Type 2 & other diabetes

Prevention of type 2 diabetes through prediabetes remission without weight loss

Nat MedPublished Post hoc analysis of the Prediabetes Lifestyle Intervention Study (PLIS) randomised controlled trial

Authors' conclusion

These data uncover essential pathways for prediabetes remission without weight loss

Study context

Population
Individuals with prediabetes in the Prediabetes Lifestyle Intervention Study (PLIS)
Comparison
Prediabetes remission vs no remission
Methodological detailsmulticenter, randomized, replication in the US Diabetes Prevention Program
  • Multicenter
  • Randomized
  • Replication in the US Diabetes Prevention Program

Primary result

As reported in the abstract

  • Prediabetes remission is achievable without weight loss or even with weight gain, and protects against incident T2D
  • Mechanisms: improved insulin sensitivity, β-cell function and increased β-cell-GLP-1 sensitivity
  • Weight gain similar in responders vs nonresponders
  • Nonresponders increased visceral adipose tissue mass; responders increased subcutaneous adipose tissue
  • Findings reproduced in the US Diabetes Prevention Program
  • Post hoc analysis

Original publication

Prevention of type 2 diabetes through prediabetes remission without weight loss. Nat Med. Published 29 September 2025. doi:10.1038/s41591-025-03944-9

Composed by AI from the published abstract and checked against it. How Briefs are made →

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