I saw a comment on your blog that says 'the way you eat does not cause diabetes'...are you able to expand on that or provide a source I could read? I've been told by doctors that my pre-diabetes was due to weight gain because I get more hungry on my anti psychotics and I'd like to fact check what they've told me! Thank you so much!
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 āpre-diabetesā 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, thatās 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 āpre-diabetesā to sell their drugs (including Wegovy, a weight-loss drug). Surgeons are using it to sell weight loss surgery. Everyoneās a winner, right? Not patients. Especially fat patients.
Also - I love what Dr. Asher Larmie @fatdoctorUK has to say about T2DM and insulin resistance, so hereās one of their threads I pulled from Twitter:
1ļøā£ You canāt prevent insulin resistance. Itās coded in your DNA. It may be impacted by your environment. Studies have shown it has nothing to do with your BMI.
2ļøā£ The term āpre-diabetesā 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.
3ļøā£ there is no evidence that losing weight prevents diabetes. Thatās because you canāt 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.
4ļøā£ 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.
5ļøā£ 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.
6ļøā£ 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 itās 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.
it seems the two text links lead to the same article, āThe war on āprediabetesā could be a boon for pharmaābut is it good medicine?ā. I think this is the article intended for the āPrediabetes: the epidemic that never was, and shouldnāt beā
“The United States occupied Haiti for twenty years and, in that black country that had been the scene of the first victorious slave revolt, introduced racial segregation and forced labor, killed 1,500 workers in one of its repressive operations (according to a U.S. Senate investigation in 1922), and when the local government refused to turn the Banco Nacional into a branch of New York’s National City Bank, suspended the salaries of the president and his ministers so that they might think again. Alternating the “big stick” with “dollar diplomacy,” similar actions were carried out in the other Caribbean islands and in all of Central America, the geopolitical space of the imperial mare nostrum.”
When you’re slightly drunk and you just wanna get to order through the drive thru at 2:30am so you have something in your stomach but have to wake up for work 5 and a half hours later….
And I wrongfully chose the one closest to the university campus so it’s full of drunk kids and it’s backed up 🤦🏽♀️
When you’re slightly drunk and you just wanna get to order through the drive thru at 2:30am so you have something in your stomach but have to wake up for work 5 and a half hours later….
To answer some of the comments Iām seeing in the tags - we marry them because we donāt know that we have any other choices.
My ex was really really bad about this. Iād end up shouting at him āI AM NOT ARGUING WITH YOUā when I was simply trying to state how I felt about something.
He would literally answer me ānoā¦ā and then rattle off his own rephrase of what I just said. It was very tiresome to convince him āweāre in agreement and yet you started your response with ānoāā. The only response that wouldnāt get him to escalate the non-conversation to a full blown rant was if I stayed silent.
Anyway for this and many other reasons weāre no longer together. But i didnāt realize what a physiological drain his constant negating, contradicting and contrariness did until I was separated from him.
Iāve been sleeping over at Writerās place for like three weeks. Colombiano has been really busy dealing with some family shit, (I really canāt stand his trash of a brother) and really establishing his company. Thank goodness, itās working out pretty well but itās work. And thatās his thing, I donāt have any mind for any of it. But I have missed him. His girlfriend stayed over for a week before I started sleeping at Writerās place. We caught up a little but we really havenāt hung out a lot. Iāve also been giving Writer a lot of my time establishing our relationship.
Anyway, Colombiano wanted to meet up and have a quick date to catch up. He was gonna come by the restaurant for lunch but I wasnāt working that day. He suggested a coffee in the evening, and he said bring Writer so I can meet him.
Writer and I sat outside, the water and the sun adding to the day. We had an hour to read our books but we talked instead. And Colombiano met us then. We caught up, we laughed. He told Writer his story. The language barrier wasnāt much of one. They made jokes at my expense- like, āyou know sheās crazy right? Lolā but in the same breath, āsheās a remarkable woman though isnāt she?ā
Y los dos se cayeron bien, which is all I could ask for.
Colombiano is away on a trip for a week. And Writer has his friend staying over for a few days. So I sleep in my own bed for a few days. Balance.
We calculated- Writer and I have had about 26 dates. On Date 25, I jumped the gun by 162 dates. On my day off work, we set off to a cool vibes coffeeshop I’ve never been to. We sat down at the closest wooden table to read the menu and I took in the ambience. A bunch of people typing away at laptops, a few having a friends gathering with chatter and empty plates. A wall of beer on tap, muffins on the display case, and not exactly art on the walls like a normal indie shop.
“What’s with all these pictures of kids everywhere?” I stood and scanned the QR code at a portrait of a Black teenager with a radiant smile. “Oh! It’s like the heart gallery!” Writer said, “what’s that?” And I explained, when I was a reporter, I looked into this. It’s an organization that takes pictures of kids in foster care and they write bios to publicize to help the kids find their forever families. And I looked at Writer in between decisions of breakfast plates. “What’s that look?” He asked. I said, “that’s date 187, I can’t tell you.”
We ordered our meals and coffee and moved to a corner table. We sat. We looked into each other’s eyes. “Tell me, it’s not like we haven’t shared other things.” And I sighed. “This is date 187, I’m warning you now…. When I was talking to Self Aware Manager and Chef Friend about you, they both were like ‘omg, she’s like in love for real!’ And I said, ‘y’all, if he asked me to have his children-which I hope he never does- I would have his babies, no cap, that’s how fucking in love I am.’ And they’re like, ‘omg, don’t tell him that. Lol.’
“So, I’d be willing to have kids with you. But please don’t ask me to! Haha!” I felt so naked telling him that. Writer had tears in his eyes, one escaped down his cheek. “Why are you crying babe?” He said, “my disability really doesn’t bother you.” And I said, “well yeah, it doesn’t.”
The ads on here are really fucking up my music in the background. Wtf tumblr?
Thursday, we had a goodbye gathering for a bartender who’s moving back to the East and also for Immature Manager who’s going to head grad school like 5 hrs away. It was at a country hall so it was so uncomfortable. I brought Writer with me. Some people were cool about it, some didn’t care and were there to just get drunk, a couple were low key weird. But Cool English teacher came and he hugged me so tight! He said nice things about me and it was cool to hang out with him for a little while. Writer got to see yet another side of me. He thought it was weird I stayed to the sidelines, but I’m like bro, I’m literally only over talkative and super bubbly with you. I’m a quiet one in the background normally.
Colombiano boarded a flight yesterday to his home country. ♥️ he’s about to go visit his kids and I’m so fucking happy and excited for him. 🥰.
I haven’t been to my normal Dunkin for coffee in about a month, and I went by this morning and the cashier gave me an extra donut on the house. 🥰
