“I will make sure I will pass this on to my DM patients...[embedded sarcasm].”
As you know, doctor, DM, arthritis, cardiovascular disease, obesity are several of the symptoms of the disease known as Insulin Resistance, and one or all may be present in a particular patient.
You also know that fasting blood sugar in a healthy person should be below 90, and typically a range of 100-125 has been an indication of pre-diabetes. Cleveland Clinic now considers fbs of 90 mg/dl or higher to be a biomarker of coronary heart disease risk.
No doubt you also know that the earlier pre-DM is detected, the easier it is to treat. NEJM in May 2001 proclaimed that in fact one can “cure” type two diabetes with diet and exercise.
The dietary modifications were able to reduce the rate of diabetes by nearly 60% and they did that without even understanding some of the most basic foundational truths of food choices. These investigators seemed absolutely clueless with respect to the influence of grain and sugar restriction on insulin optimization. The traditionally recommended low-fat diet can reduce diabetes by 60%; using a modified food choice program can reduce type two diabetes by well over 95%. There is significant evidence that the lo-fat diet success is because this greatly reduces the intake of polyunsaturated fats. MCFA’s such an lauric acid in coconut oil are beneficial in reducing blood sugar and increasing metabolism. Exercise is unquestionably also a big key here.
But you know all that, and I wish you well as you help your patients overcome one of the more debilitating diseases that have become pandemic in the last 45 years or so.