My latest HND piece examines the sketchy world of Type 2 diabetes, a disease defined so nebulously that it is becoming a parody of itself. Can it be cured? Good luck getting an authoritative medical answer on that one. The insurance underwriting answer, of course, is "no."
If the signal symptom is a fasting blood glucose on two occasions higher that 125 mg/dL (6.9 mmol/L), then what about someone who has been diagnosed as such but is is able to get below that level consistently without drugs (usually by improving his diet)? That would pass as a "cure" for me, but then I'm not in the diabetes industry.
And, what an industry it is! Not content with the 2 million or so Americans who have real insulin-dependent type 1 diabetes, the industry lumps in the more than 20 million type 2's—and in some cases the 79 million "pre-diabetics"—to create a gigantic cohort of sick people who need costly medical attention, and often drugs. BTW-these numbers vary from one authority to another, and even within websites of the same authority, and are described differently by me in the HND article.
Considering that type 2's, for the most part, do not experience the dangerous complications sadly common to the type 1's, some brave souls have even suggested that there is no such thing as type 2 diabetes. Rather, it is some sort of hyperglycemia—usually caused by obesity, and thus insulin resistance. As to the etiology in those type 2's who aren't obese? Good luck finding an answer on that one, as well.
In any event, the link between obesity and type 2 diabetes is nowhere near as clean as the industry would have you believe.
Read the complete article.