Have you ever wondered how medical diagnoses are developed?
A diagnosis of Type 2 Diabetes is widely accepted and understood. Individuals with Fasting Blood Glucose (FBG) levels >126mg/dl or 7 mmol/L receive a diagnosis of Type 2 Diabetes.
FBG levels are considered normal when they are < 100mg/dl.
So essentially that leaves a group of individuals whose FBG was between 100 and 125mg/dl who were not within “normal” range and yet do not qualify for a diagnosis of Type 2 Diabetes. So, a diagnosis of Pre-diabetes is created. The reason a formal diagnosis is so important in the medical community is that a diagnosis is tied to a billing code for reimbursement as well as standards of practice that drive treatments and medications which, in turn, are also tied to reimbursement codes. You can probably see where this is going.
So here is the real health question: What is so special about the “normal” level of 100mg/dl? Really, nothing. It is a somewhat random value, set, then revised years ago. It is used as a basis to determine whether treatment is warranted or not. And although it may be considered “normal” from a diagnostic or statistical standpoint, it is not necessarily an positive indicator of current health or a predictor of future health.
In fact, fasting levels of < 85mg/dl seem to predict much better longterm positive health outcomes.
This study showed that those with fasting plasma glucose levels of 95 to 99 mg/dL, (within normal range) were more than twice as likely to develop diabetes as subjects with glucose levels < 85 mg/dL .
This study showed that there is a progressively increasing risk of heart disease in men with FBG levels > 85 mg/dL, as compared to those with FBG levels of 81 mg/dL or lower.
So although the title of this article is a bit tongue-in-cheek, it’s not entirely so. Remember doctors are looking for a dis-ease that they can diagnose and treat, and in order to be treatable (and reimbursable) a dis-ease needs a name. So, if the trend continues and doctors begin to realize that even a FBG of 100mg/dl is not ideal, Pre-Pre-Diabetes may just be the next big thing.
The good news: there is no need to wait for the medical model to catch up with optimal health practices!
What is your fasting glucose level? Are you in that 85-99mg/dl range? Have you been diagnosed with Pre-diabetes? Are you trying to sort out what this means for your health and what actions you need to take?
If you’re resigned to having diabetes or are looking for the magic pill, you won’t find what you’re looking for here.
But, if you want optimal health and you want to take action before you end up with a diagnosis, I can get you on the right track. And, if you’ve already been diagnosed, know that pre-diabetes is completely reversible with the right plan. Message me here or set up a call and start to take control of your blood glucose and move towards optimal health.
Watch for the next segment on how current treatments and dietary recommendations can actually accelerate the progression of the dis-ease.