Chin up, Kitten

Pre-diabetes was rejected as a diagnosis by the World Health Organization (although it is used by the US and UK) - the correct term for the condition is impaired glucose tolerance. Approximately 2% of people with "pre-diabetes" go on to develop diabetes per year. You heard that right - TWO PERCENT. Most diabetics actually skip the pre-diabetic phase.

There are currently no treatments for pre-diabetes besides intentional weight loss. (Hmm, that's convenient, right?) There has yet to be evidence that losing weight prevents progression from pre-diabetes to T2DM beyond a year. Interestingly, drug companies are trying to persuade the medical world to start treating patients earlier and earlier. They are using the term “pre-diabetes” to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyone’s a winner, right? Not patients. Especially fat patients.

Check out these articles:

Prediabetes: The epidemic that never was, and shouldn’t be

The war on ‘prediabetes' could be a boon for pharma—but is it good medicine?

Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so here's one of their threads I pulled from Twitter:

1️⃣ You can't prevent insulin resistance. It's coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.

2️⃣ The term "pre-diabetes" is a PR stunt. The correct term is impaired glucose tolerance (or impaired fasting glucose) which is sometimes referred to as intermittent hyperglycemia. It does not predict T2DM. It is best ignored and tested for every 3-5yrs.

3️⃣ there is no evidence that losing weight prevents diabetes. That's because you can't reverse insulin resistance. You can possibly postpone it by 2yrs? Furthermore there is evidence that those who are fat at the time of diagnosis fair much better than those who are thin.

4️⃣ Weight loss does not reverse diabetes in the VAST majority of people. Those that do reverse it are usually thinner with recent onset T2DM and a low A1c. Only a tiny minority can sustain that over 2yrs. Weight loss does not improve A1c levels beyond 2 yrs either.

5️⃣ Weight loss in T2DM does not improve macrovascular or microvascular health outcomes beyond 2 years. In fact, weight loss in diabetics is associated with increased mortality and morbidity (although it is not clear why). Weight cycling is known to impacts A1c levels.

6️⃣ Weight GAIN does NOT increase the risk of cardiovascular OR all causes mortality in diabetics. In fact, one might even go so far as to say that it's better to be fat and diabetic than to be thin and diabetic.

Dr. Larmie cites 18 peer reviewed journal articles (most from the last decade) that are included in their webinar on the subject, linked below.

“I’m just going to pick up the boy from daycare and then it’s date night.”

And the lady says “Oh! How old is he?”

“He’s three.”

“Mine too! Where are you registering him for kindergarten it’s such a hassle-”

And that’s when I realized I said “boy” and not “dog” because I always think of Charlie as “good boy” but this slip up has lead to a miscommunication.

The lady is now 6 minutes into a clearly needed rant about how unnecessarily complex shopping for schools is, esp when you have a neurodivergent child, so I can’t just tell her that Charlie is a dog because then she’ll feel awkward for unloading on me and she clearly has enough going on.

“It really depends on who he’s with. He’s very quiet at he but won’t shut up if he’s at the park or has a friend over.”

“was it hard to potty-train him?”

“he’s adopted, but I was genuinely amazed at how good he already was with hygene and potty stuff.”

“mine’s just obsessed with paw patrol and Frozen, drives me crazy!”

“I imagine. Charlie is colorblind so he’s not as into tv, but he always wants a toy if I take him anywhere with them.”

“oh gosh the toys! And the kids are so rough on them!”

“yeah Charlie can destroy a stuffed animal in about 2 minutes, so I only buy him the really cheap ones.”

“Does he throw tantrums when they break?”

The Very Good Boy in question, Charleston Chew.

לא טוב היות האדם לבדו

“Existence is not good.” “Man is alone.”

All the other ways of splitting them up are similarly awful. And on the one hand, I think this is really kind of beautiful—how this phrase, which is about togetherness, is so beautiful as a whole but cannot be broken into parts without itself becoming splintered and distorted. The language mirrors the very nature of humanity that it describes.

My Roommate

Hot bible study friend