I would argue that a full insulin assay carried out by even an unfamiliar doctor would show metabolic dysfunction. For some people a c peptide test or a fasting insulin test or even an OGGT would signal problems. We can see our bg at home, we can directly influence our HbA1c but insulin? Not many T2s are tested. Even Dr. Fung says that treating someone with hyperinsulinaemia with more insulin is just crazy but how many times have you had your insulin levels checked?
Yeah I’m aware of fasting insulin tests, but given that I’m insulin resistant, or was, and that my glucose control is perfect, I find it very difficult to imagine that I have elevated blood insulin concentrations at any time of day or night. Hyperinsulinemia surely cannot realistically be seen in a patient without accompanying hyperglycaemia? It’s possible to have hyperinsulinemia without hyperglycaemia, but I can’t think of a logical mechanism by which the reverse could be true.
EDIT: I think I probably ran away with myself there. I think what I meant to say was that the scenario you mention is surely only possible pre-diagnosis? If blood glucose levels plummet in someone who’s already insulin resistant and previously exhibited hyperglycaemia, that to me logically suggests that the insulin levels must be falling also. Sorry for the somewhat fuzzy logic but I hope I’m making sense
EDIT 2: for further clarity.
We can recover a measure of insulin sensitivity given time and the dietary regime that suits us as individuals however I remain unconvinced that a full recovery is within our grasp at this time. It matters little to me if I could fool an unfamiliar gp with non D numbers or not, I can never be undiagnosed and return to a 'normal' western diet. Only a non Diabetic can tolerate such levels and I would add that the aging process alone will change the state of play.
I certainly agree with your last point, with the caveat that non-diabetics become diabetic largely through eating the western diet we’re alluding to. Whether those people change before or after diagnosis is largely irrelevant in this context. In my mind not eating that diet now has the same effect as if I’d not eaten it to begin with. But anyway I’m splitting hairs and probably rambling
The great news that any newly diagnosed diabetic should take away from this, is that they certainly can regain full health if they stop eating the diet that caused them to become diabetic. The generally accepted prognosis that diebates will get progressively worse is most certainly false just so long as you don’t follow the NHS advice to eat even more carbohydrate. It continues to boggle my mind that in order to drastically improve your chances of beating diabetes, you have to eat the exact opposite of what your government tells you to. And then you see stories in the media with the NHS complaining about the costs of treating ‘fat & lazy’ diabetics. In my opinion it’s a travesty