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Type 2 diabetes rates in US youth rose 62% after Covid pandemic began
- electrondood 3y agoThis isn't surprising. Physical activity primes GLUT-4 in muscles to take in glucose from the blood stream. No physical activity = chronically higher blood glucose.
- anigbrowl 3y agoSociodemographic factors, average body mass index, fasting and random glucose levels, and hemoglobin A1c concentrations didn't change from 2016 to 2021. That's especially perplexing.
- hedora 3y agoWere these communities not affected by the lockdowns? Surely, remote learning and cancellation of intramural sports, etc, led to worse average fittness.
- belltaco 3y agoPeople also ate out less and had more time to cook meals at home instead of eating highly processed foods bought from supermarkets.
- doubled112 3y agoI made countless "boredom orders" that were nothing but junk. I can't be the only one.
- deleted 3y ago[deleted]
- lotsofpulp 3y ago“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.
- flagrant_taco 3y agoI don't think anyone defends sugar as good for you, but there is a lot of research showing that dietary saturated fats can actually be good for you. Especially if the concern is diabetes, ketogenic diets can be extremely beneficial as the body is burning primarily fat rather than glucose and glycogen.
- astrange 3y agoThe crank diet influencers who were previously into saturated fats being good sometimes now think sugar is good because of the influence of a dead crank diet influencer named Ray Peat.
- flagrant_taco 3y agoI don't know who Ray Peatis but there are cranks on both sides of any issue. To point to one example that you may have seen and use that to discredit all others isn't doing anyone any good. I ate keto for a couple years and still generally fall closer to that bucket, though I'm not dealing with any health issues and started eating some breads and carbs again. All the researchers, dieticians, and excercise/fitness coaches I learned from are all still agreed that sugar is bad for you as far as I'm aware. I haven't heard any of them pivot towards saying there are benefits from any meaningful intake of sugars.
- 876978095789789 3y agohttps://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291812/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5291812/ > A high-fat, high-saturated fat diet decreases insulin sensitivity without changing intra-abdominal fat in weight-stable overweight and obese adults https://diabetesjournals.org/diabetes/article/63/7/2356/34338/Overfeeding-Polyunsaturated-and-Saturated-Fat https://diabetesjournals.org/diabetes/article/63/7/2356/3433... > Despite comparable weight gain after 49 days, this double-blind trial showed that overeating energy from PUFAs prevented deposition of liver fat and visceral and total fat compared with SFAs. Excess energy from SFAs caused an increase of liver fat compared with PUFAs. Further, the inhibitory effect of PUFAs on ectopic fat was accompanied by an augmented increase in lean tissue and less total body fat deposition compared with SFAs. Thus, the type of fat in the diet seems to be a novel and important determinant of liver fat accumulation, fat distribution, and body composition during moderate weight gain. We also observed fatty acid–dependent differences in adipose tissue gene expression. The significant decrease in pancreatic fat in both groups during weight gain was an unexpected finding that needs confirmation due to the low amounts of pancreatic fat in this lean population.
- myko 3y agoHow so? Ate more healthily at home, walked more, got outside more generally. Physical health likely improved with lockdowns.
- trimethylpurine 3y agoResearch from all over the world indicates that this isn't the case. At least, not generally. It may be the case for you.
- clipsy 3y agoWhat research?
- haldujai 3y agoLifestyle related research, especially diet, is often low quality but as you asked: Physical Activity: https://www.mdpi.com/1660-4601/18/5/2235 https://www.mdpi.com/1660-4601/18/5/2235 https://bmjopensem.bmj.com/content/bmjosem/7/1/e000960.full.pdf https://bmjopensem.bmj.com/content/bmjosem/7/1/e000960.full.... https://www.sciencedirect.com/science/article/pii/S0003687022001685 https://www.sciencedirect.com/science/article/pii/S000368702... Diet: https://www.mdpi.com/2072-6643/15/15/3494 https://www.mdpi.com/2072-6643/15/15/3494 https://www.nature.com/articles/s41430-021-00897-3 https://www.nature.com/articles/s41430-021-00897-3 https://www.sciencedirect.com/science/article/pii/S0167629622000601 https://www.sciencedirect.com/science/article/pii/S016762962...
- clipsy 3y agoThanks, that's a lot of reading to get through but it's interesting that we see such changes in activity and diet versus the OP article's finding that major health statistics haven't noticeably moved.
- haldujai 3y agoDid they say that? Are you referring to this section or did I miss something, I mostly skimmed the JAMA article: > In our study, baseline clinical characteristics of patients with incident type 1 diabetes and type 2 diabetes were not different during nonpandemic and pandemic years. This is consistent with other studies showing similarity in age, HbA1c, and body mass index among patients with incident diabetes before and during the pandemic. If this is the section you mean that's not discordant, what they're saying is that people with diabetes have similar characteristics during non pandemic and pandemic years. It doesn't comment on whether more people in general have increased BMI therefore placing them at risk for T2DM.
- watwut 3y agoOn the other hand you had more free time, because there was no commute. My fitness went UP due to homeoofice and lockdowns. I also started to eat healthier, simply because I had more and easier control over what I eat.
- torstenvl 3y agoIsn't diabetes defined as a certain A1C? How could both possibly be true?
- junofan 3y agoThe T2 patients weren’t fatter or more diabetic. There were just 62% more of them.
- torstenvl 3y agoWhich should push average A1C levels up...
- flagrant_taco 3y agoThe study shows incidences on the scale of 15-25 cases per 100,000. The relative incidence ratio may have increased significantly but the absolute increase was small enough that the handful of people with higher A1C wouldn't have budged the average.
- anon84873628 3y agoAh, thanks. I was confused by that part too.
- haldujai 3y ago> Among youth with type 2 diabetes ... Sociodemographics and, additionally, mean body mass index, fasting and random glucose, and HbA1c levels were not different from 2016 to 2021. They're talking about these values in the diabetic population, not youth in general. They are simply saying there are more diabetics, but they have similar characteristics as pre-pandemic diabetics. This is expected.
- fbdab103 3y ago>Rates of type 2 diabetes were 62% higher (IRR, 1.62) in 2020 to 2021 than in 2016 to 2019. The incidence of type 2 diabetes rose from 14.8 to 24.7 per 100,000 person-years over that time. That is a huge jump. Is it possible there was more widespread testing of at risk populations? If they are simultaneously reporting no notable changes in average BMI, my knee jerk thought is populations cannot change that quickly.
- belltaco 3y ago> my knee jerk thought is populations cannot change that quickly. Covid went through the population quickly and has been known to heavily increase the chances of diabetes, so why would that be a surprise?
- deleted 3y ago[deleted]
- pixl97 3y agoReally the changes in type 1 of 18% should be far more alarming... > Type 1 diabetes rates climbed from 18.5 per 100,000 person-years in 2016 to 2019 to 22.4 per 100,000 person-years from 2020 to 2021. T1D is an immune system reaction, commonly caused by viral infection or other autoimmune disorder. If the correlation holds in T1D, then there is highly likely some correlation with the even larger increase in T2D, though lack of exercise will be a comorbidity here.
- XorNot 3y agoYou can be a Type 2 diabetic for a fairly long time before you get a clinical diagnosis though. I wonder if the increased focused on health and seeing the doctor simply hit the throttle on a bunch of people getting the diagnosis sooner rather then later?
- haldujai 3y agoYeah basically surveillance bias, it's mentioned as a possibility in the discussion. T2D feels like it could be a combination of both, there was certainly an increase in metabolic risk factors as well. The authors also mention acute stress response may have contributed to increased detection of previously undiagnosed diabetes. The continuing trend will be interesting to see. For example T1D in the 0-9 group reaches a 5 year low in Q4 2021. I think it's too early to conclude much, we'll better understand the ramifications of the pandemic and virus in another 2-5 years. > Within KPSC, while there were no initiatives for increased diabetes screening among at-risk patients, the shift to increased virtual care allowed for better electronic monitoring of patients’ health status, which may account for some additional patients with diabetes detected during the pandemic years. > Acute stress of SARS-CoV-2 infection has been shown to increase blood glucose levels, and individuals with previously undiagnosed diabetes may receive a diagnosis when presenting to hospitals for infection-related care.
- roody15 3y ago[flagged]
- 1MachineElf 3y agoThis link is not working for me.
- bglazer 3y agoThe obvious followup question to this line of questioning is whether your proposed mechanism is robust enough to cause a 62% year over year increase. I don’t doubt that the spike protein could damage islet cells, frankly I’m not nearly expert enough to evaluate that claim. Assuming it did, I find it pretty unlikely that it causes this much of an effect. Most medicines intentionally designed to cause specific outcomes would be lucky to have an effect this strong.
- roody15 3y agoAgreed. However the virus is relatively new as are the vaccines. We are still in the process of getting longitudinal information. The introduction of the spike protein does coincide with the dramatic rise of diabetes. You are correct this may not be the reason however it is still quite plausible that this is a largest contributing factor. https://www.bbc.com/news/health-66054946.amp https://www.bbc.com/news/health-66054946.amp
- fucklmao 3y ago[dead]
- progman32 3y agoYour link is broken.
- AuthorizedCust 3y ago> damages islet cells in the pancreas That’s behind Type 1 diabetes. The headline suggests Type 2 is the topic?
- m463 3y agoI recommend the book "the glucose revolution" by jessie inchauspe. It is a pretty good book to understand blood sugar, and can go a long way to help you prevent diabetes, manage your energy, cravings and weight.
- xenonite 3y agoBenjamin Bikman „Why We Get Sick“ is what I can recommend. His book is spot on regarding insulin resistance, discussing consequences and effective prevention strategies.
- defrost 3y agoDiabetes is complex and a simplistic jump to "Covid directly causes Diabetes" is very likely incorrect. From the article itself: Diabetes risk factors may have been exacerbated during the COVID-19 pandemic including limited physical activity, increased sedentary behaviors, sleep disturbances, and increased intake of processed foods. and note that diabetes has increased in very specific groups, not generally at the same rate across everybody that caught Covid. For a comprehensive picture of multifactor incidence of diabetes see, say, this Australian health release: https://www.aihw.gov.au/reports/diabetes/diabetes/contents/total-diabetes/type-2-diabetes https://www.aihw.gov.au/reports/diabetes/diabetes/contents/t... lots of graphs showing incidence against age, sex, socioeconimcs, etc.
- junofan 3y agoEarly-onset T2DM is quite different. It’s very plausible something’s up.
- pixl97 3y agoI agree here. An 18% increase in T1D is alarming as that is triggered by an immune system reaction.
- pixl97 3y agoFor type 2 I can see the risk factors of limited physical activity, but type 1? Type 1 is generally something attacking the pancreas. I've been a long time T1 diabetic, and was diagnosed after I had a long term persistent lung infection. https://www.niddk.nih.gov/health-information/diabetes/overview/symptoms-causes https://www.niddk.nih.gov/health-information/diabetes/overvi... >Type 1 diabetes occurs when your immune system, the body’s system for fighting infection, attacks and destroys the insulin-producing beta cells of the pancreas. Scientists think type 1 diabetes is caused by genes and environmental factors, such as viruses, that might trigger the disease. While covid may not have caused this T1 discrepency, it does need investigated.
- XorNot 3y agoConversely the rate of increase in Type 1 was much smaller then Type 2. > Relative to 2016 to 2019, in 2020 to 2021, the incidence of new-onset type 1 diabetes was 17% higher (incidence rate ratio [IRR], 1.17). The incidence was higher among patients aged 10 to 19 years (IRR,1.17), boys (IRR, 1.18), and Hispanic patients (1.21). > Rates of type 2 diabetes were 62% higher (IRR, 1.62) in 2020 to 2021 than in 2016 to 2019. The incidence of type 2 diabetes rose from 14.8 to 24.7 per 100,000 person-years over that time.
- smegsicle 3y ago[flagged]
- trimethylpurine 3y agoThere are too many negations in your comment for me to understand its meaning. "I do think anyone can agree that pushing the vaccine..." "Is terrorism?" Or did you mean the opposite of that?
- smegsicle 3y agoi'm not sure whether i should be more confused at your implication that three negations of what i said would be what i meant, or that "i don't think anyone can disagree" is a difficult thing to parse
- ta8645 3y agoI'm no intellectual giant, but I can't parse your original comment either. At the very least, it's more convoluted than necessary. The opposite of terrorism, I guess, is being helpful and kind? So you're saying that giving the vaccine to young people was helpful and kind?
- smegsicle 3y ago> it's more convoluted than necessary can't disagree with that, it was the specificity of the contention that threw me off > The opposite of terrorism, I guess, is being helpful and kind? at the very least it was done in a way in which noone could be expected to complain, could anyone disagree? ALSO: i tried to post this response much earlier, but I became rate limited and alas could not full disclosure, my original intention was to promote a healthy discussion which would then be flagged off the page, an aim that i feel was entirely fulfilled, and if you felt any emotional/intellectual discomfort, perhaps i should apologize, since you don't seem like a jerk
- strken 3y agoIt's because your original sentence is incoherent and internally contradictory. You think nobody can disagree that "pushing the vaccine" for "demographics too young" was..."the opposite of terrorism"? What? I can't disagree with the statement because I can't even work out what it means, so in that sense you're correct.
- ianlevesque 3y agoLet’s fix this. There’s funding already allocated to improve ventilation in schools. Since the coronavirus is endemic we’re going to be dealing with these increased risks for decades. Why can’t we get this done? Let’s actually save the children for once.
- flagrant_taco 3y agoThe virus is endemic and, though we weren't supposed to say this before, will continue to circulate and act much like the common cold. Ventilation in schools would be extraordinarily expensive, would only impact that 8 hour period of each kid's day, and with the state of average school buildings in the US we would never seal them up well enough for a positive pressure system to reliably keep them ventilated. Unfortunately we can't just throw money at every problem to fix it. There could be more effective avenues if we want to spend that minry though, revisiting the food our kids eat might be more effective at keeping our kids healthy for example.
- deleted 3y ago[deleted]
- mullingitover 3y ago> would only impact that 8 hour period of each kid's day That 8 hour period of each kid's day where they're surrounded by dozens of other potential disease vectors. The period before they go home and infect their parents, and potentially kill their grandparents. It's expensive but let's be frank, we're okay with thousands of people dying annually because we don't want to spend the money to do anything about it.
- stevenwoo 3y agoEspecially when they found that only five minutes of exposure to someone else's exhalation was sufficient to transmit covid-19 with that South Korean restaurant case.
- flagrant_taco 3y ago
- lettergram 3y agoI mean.. we locked children in their homes for 12-24 months. Quite literally, my kids could not: attend school, take swim lessons, do gymnastics, play soccer for 24 months without severe restrictions. Further, other parents were concerned to the point the sniffles or a covid exposure would limit our ability to get together for 3-14 days. Finally, you had parents also stuck home trying to raise kids in this environment and often would end up eating out / getting pre-packaged meals because there simply wasn't time. Luckily, we had a yard, so I could at least get my kids outside and we'd play. Eventually, I ended up just moving because 18-20 months into this thing Illinois was still having a mask mandate for 2yr olds plus. I think it was finally lifted from schools after 24 months - https://www.chicagotribune.com/coronavirus/ct-illinois-mask-mandate-covid-20220215-j3kxib4tzreudd2cg7xehqwtpu-list.html https://www.chicagotribune.com/coronavirus/ct-illinois-mask-... I should add, many places still required it, it just wasn't mandated. They still were shutting down the classrooms every for a couple weeks at a time if 1 covid case was identified. This ended up meaning 25%+ of the time my kids were home. My general point, if you feed kids a bad diet & remove their ability to exercise yeah -- type 2 diabetes.
- NickBeee 3y ago> locked children in their homes for 12-24 months So you LITERALLY sit at home ALL THE TIME for a year? Even China didn't had 12 Month lockdowns! > mask mandate lifted from schools after 24 months so locked at home or just mask mandates?
- lettergram 3y ago> So you LITERALLY I was using the collective “we”. My family had a yard and had kids playing outside. We eventually just moved to somewhere not doing any of the restrictions. BUT where I was living did restrict severely for a prolonged period.
- watwut 3y agoMy kids were not locked in our home. They were outside literally every day. And I live in a city apartment and we had lockdowns. They socialization did suffer and they missed some sports practice, but they did had enough of healthy physical movement.
- erickf1 3y ago[flagged]
- jeromegv 3y agoIt’s not scientifically probable. You just made that up out of thin air.
- sp332 3y agoMore kids got Covid than got the vaccine.
- erickf1 3y agoPoint taken, and I do not dismiss the potential. It would be prudent to consider all the new things and not dismiss either without careful review. Most kids suffered very few ills as a result of having covid compared to adults. Diabetes among children is a very rare thing, not even a blip on the radar for children (until now). Also, if we want to say that covid caused an increase of type 2 diabetes among children (no doctor is saying this by the way... neither is the WHO)... what is that evidence? I mean, is there a historical precedence that demonstrates that having one illness to trigger an entirely different illness? For example, do survivors of cancer tend to get diabetes... or did the survivors of the black plaque experience a sudden increase of diabetes... etc... I do not believe that to be the case. I'm not discounting it... I do not believe their to be such a treasure trove of past cases that can be pointed to as models to consider. But, worth a look. My concern is more of the unwillingness I see in so many people to consider the potential of all the options on the table. No one seems to really want to talk about, the other option. All medicines cause issues over time. Take a tylenol every day for 2 weeks and see what happens to you (please, don't do it). How much more something entirely new and experimental.
- astrange 3y ago> Take a tylenol every day for 2 weeks and see what happens to you (please, don't do it). That is safe (-ish). It's ibuprofen that's harmful taken chronically. Tylenol just kills you if you overdose. The reason it says not to take it for that long on the bottle is that if you need it, there's probably something badly wrong with you.
- TheGigaChad 3y ago[dead]
- DoreenMichele 3y agoThere is a lot of research linking diabetes to inflammation. Inflammation is frequently caused by infection. It can also be caused by changes in body chemistry and those changes then tend to foster more infection Additionally, lack of muscle mass is known to worsen insulin resistance.
- collaborative 3y agoThe rise of society and culture-driven anxiety (this is not related to covid the disease) resulting in seeking food comfort and accompanying type 2 diabetes might also explain this I know a few people that have had their anxiety shoot up recently. We are more isolated than ever
- verisimi 3y ago[flagged]
- defrost 3y agoWe can talk about how more than 98% of the entire population of Australia happily took two to three COVID vaccinations over the course of the past two years or so and there's been no significant increase in morbidity and mortality statistics compared to before. We can talk about how Australia has some internationally acclaimed epidemiologists who have been trawling the statistics here for the past 40 years, publishing ground breaking work on folate for infants, SIDS, disease studies, etc. and yet have (at least according to your premise) utterly failed to identify any better health outcomes for the unvaccinated Vs the vaccinated in four decades of data on flu outcomes. Exactly what kind of numbers are you expecting to see in an island population of 22+ million over four decades?
- verisimi 3y agoHave you looked at the numbers yourself?
- xnoreq 3y agoSure, we can. You're wrong.
- NickBeee 3y agoWell, Injecting stuff into one's bloodstream and vaccination are two different things. Normally, vaccine is injected in a muscle, a tissue, not in a blood vessel. And yes, flu virus (and other viruses) can (surprise!) replicate itself! And not the vaccine!
- xnoreq 3y agoHuh, 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.
- grvdrm 3y agoAmazing. Great job.
- smallkitten 3y agoThat’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.
- greendestiny_re 3y agoIt saddens me to hear so many young people are having such serious health disadvantages. I wish I could do something for them other than post. I think the actual culprit is stress. I was a stress eater up until late July when I started with strict OMAD/keto. I lost 8kg and reduced waist circumference by 11cm.
- syncbehind 3y ago>I was a stress eater up until late July when I started with strict OMAD/keto. I lost 8kg and reduced waist circumference by 11cm. Wow! Congratulations. That's an incredible feat. As someone re-starting this journey, I know it's not easy. Good luck to you :)
- caeril 3y ago> I wish I could do something for them other than post. You can start by making pariahs out of parents of obese children. They are child abusers, full stop. Do not enable them with your friendship or business, just as you would for anyone you know is beating their kids.
- gorjusborg 3y agoMy first thought was that I saw a lot of people attempt to 'party' their way through the pandemic. https://covid19.nih.gov/news-and-stories/risky-drinking-alcohol-use-epidemic-inside-covid-19-pandemic https://covid19.nih.gov/news-and-stories/risky-drinking-alco... https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335891/ https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3335891/ That doesn't mean corona viruses can't also cause type 2 diabetes, but it does muddy things.
- glonq 3y agoDue to the sorry state of journalism, social media, and people's capacity for critical/ethical thinking, I expect the internet to very soon be flooded with "covid vaccines proven to cause diabetes in children".
- jregistr 3y agoFixing this as an individual is not that hard. Stop eating processed foods, eat whole foods. And if you're severely insulin resistant, consider a temporary low carb diet. On a societal level, screw these giant processed food companies.