The standards for care do start with lifestyle changes. An adult in the US who presents with pre-diabetes will be given counseling on diet, exercise and stress management. Depending on the insurance situation, they will be referred to a whole host of specialists.
The reality is that the vast majority of people fail to make the necessary changes and will ultimately require insulin therapy in some form.
This is the correct answer. And the conspiracy baiting on this is Shameless. A lot of people simply don’t or won’t change their lifestyle. And that in large part means lots of carbohydrates. I have people in my family who’ve largely cut out carbohydrates. It’s very hard and very inconvenient. There’s very few places we can go fast food wise that they can actually eat much of any of it. Cooking at home means cooking a small separate carbless version for them. It’s a massive disruption to most people’s lifestyle and not at all easy. Everyone whether on insulin or not would benefit from eating less carbs. It’s damned hard though.
That counseling on diet, exercise, and stress management is usually pretty low impact or expensive. My coworker who was trying to handle pre-diabetes mostly got a few pamphlets and brochures before being referred to specialists.
And those folks were expensive too. He spent months following various strategies from the specialists. One had him eating small amounts of carbs all day long, so he was munching on corn chips all day everyday. Not sure it helped. But that was the kind of support and help the US medical system was providing a proactive pre-diabetic: an expensive one that pushed corn chips.
Also the boss was diabetic too and they’d discuss things. One phenomena the boss had was when he went to Europe for a few weeks every few years his diabetes mostly self regulated and didn’t need insulin. Stress was his #1 but also tended to accept his diet was way better on the Mediterranean.
The standards for care do start with lifestyle changes. An adult in the US who presents with pre-diabetes will be given counseling on diet, exercise and stress management. Depending on the insurance situation, they will be referred to a whole host of specialists.
The reality is that the vast majority of people fail to make the necessary changes and will ultimately require insulin therapy in some form.
This is the correct answer. And the conspiracy baiting on this is Shameless. A lot of people simply don’t or won’t change their lifestyle. And that in large part means lots of carbohydrates. I have people in my family who’ve largely cut out carbohydrates. It’s very hard and very inconvenient. There’s very few places we can go fast food wise that they can actually eat much of any of it. Cooking at home means cooking a small separate carbless version for them. It’s a massive disruption to most people’s lifestyle and not at all easy. Everyone whether on insulin or not would benefit from eating less carbs. It’s damned hard though.
That counseling on diet, exercise, and stress management is usually pretty low impact or expensive. My coworker who was trying to handle pre-diabetes mostly got a few pamphlets and brochures before being referred to specialists.
And those folks were expensive too. He spent months following various strategies from the specialists. One had him eating small amounts of carbs all day long, so he was munching on corn chips all day everyday. Not sure it helped. But that was the kind of support and help the US medical system was providing a proactive pre-diabetic: an expensive one that pushed corn chips.
Also the boss was diabetic too and they’d discuss things. One phenomena the boss had was when he went to Europe for a few weeks every few years his diabetes mostly self regulated and didn’t need insulin. Stress was his #1 but also tended to accept his diet was way better on the Mediterranean.