Help
Hello, I need some help. I found this text—to my shock—on a social network called Quora, specifically Quora Brazil (I am Brazilian):
"If you have pre-diabetes, more than half of your pancreas's beta cells, which produce insulin, have already died. If you lose weight, exercise, and improve your diet, you can improve peripheral insulin resistance—meaning your insulin receptors will work better and your body will require less insulin.
This can temporarily reverse pre-diabetes. But in reality, Type II diabetes across its entire spectrum, which includes pre-diabetes, is a progressive condition. The same factors that led to the death of your beta cells continue to cause the death of the remaining ones.
There are combinations of medications that slow down beta cell mortality.'
I also read a comment from a former pre-diabetic who became a full-blown diabetic, even though she is fifty: 'This article said nothing! I’ve been thin my whole life, I’ve exercised since I was a child… I don’t eat salt, sugar, or fried foods… I had pre-diabetes and now at 50, it evolved into diabetes… no medicine helped at all and I can’t take insulin because I eat so little that I end up fainting. I’ve been to more than 20 endocrinologists and none could solve it… doctors, ugh."
In other words, it implies that pre-diabetes will one day become full-blown Diabetes.
WHAT DO YOU THINK?
And another question: there is a Brazilian doctor, Dr. Fadlo Fraige, who says Pre-Diabetes is already Diabetes, just in an early stage. Do you really believe that?
In my case, it seems I was diagnosed with prediabetes in 2022 (with a glucose level of 100, but I didn't pay much attention because the doctor didn't explicitly say I had prediabetes). At the end of last year—after a depressive episode—it seems to have returned; in 2023, I had a blood test and, according to the doctor, it didn't show prediabetes, although I wasn't aware of the real danger. I've been trying to fight what I have, but here's the question: for someone with a 'low income,' how does this really work besides reading books and specific diets that I've seen recommended in other publications for people with, say, 'low' income; specifically, I wanted a 'sure-fire recipe,' that is, an infallible step-by-step guide (if there is one, I think there isn't, because in the case of the diet, at one point I researched and saw that diets can fail sometimes), that I could follow? Details: it came back but now at 5.8 HbA1c, maybe because I stopped exercising and became more open to my diet (I heard it's a two-year treatment, right?)
Observations: My father has pre-diabetes and hypertension, but doesn't seem to care about treatment. My mother has uncontrolled diabetes (and, according to her, can't get treatment). Two of my maternal aunts have diabetes, and two of my paternal aunts also had it (one of them recently passed away due to complications from diabetes, I believe). I think I arrived at this situation perhaps because I was unaware, and I think I still am unaware (I didn't want to have full-blown diabetes), of my mother's and aunts' situation; because I had disagreements with them (perhaps because of type 2 ASD, with GAD associated with OCD and bipolar disorder, and my neurologist said I could have schizophrenia) even though they are diabetic.