Type 2 & other diabetes

Long-term remission of impaired glucose tolerance in the finnish diabetes prevention study

Diabetes Res Clin PractPublished Secondary analysis of the Finnish Diabetes Prevention Study

Authors' conclusion

IGT may be normalised in the long term through weight loss and healthier lifestyles choices.

Study context

Population
Participants with impaired glucose tolerance (IGT) in the Finnish Diabetes Prevention Study; median lifestyle intervention 4 years, follow-up up to 18 yearsincluded in analyses
Participants
505 participants
Primary endpoint
Remission of IGT, defined as normoglycaemia (FPG < 5.6 mmol/L, 2-h post-load glucose < 7.8 mmol/L, HbA1c < 39 mmol/mol)
Methodological detailslong-term follow-up
  • Long-term follow-up

Primary result

As reported in the abstract

Remission of IGT

Remission at least once

32%

Remission at year 1

13%

Remission at year 3

12%

Remission at first post-intervention follow-up visit (median 5 years, range 4 - 8 years)

11%

Further findings

Short-term predictors of remission

Weight loss, reduced waist circumference, higher fibre and lower saturated fat intake, physical activity, enhanced insulin sensitivity and recovery of insulin secretion predicted remission

Longer-term predictors of remission

Only insulin secretory and sensitivity indices were associated with remission

Original publication

Long-term remission of impaired glucose tolerance in the finnish diabetes prevention study. Diabetes Res Clin Pract. Published 22 March 2026. doi:10.1016/j.diabres.2026.113222

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