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Medical Forum / Diseases and Disorders / Diabetes / August 2006Random Blood Glucose Test >200 mg/dl
Here's an interesting nugget of info: Diabetes is not diagnosed on a Random Blood Glucose test until two successive readings over 200 mg/dl. An RBG is taken randomly without regard to when the subject last ate. The RBG is not the preferred test for diabetes, but it is interesting to note just how high the diabetes bar is for this test. > Diabetes is not diagnosed on a Random Blood Glucose test until two > successive readings over 200 mg/dl. [quoted text clipped - 3 lines] > The RBG is not the preferred test for diabetes, but it is interesting to > note just how high the diabetes bar is for this test. Nothing surprising about this. It was done on purpose. The whole point of the ADA diagnostic criteria was to put off diagnosing people as long as possible. By the time they diagnose you, their intention was that you'd be just south of the blood sugar level at which retinopathy begins. The justification for this was that a diabetes diagnosis carries a "stigma". (A diagnosis of AIDS also carries a stigma, but I've never heard of anyone suggesting we shouldn't diagnose it until the T cells were almost gone.) All documented at http://www.phlaunt.com/diabetes/14046782.php  Signature--Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control >Nothing surprising about this. It was done on purpose. The whole point >of the ADA diagnostic criteria was to put off diagnosing people as long [quoted text clipped - 6 lines] > >All documented at http://www.phlaunt.com/diabetes/14046782.php I'd rather be stigmatized as diabetic, than blind, crippled, or dead. Will, T2 >> Nothing surprising about this. It was done on purpose. The whole >> point of the ADA diagnostic criteria was to put off diagnosing [quoted text clipped - 10 lines] > > Will, T2 Doctors have low thresholds for treating LDL. But they have high thresholds for BG values. Why? Supposedly the drug companies are responsible for the low LDL threshold values. So why are those same drug companies not making doctors treat FBG values of 100 & RBG values of 150 - i.e. they can sell more Amaryl, they can sell more Actos, Avandia etc, right? > Doctors have low thresholds for treating LDL. > But they have high thresholds for BG values. [quoted text clipped - 7 lines] > - i.e. they can sell more Amaryl, they can sell more > Actos, Avandia etc, right? Actually, recent publications have started discussion of rx'ing insulin sensitizers for IGT to prevent DM. Susan > I'd rather be stigmatized as diabetic, than blind, crippled, or dead. Agreed, but at the time those standards were set, there was little to control type 2 DM the way we're able to now, and DM's were routinely screened out by employers (high med insurance costs), unable to buy private health or life insurance. Not a scientifically or clinically appropriate way to determine diagnostic levels, but perhaps motivated by humanitarian concerns at the time. The same cannot be said for those who continue to advocate those criteria, though. Susan > Nothing surprising about this. It was done on purpose. The whole point of > the ADA diagnostic criteria was to put off diagnosing people as long as [quoted text clipped - 6 lines] > > All documented at http://www.phlaunt.com/diabetes/14046782.php Thus a relative of mine developed a serious peripheral neuropathy before he was diagnosed with DM despite regular visits to his MD and normal FBGs. He had a habit of eating lots of ice cream at night. Somehow his FBGs were OK but he must have been spiking high after these desserts for years. Your website looks better than ever, Jenny. > Your website looks better than ever, Jenny. Thanks! Check out the new blog, too. Oddly, I'm finding there's a subset of people who seem to only read blogs, not newsgroups, sites etc. Probably young'uns. ---Jenny http://www.phlaunt.com/diabetes Diabetes Info http://www.alt-support-diabetes.org/newlydiagnosed.htm Get Your Blood Sugar Under Control > The RBG is not the preferred test for diabetes, but it is interesting to > note just how high the diabetes bar is for this test. The bar for "impaired" is lower -- and is *supposed* to be a sign that "you need to pay attention to this issue". bj |
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