Type 2 Diabetes: Remission vs Control

By Carrie Snyder MPH, RDN, CSOWM, LDN, CDCES 

Understanding the Difference – and How to Know What’s Right for You 

When it comes to managing type 2 diabetes, you may hear terms like “in remission” and “well controlled.” While both describe positive outcomes, they mean different things—and understanding that difference can help you and your care team decide which goal makes the most sense for your health. 

What Does “Type 2 Diabetes in Remission” Mean? 

In 2025, a new diagnosis code (E11.A) was approved to help providers document “type 2 diabetes in remission.” This applies when: 

• A person was previously diagnosed with type 2 diabetes 

• Has maintained an A1c below 6.5% for at least 3 months 

• Without taking diabetes medications and/or insulin 

• Has no complications of diabetes 

Remission doesn’t mean the diabetes is “cured.” It means your blood sugars are in a healthy range without medication—but the underlying tendency toward insulin resistance can return if lifestyle habits change or weight is regained. 

What Does “Type 2 Diabetes Control” Mean? 

Diabetes control means your blood glucose levels are in the target range—usually an A1C below 7.0%—but this may include the use of medication, insulin, or other treatments. 

A person with well-controlled diabetes might: 

• Take oral medications or use insulin 

• Follow a balanced eating pattern 

• Engage in regular physical activity 

• Maintain steady blood sugar levels day to day 

Good control reduces the risk of complications such as nerve damage, kidney disease, and heart disease – and for many people, it’s a realistic and sustainable long-term goal. 

How Diet and Lifestyle Play a Role in Both 

Whether your goal is remission or control, nutrition, movement, sleep, and stress management are the foundation. 

For Diabetes Control  

• Balanced meals with protein, fiber, and healthy fats help prevent glucose spikes. 

• Consistent carbohydrate intake supports medication effectiveness. 

• Regular movement improves insulin sensitivity and blood pressure. 

• Adequate sleep and stress management help stabilize blood sugar and appetite hormones. 

For Diabetes Remission 

Remission usually requires more intensive lifestyle changes to reduce insulin resistance and body fat: 

• Intentional weight loss (often 10-15% of body weight) can improve how your body uses insulin.  

• Structured meal planning, such as lower carbohydrate or calorie-restricted plans, may be used under professional supervision. 

• Increasing physical activity, including both aerobic and resistance training, helps muscles use glucose more efficiently. 

• Ongoing support from a dietitian or diabetes educator increases success and helps maintain progress. 

  
  

Is Targeting Diabetes Remission Right for You? 

Not everyone with type 2 diabetes can, or should, pursue remission... and that’s okay. The right goal depends on your current health status, medications, safety, and personal preferences. 

Ask yourself (and your healthcare team): 

• How long have I had diabetes? (Remission is more achievable early after diagnosis.) 

• Am I ready to make and maintain significant nutrition and activity changes? 

• Are my current medications or health conditions safe to adjust if glucose improves? 

• Do I have support from my provider and a registered dietitian to guide the process? 

Some people achieve remission temporarily; others sustain it for years, and many manage diabetes successfully with ongoing treatment. What matters most is keeping your blood sugar, heart health, and overall wellbeing in good shape—not just what label you use to describe it. Both diabetes remission and control are worth celebrating, and both can dramatically improve your quality of life.  

If you’d like to explore what’s possible for you, talk with your primary care provider or schedule an appointment with an Envision Wellness Registered Dietitian Nutritionist (RDN). Together, you can create a plan that supports your health goals—whether that’s diabetes remission, better control, or simply feeling your best every day.