Pre-diabetes -- Are the Ad Council's PSAs a hit or a miss?

You’ve pointed to this web page in several comments recently. The page promotes resistant starch but does not have an “about” button giving info on who sponsors the page. It reads like promotion from a commercial trade group.

Could you please disclose your association with resistant starch, if any, so that we can better evaluate?

I am fan of resistant starch and use it every day.

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I get the point, but I believe that people really don’t understand a number that big. I believe the campaign would have been more effective, they would have mentioned what is on the CDC’s website. That is "more than 1 in 3 persons have pre diabetes. I believe people understand ratios more than they understand huge numbers like 86,000,000,000.

Thanks for your question.

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The “progression” can be reversed or delayed. One can take preventive measures to reduce the likelihood of “pre diabetes” developing into diabetes. However, it is important to understand that etiology of the disease. (is it mediated at the pancreas, skeletal muscle, adiposity or liver).

Regarding the term “pre diabetes”, you are correct. No such thing. The person is simply on the threshold of progressing to T2DM based upon diagnostic criteria. Because T2DM is classified as a “lifestyle disease” there are some aspects of a persons lifestyle (if that is the case) that a person can modify in order slow/delay/prevent the progression of the diabetes. Again, I emphasize that it is important to understand the etiology of the disease.

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Interesting point @jojeegirl…I hadn’t thought of it that way and you may very well be right. I’m pretty literal-minded in some ways, though, and the big numbers are easier for me to grasp…

Me too. Because of the line of work that I am in, I tend to look at things from the least common denominator. I believe for the most part that the people on this forum have high levels of health literacy. However, the reality as far as T2DM is concerned is that the vast majority of the 86,000,00,000 are representative of low socioeconomic status (SES) and in my opinion that is who the message should be directed to.

No need to continue to toot my horn, but that is why I took the cartoon (avatar) approach to DSME. People of low SES tend not to be readers. They get their education from sources other than textbooks. Hence, I believe he Ad Council’s PSA missed the mark.

Have a great day!

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after, i look in to it, i think, it a miss, & after i saw one of there tv adds,.

That’s all very interesting, but as someone who has always exercised but used to enjoy a more ‘indulgent’ diet from time to time, I bought into the idea of “I’m too fat even though my BMI is 23”. I used IF and low carb and increased my exercise and now have a BMI of 18.5-19. Still prediabetic. Every time I mention my lifestyle (which is excellent from what I eat, how much exercise I get all the way down to stress levels, sleep quality and even hugging my cats every day! LOL) I get tired of the same old accusations that I must be ‘skinny fat’. Even had a guy suggest that he needed to see me NUDE because if I looked good in clothes, I might still be fat under. Sorry, it’s just not true. And I realize bathroom scales aren’t accurate, but mine tells me my BF % is 15 or 16%. Yes, I wish I had more muscle, and I’m working on it, but PLEASE - as a 44-year-old woman, if my body is too fat, then almost everyone my age should be diabetic.

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Wow! You look AMAZING!!!

Keep working on that muscle girl!!! SKELETAL MUSCLE IS ALIVE.

Here’s a short recipe to increase muscle mass. Don’t worry you won’t get too big. We don’t have enough testosterone. 8))

3 sets of 8-12 reps of your major muscle at 60-85%o of your 1 rep max 2-3 times a week.The weights must be sufficiently heavy to stimulate the muscle to grow. You are a mesomorph like me. We put on muscle pretty easy. You seem to be pretty athletic!! 8))

Please know there is a difference between muscular endurance, and muscular strength. From what I see it appears you are strong in an endurance kind of way. If you are doing a lot of cardio, be careful that you do lose muscle tissue. MUSCLE TISSUE IS YOUR FRIEND.

BE FABULOUS.

Jo

Jowi,

We don’t know each other. My name is Jo. Thanks for sharing with me.

On another note.

When I looked at your photo, I noticed that you are a Mom who lives with impaired fasting glucose (aka prediabetes) not a diabetic.

CONTINUE TO BE FANTASTIC MOM!!!

Best,

Jo

Thanks, Jo. Yeah, I’m a mom of 2. One teenager and a 7-year-old girl - she’s the blur in the background working on her gymnastics :slight_smile: She is concerned I might start to look like ‘Starla’ from Napoeon Dynamite if I keep weight training - lol! I told her that won’t happen LOL!

I probably should head to the gym with my husband to get those really heavy weights in (I HATE the ‘gym’ - I have equipment at home I use but no squat rack, for example). Right now I do more free weights and body weight stuff. It’s more than I used to do. I used to only do cardio, and while I did plenty of it (but didn’t overdo it, I don’t think), I always felt I had plenty of muscle. But age has started setting in and that is what pushed me to start getting some resistance training into my life - that along with the prediabetes. I will say that my husband, a full-blown diabetic, goes to the gym daily and has a lot of muscle mass and I am tempted to say “It hasn’t helped him” but that’s probably not true - he’d likely be much worse if he wasn’t doing it.

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Jowi,

Thanks for responding.

Type 2 diabetes is multifaceted. It’s an art to management. One has to look at all the organ systems that are involved not only muscle but the pancreas, the liver the amount of adipose tissue carries.

Please feel free to pose questions pertaining to exercise and type 2 diabetes. I am more than happy to respond!

Out of curiosity, is your husband’s fasting blood glucose levels elevated or are they elevated post-prandially?

Jo

P.S. I about to travel to CA. If it take me a while to respond it’s because I am in transit. Have a great day!

Hi JO,
In my husband’s case, I believe he could possibly be carrying some fat in his liver. He’s not overweight but does have a ‘thicker’ mid section. He’s about 180 and 6 feet. He’s ‘controlled’ according to his doctor but not at optimal levels (A1C high 6’s or low 7’s). Honestly, if I were him, I would do things differently medication-wise, but I don’t tell him what to do. He eats fairly low carb (never eats bread, pasta, potato but does eat some things that I would say, “Hey! That has too many carbs for you!” … but for the most part, I stay out of his business because, well, he’s a grown-up and I don’t want to be a nag.

Think u r rite on. Am controlling BG with diet mods n exercise. Gave up most carbs n sugars, range 90-120. Sugar r carbs spike to 150s r higher. Just accepted different lifestyle n moving on. We’ll c!!!