Should You Medicate When Pre-Diabetic (or Clinically Pre-Diabetic For Type 2's In Remission)? | DiabetesTeam

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Should You Medicate When Pre-Diabetic (or Clinically Pre-Diabetic For Type 2's In Remission)?
A DiabetesTeam Member asked a question 💭

I don't know if there is an "official answer" to my question

What I do know is the EASD (EU's version of the ADA or the Commonwealth's "Diabetes XX - (UK, Canada, South Africa etc) recommends that Pre-Diabetics treat with low dose Metformin (typically 500 mg)

Their studies have shown that it delays onset of Type 2 by "greater than 10 years" IF the patient ever gets over the threshold at all

So I can only talk about what "I" plan to do

I was diagnosed in Aug of 2016 and was in Clinical… read more

posted January 12
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A DiabetesTeam Member

@A DiabetesTeam Member I would suggest for prophylactic value

Just like the guidance from Diabetes Canada is (everyone diagnosed with diabetes should be prescribed a statin, whether they need it or not, because of it's protective value to the cardiovascular system given that 60% of Diabetics will die from a cardio vascular disease and it also lessens the risk of heart attack and stroke)

And if a drug can help keep you at pre-diabetic levels (even though you may never progress to Type 2 - just don't know) then at least you are protecting that (patient) from developing diabetic complications

Sometimes "preventing" something nasty might be worth taking the drugs and could be considered for that reason alone

Of course we all have to make decisions that are best for us

posted January 13 (edited)
A DiabetesTeam Member

I agree with everyone that's making plans. It's very important to do this- not only for yourself but for our partners. As much as many of us may not want to discuss the what ifs, it needs to be done and needs to be clear for all involved including our doctors. I want my husband and daughters to know in case they're the ones that have to implement my wishes.

posted January 13
A DiabetesTeam Member

@A DiabetesTeam Member you have some very valid points that apply to (you)

And that is what we all have to do when we are making decisions about "our" diabetes or anything else

Our age, other medical conditions, lifestyle and dozens of other factors have to be considered in deciding if a specific treatment is "right for us"

Unfortunately (we) rarely have any exposure to any kind of information and certainly not enough to make an informed decision

With Diabetes in particular most doctors couldn't tell you the difference between the different drugs, they simply follow the prescribing guidelines and whether it's a "Health Team" like we have in Canada or the (whatever they call the HMO system now) in the US or the UK's NHS - they all have some bias to certain drug mfgs

(eg, in Ontario Ozempic is the only drug in that class covered by the Provincial Plan because Novo Nordisk cut a better deal with the province on costs)

It is for exactly that, that I am considering "well in advance" what might be "best for me"

Because you are correct - there is consequences for "every choice" and ALL of THEM have some downside

The day we were diagnosed the "totally safe" options went out the window - now it's about getting the greatest value with the least harm

posted January 13
A DiabetesTeam Member

@A DiabetesTeam Member we all have to live and I'm only willing to go so far to stay off meds - I think I'm (here) there "now"

I don't mind the way I eat or keeping up my activity levels etc, but I don't want to "do more" or "eat less" just to stay off meds - no value really

I guess I proved to myself that I could do it and that's good enough - I'll take the meds from here out as soon at I'm heading in the direction where I know I will need them

And if that means I can go back to eating a 3rd slice of pizza once in a while, I won't cry too much about that 😁

posted January 12
A DiabetesTeam Member

I agree, I'd rather take a prescription with a long track record then a new barely tested one. I have heard the ozempic group can cause a paralyzed gut... Ummm nope from me

posted January 12

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