Obesity in Teens, and how to fight it. March 23, 2018

Over the last 30 years the number of obese adolescents with type 2 diabetes has dramatically increased. Diabetes drugs control blood glucose for most people with type 2 diabetes, but for severely obese teenagers, nearly half will need insulin therapy within one year of diagnosis, says study coauthor Lori Laffel, MD, MPH, Chief, Pediatric, Adolescent and Young Adult Section at Joslin Diabetes Center.
 Obesity surgery linked to positive outcomes in very obese teens with diabetes

Source: Joslin Diabetes Center

 https://www.sciencedaily.com/releases/2018/03/180322181344.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

Say me, how type of diabetes was diagnosed? Bathroom scale only. There is no other tools to diagnose type of diabetes, just bathroom scale.
Now there is another question, how obesity was differentiated from edema? Bathroom scale cannot do the job. On bathroom scale water and fat come together without differentiation.
And finally next question, what is fate of those teens?

but for severely obese teenagers, nearly half will need insulin therapy within one year of diagnosis

Say me, why do not start Insulin injections right after diagnose of elevated level of sugar? Why weight? What they are waiting for?

This study is the first to compare glycemic control in two groups of very obese adolescents with type 2 diabetes. It included 30 teenagers treated with medication (TODAY) and 63 teenagers who underwent bariatric surgery (Teen-LABs).

Why in study there is no Insulin therapy to compare how blood sugar controlled? Why not? As it was said before,  insulin will be initiated one year after diagnose. So, when this studies were conducted, those teens who started to take insulin, how they were doing?
 If they started to get better?
Did they started to collect more pounds with insulin?
Does their blood sugar was better under control then those kids on Metformin and Invokana? 
Before start weight loss surgery, why do not start Insulin Therapy?
Simple, with insulin teens will go better, and when they enter in adulthood they no longer would need insulin, or surgery ether amputation nether weight loss. Joslin Diabetes Center Pro do know it way too well. So, to keep profit they need today secure own well being. That's why Weight Loss surgery is good to initiate as early as it is possible.
Another point is, there is no one way to prevent edema, or to reduce edema. It is possible to take diuretics, but it is only treatment for non elite part of our society.  We lost weight, that's right. Then all lost pounds return with plus.

Teen-LABS examined the effectiveness and safety of weight loss surgery in teenagers. The key finding was that those who underwent the procedure showed significant improvements in cardiovascular disease risk factors. The key finding from TODAY was that metformin in combination with rosiglitazone resulted in more effective blood glucose control than metformin alone, or metformin plus an intensive lifestyle intervention.

More then that I can say, take off Metformin and rosiglitazone, and teens would be better to control blood sugar level. The matter of fact, those teens who collect pounds in childhood doing better then those kids with diabetes who does fit. Obese kids would grow up, and .... be good and healthy then those who fit. Prove? Take a look at the pictures of us, present day diabetics type 2. We are all obese. It is not our obesity lead us to develop diabetes type 2. We are doing great with insulin. But if there is no insulin then obesity is only way to stay alive, to fight diabetes. So, if today teens will grow up, they will be healthier as adults compare with us, and perfectly fit.
This is just logical way of thinking.
    I do not suggest that today kids shold left as they are, without medical healp and medicine. Not at all. But ether Weight Loss surgery, nether any drugs will help kids to control blood sugar. Prove? As it said above, half of them will need Insulin in injections one year after diagnose. Other half will strt insulin in injections a little bit later after one year, or die.

In this analysis, researchers compared clinical outcomes at the two year mark and found that bariatric surgery was much more likely to improve blood glucose control than medication. In those who underwent bariatric surgery, two years on A1c dropped from 6.8 to 5.5, whereas in those who received medication, A1c increased from 6.4 to 7.8.

As it is stated right here, there is no one data how Insulin Therapy decreased level of sugar in blood. Withing two years after surgery all participants lose weight. Next year, usually they start to collect pounds, and will need another surgery. There are three years study were conducted. They were stopped early. Why? Result of study was too devastated. And BTW, why, if Weight Loss Surgery so effective, why there is no publications how participants doing three years after surgery, five years after surgery, and so on? How they live? How they die? How long they live? If their lives effected by surgery and how?
    There are a lot of publications how effective weight loss surgery one or two years after. And..... there is no publication what effect of surgery in lifespan. Weight loss surgery on market more then 20 years by now. Where they are, those who took this way of life 20 years ago? No publications. No data.
     This is my  very important point. Before put your kid into this wagon, think about, in what direction this wagon going? Do you need fit lad, or you prefer your child alive and well?

"We do have to recognize that this is not a head-to-head comparison," says Dr. Laffel. "We also have to recognize that almost a quarter of the bariatric patients needed additional operations and patient care after surgery, so that approach is not without potential morbid complications."

So, all those studies about what? If the reason of study to find out how treatment effect diabetes in obese teens, then take a look at all types of treatment, and compare and contrast which works better. It is not goal of study. The goal is only, propaganda that weight loss surgery is good for kids. It is not good for any kid. But all Medical Industry benefits on their lives.

What the study actually uncovered is that there is a need to find better ways to treat type 2 diabetes in this population. That might mean developing more family-based approaches to weight management or starting lifestyle programs at an even younger age.

What is best for kids at any age, stop bulling and start treat kids before it is too late. No one diet ever worked to treat diabetes. As once it was told, diet is only way to buy time till treatment for diabetes will be discovered. Now there is no need in diet. There is treatment, Insulin,very nice perfectly working and very effective medicine. If it is not this generation then next there would not be diabetes ether type of it. Just stop to kill, and start to treat properly.
      BTW, to see how Metformin work or not, just stop for the time to take this medicine, and see, how numbers on glucose meter get effected. Did not numbers getting better without Metformin then with it?  In Study I posted above those who took Metformin were not considered as 'diabetics'. Interesting, is not it? If so, then why it is presented as treatment for diabetes type 2?

via Ravenvoron