ANSWER: There are several reasons for you to be concerned. Your BMI is 28.3, in the overweight range. Your age is 64, which tends to predict progression to diabetes at a higher rate than younger people. You are taking Lipitor, which also tends to speed progression to diabetes. Finally, your A1C is 5.7%, which is just in the prediabetes range. With all of these, you have a significant risk of developing diabetes in the next few years.
Many of Trump’s allies and supporters have disingenuously tried to praise the job our current president has done. It is hard for us to fathom that our older patients can accept these assertions given the overwhelming evidence to the contrary. Others will attribute these sad events to “misfortune” or “bad luck.” Our interpretation is that these events, particularly for older voters who supported the current leadership, are an unprecedented betrayal.
Dr. William B. Applegate is president and Dean Emeritus of Wake Forest University Health Sciences and professor of medicine, geriatrics and gerontology at Wake Forest University School of Medicine. Dr. Christopher C. Colenda is president emeritus of West Virginia University Health System in Morgantown, W.Va., and dean emeritus of the College of Medicine, Texas A&M University Health Sciences in Bryan, Texas.
Also contributing to this column were Dr. Dan G. Blazer, a professor emeritus of the Department of Psychiatry and