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Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

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Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#141

Earlier quoted context omitted.

“Cooking” at home does not necessarily mean healthier than restaurants. Home cooking for most people uses tons of sauces/cheeses/creams/butter/chocolate/breads/etc loaded with sugar and sat fats.

In general, it is: I know the ingredients, I know what’s in there, I know there is no old oils is used, I know no MSG is used, or soy or other non healthy ingredients, I know the source of the meat, I know my salad is fresh and wasn’t one of those refrigerated bagged ones, Among others. And that’s compared to restaurants we are not even discussing fast food industry.. not to mention how over-priced plus the 25%tip.

Based on what I see in most people’s shopping carts, what you describe is far from the norm.

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#142

Earlier quoted context omitted.

You should edit your comment to specify that you are referring to Type 2 diabetes. As stated in the article, infection by coronavirus and many other viruses can trigger Type 1 diabetes through autoimmune reactions. (Which I think most people would interpret as "directly causes" for all practical purposes.)

> coronavirus and many other viruses can trigger Does COVID trigger this at a higher rate than other viruses? Or did the overall rate of viral infection increase due to covid? I suspect the answers are “we don’t know” and “not substantially”.

Sure. But the point is that as far as casual factors go, the research questions for T1 vs T2 diabetes are going to be fairly different. I personally think it is important to be clear what we are talking about, and that the article itself is written poorly in this regard.

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#143

Earlier quoted context omitted.

You should edit your comment to specify that you are referring to Type 2 diabetes. As stated in the article, infection by coronavirus and many other viruses can trigger Type 1 diabetes through autoimmune reactions. (Which I think most people would interpret as "directly causes" for all practical purposes.)

Nothing in this paper is anywhere close to establishing causality, it's an interesting observation that merits further study. We should also note that the authors offer alternative possibilities in the discussion such as increased/early diagnosis. Interestingly, the 10-19 T1D IRR declines below prepandemic levels in Q4 2021 which would be supportive of this hypothesis for this age group however more follow-up is need…

My point is that we do know viruses "directly cause" Type 1 diabetes -- which still has lots of interesting research questions -- but they are quite different from questions about the effect of lockdowns on Type 2 diabetes. Lockdowns being the obvious middle step we are all wondering about that connects the virus to the disease "indirectly".

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#144
post #130

Earlier quoted context omitted.

I do not know anyone who would not have kids going outside. Literally anyone. Yes some socialization was cancelled. Some people kept socializing with one or two friend families. Literally no one I know about kept kids inside 24/7 the way you suggested. In general, parents who do put less effort into children were also the ones took lockdowns least seriously - meaning their kids were about as usual minus school.

This isn't hard to imagine. Imagine you're in NYC, school is closed, gyms are closed, swimming is closed, beaches are closed. You have to work and your kids are home. How do you get them activity? You send your 4 year old down the hall to run around? what exactly? That's an extreme example, but even in the suburbs I saw a dramatic reduction in available activities & children participating in activities. Even a 25% re…

We just went to a park or walk. That sort of stuff. Not everything needs to be an organized activity. Maybe the suburbs are in even worst position then city, since you are completely limited to own backyard with nowhere to go if it is nor paid and organized.

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#145
post #67
post #21

Earlier quoted context omitted.

How so? Ate more healthily at home, walked more, got outside more generally. Physical health likely improved with lockdowns.

Covid was definitely a healthier time for me - I didn't consume a drop of alcohol for almost a year and my mother (who I was staying with) leaned into cooking so I ended up not eating a single repeated meal for almost 6 months. Did lots of walks and outdoor workouts, got a tonne of sunlight and vitamin D On the other hand, just within my own friend group my experiences were quite polar and many of my friends tripled…

Covid and a layoff probably saved my life - quit a serious alcohol habit but ended up very sedentary until I got laid off and basically ended up rehabbing myself by helping my parents out with some construction work. Then had a slow year but now I'm back to the gym and finding out that I'm not as decrepit as I thought and headed towards being in the best shape of my life.

Been a weird couple years for sure.

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#146
post #116

Earlier quoted context omitted.

> Home cooking for most people uses tons of sauces/cheeses/creams/butter/chocolate/breads/etc loaded with sugar and sat fats. A restaurant chef once told me, 'not as much as we do'. I was in a city that required chain restaurants to put sodium quantities (and maybe other data) on the menues. The numbers were eye-watering.

Former restaurant chef. Indeed, that’s my experience. Especially butter. I’ve never seen so much butter go into a dish. Another that flies under the radar: ingredient quality. Example that comes to mind: the cooking oil for sauce/fry/etc is garbage.

The oil in homes or the oil in restaurants is that bad?

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#147
post #144

Earlier quoted context omitted.

This isn't hard to imagine. Imagine you're in NYC, school is closed, gyms are closed, swimming is closed, beaches are closed. You have to work and your kids are home. How do you get them activity? You send your 4 year old down the hall to run around? what exactly? That's an extreme example, but even in the suburbs I saw a dramatic reduction in available activities & children participating in activities. Even a 25% re…

We just went to a park or walk. That sort of stuff. Not everything needs to be an organized activity. Maybe the suburbs are in even worst position then city, since you are completely limited to own backyard with nowhere to go if it is nor paid and organized.

I don't think you appreciate just how oppressive and outright stupid the restrictions were in some areas.

> We just went to a park or walk.

At one point, such venues were closed across an entire Canadian province with a population of about 14,000,000 people at the time. To give a sense of scale, that population would make Ontario the 5th-most-populous US state, if it were one.

"Ontario closes all playgrounds, sports facilities and off-leash dog parks"

https://toronto.ctvnews.ca/ontario-closes-all-playgrounds-sp...

A trip to the park or engaging in outdoor activity could have easily resulted in steep fines in much of Canada.

Here are some examples of such incidents:

"Coronavirus: Oakville, Ont., family hit with $880 ticket after going rollerblading"

https://globalnews.ca/news/6810568/coronavirus-oakville-onta...

"Britannia man fined $880 while walking dog through Britannia Park"

https://ottawacitizen.com/news/local-news/britannia-man-fine...

"First Winnipeg public health ticket handed out to scofflaw skateboarder"

https://globalnews.ca/news/6895000/first-winnipeg-public-hea...

"Chin-ups in the park net Toronto man $880 fine as provinces enforce stricter measures"

https://www.ctvnews.ca/health/coronavirus/chin-ups-in-the-pa...

"Coronavirus: Man fined $750 for playing basketball in Kitchener park"

https://globalnews.ca/news/6783242/kitchener-basketball-man-...

"Dartmouth man who went to Shubie Park fined for violating state of emergency regulations"

https://atlantic.ctvnews.ca/dartmouth-man-who-went-to-shubie...

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#148

Earlier quoted context omitted.

Nothing in this paper is anywhere close to establishing causality, it's an interesting observation that merits further study. We should also note that the authors offer alternative possibilities in the discussion such as increased/early diagnosis. Interestingly, the 10-19 T1D IRR declines below prepandemic levels in Q4 2021 which would be supportive of this hypothesis for this age group however more follow-up is need…

My point is that we do know viruses "directly cause" Type 1 diabetes -- which still has lots of interesting research questions -- but they are quite different from questions about the effect of lockdowns on Type 2 diabetes. Lockdowns being the obvious middle step we are all wondering about that connects the virus to the disease "indirectly".

> My point is that we do know viruses "directly cause" Type 1 diabetes

If you mean virus are capable of directly causing T1D in theory and animal models, sure. As to whether this actually happens to humans in real life is as clear as mud.

There is also similarly weak evidence that says viruses have either no or a protective role in the pathogenesis of T1D.

Re: Type 2 diabetes rates in US youth rose 62% after Covid pandemic began

#150
post #106

Huh, I used the extra time I had during Covid to educate myself on health, nutrition, exercise. I lost 15 kg, reached my target BMI and have been replacing fat with muscle since. I am the healthiest I've ever been in my adult life thanks to Covid.

That’s fantastic. Yeah, what is it with all these people who didn’t use their time being boarded up inside their apartments and houses for months at a time for the first and hopefully last time in their lives, to better themselves. Wusses.
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