Nice re-interpretation of my words.
Unfortunately, it proves you didn't read them properly.
Or that I miss-understood, or it was ambiguous, what you meant by "less physically able".
Nice re-interpretation of my words.
Unfortunately, it proves you didn't read them properly.
Insulin resistance can also be caused by under eating carbs, although this is less common, a carb deficit accompanied with hypothyroidism can cause the thyroid to produce too much reverse T3 and not enough T3. T3 is used by every cell in the body and controls the metabolic rate of that cell. Reverse T3 puts a block on those receptors thereby reducing the metabolic rate, so not allowing insulin to open the way for glucose to enter the cells. Insulin resistance. This is why it is often necessary for those with hypothyroidism to carb-up every couple of days to fool the system and avoid the thyroid producing too much reverse T3.Insulin resistance is due to the over consumption of carbs. The effect/result of the overeating is weight gain.
Or that I miss-understood, or it was ambiguous, what you meant by "less physically able".
I don't think we disagree that there are many different reasons for weight gain. I still don't fully understand the idea that we are less physically able to cope with the modern lifestyle choices.
Yes, many of my previous posts have focused on the decline of exercise and the ever increasing sedentary life people are living. This, along with poor diet is, in my opinion, the overwhelming reason so many people are overweight and obese.
Another common thread you will see in my posts is personal choice as both diet and exercise are something the vast majority of the population can control. They are also areas that the government can heavily influence for the better if they choose to.
There is never going to be a one size fits all which is why the focus shifts to the main risks. Everything in our modern society is designed to make life easier or more pleasurable for us, and to make a lot of people very rich. However, we are also more educated than ever.
For every person who has unfortunately suffered glucose intolerance issues like yourself, how many more would you say have suffered by choosing takeaways every night, drinking to excess or swapping exercise for a screen?
For every person who has unfortunately suffered glucose intolerance issues like yourself, how many more would you say have suffered by choosing takeaways every night, drinking to excess or swapping exercise for a screen?
The World Health Organization could be in a better position than either of us, their fact sheet no. 311,obesity and overweight, reviewed in May states diet and exercise are fundamental reasons.
If we ever hope to make the world any better then we have to face up to truths. Some obese people have become so through poor choices. We can argue over the numbers but I believe the majority have no underlying medical reasons. I believe that socio-economic reasons far outweigh medical.
Does believing that makes me prejudiced? To some it will but I have formed that opinion over the years from everything I have read, heard and experienced.
The balanced meal which someone questioned earlier very relevant, fruit should normally be part of a balanced meal.https://www.afd.asso.fr/diabetique/equilibre-alimentaire .
Look what happened to Dr Michael Moseley when he ate a low fat diet for a few decades:
http://www.dailymail.co.uk/femail/a...s-The-Fast-Diet-author-DR-MICHAEL-MOSLEY.html
Insulin resistance can also be caused by under eating carbs, although this is less common, a carb deficit accompanied with hypothyroidism can cause the thyroid to produce too much reverse T3 and not enough T3. T3 is used by every cell in the body and controls the metabolic rate of that cell. Reverse T3 puts a block on those receptors thereby reducing the metabolic rate, so not allowing insulin to open the way for glucose to enter the cells. Insulin resistance. This is why it is often necessary for those with hypothyroidism to carb-up every couple of days to fool the system and avoid the thyroid producing too much reverse T3.
Looking back (with more than a tinge or regret), I would have been very grateful now if, 4 or 5 years ago, someone had taken a little time to impress upon me that my steadily rising BG levels, together with my age, lifestyle and increasing weight, could easily lead to full-blown T2.
As it was, my then GP said nothing. Whether I would have done anything about it is another thing, but I would have appreciated the chance to do so, instead of blithely going on as normal. I think I would have at least read-up about diabetes, of which I knew absolutely nothing mainly because it wasn't in the family and no-one I knew well had it.
Health Education is all to do with raising awareness. Not through scare tactics, but by health professionals individually giving their patients the benefit of their training, knowledge and experience, and this should have meant my GP warning me that, in his experience, I risked developingT2 if I carried on as I was.
I can appreciate the distinction these researchers are making, but I think they're dealing in semantics. I certainly don't believe that the idea of ditching the 'pre-diabetes' message/label will help, least of all in combatting the ever-increasing numbers of T2s.
It may not work for you Gudren but it works for a lot of other people.
You might like to read this article, Pre-diabetes label unhelpful and unnecessary.
http://medicalxpress.com/news/2014-07-pre-diabetes-unhelpful-unnecessary.html
"Labelling people with moderately high blood sugar as pre-diabetic is a drastically premature measure with no medical value and huge financial and social costs, say researchers from UCL and the Mayo Clinic, Minnesota.
The analysis, published in the BMJ, considered whether a diagnosis of pre-diabetes carried any health benefits such as improved diabetes prevention. The authors showed that treatments to reduce blood sugaronly delayed the onset of type 2 diabetes by a few years, and found no evidence of long-term health benefits.
Type 2 diabetes is typically diagnosed with a blood test that measures levels of haemoglobin A1c, which indicates average blood sugar level over the last three months. People with an A1c over 6.5% can be diagnosed with diabetes but the latest guidelines from the American Diabetes Association (ADA) define anyone with an A1c between 5.7% and 6.4% as having pre-diabetes".
It would be interesting to know if people who have been told they are pre-diabetic have any comments about this article.
Here is one GP who thinks he should give patients the choice of acting on the diagnosis of 'pre-diabetes' it just feels right -along the lines of 'a stitch in time'. The author wonders if the diagnosis can have a negative impact on a patient - well surely it depends how the message is delivered:
I feel it's an opportunity for action, please see my reply to the article here http://www.bmj.com/content/349/bmj.g4485/rapid-responses
if you agree with me please 'click' on my letter as the response that gets the most clicks is published in the journal