I'm Attention Deficit in High Definition

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.

Spent a ridiculous amount of time last night obsessively editing my hand written zines in Photoshop to take away any tiny blemishes so they were definitely readable.

Metro Man was not loved growing up in a way that mattered. His adopted father was clearly very absent, and while we don't know much about his family, their relationship seems superficial. Because of this, his sense of duty to the world is also superficial, hence his boredom.

Hal wasn't raised with power. He gained it and was shown how to use it by a 'space dad' who only taught him power and not love. Hence, he sees it only as a grasping means to an end.

Learning about flyovers and pyrotechnics at American games being a thing

Non-americans discovering the size of American football stadiums....for high schools in texas. Also the size of our stadiums in general.

Going to baseball games as a side treat! Lmao.

Non-americans losing their minds over "like, 100 petrol pumps," at buc-ees.

Related: Americans often forget how huge target and Walmart is.

People discovering American BBQ

Non-americans being obsessed with mid American restaurant chains like Golden Corral and Taco Bell

A lot of them really did feel god in this chile's apparently

The rightful obsession with waffle house

New understanding of American Big Drink With Ice supremacy as summer creeps in

Begrudging acceptance of mandatory water breaks during games

Americans realizing we have a Team USA and we are not, in fact, just "hosting our friends" from around the world — mostly because we won our first match and our team is decent??? Not amazing but not the worst.

Side rant: us women's football team is legendary good and we should care about that more like. Hello???

Admitting Americans are right about air conditioning

Related: the english team did warm ups in Florida RIP, and also the there's a video of the French team just being like fuck the heat, fuck the sun, this is so hot...

Americans who do not normally care about international football but fucking love a sport and cheering so we're just hyping whatever team is nearby, like we see a party and just show up and learn the chant. Like sorry many of us don't know shit about soccer but if we see a bunch of people in viking helmets or kilts or holding a bunch of flags and cheering we're game.

TAILGATING!!!!

I already said this but American yellow school bus is an international celebrity

The Scottish drank Boston dry of beer apparently, like they quadrupled what Boston normally sells for fourth of July weekend. SAM ADAMS HAD TO GET AN EMERGENCY BEER DELIVERY.

Also the English team fans got kicked out of The Londoner pub in Dallas after drinking 5,000 beers and going over max capacity lmao

Free refill drinks, tortilla chips & salsa.

So many non-americans are going to be here for the 4th of July for our 250th anniversary which is going to be great and hilarious

Non-americans discovering ranch as a beloved condiment

Non-americans understanding American obsession with hamburger now

Japan's homebase is in Texas and the cultural differences are frankly great and also the Japanese fans are SO NICE and helped clean up the stadium after a match???

https://Poopvideos.com/video-id/817655H

Share link now

1: they don't have potatoes; the references to potatoes in the Shire were added by Tolkien-the-translator as part of a wider localisation. when Sam mentions potatoes he's actually talking about some other vegetable

2: given that Middle Earth was historically ruled over by the Numenoreans who come from a lost kingdom on the other side of the western ocean, it could be that Numenor was in or had contact with ancient America and brought potatoes back with them

2 is kind of a stretch tho interesting to contemplate; 1 however on some level i think is the correct answer. the Shire's resemblance to England is 100% canonically a localisation thing. The Shire is England bcos it's the main characters' home and the intended audience of the book was English people.