Search
Search titles only
By:
Search titles only
By:
Home
Forums
New posts
Search forums
What's new
New posts
New profile posts
Latest activity
Members
Current visitors
New profile posts
Search profile posts
Log in
Register
Search
Search titles only
By:
Search titles only
By:
New posts
Search forums
Menu
Install the app
Install
Reply to Thread
Guest, we'd love to know what you think about the forum! Take the
Diabetes Forum Survey 2024 »
Home
Forums
Diabetes Discussion
Type 1.5/LADA Diabetes
Confused about my doctors/consultants advice, am I type 1.5?
JavaScript is disabled. For a better experience, please enable JavaScript in your browser before proceeding.
You are using an out of date browser. It may not display this or other websites correctly.
You should upgrade or use an
alternative browser
.
Message
<blockquote data-quote="christi99" data-source="post: 842959" data-attributes="member: 179601"><p>It appears to me that the mechanism of complete or sudden destruction of beta cells in pancreas that precipitates the necessity of exogenous insulin (type 1), and the person who is showing decreased insulin release, production, and a combo of cellular resistance may be experiencing the same thing- just because their pancreas hasn't pooped out overnight. The reality is many type 1 diabetics are not followed prior to their diagnosis until a crisis occurs- so WHO KNOWS how long the path of destruction is taking in any one individual. But... my point is- biochemically- one needs to be able to transport energy into the cell using insulin and regardless of whether type 1 or 2 (or 1.5!)- you either take insulin, you take a drug that aids in its manufacturing and release from the pancreas, or you perhaps can manage by strict dietary, exercise regimen. Then- layer in the complex chemistry behind converting carbs, sugars, fats to energy can also be affected by exercise, even illness, infection, stress, whatever. SO... for ALL Diabetics, the diet you have should be optimizing the conversion of glucose/energy into food that get taken into the cell. At a slow steady rate- Really the very same mechanism whether you need insulin or not. Difference mainly is you will NEED food to occupy /bind to the insulin you injected yourself with or you will crash!!</p><p></p><p>I guess my point is that perhaps all diabetes is the result of auto-immune, or cellular destructive, inflammatory changes that result from many etiologies. Maybe we should be looking at how to identify factors that turn on auto-immunity, or toxic metabolic changes for all DM diagnosis (even with absence of antibodies). So seems that other than the meal to meal management-exogenous insulin requirement- the different forms of diabetes have essentially the same outcome and treatment goals systemically (and eventually). </p><p></p><p>As for the ketones associated with of a low carb/no carb/high fat diet diet- a non-insulin dependent person is usually only spilling ketones because they do not have enough dietary glucose to fuel fat breakdown efficiently. There are some negatives associated with ketones/more acidic state. That can easily be adjusted by adding just a bit more carb- to work together- probably an ideal small tweak for a person who is able to be very strict on a diet. Kind of makes good clinical sense even if the rest of the BG numbers are good. I don't think they are worried about you skyrocketing into ketoacidosis (in the presence of indogenous insulin-) but that you may be unnecessarily too strick in a way that may not serve your overall health optimally.</p></blockquote><p></p>
[QUOTE="christi99, post: 842959, member: 179601"] It appears to me that the mechanism of complete or sudden destruction of beta cells in pancreas that precipitates the necessity of exogenous insulin (type 1), and the person who is showing decreased insulin release, production, and a combo of cellular resistance may be experiencing the same thing- just because their pancreas hasn't pooped out overnight. The reality is many type 1 diabetics are not followed prior to their diagnosis until a crisis occurs- so WHO KNOWS how long the path of destruction is taking in any one individual. But... my point is- biochemically- one needs to be able to transport energy into the cell using insulin and regardless of whether type 1 or 2 (or 1.5!)- you either take insulin, you take a drug that aids in its manufacturing and release from the pancreas, or you perhaps can manage by strict dietary, exercise regimen. Then- layer in the complex chemistry behind converting carbs, sugars, fats to energy can also be affected by exercise, even illness, infection, stress, whatever. SO... for ALL Diabetics, the diet you have should be optimizing the conversion of glucose/energy into food that get taken into the cell. At a slow steady rate- Really the very same mechanism whether you need insulin or not. Difference mainly is you will NEED food to occupy /bind to the insulin you injected yourself with or you will crash!! I guess my point is that perhaps all diabetes is the result of auto-immune, or cellular destructive, inflammatory changes that result from many etiologies. Maybe we should be looking at how to identify factors that turn on auto-immunity, or toxic metabolic changes for all DM diagnosis (even with absence of antibodies). So seems that other than the meal to meal management-exogenous insulin requirement- the different forms of diabetes have essentially the same outcome and treatment goals systemically (and eventually). As for the ketones associated with of a low carb/no carb/high fat diet diet- a non-insulin dependent person is usually only spilling ketones because they do not have enough dietary glucose to fuel fat breakdown efficiently. There are some negatives associated with ketones/more acidic state. That can easily be adjusted by adding just a bit more carb- to work together- probably an ideal small tweak for a person who is able to be very strict on a diet. Kind of makes good clinical sense even if the rest of the BG numbers are good. I don't think they are worried about you skyrocketing into ketoacidosis (in the presence of indogenous insulin-) but that you may be unnecessarily too strick in a way that may not serve your overall health optimally. [/QUOTE]
Verification
Post Reply
Home
Forums
Diabetes Discussion
Type 1.5/LADA Diabetes
Confused about my doctors/consultants advice, am I type 1.5?
Top
Bottom
Find support, ask questions and share your experiences. Ad free.
Join the community »
This site uses cookies. By continuing to use this site, you are agreeing to our use of cookies.
Accept
Learn More.…