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Does the American Diabetes Association work for patients or companies?

theguardian.com

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Re: Does the American Diabetes Association work for patients or companies?

#131

Post by AlbertCory »

pvg wrote: post #119
AlbertCory wrote: post #113

Earlier quoted context omitted.

that begins with "Be kind. Don't be snarky. " I don't think that was snarky. You made some non-quantitative statements.

Those also end at their full stops, it's not 'you can act like an interrogator as long as it's not a snarky interrogator'.

> even a slight increase in A1C is highly correlated with later progression.

asking for the numbers behind those subjective statements is totally in line with HN guidelines and traditions. It isn't "cross-examination."

Re: Does the American Diabetes Association work for patients or companies?

#132

Post by yongjik »

mustang-med wrote: post #3

My hard and fast rule in america is that everything aside from unions do not work in the interest of the people. The sooner this is taught to our kids, the better off they'll be from being indoctrinated from the trash on instagram/tiktok.

I'm not sure why you're complaining about instagram/tiktok, because "everything aside from unions do not work in the interest of the people" is the kind of facile, black-and-white statement that is perfectly suited for the modern ragebait industry.

Re: Does the American Diabetes Association work for patients or companies?

#133

Post by AlbertCory »

monkburger wrote: post #129
nradov wrote: post #101

Earlier quoted context omitted.

If you're going to try an appeal to authority, then at least come up with a plausible authority instead of some random statistician who likely doesn't know the basics of physiology. The first thing you need to understand is that normal ≠ healthy. For example, a resting heart rate of up to 100 bpm is considered "normal" in the sense that it doesn't require urgent medical intervention. But of course anything over 60 bp…

> Also note that HbA1c tests aren't perfect for diagnosing type 2 diabetes and can > have false positives or false negatives. When we do workups on pts suspected of diabetes, we use the following criteria. - Iron deficiency anemia workup to confirm accuracy of HbA1C - HbA1C ≥6.5% - FPG ≥126mg/dL (7.0 mmol/L). Fasting is defined as no caloric intake for at least eight hours - Two-hour plasma glucose ≥200mg/dL (11.1 mm…

Excellent. Thanks.

Is an A1C level sufficient, all by itself, sufficient to classify them as "pre-diabetic" or are other symptoms required? Or is that even a thing?

Re: Does the American Diabetes Association work for patients or companies?

#134

Post by ianburrell »

verisimi wrote: post #103
crazygringo wrote: post #84

Earlier quoted context omitted.

I've been baffled by this for the longest time. Why does "Bank of America" get to call itself that? Growing up there was a "USA Federal" credit union [1] too, with a stylized American flag logo. Similarly there's a historic "New Yorker" hotel in New York City, and the totally separate "New Yorker" magazine, neither of which have any official affiliation with the city. The short answer is that no, there don't seem to…

Even the federal reserve is privately owned though.

The Federal Reserve is not privately owned. Parts of the Federal Reserve System are privately owned. The most important part, the Federal Reserve Board, is an independent federal agency like the FAA and SEC. The board members are appointed by President and confirmed by Congress.

The Federal Open Market Committee controls monetary policy. It is composed of seven Board members and five regional bank presidents.

The regional Federal Reserve Banks implemented monetary policy. They are privately owned by member banks, but legally considered both government and private.

The important thing is that the Board is at the top and controls the lower levels.

Re: Does the American Diabetes Association work for patients or companies?

#135

Post by mthoms »

bee_rider wrote: post #121
crazygringo wrote: post #95

Earlier quoted context omitted.

In the US, if you ask 100 people what "America" is, they'll tell you it's the name of the country they live in. And since language is defined by use, yes -- America is the name of a country. The shortened version, of course, just like "Mexico" is the shortened version of the "United Mexican States". Surely you're not going to claim that Mexico isn't the name of a country either? And no, "America" is not a pair of con…

Asking people in the US seems like a sort of skewed sample; surely everyone in the Americas at least should get a vote on whether or not they want to distinguish more clearly between the continents and this one large country some of us happen to live in. I do agree though that it is not so ambiguous really in the case of America, the Americas, North America, and South America—because there isn’t a singular “America”…

We Canadians use “America” and “The States” interchangeably to describe the United States and we’re not the least bit bothered by it.

If we want to refer to the continent we’ll just say North America.

Re: Does the American Diabetes Association work for patients or companies?

#136

Post by shepherdjerred »

McP wrote: post #112
bhelkey wrote: post #75

From the linked study, "These findings of positive associations between artificial sweetener intakes and increased T2D risk strengthen the evidence that these additives may not be safe sugar alternatives." This is news to me. I was under the impression that: 1) artificial sweeteners were a safe substitute for sugar for people with diabetes and 2) diabetes came from excess sugar consumption which wasn't a problem with…

Yes it is new. The WHO only changed their guidance about a year ago [1]. Still, as far as I know the evidence is only associational. From the paper the article links to: "Potential for reverse causality cannot be eliminated". [1] https://www.who.int/news/item/15-05-2023-who-advises-not-to-...

So it sounds like artificial sugars can actually cause diabetes? That's unfortunate. Occasionally I drink Coke Zero as an alternative to Coke, but perhaps I should start replacing that with unsweetened seltzer water like La Croix.

Re: Does the American Diabetes Association work for patients or companies?

#137

Post by shepherdjerred »

epcoa wrote: post #124
watwut wrote: post #98

Earlier quoted context omitted.

There is type of diabetes that is simply hereditary and that is all there is to it. It is not rare. Then there is also pregnancy diabetes that comes and goes with pregnancy (they make routine test for it). Not all diabetes is from sugar.

> There is type of diabetes that is simply hereditary and that is all there is to it. This is a common misconception. Type 1 diabetes cases are more often acquired with no family history, there are some genetic associations but it is actually less strong than Type 2 (insulin resistance/diet related diabetes) where family history is a substantial risk factor. Pregnancy (gestational) diabetes isn’t just pregnancy relat…

Do we know if type 2 diabetes itself is actually hereditary, or is it possible that the genetic component makes individuals eat more sugar which causes type 2 diabetes?

Re: Does the American Diabetes Association work for patients or companies?

#138

Post by Dylan16807 »

jodrellblank wrote: post #116
crazygringo wrote: post #95

Earlier quoted context omitted.

In the US, if you ask 100 people what "America" is, they'll tell you it's the name of the country they live in. And since language is defined by use, yes -- America is the name of a country. The shortened version, of course, just like "Mexico" is the shortened version of the "United Mexican States". Surely you're not going to claim that Mexico isn't the name of a country either? And no, "America" is not a pair of con…

Why would it be “falsely” associated if you actually are in New York? What if you change your name to John New York then named the company after yourself, is that bad?

> Why would it be “falsely” associated if you actually are in New York?

Because it equally associates it with the other millions of people there.

> What if you change your name to John New York then named the company after yourself, is that bad?

Yes. And it's not like you can change your name to John Disney and then start branding all sorts of things Disney.

Re: Does the American Diabetes Association work for patients or companies?

#139

Post by umvi »

I feel like diabetes will be difficult to cure because it's like tobacco: you need to buy expensive consumables at regular intervals (needles, cgms, insulin, etc).

Stem cell therapy to restore beta cell functionality (for T1) would threaten and disrupt that sweet regular cash flow. So I imagine companies will fight hard to keep diabetics purchasing their regular consumables until the end if time if possible

Re: Does the American Diabetes Association work for patients or companies?

#140

Post by shkkmo »

AlbertCory wrote: post #60
Hello71 wrote: post #38

Earlier quoted context omitted.

> pre-diabetes [...] is rather close to the median level but according to the NIH, 30.7% of Americans are overweight, and 42.4% are obese. as the median American is overweight, it doesn't seem a stretch to claim that the median American is also pre-diabetic? I don't know whether it's true or not, but your evidence seems a bit thin.

> it doesn't seem a stretch to claim that the median American is also pre-diabetic No, it's your evidence that's thin. You seem to have started from the premise ("Americans are unhealthy") and derived a pre-diabetes level from that.

You've literally provided zero evidence beyond hearsay from an alleged statistician friend.

The prediabetes level is drawn from where you see a huge uptick in the risks for developing diabetes mellitus.

You want data? There is plenty of it out there. If you're gonna try to dispute the established understanding, you need to bring evidence or you are just wasting people's time.

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