Diabetes Is A Sugar Problem, Not An Insulin Problem

Majid Ali, M.D.

Some readers have been dismayed by my statement that diabetes is not a sugar problem.


Below are some questions they have raised. My answers follow the questions.

CHALLENGES

  1. Ali’s is wrong. Everyone in the world knows that diabetes is a sugar problem,” one dissenter complained.
  2. How can Dr. Ali be wrong and all other doctors in the world be wrong on the sugar-diabetes question?” another asked.
  3. Doesn’t he know that blood sugar is high in diabetes? Why would doctors do blood testing if diabetes was not a sugar problem?
  4. Doctors do blood A1c test. Isn’t it a sugar test,” comes another challenge.

RESPONSES

  1. Everyone in the world knows that diabetes is a sugar problem. This not true. Scientists and well-informed doctors know that excess insulin (insulin toxicity) predates diabetes by five, ten, or more years.
  2. All doctors in the world would be wrong on the sugar-diabetes question. No, all doctors would not be wrong. I have never met any doctor who denies the scientific facts that insulin toxicity (hyperinsulinism) predate Type 2 diabetes (the type of diabetes that affects more than 90% of diabetics in the world).
  3. Does Dr. Ali know that blood sugar is high in diabetes? Yes, I know that. But blood sugar begins to rise years after blood insulin levels rise and begin to injure various body organs. I explain my simple point below with a kitchen gas rang” analogy.
  4. Isn’t A1c test a test for blood sugar? Yes, it is, but this test is not a reliable test for screening for diagnosing diabetes. I have seen patients in which A1c is in the normal range and the patients has diabetes, and other patients whose A1c value is higher but a three-hour test for glucose does not sjows evidence of diabetes.

KITCHEN GAS STOVE ANALOGY

Let us suppose that the gas line in the basement of a house leaks for weeks and then one day there is a fire in the kitchen stove and the house burns down. What would we blame for the house fire, the leaking gas line in the basement or the kitchen stove?

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