We were talking about getting the news early about oncoming incurable diseases so we can take steps to prevent or ameliorate them. But if you take that premise of the discussion seriously, then since type 1 diabetes has an extremely rapid onset and once it is seen it can’t be stopped and there is very little management to do in that tiny time frame before its first signs and the initial trip to the doctor for diagnosis, what use is it? For example, because there was a lot of type 1 diabetes in my family I was idiotically tested for type 1 diabetes a month before I was diagnosed. The result was that I was found not to have it. Then, a month later, I had four days of polyuria and polydipsia, which caused me to assume diabetes had set in, and when I went to the doctor, that was confirmed.
So what is all this talk about the importance of early management of type 1 diabetes? Was that four-day period decisive in the 51-year course of my type 1 diabetes? And in terms of the extreme rapidity of onset, my case is typical. It is totally absent one day and totally present the next, and nothing can prevent it. Sure, it is worth managing once it is diagnosed, but catching it four days early would make little or no difference.