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Why I Think the term "Pre-Diabetes" is a Misnomer

Tuesday, January 14, 2020

From what I've seen from the reaction of friends and acquaintances who've heard the term "pre-diabetes" at their doc visit, I see them relieved rather than put on alert. I think the term gives people a false sense that they are in the safe zone rather than giving them a sense of urgency to make changes. Many have gone on to have diabetes as a result.

I think when a body is pre-diabetic, it is already in the danger zone and should be taken seriously instead of as a safe zone. I've been amazed at the variety of doctor care of those who became diabetic. Some docs are helpful and proactive, while others don't give any guidance or supervision of how to proceed, leaving the diabetic floundering about what to do next.

I'm super-pleased with how the paint project turned out. He'll be back early this morning for a couple of hours to complete the patio slab.

Wishing all a happy, healthy day.

"Out beyond the ideas of wrongdoing and rightdoing, there is a field. I will meet you there."
Jalal ad-Din Rumi
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Member Comments About This Blog Post
    emoticon emoticon
    37 days ago
    Sometimes doctors think we know more than we do, too, and don't tell us as much as they should.
    38 days ago
    My doctor wants me to take Metformin in case...
    But my blood sugar is normal, so I'm not sure if he sees something I don't.
    38 days ago
  • NANCY-
    I agree, folks think they have dodged a bullet with the "pre" instead of it being a call to action.
    When diagnosed with diabetes, I was only given a referral to a diabetes education program that I had to wait 2 months to get into. Yikes! Hopefully the next generation will have better nutrition education.
    39 days ago
    My mom had diabetes and when I saw what it did to her I vowed never To get it. Horrible disease!
    39 days ago
    My mom's side of the family everyone is diabetic. From my experience the doctors in my area would rather stick you on medication than help you get better with healthy eating and exercise
    39 days ago
    Omg...I would freak out if I or my dear man were told that...time for major lifestyle changes!
    39 days ago
    I agree. I wrongfully got labeled as pre-diabetic many years ago. I was put on Metformin and worked on my diet, but I had major problems taking the Metformin as my blood sugar would drop too low and I got the shakes really bad. I had my blood tested again and I was fine. I know I took it seriously and would do the same if I got that diagnosis again, but so far I am good every year I have my blood drawn.
    39 days ago
  • LSIG14
    I agree - prediabetes is definitely a warning that needs to be taken seriously. I do wish that all doctors understood that it is a precursor to disaster if action isn't taken!
    39 days ago
    I'm prediabetic, and have been given no guidance from my regular doc's office other than to lose weight and exercise 30 minutes a day every day. There is no real doctor available there, just nurse practitioners. My RDN was very helpful, but I had to be referred to her by my surgeon for insurance to cover any of her fees. So much conflicting info on the internet that it is hard to figure out on your own.
    39 days ago
    Yes, pre-diabetes is a serious condition and nothing to feel relaxed about!! But . . . people will respond as they are inclined to do . . .

    Glad you're happy with your paint job!!
    39 days ago
    my mom is prediabetic and in a nursing home and on a regular diet and anyone can waltz in with snacks and sugar loaded drinks for her . i told family no salt and no sugar or else, my niece brought her 3 doughnuts and she ate all three . she will probably leave there with a heart condition and diabetes
    40 days ago
    As soon as I was diagnosed as pre-diabetic my doctor sent me to talk to the dietician in the diabetic clinic to get info on how to change my diet and activity. I thank her for that
    40 days ago
    I'm with you - a diagnosis of pre-diabetic is like a warning light on the dashboard! You can certainly keep driving, but if you don't pay attention to it you're likely going to run into a MUCH bigger problem down the road!
    40 days ago
    I’m glad that your paint job turned out well.

    And I agree that a pre-diabetes diagnosis should be taken seriously. I certainly have made major lifestyle changes. It was interesting to me to read in Wikipedia that WHO & ADA each have a different definition of when pre-diabetes should be diagnosed.

    Sometimes I think people get frustrated when they DO make major lifestyle changes, and they do not see results in their blood sugar levels. That happened to my brother. He cut way back on carbs and sugar, followed the advice of his doctor, and did not have a drop in his blood sugar level. I wish he would have kept on with it, and incorporated additional lifestyle changes such as exercise.

    I reduced carbs and sugar, increase my exercise, and lost over 40 pounds. I greatly improved my cholesterol level and overall health. My pre-diabetes diagnosis remained, but at a fairly low number (101 is prediabetic under ADA but not under WHO). Unlike my brother, I am still working on it. I’ll get there!
    40 days ago
    Most alternative health care providers do treat 'pre--diabetic' as if they already were. It does mean the system is compromised and not functioning as it should. And the focus is on nutrition and lifestyle changes. My SIL was diagnosed and she is trying, with the keto diet on and off, but her hubby loves his carbs so its difficult.
    Glad the pain project worked out! Hope the patio slab goes equally as well.
    -54 another good day to stay home, no cheap movies today.
    40 days ago
    I did not realize until a year or so ago that type 2 was genetic. I have type 2 diabetics on both sides of my family! Additional motivation for me to exercise and keep trying to drop the lbs.

    MORTICIA is spot on - many pre-diabetics have no desire to help themselves. I know from personal experience, DH has been told many times by various drs.

    DH had a heart cath toward the end of last year to make sure the stent he got in 1998 was still good. His cardiologist told me that the stent was still working perfectly, and also told me that DH needs to lose at least 100 lbs. The dr asked me, as nicely as he could, what the issue was because I am obviously active and seem to be in good health.

    I cook healthy at least 98% of the time. DH will eat what I cook, and likes it (I'm not going to eat healthy stuff that doesn't taste good!) But when I am not there, he opts for fast food. And I cannot ever get him to go to the gym or out for a walk with me.

    I would think having somebody right there in the same house working to establish healthy habits would make it a bit easier, but he just doesn't want to put in any effort at all.

    40 days ago
    40 days ago
    I think it is always a wise idea for us to take heed to warning signs--before it is too late. emoticon After all, it is our health and lives at stake. Thanks for your message.
    40 days ago
    Thank you, MORTICIA -- you expressed my feelings completely!

    I am type 2 and my Dr. said to me, "I want to start you out on Metformin and Insulin." I asked her for one month on the Metformin and if no progress, then I promised I'd give the insulin a shot. Well, I cut out the simple carbs, exercised more, planned my healthy meals, took my meds (it's like a 3 legged stool -- unless all areas are balanced, you're not going to progress). Anyhow, @ my next visit my weight had gone down 15 lbs. and my blood sugar had gone from a HORRIBLE 313 to 150. All with Metformin, and nutrition changes and more exercise! So, bottom line is, you have to WANT it. And my Dr. said, "You're the first patient I've had in my practice who has really taken this seriously!" Well, as a nurse, I know full well what the consequences of NOT taking care of myself are. No thanks.

    Great blog.
    40 days ago
    Having been pre-diabetic, I agree. I think many doctors know how to treat, but not so much on how to prevent. The first thing they should do is tell patient to go to a registered dietician.
    40 days ago
  • CATE195
    I agree it is a wake-up call to change your lifestyle so that you can live longer and enjoy your life.
    40 days ago
    The problem is not that doctor's don't want to help diabetics or pre-diabetics it is that most of these people are very difficult to help. They are addicted to carbs and bad lifestyle habits and getting most of them to change is very difficult. For instance, I have a friend who is a diabetic and her numbers are not good and getting worse and when I tell her that she needs to count carbs and stop eating tons of sugar her response is to say she will exercise more and only eat a bite or two of one dessert. Will that help? Very little. She's educated so she it's apparent to me that she is in denial. Not willing to do what will work to save her eyesight, her legs, her heart, etc. The pie is more important than her health. She has a million excuses why she won't do what will work. Someone made cookies especially for her so she can't insult them. Pure B.S.. If someone offers you a stick of butter are you going to eat it all? Not unless you want it.
    40 days ago
    I agree. It's a warning that you're approaching a more dangerous situation and if you don't make a change soon you're doom!!
    40 days ago
  • READY201811
    I agree my sil has been diagnosed and one that is taking it seriously. Totally changing her life style, menu options, cooking and taking it to heart
    40 days ago
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