Diabetes type 2 epidemic in Guatemala. August 30, 2018

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The diabetes epidemic in Guatemala is worse than previously thought: more than 25 percent of its indigenous people, who make up 60 percent of the population, suffer from type 2 diabetes or pre-diabetes, suggests a new study published in PLOS ONE from researchers at the Penn Center for Global Health, in collaboration with the University of San Carlos in Guatemala City and the Hospitalito Atitlán.
 https://www.sciencedaily.com/releases/2018/08/180814101416.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

There are many factors which can explain such surprising epidemic of diabetes type 2. What is not in list of explanation - obesity or BMI.

 The researchers found that age had a statistically significant association with type 2 diabetes, while BMI did not. Irrespective of BMI, an individual over 65 years old was more than 10 times more likely to have diabetes compared to individuals below the age of 40. Similarly, individuals 40 to 64 years old were more than five times more likely to have diabetes than individuals younger than 40.

It is presented that in Western world  obesity is the cause of diabetes type 2, why? Because of there were no studies when diabetes type 2 developed. We all diagnosed as adults. Diabetics type 1 diagnosed as kids. Also diabetes type 1 is fast rising level of sugar and kids diagnosed in hospital with high A1c and in stage of semi-coma. Adult with diabetes type 2 usually diagnosed with lower A1c, often in clinic. Diabetes type 2 develops slow, but steady. When it is left untreated or treated with wrong medicine, diabetic type 2 will develop many complications and die timelessly.
      When we say "Diabetes" what does it mean, how diabetes determined, and what is the problem with health it carry on? 

Around the world, being obese or overweight has long been associated with a significantly increased risk of type 2 diabetes -- a condition that causes a person's blood sugar level to become too high because of a lack of insulin or the body's inability to use it efficiently.

        Actually it is two different medical conditions which diagnosed with the same test and named the same. If there is lack of insulin then this condition must be treated with insulin added in injections, the same as diabetes type 1 treatment. But it is not. Diabetes type 2 treated with behaviour therapy and demand to change lifestyle.
       On another hand, if diabetes is result of inability body to use insulin then it is different medical condition and must be named differently. So do testing. To check up if insulin used correctly or not.  There is of cause the biggest problem. How insulin works Med Pro only speculate. It is even unknown how much insulin need adult body for daily normal function.
       Blood sugar is not the disease. It is just symptom. In no one diagnose stated that flu is elevated body temperature, and TB is when temperature of body elevated.  As it is well known there are many medical conditions when temperature of body high. They all have different names, and they are diagnosed with different testing.
        In contrary, diabetes diagnosed according to the symptom.

Pre-diabetes is when a person's blood sugar level is higher than normal, but not high enough to be considered diabetes.

 Well, what are the numbers to be diagnosed with diabetes, prediabetes, or what else?

• A fasting blood sugar level from 100 to 125 mg/dL
• If it's 126 mg/dL  or higher on two separate tests, you have diabetes.
• If random blood sugar level is 200mg/dl or higher, then it is diabetes. 
• An A1C level of 6.5 percent or higher.
• An A1C between 5.7 and 6.4 percent indicates prediabetes. 
•  Below 5.7 is considered normal.

How reliable this method to diagnose medical condition?Fasting blood sugar from 100mg/dl to 126 mg/dl is not normal level of sugar if it will be diagnosed with A1c test. Also capillary test is not accurate. It depend not only person ate or not but also when one wake up in the morning, or sick at that moment (with flu for instance) or depressed and stressed out. Many factors may effect capillary test. For that reason A1c is more reliable. If today group of researchers come to our community and will take blood sugar level in everyone, then I am sure, they will be surprised how many skinny diabetics type 2 they will find. This is why I always ask, why level of sugar in blood is not Vital? There are many conditions can be treated, but if diagnose is wrong then no one treatment will do the job.
     There are many why? Most important is, what to do about this findings?

Past studies linking diabetes to aging suggest several possible explanations, including pancreatic deterioration, epigenetic dysregulation of pancreatic islet cells, mitochondrial functional decline, increasing myosteatosis (skeletal muscle fat infiltration that occurs with aging), and reduced physical activity. Others suggested that aging is an independent factor adversely affecting insulin concentrations and insulin resistance.

          As I just said, blood sugar must be vital. We do not have tools today to test level of insulin in body. but we can control level of sugar with insulin injections. Regardless if it is diabetes or pre-diabetes, one is sick, and one needs medical help to get better. On early stages when sugar is not so highly elevated, insulin dose is small, and probably 20 units would be good for pre-diabetics. There will not low sugar, and treatment will go smooth and easy.
       When sugar on meter is over 700 mg/dl then regime of insulin therapy is complicated. It is easy to swing from high level to fatally low blood sugar level. There no types of diabetes, but stages of it, according to the level of insulin secretion sufficiency. Insulin level must be tested in every case of diabetes type 2 diagnose. And also, stop to create stigma that diabetics type 2 do need conduct correction. We are not criminals. we are ill people, and we need medicine, insulin, to survive.

via Ravenvoron