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Results

Real cases, with names and numbers

I publish these cases on my Instagram and TikTok, with their figures and their faces. Here they are summarised and linked: you can open the original post and check for yourself.

Their numbers at a glance

Where they started. Where they are.

The HbA1c of 17 people when they started the programme (○) and the HbA1c after starting (●). Tap a name to see the case.

Normal · under 5.7At risk · 5.7 to 6.4Diabetes · 6.5 or more

  1. Jaime12.5 to 6.6
  2. Beatriz11.2 to 5.8
  3. Carmen9 to 6.6
  4. Francesc8.6 to 6
  5. Conchi7.8 to 6.2
  6. Pilar7.8 to 6.5
  7. Sandra7.2 to 6
  8. Eva7.2 to 5.8
  9. Orlando7 to 4.9
  10. Arturo6.9 to 6.3
  11. Sonia6.8 to 5.9
  12. Bethany6.8 to 5.9
  13. Mercedes G.6.7 to 6.4
  14. Olga6.5 to 5.3
  15. Isabel6.1 to 5.6
  16. Santiago5.9 to 5.2
  17. María5.7 to 5.4

These are real people, with the figures from their blood tests. It is not a promise: every body responds at its own pace, and medication is always your doctor’s decision.

20 people, 20 starting points

Sandra · 31

One year to turn it around, still on metformin

Before7.2%
Now6%

HbA1c. In one year

Sandra’s before and after

From the front
Sandra before, from the front
Before
Sandra now, from the front
Now

Photos of Sandra, shared with permission. I have removed the background so that only the change shows.

  • Weight from 85.4 to 70.1 kg, waist from 100 to 85 cm
  • Four months with fasting glucose under 100

She is still on metformin, and he says so in the post itself: she is starting to reduce it slowly and under medical supervision. Her process was not perfect — it was consistent.

Watch the video of this case

Javi · 52

He came off insulin, on doctor’s orders

Before164
Now< 100

Fasting blood glucose. mg/dl in five months. His doctor took him off insulin

Javi, in my post

Cover of Javi’s video: “My glucose came down and I no longer depend on insulin”
Javi, on his video cover. The photo is older: it says 51 there, and today he is 52

Photo of Javi, shared with permission.

  • Off insulin, on his doctor’s orders
  • 8 kg of fat and 8 cm off his waist

He works shifts, which is exactly why many people write this off as impossible. And he did not stop the insulin on his own: his doctor took him off it.

Watch the video of this case on Instagram

Isabel · 74

She reversed her prediabetes at 74

Before6.1%
Now5.6%

HbA1c. Two years later she is still in the normal range

Isabel’s before and after

From the front
Isabel before, from the front
Before
Isabel now, from the front
Now

Photos of Isabel, shared with permission. I have removed the background so that only the change shows.

  • Prediabetes reversed; two years later still in normal range and off medication
  • 8 kg of fat and 15 cm off her waist
  • Back to moving without back pain

She had diabetes on both sides of her family and back pain that limited her. Her own words, the ones that open Pablo’s post: “at my age there is not much you can do”.

Watch the video of this case

Jaime · 60

He was injecting 57 units of insulin. Now, 20

Before12.5%
Now6.6%

HbA1c. In less than a year

Jaime’s before and after

From the side
Jaime before, from the side
Before
Jaime now, from the side
Now
In his own words, in 20 seconds

Photos of Jaime, shared with permission. I have removed the background so that only the change shows.

  • Insulin: from 57 units to 20
  • 17 kg lighter, with his energy and strength back

A family man. He could not see a way out in the system; he tells it himself, in a live video with Pablo.

Watch the video of this case on Instagram

Beatriz · 59

Her doctor has already taken her off some of her pills

Before11.2%
Now5.8%

HbA1c. In one year

Beatriz’s before and after

From the front
Beatriz before, from the front, face pixelated
Before
Beatriz now, from the front, face pixelated
Now
From the side
Beatriz before, from the side, face pixelated
Before
Beatriz now, from the side, face pixelated
Now
From the back
Beatriz before, from the back, face pixelated
Before
Beatriz now, from the back, face pixelated
Now

Photos of Beatriz, shared with permission. I have removed the background so that only the change shows. The face is pixelated, as requested.

  • 9 kg of fat and 15 cm off her waist
  • She has got her energy back

She was on more and more medication, about to start insulin, and came to think that, at her age or with her back pain, it was impossible for her. She has not stopped the pills on her own: her doctor is taking her off them.

Watch the video of this case on Instagram

Carmen · 61

Without giving up meals out with her friends

Before9%
Now6.6%

HbA1c. She was on two pills when she started

Carmen’s before and after

From the side
Carmen before, from the side
Before
Carmen now, from the side
Now
Carmen’s WhatsApp message: “We’ve dropped!!! From 9 to 6.6” and “I’m so happy!! My doctor congratulated me”
The message she sent me with her blood test

Photos of Carmen, shared with permission. I have removed the background so that only the change shows.

  • Fasting glucose under 100
  • 8.5 kg of fat and 8 cm off her waist

She had just retired as a teacher and did not want to start her retirement on insulin or more pills. She has not had to give up paella or a beer.

Watch the video of this case

Orlando · 63

His medication was withdrawn in three months

Before7%
Now4.9%

HbA1c. In three months

Orlando’s before and after

From the side
Orlando before, from the side
Before
Orlando now, from the side
Now

Photos of Orlando, shared with permission. I have removed the background so that only the change shows.

  • Today, HbA1c 5.1 %, 80 kg and an 86 cm waist
  • 12 kg of fat and 21 cm off his waist

An engineer from the Canary Islands. He says the public system did not pay him much attention. His own post calls it remission; worth remembering that a blood test confirms that and a doctor judges it, not a website.

Watch the video of this case

Francesc · 64

“My doctor is already taking me off the medication”

Before8.6%
Now6%

HbA1c. Still at 6 % today, with no added medication

Francesc’s before and after

From the side
Francesc before, from the side
Before
Francesc now, from the side
Now

Photos of Francesc, shared with permission. I have removed the background so that only the change shows.

  • Fasting glucose under 100
  • 6 kg lighter and stronger

He came from a one-size-fits-all diet and more and more pills, gaining weight with his HbA1c climbing. He knew insulin was next.

Watch the video of this case

Sonia · 53

She avoided insulin without adding medication

Before6.8%
Now5.9%

HbA1c. In five months, without adding medication

Sonia’s before and after

Sonia before, face pixelated
Before
Sonia now, face pixelated
Now
Sonia now, in the same dress, holding it out at the side to show how much too big it is. Face pixelated
And the dress from before, now far too big

Photos of Sonia, shared with permission. I have removed the background so that only the change shows. The face is pixelated, as requested.

  • Fasting glucose from 177 to 90
  • 18 kg of fat and 21 cm off her waist, at seven months

She works in an office and has children: not much time. She arrived tired and unhappy with how she saw herself.

Watch the video of this case

Conchi

Her doctor took her off the six pills she was on

Before7.8%
Now6.2%

HbA1c. In the first months

Conchi’s before and after

From the side
Conchi before, from the side
Before
Conchi now, from the side
Now

Photos of Conchi, shared with permission. I have removed the background so that only the change shows.

  • Glucose from 200 to 100
  • 11 kg of fat lost by six months

She is a nurse, used to looking after others, and on top of diabetes she had other serious health problems.

Watch the video of this case on Instagram

See more cases (10)

Bethany · 40

She now plays with her children without having to lie down after

Before6.8%
Now5.9%

HbA1c. In five months, without medication

Bethany’s before and after

From the front
Bethany before, from the front
Before
Bethany now, from the front
Now
From the side
Bethany before, from the side
Before
Bethany now, from the side
Now
Bethany’s Instagram story with her before and after. She writes: “10 kg lighter… But it is not the weight, or the body, or vanity. What I needed was to be ME again […]. A ME with no diabetes medication.”
What she posted herself, on her Instagram

Photos of Bethany, shared with permission. I have removed the background so that only the change shows.

  • 11 kg of fat and 14 cm off her waist
  • She wakes up with energy and enjoys her weekends

She is a teacher and a mother. In her words: “I had got used to feeling bad, thinking bad was normal.”

See the post about this case on Instagram

Mercedes G. · 79

From the diabetes range to the prediabetes range, at 79

Before6.7%
Now6.4%

HbA1c. From the diabetes range to the prediabetes range

  • From the diabetes range to the prediabetes range
  • She did it at 79

A figure dropping below 6.5 is not remission and does not remove the diagnosis: her doctor judges that, with her blood tests. What it does say is that at 79 there is still room to move.

Olga · 57

Working and caring for her mother, she reversed her type 2 diabetes

Before6.5%
Now5.3%

HbA1c. In three months

Olga’s before and after

From the front
Olga before, from the front
Before
Olga now, from the front
Now

Photos of Olga, shared with permission. I have removed the background so that only the change shows.

  • Fasting blood glucose of 95 mg/dl
  • 13 cm off her waist
  • She joined with Luis, her husband, who is also bringing his HbA1c down

Olga was working and caring for her mother when she was diagnosed with type 2 diabetes and told to start medication. She wanted to try to reverse it without starting on pills. She got in touch, joined the programme and her values are now fully normal. She feels and looks much better. It took her only three months, but getting there that fast is not the norm: let’s be realistic.

Watch the video of this case on Instagram

Pilar · 63

Fifteen years without control, and one pill less

Before7.8%
Now6.5%

HbA1c. Fifteen years with her diabetes out of control

Pilar’s before and after

From the front
Pilar before, from the front
Before
Pilar now, from the front
Now
From the side
Pilar before, from the side
Before
Pilar now, from the side
Now

Photos of Pilar, shared with permission. I have removed the background so that only the change shows.

  • Blood sugar from over 200 to around 100
  • 8 kg of fat and 20 cm off her waist

She spent fifteen years unable to control her glucose and suffered a cerebral ischaemia. She is still on medication, one pill less: this is not remission, it is a sustained improvement. And not in a straight line: she got down to 6.2 %, went back up to 6.8 % and is at 6.5 % today.

See the post about this case on Instagram

Fernando · 68

Two years, and discharged from Cardiology

Before6.8%
Now< 6%

HbA1c. He started at 65, weighing 97 kg

Fernando’s before and after

Fernando before
Before
Fernando now
Now

Photos of Fernando, shared with permission. I have removed the background so that only the change shows.

  • 16-18 kg less fat and 16-17 cm off his waist
  • More muscle and a lot more strength

He started at 65, weighing 97 kg. He plays golf and has had to move to heavier clubs because he is stronger. Age was not the excuse it looked like.

See Fernando’s before and after on his Instagram

Eva · 53

She needs less and less insulin

Before7.2%
Now5.8%

HbA1c. In three months

Eva’s before and after

From the front
Eva before, from the front
Before
Eva now, from the front
Now

Photos of Eva, shared with permission. I have removed the background so that only the change shows.

  • At five months she injects even less insulin
  • Next goal: coming off it, on her doctor’s orders

She is slim, very active and careful with food, and still her HbA1c kept rising, on insulin and metformin.

See the post about this case on Instagram

María

Her doctor has already taken her off one pill

Before5.7%
Now5.4%

HbA1c. In five months

María’s before and after

From the front
María before, from the front, face pixelated
Before
María now, from the front, face pixelated
Now
From the side
María before, from the side, face pixelated
Before
María now, from the side, face pixelated
Now
From the back
María before, from the back, face pixelated
Before
María now, from the back, face pixelated
Now

Photos of María, shared with permission. I have removed the background so that only the change shows. The face is pixelated.

  • Better body composition and more energy
  • This summer she did not give up ice cream, trips or special meals

She was looking after herself but not improving the way she wanted. She was taking two metformin pills a day.

See the post about this case on Instagram

Santiago · 63

From prediabetes to normal values in three months

Before5.9%
Now5.2%

HbA1c. In three months

Santiago’s before and after

From the front
Santiago before, from the front
Before
Santiago now, from the front
Now

Photos of Santiago, shared with permission. I have removed the background so that only the change shows.

  • Waist from 95 to 90 cm
  • He trains, works in his vegetable garden and helps his daughter with her house

Before starting he put it like this: “I don’t want to go on to diabetes or depend on medication.”

Watch the video of this case

Arturo · 61

His HbA1c fell a little. His waist, 15 cm

Before6.9%
Now6.3%

HbA1c. In a year, with no extra medication

Arturo’s before and after

From the side
Arturo before, from the side
Before
Arturo now, from the side
Now

Photos of Arturo, shared with permission. I have removed the background so that only the change shows.

  • 15 cm off his waist
  • He now rides his bike with more strength and stamina

Not every body responds the same way or at the same pace: his HbA1c has dropped a little, with no extra medication, and his body has changed a lot. It is told as it is, because that is a result too.

Watch the video of this case

Álex

“My diabetes and my weight are improving even though I don’t do it perfectly”

Before> 225
Now≈ 120

Blood glucose. In mg/dl, in his first three months

Álex’s before and after

From the side
Álex before, from the side, face pixelated
Before
Álex now, from the side, face pixelated
Now

Photos of Álex, shared with permission. I have removed the background so that only the change shows. The face is pixelated, as requested.

  • 12 kg less fat
  • He has his energy back to enjoy his family

He works as an engineer and looks after his two babies and the house. He had tried diets and always ended up dropping them; his weight kept going up and his blood sugar was sky high when he was diagnosed with type 2 diabetes. He has learnt that you can improve with little time and without doing it perfectly.

See the post about this case on Instagram

Each case opens right here, exactly as Pablo published it on @pabloberna.enf —his verified Instagram account, followed by more than 90,000 people— or on his TikTok. Fernando’s opens on Instagram.

And how often does this happen?

A handful of cases show it is possible; they do not show how often it is possible. For that there is a clinical trial published in The Lancet, DiRECT, and you can look the numbers up yourself. Remission depends above all on the weight lost.

DiRECT trial · type 2 diabetes remission at one year, by weight lost
Weight lostIn remission
Gained weight0%
Under 5 kg7%
5 to 10 kg34%
10 to 15 kg57%
15 kg or more86%

And two caveats almost nobody mentions, because they do not sell: at two years, those who kept the weight off kept the remission, and those who regained it did not. And remission is considerably more likely if you were diagnosed recently.

The full explanation, with the 2021 consensus definition

What I will not promise you

  • I don’t promise remission. It is possible in some cases and very unlikely in others, and I will tell you which one you are in the first time we speak. Some people, for various reasons, will not get there.
  • I won’t give you a guaranteed drop in HbA1c. Nothing we do together guarantees it on its own.
  • I don’t touch your medication. Reducing or withdrawing it is your doctor’s decision, always. What I do is put you in a position where they can consider it.

If anyone promises you any of those three things, be careful.

Let's talk

Does the way I work make sense to you?

The first conversation is free. Tell me about your case and I will tell you whether I can help — and if I cannot, I will say so too.

Which one is you? Pick it and WhatsApp opens with the message already written:

Prefer Instagram? Message me on Instagram or tell me right here

First call free · No commitment · Online, anywhere in Spain

Instagram @pabloberna.enf Email pabloberna.enf@gmail.com

Calls are booked in the calendar or in writing: I do not take unscheduled calls. What happens on the first call and how to book it

Please note. This programme supports and complements your medical treatment; it does not replace it. No medication change is made without your doctor.