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Whoa, let's not put words in my mouth here. First of all, I said nothing about denying people access to their medical data. Once the tests are done, yes, it's the patient's data (and in the US, HIPAA concurs). We're not in disagreement there. Secondly, there may be all kinds of other uses for glucose tests that one could research, but consumers running tests on themselves in an uncontrolled manner is not research. I would never say that no other uses will ever be discovered, but let's do that scientifically, please. My specific issue was with how diabetic glucose self-testing was used as rhetorical evidence that more blood tests help people, while failing to note that those tests are done to dose (potentially dangerous, fast-acting) medications, not to "keep tabs" on anybody's diabetes in a diagnostic sense, as was implied by the omission. You say below that "people are coming around on glucose in the same way that we now understand that the cardio signal [...] are predictive of an enormous number of physiological and psychological phenomena." That's a lovely hypothesis, but please tell me who these people are, and please show me the evidence of the predictive value. Until then, the Credentialed Professionals are perfectly justified in shrugging their shoulders at post-prandial glucose data from healthy patients (who, contrarily, will demand that needless and dangerous follow-up procedures are ordered for them), and the companies selling consumers these tests will not be helping anybody become healthier. I could go on, but this comment sums up the societal effects better than I could, even referencing your "ideal" of the ECG for screening. https://news.ycombinator.com/item?id=11694341 |
Dunstan, D. W., Daly, R. M., Owen, N., Jolley, D., De Courten, M., Shaw, J., & Zimmet, P. (2002). High-intensity resistance training improves glycemic control in older patients with type 2 diabetes. Diabetes care, 25(10), 1729-1736.
Mäntyselkä, P., Miettola, J., Niskanen, L., & Kumpusalo, E. (2008). Glucose regulation and chronic pain at multiple sites. Rheumatology, 47(8), 1235-1238.
Newcomer, J. W., Haupt, D. W., Fucetola, R., Melson, A. K., Schweiger, J. A., Cooper, B. P., & Selke, G. (2002). Abnormalities in glucose regulation during antipsychotic treatment of schizophrenia. Archives of General Psychiatry, 59(4), 337-345.
Nybo, L. (2003). CNS fatigue and prolonged exercise: effect of glucose supplementation. Medicine and science in sports and exercise, 35(4), 589-594.
You have a lot more faith in Credentialed Professionals than I do, apparently. Or a lot less faith in anybody else.