FROM OUR EXPERTS
The problem with pre-diabetes and even diabetes is that very often the person can have it and not know it. Of course if you are overweight - we might suspect it - but frankly, not every person who is overweight gets diabetes. So we need better ways to identify these patients so that we can intervene with strategies that that can minimize progression of the disease. And a big problem remains that a so-called risk factor in one person may not be a risk factor in another person.
A researcher from the University of Missouri has created a tool to identify people that he feels are at the highest risk for having "undetected hyperglycemia (elevated blood sugar), impaired fasting glucose (IFG), and undiagnosed diabetes ." It's called the "Tool to Assess Likelihood of Fasting Glucose Impairment" (TAG-IT) and it's designed to use factors that people can self-observe, self-report or factors that are easily measured. The 6 factors include:
Diagnosis Healthy adults age 45 and older should get tested for diabetes every 3 years. Patients who have certain risk factors should ask their doctors about testing at an earlier age and more frequently. These risk factors include: A weight that is 20% more than ideal body weight Sedentary lifestyle High blood pressure (greater than 140/90) or unhealthy cholesterol levels -- especially for patients with low HDL ("good") cholesterol and high triglyceride levels History of heart disease, stroke, or peripheral artery disease A close relative (parent, sibling) with diabetes A high-risk ethnic group background (African-American, Latino, Native American, Asian American, Pacific Islander) Having delivered a baby weighing over 9 pounds or having a history of gestational diabetes (in women) Polycystic ovary disease (in women) Children age 10 and older should be tested for type 2 diabetes (even if they have no symptoms) every 3 years if they are overweight and have at least two risk factors. Testing for ...
I recently received an e-mail, asking about a herbal preparation that the reader had found on the Internet. Paraphrased, it read: "I recently read an ad for a new herbal treatment for type 2 diabetes called [name deleted]. Has anyone researched this or had any experience with it? It appears to be very promising, but of course it was an ad." My reply was as follows: "I have no experience with this product other than reviewing its website just now. I might point out that the supposed clinical trial report that they use in support of their claims is certainly not in the format of CSRs (Clinical Study Reports) nor drafts for publication that I am used to, and seems targeted to the non-science reader. The conclusion is laughable: "Based on these clinical comparisons and the complete lack of known adverse side effects, interactions, or contra-indications from the herbal ingredients in the test product, we conclude that [name deleted] was shown to be a safe and highly effective means of promoting...
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