Comments on: Article questions the validity of labelling and treating people with ‘pre-diabetes’ https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/ A health-focused blog that makes sense of science, and offers accurate, trustworthy and practical advice about all aspects of healthy living. Thu, 24 Jul 2014 18:51:10 +0000 hourly 1 https://wordpress.org/?v=6.2.11 By: Soul https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-210278 Thu, 24 Jul 2014 18:51:10 +0000 http://www.drbriffa.com/?p=6414#comment-210278 The other day I saw on a TV a TV personality mention what he did when diagnosed with pre-diabetes. He is a younger guy, in his early 30s. When told that he was likely to develop full blown diabetes in the near future he weighed close to 400lbs. When the news came in, he “immediately” signed up for lap-ban surgery. He also changed his diet. As he said, he never fully realized the impact of what he ate could have on his health. It wasn’t mentioned what he now eats, other than saying “real food”. Since the diagnosis, and procedure he has lost close to 200lbs. He was looking great, and wasn’t in the same danger as before with developing diabetes.

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By: gregw https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208757 Sun, 20 Jul 2014 12:59:02 +0000 http://www.drbriffa.com/?p=6414#comment-208757 In reply to Janet B.

Id disagree with what you say, its as much a blanket statement as the nhs recommending a low fat high carb diet. If youre sedentary or pre diabetic then certainly drop the carbs and probably good idea to drop wheat completely for most people, if you’re active and participate in weight training, sports a few times a week its a good idea to eat rice and protein post training to help build and maintain muscle. Id suggest everyone who can does resistance training and the eats carbs at the suitable time.

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By: gregw https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208754 Sun, 20 Jul 2014 12:49:05 +0000 http://www.drbriffa.com/?p=6414#comment-208754 In reply to nikki.

I agree. My dad was told he pre diabetes. Ive had type 1 diabetes for 25 years so did glucose testing on him and got him on a low carb diet, moderate fat and upped his protein. His post meal glucose dropped to normal ranges, he said he hadnt felt as good in years. Plus he lost weight but thats plateuing now as expected from a low carb diet.
It can be easy to treat with diet but fixing diet doesnt create millions more patients to feed drugs supplied by big pharma.

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By: Wilson https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208728 Sun, 20 Jul 2014 11:10:37 +0000 http://www.drbriffa.com/?p=6414#comment-208728 In reply to JamesK.

If there are only a few glucose spikes then I don’t think it’s likely to make a great deal of difference to overall HbA1C

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By: Peter Jensen https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208630 Sun, 20 Jul 2014 03:59:44 +0000 http://www.drbriffa.com/?p=6414#comment-208630 Ok. But I think it’s important to identify metabolic syndrome, which is what pre diabetes is a part of, so the proper measure can be taken to try to reverse it and prevent potential complications which include besides diabetes, obesity, heart disease, dyslipidemia ie high triglycerides and low HDL. The proper measure namely consists of low carb high fat Atkins type diet.

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By: JamesK https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208560 Sat, 19 Jul 2014 23:44:53 +0000 http://www.drbriffa.com/?p=6414#comment-208560 Reply to Wilson:

I understand what you suggest about ‘spikes’. But do the handful of spikes (say 5 to 10% of one’s meals) really make a significant impact on HbA1c measurement?

Per my own readings on the subject, it’s not clear at all. If the overall HbA1c measurement is primarily reflecting a small percentage of spikes, it’s a questionable indicator, IMHO.

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By: Stephen Rhodes https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208491 Sat, 19 Jul 2014 19:25:03 +0000 http://www.drbriffa.com/?p=6414#comment-208491 In reply to Janet B.

Don’t waste your time on additional testing.

http://www.ejinme.com/article/S0953-6205(11)00004-5/fulltext by Seneff et al. should be good enough to show that the very last thing you should be doing is reducing LDL cholesterol.

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By: Wilson https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208455 Sat, 19 Jul 2014 17:58:32 +0000 http://www.drbriffa.com/?p=6414#comment-208455 James, low carbing can actually make people more insulin resistant for a bit as the body down regulates enzymes needed to deal with glucose. it’s a well known phenomenon called physiological insulin resistance. So I think a couple of high carb meals while you’re low carbing may cause greater glucose spikes than if someone on a ‘normal diet’ ate them.

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By: Janet B https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208434 Sat, 19 Jul 2014 16:19:48 +0000 http://www.drbriffa.com/?p=6414#comment-208434 In reply to M. Cawdery.

When I asked about this at the surgery, the practice nurse told me they don’t do that because it’s too expensive. Ditto HDL and LDL particle size. It would be good and useful to know though. I thought about ‘going private’ but as I am an OAP I fear it would be beyond my means. (Also, a little voice says ‘why should I?’

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By: Karen https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208422 Sat, 19 Jul 2014 15:54:46 +0000 http://www.drbriffa.com/?p=6414#comment-208422 what gets me with the treatment of anyone labeled diabetic is that along with metformin there are also prescribed blood pressure medications and statin medication. These medications destroy the body in a way that increases blood sugar. Also metformin does have side effects one of them include arthritis. I know this because I just met formin and
develop arthritis.

I’m also concerned with the ever expanding guidelines for sickness. ..soon it will be so large that no one can escape it.

We are already seeing what happens when large groups become chemically addicted to medications. ..after the patent is gone all of a sudden there’s a shortage. ..which has the effect of tremendously driving up prices…in some cases over a 1000%.

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By: JamesK https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208352 Sat, 19 Jul 2014 11:25:05 +0000 http://www.drbriffa.com/?p=6414#comment-208352 I’ve never seen a clear explanation of diet impact on HbA1c.

Is a HbA1c high level only due to a sustained high-carb diet over the previous 3 months?

Or, is a high level due to consuming just a few meals being high carb, say 5% of the meals over a 3-month period?

Another way to pose the question: If one has primarily a low-carb lifestyle, does a moderate number of high-carb (50-75g) meals impact HbA1c significantly (dangerously?)?

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By: Jennie B https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208336 Sat, 19 Jul 2014 10:33:09 +0000 http://www.drbriffa.com/?p=6414#comment-208336 Well I seem to remember back in the early 70’s when I did my nursing training, that FBG of under 8 was considered to be normal. We are all diabetic these days it seems.
Also patients who actually were diabetic had very strict carb intake. Non of this ‘eat whole grain bread, cereal,potatoes, rice, pasta,low fat, that seems to be recommended today by the ‘experts’ hey ho!!

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By: M. Cawdery https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208330 Sat, 19 Jul 2014 10:17:48 +0000 http://www.drbriffa.com/?p=6414#comment-208330 In reply to Christopher Palmer.

Medical diagnosis these days is “herd diagnosis” based on epidemiological studies. It is not an individual diagnosis. Statin therapy is an example of this. The large majority of the “herd” so diagnosed will not suffer a heart attack or benefit from treatment in the next 10 years.

Risk is a medical ruse to get the herd on treatment for trivial benefits to the individual but vast profits for the commercial interests!

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By: M. Cawdery https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208328 Sat, 19 Jul 2014 10:11:16 +0000 http://www.drbriffa.com/?p=6414#comment-208328 In reply to Carol.

Have you ever had your insulin levels measured? This is a measurement that seems to be rarely done in the NHS, which I find odd given the uses of sulphonureas to boost insulin (low insulin) while high insulin is associated with CVD.

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By: M. Cawdery https://www.drbriffa.com/article-questions-the-validity-of-labelling-and-treating-people-with-pre-diabetes/#comment-208326 Sat, 19 Jul 2014 10:07:05 +0000 http://www.drbriffa.com/?p=6414#comment-208326 Prof Yudkin reported on sucrose and its damaging effects back in the late 1960s-early 1970s and even published a book “Pure, White and Deadly………” But of course one Ancel Keys held the limelight with his hicarb/lofat views and Yudkin was ignored.

RESULT: Obestity, metabolic syndrome, diabetes and Type 3 diabetes (some researchers believe Alzheimer’s is a diabetic condition)

I find it frustrating that the youngsters of today are accusing sugar as if it was a brand new research finding; it merely displays their ignorance.

Senneff et al (European Journal of Internal Medicine Volume 22, Issue 2 , Pages 134-140, April 2011) has also demonstrated an association between hicarb intake and Azheimer’s which ties in with the diabetes Type 3 concept.

My question is whether the medical establishment, Big Commerce et al and their experts will ever consider this aspect. Somehow I doubt it – scientific integrity has been replaced as a priority by money, power and status!

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