Diabetic Denial by the Medical Community

By GabbyPA Latest Reply 2018-01-01 12:14:19 -0600
Started 2017-11-04 12:53:36 -0500

This article is about denying a diagnosis of pre-diabetes. https://www.ontrackdiabetes.com/pre-diabetes/...

Personally, I think this should be for the medical community, not the patient. Here is why. This quote from the article…

"Prediabetes is diagnosed if your A1C (a measure of blood sugar levels over the past two to three months) is 5.7% to 6.5%, if your fasting plasma glucose is 100 to 125 milligrams/deciliter and your oral glucose tolerance test is 140 to 199 mg/dl, usually after requiring two positive test results."

…is not pre-diabetes. It is DIABETES. If you are having numbers like this, it is past the slap on the wrist, it is time to take action to manage what is now a full blown condition. I do not like the diagnosis of "pre-diabetes" as I think of it as being "pre-pregnant". It is one of the most miss leading things out there.

The article does deal with the patient and the things we go through after a diagnosis and how we try to talk ourselves out of it. But that is where the term PRE becomes the issue. We think somehow that we have time to work on it. I mean, we do, it's not going to kill us tomorrow. However, it makes it feel less of a disease. It is not.

I wish doctors would call fasting readings of 100-110 warning readings. Not 125. And a glucose test of 199 is totally unacceptable as a PRE diagnosis. Anything over 140 is when damage begins. In a non diabetic person, you have to push really hard to even reach 140. My husband even after two donuts and a sugar laden drink when from 78 (fasting) to 97 and topped out.

I'm sorry, but this is one of my pet peeves. It's what gets put by the side when a doctor doesn't see the warnings because they are waiting way too late. We know what to look for in our lab work, but the average person doesn't.

Is it easier to get it managed if you catch it earlier? Yes, I am sure it is. But earlier must come before we are fasting at 125 and more. I know someone who has a fasting of 115 or more and because it has not hit the magic 125, the doctor will not address it. And they won't listen to me, they told me flat out, "the doctor didn't say I have it, so I don't". It hurts my heart to hear that, because I know they could be doing something about it earlier.

What do you guys think about diagnosis of pre-diabetes? Should we try to find a way to get the medical community to get a lower threshold?

4 replies

jackyryan 2018-01-01 12:14:19 -0600 Report

Countless studies from scientists and doctors all over the world have proven that people with type 2 diabetes can normalize blood sugar, increase insulin sensitivity, end neuropathy pain, lower risk of blindness, amputations and be taken off all diabetes drugs and insulin injections. Patients with type 1 diabetes are also able to greatly reduce drug and insulin dosages while lowering blood sugar.

Well, I found a better approach got rid of my diabetes permanently…


suecsdy 2017-11-05 11:56:46 -0600 Report

For me. pre-diabetes/diabetes is like osteopenia/ osteoporosis. In my mind, pre-diabetes is just early stage diabetes. Osteopenia is just early stage osteoporosis. Maybe the medical community seeks to soften the blow of these issues, but I don't think it does the patient any good, because than they can ignore for a little longer. Maybe they should say "You don't need medication yet and you can avoid it if you change you lifestyle". Right now according to their criteria, I'm pre-diabetic. Doesn't mean I can skip my Bydureon.

Type1Lou 2017-11-05 08:51:24 -0600 Report

I think the medical community could do much more about raising awareness about the role of carbohydrates in blood sugar control. Last week, I was in line at the grocery store and a woman was explaining how her husband doesn't take care of his diabetes and eats sweets. I explained to her that I, too, was diabetic, and that all carbohydrates contribute to high blood sugar, not just "sweets". She was surprised to learn that bread, potatoes, rice could affect her husband's blood sugar. When I attended a workshop on diabetes management last year, many of the participants would only look at the "sugar" grams under carbs rather than looking at the total carbs…some of that is "purposeful self-delusion" while, in others, it's just not knowing. As to the term "pre-diabetes", if it makes someone change their lifestyle habits to prevent the onset of full-blown diabetes, this is a good thing…but would an earlier diagnosis of "diabetes" (vs "pre") make some patients take preventative action sooner???…who knows? We live in a culture where we expect the medical community to give us a pill to cure our ills without our doing anything to change our lifestyle habits that may be contributing to the severity of our condition.

msann 2017-11-05 08:12:01 -0600 Report

personally i think prediabetes is good term sometimes that give them a scare to take control before full blown great information