Diagnosing Diabetes

A recent paper from Indiana University shows that the present way to diagnose diabetes deprives many people of treatment.

The most commonly used way to diagnose of diabetes depends on having a fasting blood sugar above 126 mmol/L, or 180 mmol/L two hour after eating. This is not reliable. The side effects of diabetes are caused by blood sugar levels rising too high after meals, causing sugar to stick to cells. Once stuck on a cell, sugar is converted to a poison called sorbitol that causes heart attacks, strokes, blindness, deafness and kidney damage. The test to measure how much sugar is stuck on cells is called HBA1C. If HBA1C is high, a person is headed for the side effects of diabetes, no matter whether you call this diabetes or not. This study shows that the current recommendations for the diagnosis of diabetes are denying proper treatment to many patients. See my report on Treatment of Insulin Resistance.

HbA(1c) measurement improves the detection of type 2 diabetes in high-risk individuals with nondiagnostic of levels at fasting plasma glucose - The Early Diabetes Intervention Program (EDIP). RC Perry, RR Shankar, N Fineberg, J McGill, AD Baron. Diabetes Care, 2001, Vol 24, Iss 3, pp 465-471. Address:Baron AD, Indiana Univ, Dept Pediat, Div Endocrinol & Metab, 541 N Clin Dr, CL-459, Indianapolis,IN 46202 USA

Checked 8/9/05

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