s may experience periods of flares and remission. During remission, Crohn’s symptoms may reduce or resolve completely. Remission can last months or even years in some people.
Crohn’s disease is a chronic inflammatory bowel disease. Those living with the condition will experience periods of flares in which their symptoms are active as well as periods of remission when symptoms are reduced or go away completely.
There are many types of remission in Crohn’s, and it is possible to be in one form of remission but not another.
Learn more about remission in Crohn’s disease, what contributes to remission, how to tell if you’re in remission, and what to do if you experience a flare.
Being in remission from Crohn’s generally means that symptoms are well managed. Some people may not notice any symptoms at all when in remission, while some may experience a decrease in their symptoms.
The term “remission” can mean different things. People may find it beneficial to clarify with their healthcare professional what form of remission they are referring to.
It is possible to be in one form of remission but not another. For example, a person may be in clinical remission but not in endoscopic remission.
Here are the types of remission a doctor typically refers to:
Medical treatment for Crohn’s can bring the disease into remission as well as help maintain remission.
Treatments that may induce remission or help maintain remission include:
•aminosalicylates
•corticosteroids
•immunomodulators
•biologic therapies
People living with Crohn’s will typically experience periods of active disease, or flares, and periods of remission.
During a flare, a person may experience more Crohn’s symptoms, such as diarrhea, abdominal pain, and frequent bowel movements.
If a person is in remission, they may find their symptoms either decrease or disappear completely. Some people may find that common symptoms like diarrhea and abdominal pain are no longer present. They may also feel quite healthy during a period of remission.
Some people may still experience symptoms during remission, though symptoms may not be as severe as during a flare.
Continue taking prescribed medications
Even if symptoms improve or disappear completely, it is important to continue taking the medications your healthcare professional prescribed for Crohn’s and follow their instructions. These “maintenance” medications can help reduce the chances of a flare.
Pay attention to diet
There is no specific eating plan for Crohn’s, but the food you eat can help promote healing as well as reduce symptoms. Every person living with Crohn’s will experience the disease differently. The intestinal area the disease affects may determine which foods work best. A doctor may suggest a variety of eating plans based on symptoms and disease activity. They may include: •low fat diet •low salt diet •low fiber diet •lactose-free diet •high calorie diet Some people with Crohn’s may find certain foods make their symptoms worse. For example, some people may need to limit or avoid high fiber foods like raw vegetables, nuts, and seeds. Other steps to consider that may help reduce symptoms include: •limiting greasy or fried foods •eating smaller portions more regularly •experimenting with eating bland, soft foods instead of spicy foods (though this may not help everyone) •avoiding carbonated beverages if gas is an issue
Avoid smoking
Smoking can trigger a flare and bring a person out of remission. Those with Crohn’s who smoke tend to have greater disease activity and require more surgeries and medications to effectively manage their condition. In contrast, those with Crohn’s who do not smoke typically have fewer flare-ups and less need for medications to manage their condition.
It is difficult to predict how Crohn’s may affect a person. Flare-up occurrence can vary widely throughout a person’s life.
In people who receive surgical or medical treatment for Crohn’s, almost 50% will either be in remission or experience a mild condition over the following 5 years.
Of those who are in remission, 45% will stay in remission in the following year.
Of the people who were in remission following surgery or medical treatment, 35% will experience one or two relapses of their disease, and 11% will experience chronically active Crohn’s.
It is typical for people with Crohn’s not only to experience periods of remission but also to experience relapses and flares.
Flares may be caused by:
•inflammation in the intestine
•scar tissue
•infection
•side effects of medication
People living with Crohn’s disease typically experience periods of flare-ups and periods of remission.
During periods of remission, symptoms may go away completely. During remission, people with Crohn’s may feel quite healthy. In other people, Crohn’s symptoms may still be present but reduced in frequency, intensity, or both.
- Elizabeth Pratt
May 19, 2023 · In this context, we stress the necessity to define a novel treatment target: biological remission. Based on our previous work, we propose a conceptual definition of biological remission which goes beyond the classical normalization of inflammatory markers [C-reactive protein and faecal calprotectin]: absence of biological signs associated with ...
Main results: A total of 3673 studies were screened; 65 studies including 1604 patients met the inclusion criteria. The remission rate was 0.75 (95% CI, 0.73-0.77). Operative hysteroscopy for endometrial sampling was associated with higher remission rates (OR 2.31; 95% CI, 1.10-4.84; P=0.03).
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