Diabetes testing in symptomless adults may not lower risk of death By Lisa Rapaport
“Just a side note….by the time a person has the symptoms of type 2 diabetes, their average blood sugar is 200mg/dL. This is the point of no return with full blown diabetes. Good idea “Annals of Internal Medicine.” Don’t screen if there are no symptoms….just let the disease process progress until its irreversible and people are tied to a lifetime of diabetes medication and medical management”.……Diane Kress
(Reuters Health) – Expanding diabetes screening in adults to catch the disease early does not appear to keep people from dying of cardiovascular causes, according to a report designed to help shape U.S. treatment guidelines.
Earlier detection did seem to slow the progression of so-called prediabetes to full-blown diabetes, but it had no impact on the risk of death from heart or blood vessel disease 10 years later, researchers found when they analyzed studies conducted from 2007 to 2014.
In 2008, the U.S. Preventive Services Task Force recommended testing for diabetes before symptoms emerge in an effort to get millions of undiagnosed adults on medications to lower blood sugar, cholesterol and blood pressure before the disease worsens and complications become harder to treat.
“Many people with early diabetes may not have symptoms, and thus do not seek care,” lead study author Dr. Shelley Selph of Oregon Health and Science University said by email. “It is possible that 10 years of follow-up is insufficient to detect a mortality benefit.”
About 21 million Americans were diagnosed with diabetes in 2010, and an estimated 8 million more were undiagnosed, the researchers note in Annals of Internal Medicine. Most of them have type 2 diabetes, which is linked to obesity and advanced age and happens when the body can’t properly use or make enough of the hormone insulin to convert blood sugar into energy.
Diabetes is the leading cause of kidney failure, non-traumatic lower limb amputations, and blindness. It’s also a major cause of heart disease and stroke and the seventh-leading cause of death in the U.S., the authors note.
Like obesity, hypertension is a risk factor for diabetes, and this link prompted the expansion of U.S. screening guidelines to include people with high blood pressure.
In two trials examined in the report, one of which focused on people at greater risk for diabetes, the risk of death after 10 years was similar whether people were screened or not. This might be due to not enough people getting screened, or improved management of cardiovascular disease contributing to lower mortality, the researchers note.
There’s little harm to screening, though, beyond the potential for short-term anxiety for those who test positive for diabetes, the report authors wrote.
For people with pre-diabetes, with high blood sugar levels but not full-blown disease, both medications and lifestyle changes appear effective at delaying progression of the disease, the researchers said.
The preventive services task force is in the process of updating its diabetes screening guidelines, Dr. Michael Pigone, a task force member, said by email. The group is focusing on “the effectiveness of identifying abnormal blood sugar before it progresses to diabetes, as well as the effectiveness of treating those who have abnormal blood sugar with intensive lifestyle intervention.”
The current report confirms more data is still needed, said Dr. Betul Hatipoglu, an endocrinologist at Cleveland Clinic in Ohio, in an email. “It acknowledges that prevention of diabetes is possible. It would really be a disservice to the population at risk to not give them their second chance to know and prevent diabetes until we can prove that we are not helping but actually harming them by early intervention, which will be impossible in my opinion.”
The study was funded by the Agency for Healthcare Research and Quality and done in consultation with the U.S. Preventive Services Task Force.
SOURCE: http://bit.ly/1CBZcCg Annals of Internal Medicine, online April 13, 2015.
MY Comment after this article… If you don’t screen early and give anyone with Met B the tools (The Metabolism Miracle) to normalize their metabolism….they WILL get sicker and sicker until they develop type 2 diabetes! (and will have a lifetime of increased MD visits and a large bag filled with prescription medications)
I have spent over 35 years researching the root cause of type 2 diabetes. I have concluded after working directly with over 6000 patients in my private practice (medical nutrition) that early screening for “metabolic syndrome” can point directly to an understandable lifestyle program for the over 65% of the US adult population with the genes for metabolic syndrome (I call it Metabolism B or Met B).
If you have the genetic predisposition for Met B (overweight, insulin imbalance/insulin resistance, progressively worse hypertension, hyperlipidemia, hyperglycemia) and do nothing to stop the runaway train, you are on the way to develop incurable diabetes. You will also have a medicine cabinet filled with drugs for the fore mentioned medical conditions and a calendar filled with medical appointments. Some of the medications make the condition worse.
Once you become diabetic, there is no cure…there is only control.
There is much secrecy around the FACT that there are many years before a person becomes diabetic when lifestyle changes can actually stop the progression of Met B and type 2 diabetes.
If a person had the following screen done at age 25, age 45, and age 60….just 3 times in a person’s lifetime, the following simple tests can be done during a routine physical:
metabolic panel, lipid profile, and Vitamin D. If these labs are trending in the wrong direction…that person is at risk for diabetes and can do something to PREVENT DIABETES. Diabetes is a billion dollar business…what if we changed our lifestyle and never developed the disease????
If fasting glucose is over 89mg/dL …..Met B
If total cholesterol is over 199….Met B
If LDL cholesterol is over 99….Met B
If HDL cholesterol is under 45….Met B
If triglycerides are over 99….Met B
If Vitamin D is under 45…..Met B
Once the majority of these labs head in the direction you see in the labs listed above….you have Met B. There is a very simple lifestyle that stops the train in its tracks and stops it from moving forward to type 2 diabetes in : Diane Kress’ The Metabolism Miracle. Pass this along and try it with your patients. They will lose weight, body fat, decrease insulin, insulin resistance, blood glucose, cholesterol, LDL cholesterol, trigs and increase HDL and Vitamin D.
Imagine the decrease in dollars spent for medical appointments and medications.
The program is 15 years in the making, has been published as a NY Time’s Bestselling book and ebook for over 6 years, and has a world wide following. Big Pharma and Medical Associations NEVER mention it. No need to wonder why…Ka-Ching $$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$$
Love Diane Kress’ work? Here are links to her books and support site!
The Metabolism Miracle Cookbook: http://www.amazon.com/The-Metabolism-Miracle-Cookbook-Delicious/dp/0738214256/ref=pd_sim_b_1?ie=UTF8&refRID=0DC5FY8CN1D1YH85YNM
The Metabolism Miracle Update: (Brand new!) http://www.amazon.com/Metabolism-Miracle-Update-Revisions-Diabetes-ebook/dp/B00N4IQUF4/ref=sr_1_1?ie=UTF8&qid=1411319947&sr=8-1&keywords=metabolism+miracle+update
The Interactive Support Group for Followers of The Metabolism Miracle and The Diabetes Miracle: www.Miracle-Ville.com