Diabetes is a metabolic dysfunctional state where there is a defect in insulin production/synthesis/release or in its action, receptor number, post-receptor defect or what we call insulin resistance.
It is not a battle of wits but it is a state of health that challenges your mental resolve and balance - say, keeping your blood glucose levels with minimal fluctuations, controlling your diet and developing a mental state of considering diabetes a normal state of your body. What I mean is instead of taking it as a pathophysiological manifestation it needs to be taken as a life style adjustment of an individual to the blood glucose level or HbA1c changing one's perspective to suit the needs and demands of the state of health.
There is no question of a remission or precipitation of adverse outcomes of diabetes if one considers the metabolic state of diabetic patient as one that has to be dealt with as one deals with the normal routine of life.
Competing interests: No competing interests