Pre-diabetes is Diabetes

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Pre-diabetes is Diabetes


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Old 11-15-2014, 01:44   #1
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Default Pre-diabetes is Diabetes

Great Op-Ed piece in the paper today by a Utah MD

Op-ed: Prediabetes is diabetes, and it's everywhere | The Salt Lake Tribune
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Old 11-15-2014, 02:24   #2
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If he only would have talked about the other component of lifestyle change - diet. Not so sure about his reversing pre-D or simply losing weight comments.

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Old 11-15-2014, 04:26   #3
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I found it exciting that he even put it in his terms. It IS stage 1 of diabetes and is being treated as such. I hate that and dislike that my doctors didn't warn me of that and left it to my natural curiosity to figure it out.

This is progress! Let's not knock it in the head!




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Old 11-15-2014, 06:14   #4
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Quote:
Originally Posted by Patdart View Post
I found it exciting that he even put it in his terms. It IS stage 1 of diabetes and is being treated as such. I hate that and dislike that my doctors didn't warn me of that and left it to my natural curiosity to figure it out. This is progress! Let's not knock it in the head!
I totally agree +1

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Old 11-15-2014, 08:14   #5
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Great! Now they can deliver near-useless advice to a much larger group of people.

Lose weight and exercise?! LOL. They've been telling everyone that throughout the current epidemic. Not even an advice to stop eating 175g of SUGAR (in virtually every food in the grocery) per DAY?!

They knew enough to recommend that 100 years ago. They're actually going BACKWARDS.

They get statistical trends correlating to weight loss and exercise - with no effort to eliminate confounders and no real evidence of causality. Whoopee. Just imagine if they put a group of people on 50g or less of carbs per day - what THAT trend line would look like.

It's a baby step, but perpetuates more myth than it busts, IMO.

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Old 11-15-2014, 08:32   #6
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I do wish he had gone into diet control also, but I have some problems with calling it Stage 1 diabetes equating it with Stage 1 Breast Cancer. My stage 1 breast cancer was resolved by a bilateral mastectomy in the summer of 2013. I don't think there is any equal diabetic resolution. Diabetes can't be resolved as easily in that manner. It takes a life long commitment to a change of way of eating and exercising as much as possible.

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Old 11-15-2014, 08:42   #7
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It also remains to be seen if "pre-diabetes" is in reality just the early stages of "frank diabetes". I don't believe that. At least some portion of those who fall into the "pre-diabetic" range are most likely just the tip of the "normal" bell curve and will finish their lives without ever experiencing diabetes. It doesn't seem that anyone has ever investigated that.

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66 Years
DX: 9/2009 A1C=10.7
A1C 2/2010: 6.7 (DX + 4 months)
A1C 5/2010: 6.0 (DX + 8 months)
A1C 8/2010: 5.7 (DX + 11 months)
A1C 11/2010: 5.1 (DX + 14 months)
A1C 9/2011: 5.6 (DX + 2 years)
A1C 7/2012: 5.5 (DX + 2 years 10 months)
A1C 1/2019: 5.5
Diet: Approximately C:10;P:15;F:75 (as % calories)
Exercise: Not much. Stairs at home & work.
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Old 11-15-2014, 11:36   #8
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Another very important point here is that when we look at diabetes, pre-diabetes and metabolic syndrome as one thing, it is rapidly approaching, if it hasn't already exceeded 50% of the population.

There is a BIG point lurking in that:

With numbers this high, we can no longer call this a disease or a "dysfunction". Rather, this indicates that it is more like a NORMAL HUMAN RESPONSE to the way we now eat and live.

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Salim Morgan, T2
66 Years
DX: 9/2009 A1C=10.7
A1C 2/2010: 6.7 (DX + 4 months)
A1C 5/2010: 6.0 (DX + 8 months)
A1C 8/2010: 5.7 (DX + 11 months)
A1C 11/2010: 5.1 (DX + 14 months)
A1C 9/2011: 5.6 (DX + 2 years)
A1C 7/2012: 5.5 (DX + 2 years 10 months)
A1C 1/2019: 5.5
Diet: Approximately C:10;P:15;F:75 (as % calories)
Exercise: Not much. Stairs at home & work.
NO MEDS, No Highs, No Lows
Grandkids: 22
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Old 11-15-2014, 16:10   #9
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Great article! His point that a person with pre-diabetes should be treated seriously is spot on, whether we agree HOW to treat it or not.

My SIL told me she has pre-diabetes, but "it's ok, because my doctor is watching it." Watching it what??? Turn into full diabetes??? This is the common medical response, but then again, doctors have no tools to prevent progression when all they can think of is to recommend weight loss through CICO. If that actually worked, nobody would be obese in the first place--we've ALL tried it.

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Old 11-15-2014, 17:21   #10
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Quote:
Originally Posted by smorgan View Post
It also remains to be seen if "pre-diabetes" is in reality just the early stages of "frank diabetes". I don't believe that. At least some portion of those who fall into the "pre-diabetic" range are most likely just the tip of the "normal" bell curve and will finish their lives without ever experiencing diabetes. It doesn't seem that anyone has ever investigated that.
I don't think you wake up one morning and there it is. It has to start somewhere. We knew I was getting and had chicken pox with the first spot or two, long before it developed into all the spots.

I believe that diabetes develops sort of like a stick, it starts out straight, something puts some pressure on it (carb overload), gets a little bow in it, gets a bigger bow in it, starts to crack, and then it breaks. I don't know if the pressure is eliminated before it breaks if it keeps a bow in it, the bow gets smaller, or it eventually straightens back out. Even in simple thinking, this is still complex, how big around is the stick to begin with, what type of wood, etc., all affect the outcome of the load applied and what happens after the load is removed. Some bend, some break, some don't bend at all. I think though that once it's cracked or broke, it will never go back to as good as new. If I reduce the load after cracking or breaking, there is still a possibility of a grafting effect, the area mends itself some, but that point is still weak and easy to break again even when less pressure is re-applied.

I believe you are right that no one has studied it. Who knows, there be some who never bend and just suddenly break.

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Think I've had this since 2003. Told I was Type 2 lean on 2/13/12.
a1c 8.8 (8/2011) 5.2 (07/2019)
TC 183 LDL 102 HDL 65 TG 52 (02/20/2020)
Supplemental vitamins and electrolytes
64 YY Love the LCHF diet. The cheese goes well with my whine

updated 02//20
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