you're just mincing words. Pre-diabetes does in fact exist. They could call it something else to make it sound more scary, but the diagnosis is pretty accurate since people can live with prediabetes for a number of years before it turns into full fledged type 2 diabetes. If people need scary words to be convinced to change their lifestyle that's not my problem.
The problem is lack of awareness of loss of beta cell function and insulin resistance... it simply is not mentioned by doctors and as long as you meet their fasting blood glucose guidelines assuming they bother to test you at all, they declare you fine... a better test are A1C test and post meal glucose testing, since it's after a big heavy carb meal where the damage is done. A person can have a fasting glucose of 95 mg/dl and spike to 250 mg/dl without realizing it depending on their portion sizes... the standards they use to diagnose diabetes and prediabetes are too lax, in my opinion. It's the number one destroyer of health and it gets much less attention than it deserves in mainstream preventive medicine.
The problem is lack of awareness of loss of beta cell function and insulin resistance... it simply is not mentioned by doctors and as long as you meet their fasting blood glucose guidelines assuming they bother to test you at all, they declare you fine... a better test are A1C test and post meal glucose testing, since it's after a big heavy carb meal where the damage is done. A person can have a fasting glucose of 95 mg/dl and spike to 250 mg/dl without realizing it depending on their portion sizes... the standards they use to diagnose diabetes and prediabetes are too lax, in my opinion. It's the number one destroyer of health and it gets much less attention than it deserves in mainstream preventive medicine.
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