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1/10 Pre-Diabetes 
On #WorldDiabetesDay perhaps we should spend some time thinking about *preventing* type 2 diabetes
Here's a short thread on what I think folk should know about pre-diabetes
References at end
#MedTwitter #tweetorial #LCHF
On #WorldDiabetesDay perhaps we should spend some time thinking about *preventing* type 2 diabetes
Here's a short thread on what I think folk should know about pre-diabetes
References at end
#MedTwitter #tweetorial #LCHF
2/10 Pre-diabetes has many names, often with subtle differences in definition
It's often called:
Impaired glucose tolerence, IGT
Impaired fasting glycaemia
Intermediate hyperglycaemia (preferred by @WHO )
High Risk State of Developing Diabetes (preferred by @AmDiabetesAssn )
It's often called:
Impaired glucose tolerence, IGT
Impaired fasting glycaemia
Intermediate hyperglycaemia (preferred by @WHO )
High Risk State of Developing Diabetes (preferred by @AmDiabetesAssn )
3/10 Pre-diabetes is *NOT A DISEASE*
This is really important
It's a *RISK FACTOR* for developing type 2 diabetes
Other risk factors include:
Age >40 (>25 if S Asian)
Family History
Being overweight
People of Asian, African-Caribbean or black African origin, even if born in
This is really important
It's a *RISK FACTOR* for developing type 2 diabetes
Other risk factors include:
Age >40 (>25 if S Asian)
Family History
Being overweight
People of Asian, African-Caribbean or black African origin, even if born in
4/10 Estimates (see refs) are that 35.3% of adults in now have pre-diabetes 
Similar situation in
where 50% of those >65 have pre-diabetes. That's an estimated 79 million adults in
Projections suggest there will be 472 million people in the
with pre-diabetes by 2030
now have pre-diabetes Similar situation in
where 50% of those >65 have pre-diabetes. That's an estimated 79 million adults in Projections suggest there will be 472 million people in the
with pre-diabetes by 2030
5/10 Progression:
5-10% of people with pre-diabetes progress to type 2 diabetes *each year*
@AmDiabetesAssn estimate up to 70% with pre-diabetes will eventually develop type 2 diabetes
THIS DOES NOT NEED TO HAPPEN
Some will revert back to normal
5-10% of people with pre-diabetes progress to type 2 diabetes *each year*
@AmDiabetesAssn estimate up to 70% with pre-diabetes will eventually develop type 2 diabetes
THIS DOES NOT NEED TO HAPPENSome will revert back to normal
6/10 What can be done to prevent progression to type 2 diabetes? There's good evidence that these work:
Dietary change
Exercise
Weight loss (if overweight)
Medications
Dietary change
Exercise
Weight loss (if overweight)
Medications
7/10 A landmark study from *real world* general practice published in @BMJNutrition offers real #hope
This (my!) #NHSpractice reversed pre-diabetes in *93%* of those who opted to
their intake of sugar + starchy carbs aka #LCHF
That's 93%!
https://nutrition.bmj.com/content/early/2020/11/02/bmjnph-2020-000072
This (my!) #NHS
practice reversed pre-diabetes in *93%* of those who opted to their intake of sugar + starchy carbs aka #LCHF That's 93%!
https://nutrition.bmj.com/content/early/2020/11/02/bmjnph-2020-000072
8/10 Our simple diet sheet on how tosugar + starchy carbs is here
https://nutrition.bmj.com/content/bmjnph/early/2020/11/02/bmjnph-2020-000072/F1.large.jpg
Simple infographics from @lowcarbGP on the sugariness of common foods are here
https://phcuk.org/sugar/
This means that nearly all those with pre-diabetes are able to reverse it
sugar + starchy carbs is herehttps://nutrition.bmj.com/content/bmjnph/early/2020/11/02/bmjnph-2020-000072/F1.large.jpg
Simple infographics from @lowcarbGP on the sugariness of common foods are here
https://phcuk.org/sugar/
This means that nearly all those with pre-diabetes are able to reverse it
9/10 Reversing type 2 diabetes and pre-diabetes can save an absolute fortune
My practice (10k patients) saves the NHS >£50k EACH YEAR by offering our patients #LCHF + lifestyle change
Medicine could be revolutionised if all healthcare providers offered this
My practice (10k patients) saves the NHS >£50k EACH YEAR by offering our patients #LCHF + lifestyle change
Medicine could be revolutionised if all healthcare providers offered this
