Hello, I am Ty Mason of thediabetescouncil.com, researcher, writer and I have type 2 diabetes.
I want to emphasize that my perspective is coming from one with Type 2 and not Type 1.
Our channel is primarily for those with Type 2 Diabetes and PreDiabetes.
Today I want to answer the question Can medicine help prevent or delay diabetes
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I am going to tell you that through my research, the answer to this question is yes.
However, there are many doctors who do not agree with me and the American Diabetes Association
on the use of drugs to keep prediabetes from becoming Type 2 DM.
Few doctors are prescribing a low-cost drug that has been proven effective in preventing
the onset of diabetes, according to a UCLA study.
The study, published in the peer-reviewed journal Annals of Internal Medicine, found
that only 3.7 percent of U.S. adults with pre-diabetes were prescribed metformin during
a recent three-year period.
Metformin and lifestyle changes both can prevent the onset of diabetes, but people often struggle
to adopt healthier habits, according to Dr. Tannaz Moin, the study’s lead author and
an assistant professor of medicine in the division of endocrinology at the David Geffen
School of Medicine at UCLA and at VA Greater Los Angeles.
“Diabetes is prevalent, but pre-diabetes is even more prevalent and we have evidence-based
therapies like metformin that are very safe and that work,” Moin said.
“Metformin is rarely being used for diabetes prevention among people at risk for developing
it.
This is something that patients and doctors need to be talking about and thinking about.”
It is estimated that about one-third of adults in the U.S. have pre-diabetes, which is marked
by higher-than-normal blood sugar levels.
The American Diabetes Association in 2008 added metformin to its annual “Standards
for Medical Care in Diabetes” guidelines for use in diabetes prevention for those at
very high risk who are under age 60, are severely obese, or have a history of gestational diabetes.
Under the guidelines, metformin may also be considered for patients whose blood sugar
is above normal but not yet in the diabetes range.
The researchers examined data from 2010 to 2012 from UnitedHealthcare, the nation’s
largest private insurer, for a national sample of 17,352 adults aged 19 to 58 with pre-diabetes.
They also found:
The prevalence of metformin prescriptions was 7.8 percent for severely obese patients.
Metformin prescriptions were nearly twice as high for women (4.8 percent) as for men
(2.8 percent).
Among people with pre-diabetes, the prevalence of prescriptions for obese individuals was
6.6 percent, versus 3.5 percent for non-obese people.
Among people who had pre-diabetes and two other chronic diseases, 4.2 percent received
prescriptions for metformin, versus 2.8 percent of people with pre-diabetes and no other chronic
diseases.
The reasons for the underuse of metformin are not clear, the researchers write, but
they could include a lack of knowledge of the 2002 Diabetes Prevention Program Study,
which showed that both lifestyle changes and metformin use can prevent or delay progression
to diabetes among those with pre-diabetes, the fact that the drug does not have FDA approval
for pre-diabetes and reluctance by patients and doctors to “medicalize” pre-diabetes.
“Identifying more effective ways to help people avoid diabetes is essential to individuals’
lives and to society as a whole, which is why it was important to us to support this
research,” said Dr. Sam Ho, a co-author of the study and chief medical officer of
Minnetonka, Minnesota-based UnitedHealthcare.
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like this one in the future.
Thanks for watching.
I am Ty Mason.