[evol262]

Key takeaway: higher fasting insulin and higher fasting blood sugar are both signs of being prediabetic or having type 2 diabetes, which is correlated with obesity.

This takeaway is basically "the increase in mortality that has been attributed to fluid in the lungs is likely due to a lack of blood oxygenation rather than being submerged underwater".

[swatcoder]

The correlate of my correlate is not... me. Or something like that.

There exist obese individuals that are not positive for those markers, and there exist non-obese individuals that are.

In a clinic, that might look like more proactively monitoring an obese patient for these indicators but not focusing as much on their obesity if those are doing well. Likewise, it might look like adding these tests to a 5 year physical (or whatever) for non-obese patients, since they appear to be especially suggestive of concern.

[evol262]

No, really. Insulin resistance and elevated fasted blood are clinical markers of diabetes and prediabetes. There is no arguing this.

Yes, non-obese individuals with type 2 diabetes exist, though they are rare. Obese individuals who are not prediabetic or already have pathological type 2 diabetes are unicorns.

Patients are already having their blood sugar monitored in a clinical setting, especially diabetic ones or ones likely to be prediabetic. And those patients are... obese.

There is no getting around his fact.

Non-obese patients also have this checked regularly. Clinicians frequently ask for fasting the night beforehand to check blood values. They are checking for this. Nothing here is new, even remotely.