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Prediabetes in America's youth is following a concerning trend: Rates among children have more than doubled in about 20 years, according to a new study.

The increase was seen over almost all subpopulations of young Americans, regardless of income, ethnicity and education, said study author Junxiu Liu, assistant professor of population health science and policy at Icahn School of Medicine at Mount Sinai in New York.

The study, published in the journal JAMA Pediatrics, included children from 12 to 19 years old and looked at data in the US Centers for Disease Control and Prevention's National Health and Nutrition Examination Survey from 1999 to 2018. Over that time, the rate of prediabetes in adolescents went from 11.6% to 28.2%, rising fairly steadily in that time frame.

Prediabetes is very common in adults, but 80% of those affected don't know they have it, according to the CDC. The condition is marked by blood sugar levels that are higher than normal but not yet at the diabetes threshold, and it increases a person's risk of developing Type 2 diabetes, heart disease and stroke.

https://www.cnn.com/2022/03/28/health/prediabetes-children-s...

A measure intended to bring down the cost of insulin for people with diabetes is headed to the U.S. House floor for a vote Thursday.

The insulin cost controls were in the Build Back Better package that stalled due to opposition from Senate Republicans and two moderate Democrats. Several lawmakers introduced stand-alone legislation to cap insulin at $35 a month for most patients.

https://www.ajc.com/politics/us-house-set-to-vote-on-insulin...

Fuskie
Who just paid nearly $1100 for a 3-month supply of Teujeo (before his deductible kicks in next quarter) and he knows he's privileged to be able to afford this...

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I was at an American Liver Foundation outreach seminar with my husband a few years. One of the speakers was a pediatric hepatologist talking about non-alcoholic fatty liver disease. In children. The youngest patient she'd ever seen it in was 8 (this is Colorado, BTW).....but mentioned that it's well documented as appearing in kids as young as 2!!! I remember a time when I called childhood dental caries *the gift that keeps on giving* and that was a depressing enough thought.

The condition [pre-diabetes] is marked by blood sugar levels that are higher than normal but not yet at the diabetes level.....

Thing is, though, that even this alert is a late stage event in the health-to-disease continuum and is usually preceded by a period of insulin resistance. If you factor the numbers of folk who're insulin resistance and only seeing normal blood glucose because the pancreas is pushing out ever increasing amounts of insulin, then the number of folk who're well on their way to disease is truly staggering.

Because I've started to feel a bit more mortal and being a pro active sort of person, I actually requested an insulin resistance test at my physical a week ago. This is in spite of the index of suspicion for any metabolic dysfunction being low.
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"Fuskie
Who just paid nearly $1100 for a 3-month supply of Teujeo (before his deductible kicks in next quarter) and he knows he's privileged to be able to afford this..."

**************************************************************

FYI - DW was on humalog as well as Toujeo (about 85 units as I recall) 6 months ago. She went
on a weight reduction program and has dropped about 50 Lbs.- basically a low carb, high protein
and moderate fat content diet. She was taken off of Humalog about 4 months ago and the doctor
decreased the Toujeo currently to 48 units. Her blood sugars are under good control currently
and she hopes to see a decrease in the Toujeo soon. This after about fifteen years of needing
increasing amounts of insulin. So be aware there is a possibility to control diabetes and
improve control of blood sugar - and there is a way to decrease the cost of insulin you need.
May not work for everyone - but think of it as a potential - mainly through limiting carbohydrates.

Howie52
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Hi, Howie52. Fortunately, I'm not overweight, though I'd like to convert a little flab back to muscle. But the truth is if I lost 50lbs, I'd be bordering double-digits. Fortunately, I am also currently taking fewer units than what DW is currently on, so I should be grateful on that front as well.

And in fact, my fasting blood sugars are not bad. It's just my A1C that was heading in the wrong direction. And yes, I know it can be controlled. I've had good periods of successful management and periods where things started getting out of control. That's the thing about this disease - just when you think you've got a handle on it, it throws you a curve ball.

Fuskie
Who notes the start of the year is always the worst before the deductible kicks in, but it could be worse, because when he was on the healthcare exchange plan a few years ago, he had to choose between prescription coverage and doctor coverage, because his state did not offer a plan that covered both...

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"Fortunately, I'm not overweight, though I'd like to convert a little flab back to muscle. But the truth is if I lost 50lbs, I'd be bordering double-digits. Fortunately, I am also currently taking fewer units than what DW is currently on, so I should be grateful on that front as well.

And in fact, my fasting blood sugars are not bad. It's just my A1C that was heading in the wrong direction. And yes, I know it can be controlled. I've had good periods of successful management and periods where things started getting out of control. That's the thing about this disease - just when you think you've got a handle on it, it throws you a curve ball.

Fuskie
Who notes the start of the year is always the worst before the deductible kicks in, but it could be worse, because when he was on the healthcare exchange plan a few years ago, he had to choose between prescription coverage and doctor coverage, because his state did not offer a plan that covered both..."

***************************************************************************

Why does your doctor have you on Toujeo if your blood sugars are not bad? Taking insulin in any
form is said to increase fat storage in cells:

https://www.nih.gov/news-events/news-releases/nih-study-show...

https://www.precisionnutrition.com/the-truth-about-insulin-c...

https://www.fitnessandpower.com/nutrition/how-insulin-works

https://healthexpertguide.com/insulin-impact-fat-burning-wei...

The links tend to consider the issue from different perspectives. However, adding insulin when the
pancreas provides enough to control the blood sugar seems a questionable technique as well as
money spent for little benefit. I am not an expert in these issues and you pay doctors to give
you good advice. So, I would ask the doctor if there are different methods which might help
control blood sugars - i.e. lower the A1C average number. Perhaps speaking to a nutritionist
would help with diet issues. Diet issues do not mean a person is overweight - just that the
food selections might be changed somewhat to change the blood chemistry.

Howie52
I had stomach and esophagus valve problems that dropped my weight down to 150LBs at the end of
last year. After surgery and problems with surgery, the problems appear to have been resolved.
My weight has gone back to 175 Lbs or so - and my blood sugars are not in control as well as
I would like. I hope to return to exercising again soon. Diet, exercise, food selection, portion
size, meal timing all impact blood sugars and the interactions are complex. I was given
insulin while in the hospital whenever blood sugars went over 150 - but other when in hospital,
I have kept my diabetes under control at various times with glimepiride, metformin, januvia
(another expensive one) and exercise over 25 years. The pills have been reduced to one
januvia and one metformin in the AM and one metformin in the PM. When the doctor says I can
return to exercise and a low-carb diet, I hope to see the blood sugars under better control -
but right now I can only wait and see what is said.

Good luck with yours.
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In this context...

https://peterattiamd.com/can-dads-metformin-cause-birth-defe...

I don't think this is behind a paywall (I'm a subscriber so can't tell)
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My fasting blood sugars are somewhat stable because I am taking Teujeo. Before that, I was having trouble.

Fuskie
Who is not worried about the health of his non-existent children...

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"Fuskie
Who is not worried about the health of his non-existent children..."

*****************************************************************************

The link posted was discussing reports of birth defects related to metformin - not Teujeo (Toujeo)
or other spellings of the name.

Howie52
Control of blood sugars is difficult and influenced by many things - finding something that
works for you is a plus. Medications can have all sorts of side effects - and individuals do not
always respond the same way - and also responses can change over time.

Best of luck.
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Fuskie
Who is not worried about the health of his non-existent children


As Howie posted, the medication you mentioned isn't metformin so it's a moot point.

As to not worrying about your non-existent children, per the link, a good many other men aren't likely to be aware either.

I'd certainly never considered it. However over the years I was in practice, the numbers of patients I saw with T2D.....or on their way to the diagnosis..... increased from near zero (in the UK in the 1970s) to me seeing what I called the Holy Trinity of Lipitor, Glucophage, Norvasc or similar on medical histories multiple times a day. In increasingly younger adults too.

I suspect that a good many drugs used to treat the various manifestations of metabolic dysfunction (including insulin) are going to start showing more of these undesirable side effects as they're used in an increasingly younger demographic and for a longer time frame than we've seen so far.

I've always called childhood dental caries a parent's gift that keeps on giving.....and the global economic impact of that disease is great enough. I can't imagine what T2D is going to do. It's the epidemic folk don't want to think about.

There, I've turned this into a financial discussion board.
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