Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
Prescriptions of diet and exercise are ineffective because many obese / type 2 diabetic people can't exercise self-control. That's why they're obese in the first place. It's way easier to take a pill than cut to 1500 calories a day for 2 years.
Rare genital defects seen in sons of men taking major diabetes drug
31–40 of 234 posts
Re: Rare genital defects seen in sons of men taking major diabetes drug
#32Metformin is the first resort in diabetes treatment. If it proves to truly increase birth defects by 40% that may have to change. It was my doctor's first resort for me, but the side effects were too severe and I stopped it. He vaguely mentioned that it would help if I lost weight, but made no mention of what actually resolved my diabetes, a low carb diet. I hope that becomes the first resort. Apparently around here…
Re: Rare genital defects seen in sons of men taking major diabetes drug
#33Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
High blood sugar levels are doing damage right now . Nothing wrong with starting on a therapy while trying to institute a diet and exercise change. The doctor would be negligent if they said "let's try diet and exercise", then after 6 months of damage say "nope, that didn't work, let's try metformin".
It's something else to not even counsel a diabetic about carbs.
Re: Rare genital defects seen in sons of men taking major diabetes drug
#34I only knew Metformin by name from HNers using it as an anti-aging wonder drug over the years: https://hn.algolia.com/?dateRange=all&page=0&prefix=false&qu...
It is also beginning to be prescribed by many of the subscription medication/doctor businesses that are springing up, powered by VC cash and looking to build strong forward flowing subscription businesses. Their model is: - find areas that aren’t medically serious (speaking relatively, and in relation to life threatening - erectile dysfunction and male pattern baldness) - run people through online questionnaires - ge…
Re: Rare genital defects seen in sons of men taking major diabetes drug
#35Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
>Find a new doctor. why would someone need to go to a doctor to tell them that
Re: Rare genital defects seen in sons of men taking major diabetes drug
#36Re: Rare genital defects seen in sons of men taking major diabetes drug
#37Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
One of my scariest adulthood realizations is that doctors are like everybody else; fallible. And that being certified means you're good at studying, but doesn't always mean you're good at what you've studied. Not trying to discredit medical professionals or the amount of work they put in. I'm sure the majority are intelligent, conscientious and good at their jobs.
Re: Rare genital defects seen in sons of men taking major diabetes drug
#38It’s sad seeing the crazy downstream multigenerational damage that massive sugar consumption is causing as obesity rates reach 50%. Good luck future humanity.
Re: Rare genital defects seen in sons of men taking major diabetes drug
#39Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
One of my scariest adulthood realizations is that doctors are like everybody else; fallible. And that being certified means you're good at studying, but doesn't always mean you're good at what you've studied. Not trying to discredit medical professionals or the amount of work they put in. I'm sure the majority are intelligent, conscientious and good at their jobs.
I'm sure half of them are below average
Re: Rare genital defects seen in sons of men taking major diabetes drug
#40Earlier quoted context omitted.
Wow, if they aren't suggesting dietary and exercise based solutions first, that's a huge red flag. Find a new doctor.
Prescriptions of diet and exercise are ineffective because many obese / type 2 diabetic people can't exercise self-control. That's why they're obese in the first place. It's way easier to take a pill than cut to 1500 calories a day for 2 years.
Most people in the US live in poverty and make marginal spending food decisions based on money per dopamine reward unit rather than optimizing nutrition. McDonalds is cheap and unhealthy; fresh fruits and vegetables and the free time to educate oneself on proper nutrition, then cook healthy meals and do meal prep often cost more money and time than most can afford. As does proper exercise when you’re working 12 hours per day trying to make ends meet.
A less harmful way to phrase your point is that medication can help people who self-medicate with food overcome metabolic efficiency. I lost 40 pounds on semaglutide (Wegovy) so far this past year and dropping; exercise and diet alone didn’t work for me. I hope to eventually not rely on medication to maintain a healthy weight.