The Lie That's Killing Us: Pre-Diabetes

[Brian_BSC]

@jojeegirl

Brian, I am of the opinion that the people that were living with prediabetes progressed to T2DM because they didn’t maintain the behaviors. Remember, one of the outcomes was lifestyle modification (aka behavior change). From a theorectical perspective, (because this is what I do professionally) one can lapse or relapse into the very behaviors that predisposed them to “prediabetes.”

Sadly I believe that many health care professionals believe this. Unfortunately the evidence doesn’t support this view. As I discussed previously, the results of the DPP showed that the vast majority of the patients progressed to diabetes despite any intervention. And the lifestyle intervention was not better than just taking metformin. I firmly believe that diet and exercise is important to managing diabetes, I just believe that telling the public that lifestyle changes can “prevent” diabetes" (and causes diabetes) is very harmful.