Nearly half a billion people globally now have diabetes

I'm going to sign off this thread, and abstain from any medical threads in the future. Always a mistake and I should have known better.

Moderators if what I wrote could be deleted I would appreciate it greatly. My concern is it has only contributed to confusion and misinformation.
 
A few years ago, I read about the problems Asian people faced in having increasing diabetes. And in the US, doctors were warned about not making the mistake in believing that their trim-looking Asian patients having low risks of this disease.

Regarding the rapidly increasing diabetic rate in formerly diabetic-free countries, we can just look at videos of street scenes in Asian countries 30-40 years ago, compared to now. People now have more weight, due to an increase in calorie intake. Technology increases food production, and world trade makes food more affordable. Rural people now move to the cities and work in high-tech factories. They earn more and now eat more.

Ah, the curse of abundance.

My parents and my siblings all had or have the tendency of high blood glucose. And that's why I am paying particular attention to my own condition, and resolve to do my own finger-pricking test for fasting glucose every month as described earlier. It is easy, not painful, and gives me advance warning for me to take corrective action. If I wait for the annual exam blood test (I see my doctor only once a year), it may be too late, or the correction regime is harder.

Right now, simply by not eating anything after dinner and not having breakfast which I rarely do anyway, avoiding sweets, and taking a walk immediately after a meal, both my wife and I have been able to keep our fasting blood glucose below 100, often under 90. We still eat tons of carb like bread and rice.

As mentioned in earlier threads, prior to taking the above simple steps, my BG was never below 90, even when I was in my 40s. My wife BG had always been low until a couple of years ago when she ate 2 or 3 ears of sweet corn a day during the corn season, and her BG shot up to more than 120! Without doing our own test, we would be totally oblivious to the problem, and just eat our way to the grave.

I will add that we are always reasonably fit. My BMI is never above 26, and currently 23. My wife is trimmer with a BMI of 21.
 
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I'm going to sign off this thread, and abstain from any medical threads in the future. Always a mistake and I should have known better.

Moderators if what I wrote could be deleted I would appreciate it greatly. My concern is it has only contributed to confusion and misinformation.

No, I appreciated your post and thought it was a clear explanation.
 
I always thought that "pre-diabetic" means you still have a chance of reversing the condition.

My wife's sister was diagnosed as "pre-diabetic". Both her fasting BG and A1C were high. Her doctor insisted that she took metformin. She took the simple corrective action as I did, and has weaned herself off metformin.

PS. She was as trim as my wife.
 
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No, I appreciated your post and thought it was a clear explanation.

I did too, and hope you don’t stop contributing to the discussion.

The CDC certain believes prediabetes is a legitimate health condition. Their take https://www.cdc.gov/diabetes/library/features/truth-about-prediabetes.html
Don’t let the “pre” fool you—prediabetes is a serious health condition where blood sugar levels are higher than normal, but not high enough yet to be diagnosed as diabetes. Prediabetes puts you at increased risk of developing type 2 diabetes, heart disease, and stroke.
 
I'm going to sign off this thread, and abstain from any medical threads in the future. Always a mistake and I should have known better.

Moderators if what I wrote could be deleted I would appreciate it greatly. My concern is it has only contributed to confusion and misinformation.

Confusion? You told your story about what works for you. That seems very helpful to me as long as the reader realizes we are all different. If that workout keeps your BG down, who can argue with success?

FWIW, if I eat a particularly carby meal, I will try and take a walk afterwards. My Dr. has mentioned that doing so will help keep the BG levels down for many people. I have never measured my BG to confirm it actually helps me, but it certainly can't hurt, and walking has its own benefits.
 
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I always thought that "pre-diabetic" means you still have a chance of reversing the condition.

My wife's sister was diagnosed as "pre-diabetic". Both her fasting BG and A1C were high. Her doctor insisted that she took metformin. She took the simple corrective action as I did, and has weaned herself off metformin.

PS. She was as trim as my wife.
No, as Scratcher said it’s simply diagnostic ranges.

Even full diabetes can be reversed in many cases. It used to be thought that the disease was progressive and irreversible but that’s been shown not to be true.
 
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I did too, and hope you don’t stop contributing to the discussion.

The CDC certain believes prediabetes is a legitimate health condition. Their take https://www.cdc.gov/diabetes/library/features/truth-about-prediabetes.html

Of course it is serious. The pancreas is already impaired and will get worse unless dietary changes are made. Taking insulin and other blood glucose reducing drugs may lower blood sugar, but it will not help the impaired pancreas recover.

I think that’s what Bamaman meant, that in what is called pre-diabetes the pancreas is already damaged.

I suppose some of it would have been historical. At first they were only paying attention to the 130+ range, then they realized a lower range indicated a lower progression of the disease.
 
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No, I appreciated your post and thought it was a clear explanation.

Agree. It was interesting to hear your experience. I would love to wear a cgm for a month or so. I think it would be extremely interesting and motivating.
 
Sorry all for my impetuous post earlier and thanks for any kind comments. I think a good way to think about it is to take a diagnosis of prediabetes as a serious wake up call. I think that's what was intended when the condition was defined. As audreyh1 mentioned I've seen many people with prediabetes and even diabetes get back to normal ranges.
 
I think a good way to think about it is to take a diagnosis of prediabetes as a serious wake up call. I think that's what was intended when the condition was defined. As audreyh1 mentioned I've seen many people with prediabetes and even diabetes get back to normal ranges.

I agree- as I noted earlier I watch my numbers even though no doctor has ever expressed concern about them. A friend, the one who first told me about Dr. Lustig, suffered a serious stroke about 3 years ago, He was only 64. He knew about the high BP but was in a high-stress job with barely enough time to sleep, let alone cook healthy meals or go to the gym. He was also, it turned out, Type II diabetic. He switched to a keto diet, lost weight (he was teddy bear-shaped so needed to) and is almost completely off the metformin, with his doctor's agreement. Sadly, the effects of the stroke still linger so he ended up with an ER he hadn't planned on, but fortunately he was prepared financially.
 
My elderly DF was diagnosed with SEVERE diabetes at the start of covid involving a several night hospital stay to get him under control. He was released with insulin shots and finger pricks to do. He can't do it and my mom can't tolerate the blood part. Her solution as the cook: she CLOSELY manages his diet. No insulin or fingerpricks needed. He wears a CGM all the time and they regularly scan him. He just doesn't eat what she doesn't hand him. And she feeds him a set ratio at set times including cheese before bed. To me, this is a success story. He feels better, she knows what and how to feed him, and she doesn't have to deal with blood except when changing the monitor. His drs still closely monitor his readings and BP etc digitally from home. His i think was from complete lack of exercise and activity during covid lock in. It the peak of his illness all he would eat/drink was chocolate milk. Recipe for disaster.
Sorry all for my impetuous post earlier and thanks for any kind comments. I think a good way to think about it is to take a diagnosis of prediabetes as a serious wake up call. I think that's what was intended when the condition was defined. As audreyh1 mentioned I've seen many people with prediabetes and even diabetes get back to normal ranges.
 
You think maybe growing populations, aging demographics and better/more testing has anything to do with the 4x increase too?

I have to assume there is some of that factoring in. My mother turned 75 and she was marked for the first time as pre-diabetic and as of last doc visit she is considered diabetic. I may be mistaken but I was under the understanding it takes usually 10 years to get to any kidney damage and 15-25 to get to kidney failure, so a diagnosis that late in life is not likely going to be the determining factor in her longevity and won't really impact the health care system as much more likely some other issue arises first.
 
You think maybe growing populations, aging demographics and better/more testing has anything to do with the 4x increase too?

Except that younger and younger people are developing these “adult onset” diseases. Children are developing fatty liver disease and other metabolic problems that were unheard of in children decades ago.
 
I agree- as I noted earlier I watch my numbers even though no doctor has ever expressed concern about them.

This is the problem I was trying to get at earlier - doctors should be expressing great concern at the first sign of pre-diabetes, and advising the patient on diet/lifestyle changes that could halt/reverse the progression of the disease. And this is also why I don't like the term "pre-diabetes" - the "pre" implies that there is no serious problem yet, and that perhaps nothing needs to be done, other than watching and waiting to see what happens. As others have said, damage has already been occurring by the time you get to a diagnosis of "pre-diabetes".
 
Even elevated blood sugar aka “pre-diabetes” is way late. Doctors could be monitoring much earlier signs such as excessive blood insulin levels, but it’s not part of a standard panel.
 
Even elevated blood sugar aka “pre-diabetes” is way late. Doctors could be monitoring much earlier signs such as excessive blood insulin levels, but it’s not part of a standard panel.

I know- my first visit under Medicare the doc ordered an a1c and her staff didn't code it correctly so Medicare said it was "not medically necessary". I appealed the coding- they did nothing. I was home free only because the lab forgot to have me sign the waiver acknowledging that I was on the hook for whatever Medicare didn't pay. Now, as I mentioned, I get and pay for my own for about $40, but that's a luxury many people don't have.
 
Somebody decided what should be on a CMP (Comprehensive Metabolic Panel) which is used by most primary care physicians for their annual blood screening. It includes fasting blood glucose and would be a logical place to include fasting blood insulin.

High blood insulin level is a marker for insulin resistance which can start 10 to 15 years before development of diabetes. That poor pancreas fights for a long time to keep blood sugars normal in the face of worsening metabolic disease.
 
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Except that younger and younger people are developing these “adult onset” diseases. Children are developing fatty liver disease and other metabolic problems that were unheard of in children decades ago.

I would add that younger people are also eating a lot more - particularly fast foods - these days. Obesity rates have increased among young people.

They are also less active. From an activity standpoint - I call recall in grade school having gym at least once a week. During lunch the emphasis was on "getting outside and playing pickup games" of various types - if you had an hour, for lunch after about 15-20 minutes they would try getting everyone outside, even on cold days. Also, does anyone remember the "presidential physical fitness challenge" or whatever it was called (too lazy to search for it right now)? To pass gym you had to at least pass that test of pushups, situps, pullups, and running a distance under a particular time.

Out of school, we did not have organized sports - we just played a lot of pickup games. When I grew up the schoolyards and fields would always be occupied with various pickup games. In the mid 1990s when our older kids were in grade school, I and other parents who had grown up that way were shocked at how empty the school yards and park fields would be on nice days, even though our neighborhood had lots of kids. It bothers me now to see signs in the nearest park, which has several football/softball/baseball fields and a basketball court, about "please do not use the fields without a permit".
 
Children are also drinking an incredible amount of calories from sugar including HFCS.

Lustig’s work really puts it into stark perspective.
 
Somebody decided what should be on a CMP (Comprehensive Metabolic Panel) which is used by most primary care physicians for their annual blood screening. It includes fasting blood glucose and would be a logical place to include fasting blood insulin.


I agree. But you can still ask your doctor to include the fasting insulin test, seperately from the CMP. Mine agreed, and insurance did cover it (even though I am not "pre-diabetic" by the standard definition). And if your insurance won't cover it, you can have the test done by any of several different labs, typically for less than $30. Here is one example...........Life Extension offers the fasting insulin test for $22 right now. That's dirt cheap for a test that could alert you that you need to make some lifestyle changes to avoid slipping into diabetes.


https://www.lifeextension.com/lab-testing/itemlc004333/insulin-fasting-blood-test
 
I know. I was thinking in terms of early detection for most people.* Fasting glucose identifies problems way too late, yet that is still used. When detected the patient has already been in trouble for probably 10 years or more.

One of my doctors does use fasting insulin for standard screening which is how I learned about it.

* Recent study finds that only 12% of US adults are metabolically healthy!
https://www.sciencedaily.com/releases/2018/11/181128115045.htm
 
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Children are also drinking an incredible amount of calories from sugar including HFCS.

Lustig’s work really puts it into stark perspective.

Speaking of HFCS (and sugar in general), here are a few statistics from the Diabetes Council that should put this problem into perspective:

[FONT=&quot] In 1915, the average sugar consumption per person was 17.5 pounds. As of 2011, the number rose to 150 pounds of sugar per person annually. (Avail Clinical Research)

The current average sugar consumption per day is 25.28 teaspoons. (about 7 teaspoons or less per day is generally considered the upper limit for good health) (Washington Post)

The top 10 percentile sugar consumers take in an average of 40% their daily calories from sugar. (Medscape Journal of Medicine “Dietary Fructose Consumption Among US Children and Adults: The Third National Health and Nutrition Examination Survey”)





[/FONT]
 
As the article below says, diabetes has "exploded" everywhere, with the number of cases increasing by 4X or more since 1980. And a lot of diabetics don't even know they are diabetic, so they are walking around untreated. A lot of this undoubtedly has to do with poor lifestyle choices.........processed food consumption, obesity, lack of exercise. A couple of the main risk factors for COVID were/are diabetes and obesity, and of course diabetes leads to all sorts of other serious chronic diseases.


Meanwhile, the big food companies keep trying their best to get us all hooked on more processed junk foods, most of which are high profit margin items. So I am not optimistic that this trend is going to reverse anytime soon.



https://www.studyfinds.org/half-billion-people-have-diabetes/
Which is odd because our life expectancy is higher than years past even though we are a fast food nation by personal choice in general.
 
15 years ago my Dr told me I was on the path to diabetes. Lost weight, exercise, and no sugar intake. Now I'm holding my own. However its still an argument every year to get the A1C test. I always insist and pay out of pocket.
 

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