Question I was asked today..

kaiya2465
By kaiya2465 Latest Reply 2012-03-08 01:22:36 -0600
Started 2012-03-05 17:54:18 -0600

I was at the pharmacy & was chatting with a friend about being Pre-D…I lost my thoughts, after a woman came up to me & asked "Are you Pre-Pregnant. She told me that there was no such thing & I guess I was just floored…Has anyone else been asked such an odd question? I get what she was trying to say, but wow.

Thank you


39 replies

red flower lady
red flower lady 2012-03-08 01:22:36 -0600 Report

Should have asked her how she knows that, from what source. It would have been interesting to see what her reply was. Pre-diabetes is that your glucose test is a bit above normal range and when repeated it still isn't in the normal range, but not high enough to be a diabetic. Making the changes to diet and doing exercise can correct it and keep you from a type 2 diagnosis years down the line. This is how the dr explained it to my husband. Now, that being said I can see her point as we can develope anything given time, and we are in a pre state until we do, but that is life. I just can't believe she asked about being pregnant as what did that have to do with anything.

pixsidust
pixsidust 2012-03-06 10:23:29 -0600 Report

There is lots of ignorance out there
While that woman may seem reasonable, she is not in light of what pre- diabetes is…

http://www.diabetes.org/diabetes-basics/preve...

Before people develop type 2 diabetes, they almost always have "prediabetes"—blood glucose levels that are higher than normal but not yet high enough to be diagnosed as diabetes. There are 79 million people in the United States who have prediabetes. Recent research has shown that some long-term damage to the body, especially the heart and circulatory system, may already be occurring during prediabetes. You may also be interested in our book, Diabetes Problem Solver.

How to Tell if You Have Prediabetes

While diabetes and prediabetes occur in people of all ages and races, some groups have a higher risk for developing the disease than others. Diabetes is more common in African Americans, Latinos, Native Americans, and Asian Americans/Pacific Islanders, as well as the aged population. This means they are also at increased risk for developing prediabetes.

There are three different tests your doctor can use to determine whether you have prediabetes:

The A1C test
The fasting plasma glucose test (FPG)
or the oral glucose tolerance test (OGTT).

The blood glucose levels measured after these tests determine whether you have a normal metabolism, or whether you have prediabetes or diabetes.

If your blood glucose level is abnormal following the FPG, you have impaired fasting glucose (IFG); if your blood glucose level is abnormal following the OGTT, you have impaired glucose tolerance (IGT). Both are also known as prediabetes

Old-n-Grey-n-Wiser
Old-n-Grey-n-Wiser 2012-03-05 19:30:15 -0600 Report

Well, many many years ago my cousin's wife kept complaining she didn't feel god so he took her in for a check up, when they got home my aunt asked her what the Doctor found, she said she was told that she was…

approaching pregnancy, then this was right after she saw the UFO.
Tom

kaiya2465
kaiya2465 2012-03-05 19:34:40 -0600 Report

Tom, I don't know about you, you sure keep me in giggles…

Caroltoo
Caroltoo 2012-03-05 18:28:35 -0600 Report

It's an issue of the BG reading scale and how it is defined. One is or isn't pregnant; or diabetic; or pre-diabetic.

You are doing what you can to prevent it becoming full blown; yes, you use the same techniques to lower your BG as diabetic do, but the fact remains that the medical community and our insurance companies use a scale that says fasting BG of 126 or above is diabetic.

kaiya2465
kaiya2465 2012-03-05 18:40:36 -0600 Report

I get being T1 or T2, but to give someone a diagnosis of Pre-D is a waste because your right it makes no difference to my insur. co. Why not just warn the patient to start watching things or they have a chance of getting a T1 or T2 diagnosis…grrr Sorry the medical field is an odd thing.

Caroltoo
Caroltoo 2012-03-05 18:50:24 -0600 Report

Have to disagree on that one. It is a warning to take seriously the fact that the change to diabetes is happening, not that it might happen.

It also makes a difference on insurance applications because they ask if you have diabetes. You can still say you do not. It would make a significant difference in your rates.

I wish when I was told I was pre-D that I had done something positive as you have. I continued to be blissfully complacent and believed it would never happen. Oops! It did.

kaiya2465
kaiya2465 2012-03-05 19:02:20 -0600 Report

I do agree it's a warning but being diagnosed as such does not help the Pre-D, except to know that they may end up with the D diagnosis if they don't change certain lifestyle habits. A doctor can tell a patient that instead of putting a label on them that really don't help them insur. wise I am saying.
Sorry Caroltoo…kick me in the rear…lol
Is it to possibly scare the patient?

Caroltoo
Caroltoo 2012-03-05 20:01:27 -0600 Report

To get results where previous comments have been ignored? I think of it as a wake up call: OK, I warned you, now this is getting serious. Some of us need it and some don't.

Could also to be cover the doctor against claims that he/she did not adequately warn the patient in a serious and documented manner. Some of our insurance companies have folks doing QA on doc's records of Dx and follow-up, so could be an insurance driven issue. The more I think of it from this perspective, it may really be driven by the documentation issues that have saddled our medical and social professions with so much, in my opinion, unnecessary paperwork!

It's ok, Kaiya, we can disagree and remain friends.

kaiya2465
kaiya2465 2012-03-05 20:13:29 -0600 Report

Caroltoo: Thank you, the documentation aspect may be very true…Now that makes sense…
I'm glad we can disagree & still be friends.

Caroltoo
Caroltoo 2012-03-05 21:11:54 -0600 Report

Absolutely, that's how adults act and it's also how we learn, which is what life is really all about.

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