Reading another thread where there were the usual discussions of reversal/remission/control I realised that I don't know what it means to transition from pre-diabetic to diabetic. It is mostly accepted that, once you are diabetic you are always diabetic, you can control your BG to normal levels but you are not cured. I believe the implication of the term pre-diabetic is that if you take action at this point (which not many people do) you may not become diabetic. Is this cured, or no different from someone who was diabetic but is now controlled? Is there something that happens that results in a cliff edge transition to diabetic, maybe if you have lost function in 50% of your beta cells it is too late but 49% you can recover from? Does anybody know?
Take my plant off to you Mr. Pot, what pragmatic points you raise, and to be honest, I wont comment on some, as I am from Australia and call a spade a spade that sometimes ruffles ones feathers,even if it is always, I repeat always, any shared info or own experiences put forth in the best interests, help where and where possible if people wish to use info,is another thing. I myself dont know to comment reply fully.
If I may put my euro worth here on couple valid points you raised,
re reversal remission control i.e. once a diabetic always a diabetic, thats the Big question for some Doctors they feel yes it is reversable Dr. Fung for example if one knows how and to aim focus target to treat the CAUSE of diabetes a dietary disease the insulin resistance and not the symptom sugars for this there is hope ,Dr. David Cavan gives a chart in his book "the three stages of diabetes reversal" partial complete and prolonged and gives the numbers and duration of years he is a diabetes specialist of many years I believe.
re Pre Diabtes comments before your post I read an article today i.e. Pre Diabetes is not actually officially recognised as a disease quoting to be defined this is by arbitrary cut off points as many diseases and is not officially recognized as a disease, it does not appear on the world health organisation list of conditions? for this, if diabetes is not officially a disease, its a label, that does not need to be cured perhaps, as its just a Pre something that may or may not happen? caution. Its seems the pre diabetes comes to the fore if one is on the cusp or sugar levels are on upper level, then again, sometimes levels change from one number to another lowering, one can be normal one day, but fall into the label of pre diabetes or diabetic lets say due to changing of cut off levels.
the article refers to those under the umbrella of pre that the pharmaceutical industry is placing pressure to prescribe diabetic medication for many, to reduce their chances of developing full blown type 2.
On my reading this, thoughts came into my mind, why would I personal point of view only I stress, want to take medications for something that may not even happen? it seems more common sense, all I have to do is change my lifestyle and diet to ensure I take the best measures possible to lower any higher normal sugars? But then I am not a doctor, only a person trying to put it all together. Prof Yudkin UK argues, thre is no proven benefit from treating pre diabetics with drugs? so who or what do we believe? After all it seems these days everything is becoming pre something, pre diabetes, pre dementia, pre cholesterol?
I feel sure if one comes under prediabetes whether not officially recognized or not, its just somewhere inbetween normal and diabetes, it would be only good common sense to take heed of the caution bell, do something about it change lifestyle and diet, really, we should all be doing that anyway, even if normal for a better quality and longer life Yes or No? As you say not many people do how right you are, that is a great pity people perhaps do not hear the warning bell sadly.
If it is not an official disease? I view it as caution zone and act upon that, which I have, my own case turned it around, and was medically noted on records two weeks ago not pre diabetic now non diabetic range, no medications taken, and reversed lowered higher normal numbers to normal on all levels including A1C in 1 year.
Its a delicate and not easy to understand situation overall. Hope comments within may prove of assistance to your questions these type of questions on the forum should be more forthcoming as its great to hear always good news what can take place, but reality is there whether people want to hear or not, some black and white areas that lead to confusion doubt that should be able to be discussed now and again as they are valid and not often raised to attention, for this I applaud your comments today.