
The Worst Myth about Diabetes
Will your type 2 diabetes get progressively worse? It will if you follow the advice of most doctors.
But you don’t have to go there.
People believe many diabetes myths, so many in fact that Riva Greenberg wrote a book on the subject, “50 Diabetes Myths That Can Ruin Your Life.” Yet she missed the most pernicious one: that diabetes is a progressive disease. It’s the worst one that people with type 2 diabetes face because it can be a self-fulfilling prophecy. So when HealthCentral.com deemed the first week in April as myth-busting week, I jumped at the chance to write about it.
Some basis in truth
Like many myths, this one has some basis in truth. Ever since the findings of the United Kingdom Prospective Diabetes Study (UKPDS) appeared 22 years ago, we have known that diabetes medication eventually fails to keep us well. This landmark study is the best known and longest prospective trial, accumulating almost 20 years’ worth of data.
A subsequent study, A Diabetes Outcome Progression Trial (ADOPT), summarized the key UKPDS findings this way:
The study found that when people took their prescribed glucose-lowering therapies — including metformin, any of the sulfonylureas, or insulin — they usually were able to improve their blood glucose control in the short term. But they didn’t stop a progressive failure of the islet cells of the pancreas that produce the body’s insulin. The result was a progressive failure in maintaining blood glucose control.
Based on an assumption
The myth that type 2 diabetes gets progressively worse as we age is based entirely on an assu
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