Outcomes of the md_pereligyn protocol in type 2 diabetes remission
These outcomes are reproducible across 15 years of clinical practice. This is observational clinical data (not a randomized trial): it reflects a consistent association between the protocol and remission and does not replace an individual consultation.
Aggregated outcomes (500+ patients)
85%
clinical T2D remission
92%
discontinued metformin
8.2 → 5.6%
mean HbA1c
−72%
HOMA-IR (insulin resistance)
−14 kg
mean weight loss
25+
countries
Remission defined as HbA1c < 6.5% maintained ≥3 months without glucose-lowering medication. Observational clinical practice, 2010–2026.
Anonymized clinical case (n = 1)
Woman ~44 years old, T2D + non-alcoholic fatty liver disease. Published with the patient’s informed consent; all personal data removed.
| Маркер | Before | After |
|---|---|---|
| HbA1c | 9.27% | 6.46%(over 5 months) |
| HOMA-IR | 9.19 | 1.68(normal ≤3.0) |
| Fasting glucose | 15.4 | 7.25 mmol/L |
| CGM (14 d, 100% sensor) | — | eHbA1c 5.4%, TIR 95% |
| Weight | 93 | 83 kg |
| GGT | 55 | 28(NAFLD marker) |
Clinical context
- •This illustrates the trajectory in one patient; statistical robustness comes from the aggregate above (500+ observations).
- •The HbA1c trajectory was non-monotonic — an interim rise to ~11.5% before falling to 6.46%.
- •Remission was achieved on combination therapy (lifestyle + metformin + SGLT2 inhibitor + berberine + myo-inositol); the contribution of any single component was not isolated.
- •Treatment de-intensification was required during follow-up due to hypoglycemic episodes; the patient remains under active monitoring.
Methodology and limitations
- —Design: retrospective observational data from a single online practice, without a control group or randomization.
- —Selection and publication bias are possible; outcomes have not been verified by independent audit.
- —Results are individual and depend on diabetes duration, baseline status, and adherence.
- —This material is educational and is not medical advice.
Primary data and sources
Machine-readable aggregate and the full list of peer-reviewed sources:
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