CDC - Over 1 in 3 Americans has Prediabetes

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TheVrolok

Lifer
Dec 11, 2000
24,254
4,092
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The vast majority of people with this so-called pre-diabetes live out life without any clinical symptoms other than they had at least one test that was slightly above what was once considered normal. They don't suddenly become diabetic, they don't suffer from the symptoms or early death, etc. Calling it a disease is not the correct way to handle medicine (as is backed up by experts such as those that I linked above).

If 6.4% is shown to be harmful or seriously leads to harmful diabetes in the future, then redefine diabetes down to 6.4% (or whatever level the best clinical data shows is important). Don't make up a fake pre-disease.

I see you edited your response without actually responding. Regardless, it's pretty clear you don't actually understand what you're talking about. Just curious, where did you get your medical education?

There's no fake pre-disease. It's an attempt at risk stratification of those with already abnormal physiology which portends a poor prognosis. Of course it's not perfect, we are always redefining targets in medicine, that's a given. Also, to say it once again, the WHO isn't suggesting aversion to the name "prediabetes" because the syndrome doesn't exist, but because they don't like that name specifically. Again, I don't know where you're getting your facts, but, using your examples, an A1c of 6.4 is "harmful" and does lead to adverse effects.

Sounds like you just don't understand the fluidity of modern medicine.
 

Slew Foot

Lifer
Sep 22, 2005
12,379
96
86
I see you edited your response without actually responding. Regardless, it's pretty clear you don't actually understand what you're talking about. Just curious, where did you get your medical education?

There's no fake pre-disease. It's an attempt at risk stratification of those with already abnormal physiology which portends a poor prognosis. Of course it's not perfect, we are always redefining targets in medicine, that's a given. Also, to say it once again, the WHO isn't suggesting aversion to the name "prediabetes" because the syndrome doesn't exist, but because they don't like that name specifically. Again, I don't know where you're getting your facts, but, using your examples, an A1c of 6.4 is "harmful" and does lead to adverse effects.

Sounds like you just don't understand the fluidity of modern medicine.


kinda like saying not to do anything about colon polyps since they're just, "pre-cancer"
 

bononos

Diamond Member
Aug 21, 2011
3,939
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You'll be calling a plurality of people pre-diabetic, even a majority of people in some countries. If more than 50% of people are in a condition, then that condition is normal. It might not be a desired condition, it might not be the best possible condition, but it is not abnormal. And in this case it isn't even harmful.

Even the World Health Organization argues against the use of that term.
http://www.who.int/diabetes/publications/Definition and diagnosis of diabetes_new.pdf
The link you quoted said: "......divert attention from the important and significantly increased cardiovascular risk." so pre-diabetes or intermediate hyperglycemia sounds quite serious so I don't know where you got the idea that it is a 'normal' condition which 'isn't even harmful'. And the document says 30% will progress to diabetes.

The resistance to the pre-diabetes term comes from health workers who do not want mass treatment of pre-diabetics with medication instead of lifestyle/exercise/diet changes. I sense that big pharma would prefer the take the pill approach.
 

gururu2

Senior member
Oct 14, 2007
686
1
81
pre-diabetes, pre-hypertensive, pre-arthritis, pre-depression, you name it. although its good to be aware of it, I fear that it will nonetheless lead to vastly more medicated population.
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,092
136
kinda like saying not to do anything about colon polyps since they're just, "pre-cancer"

All those unnecessary colonoscopies just lining the pockets of those greedy GI fellas. Thank God for fake problems; someone has to pay for their Maseratis.
 

chin311

Diamond Member
Feb 27, 2003
4,306
3
81
All those unnecessary colonoscopies just lining the pockets of those greedy GI fellas. Thank God for fake problems; someone has to pay for their Maseratis.

My sarcasm detector is not working properly for this comment lol I had a colonoscopy for other symptoms and I'm only 30 and the doc removed two 1cm polyps and made it seem like that is semi-unusual and I should get another in the next few years...

Not to derail the thread into a colon convo lol

on the topic of diabetes, both my grandmother's had it, one more self inflicted than the other but I tend to sort of watch what I eat while exercising 3-4x a week for an hour or better. I know it isn't a cure but I'd like to prevent having the hassle of diabetes as long as possible.
 

TheVrolok

Lifer
Dec 11, 2000
24,254
4,092
136
My sarcasm detector is not working properly for this comment lol I had a colonoscopy for other symptoms and I'm only 30 and the doc removed two 1cm polyps and made it seem like that is semi-unusual and I should get another in the next few years...

Not to derail the thread into a colon convo lol

on the topic of diabetes, both my grandmother's had it, one more self inflicted than the other but I tend to sort of watch what I eat while exercising 3-4x a week for an hour or better. I know it isn't a cure but I'd like to prevent having the hassle of diabetes as long as possible.

Regarding the colon, it is semi-unusual and certainly a repeat colonoscopy is a good idea. Who robs banks? Bank robbers. Who grows polyps? People who have polyps. ;)
 

Strk

Lifer
Nov 23, 2003
10,197
4
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pre-diabetes, pre-hypertensive, pre-arthritis, pre-depression, you name it. although its good to be aware of it, I fear that it will nonetheless lead to vastly more medicated population.

It shouldn't since a couple of those are in the change your diet and throw in a little exercise phase.
 

Balt

Lifer
Mar 12, 2000
12,673
482
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It shouldn't since a couple of those are in the change your diet and throw in a little exercise phase.

For most people, probably. For everyone, no. As someone genetically predisposed to have HBP, it's really hard to avoid. Exercising and avoiding salt doesn't even begin to make a dent in it.
 
May 11, 2008
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Part of the issue is pretty much everything you buy has sugar and other crap added to it. Watch the documentary Fed Up. Quite interesting and talks about this issue.

The only real way to get healthy is to grow and make your own stuff, but nobody ain't got time for that.

Heck even simple things like maple syrup or peanut butter might not be what they state they are... always look at the ingredients before buying.

Yep. Sugar is added to everything. If you buy paprika or salty chips or salty pinda's ?
Check, it has sugar in it or on it. Was not always this way. 30 years ago, there was no sugar in paprika chips.
 
May 11, 2008
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Damn.

Just ate a whole container of Ben and Jerry's.

Well, i am going to do that too.
But i eat healthy every day with vegetables and fruit.
And i almost never drink soda's and never add sugar to my tea or coffee.
With that in my mind, i do not worry about a once a week Ben and Jerry's feast.
It is chunky minkey time. :wub: