Your eGFR looks great. But that blood sugar . . .
Diabetes is not a progressive disease, and starvation can turn it around for you in pretty short order. Starvation = severely reduced calories or fasting.
Here is an article on calorie restriction for long term remission of Type 2 diabetes. Here is a quote from the summary at the end:
Here is the link to the entire article:
Calorie restriction for long-term remission of type 2 diabetes
The Counterpoint, Counterbalance and DiRECT studies have left researchers with a wealth of information that did not exist just a little while ago.
I don't think this particular study gives the calorie count, but it was 820-850 calories for 3-5 months for the fat loss portion. There are lots more studies out there coming from these same three databases of information if you want to keep researching (which is how I know the calorie count).
Basically, the thought before was that strict dieting was only a temporary fix for diabetics. What this new information provides is that it is only temporary if the person goes back to the bad habits of overeating that caused the diabetes in the first place. If food is reintroduced slowly, and the person does not gain the fat back, he stays diabetes free years later. In other words, don't eat more than needed to maintain the body fat where it is in a non-diabetic state after the diabetic loses the bodyfat. The person must stay under his own personal fat threshold, whatever that is (and it is different for each person).
Note that in this study the insulin sensitivity in the liver was back in only seven days, but it took 8 weeks to get insulin secretion changed.
Beta cells that stop producing insulin can actually start producing insulin again once the fat is removed from the pancreas - that's not in this study, either, but, like I said, there is a lot more out there. Lots of research in just the last few years. The point of all of it seems to be that the old model, "this is progressive and unstoppable and the most you can hope to do is manage it," is mostly BS. That has mainly been true because patients are unwilling to do what it takes to change things, and, frankly, until now, there was not good research showing the opposite, and what little research did exist showed that the benefit was temporary because diabetics would almost always go back to their old dietary habits.
Another quote from this study:
Very straightforward stuff. I hope you find it helpful.