T2 Insulin Or Not

[Pinkorchid]

I found this interesting I was watching a US programme about a surgeon who specialises in treating the obese who are over 600lb with weight loss surgery. The lady in question was over 700lb with huge lymphedema tumours on her legs. She also had T2 and was on insulin injections the surgeon was quite horrified by that and took her straight off it saying no one with T2 should be on insulin only those with T1 should be

 

[lucylocket61]

The surgeon was wrong.

 

[satindoll]

Well that's one way of getting rid of the surplus population........I for one wont be following his advice any time soon.........

 

[JohnEGreen]

Not the first time I have heard of this a friend T2 on insulin a few weeks ago had her insulin stopped by her consultant who also said T2's should not be taking insulin.

 

[bulkbiker]

How any doctor could prescribe insulin to someone of that weight, unless they have been shown to be producing very little endogenous insulin (virtually impossible) astounds me. Unless their blood sugar is life threateningly high.. I can’t imagine why they would need exogenous insulin..

 

[ickihun]

I found this interesting I was watching a US programme about a surgeon who specialises in treating the obese who are over 600lb with weight loss surgery. The lady in question was over 700lb with huge lymphedema tumours on her legs. She also had T2 and was on insulin injections the surgeon was quite horrified by that and took her straight off it saying no one with T2 should be on insulin only those with T1 should be

Because in US it can be cheaper or more beneficial for doctor-patient relationship to have patient on insulin without trying all other T2 tablets/injections.
Cheaper or easier isn't always the most effective.
Only rare T2s end up on insulin, even in uk.

I'm hoping to get rid of my fast acting after bariatric surgery and if I lose enough weight in theory basal will be needed far less too.

 

[JohnEGreen]

If things got bad enough for me regarding BG I would not hesitate to take insulin.

 

[Jenny15]

Because in US it can be cheaper or more beneficial for doctor-patient relationship to have patient on insulin without trying all other T2 tablets/injections.
Cheaper or easier isn't always the most effective.
Only rare T2s end up on insulin, even in uk.

I'm hoping to get rid of my fast acting after bariatric surgery and if I lose enough weight in theory basal will be needed far less too.

It's not rare in NZ. If it's medically appropriate, it happens. And it is medically appropriate in some situations.

 

[Jenny15]

How any doctor could prescribe insulin to someone of that weight, unless they have been shown to be producing very little endogenous insulin (virtually impossible) astounds me. Unless their blood sugar is life threateningly high.. I can’t imagine why they would need exogenous insulin..

It was probably because the BG was life threateningly high.

 

[Jenny15]

I found this interesting I was watching a US programme about a surgeon who specialises in treating the obese who are over 600lb with weight loss surgery. The lady in question was over 700lb with huge lymphedema tumours on her legs. She also had T2 and was on insulin injections the surgeon was quite horrified by that and took her straight off it saying no one with T2 should be on insulin only those with T1 should be

Hopefully only people with experience of using insulin in T2 diabetes will comment in this thread.... nah, who am I kidding?

 

[Robbity]

Hopefully only people with experience of using insulin in T2 diabetes will comment in this thread.... nah, who am I kidding?

As far as I know there's no restriction on who can comment on a thread whatever their diabetic status status, and if comments increase understanding by generating discussion or raising various questions then there's a very good reason for them to continue to do so. IMO.

This thread was actually started by a member who (unrless things have changed) is a diet only controlled T2... and why a T2 should need insulin when many of us are actually producing too much is probably something many of us may have wondered about.

Robbity

 

[Jenny15]

As far as I know there's no restriction on who can comment on a thread whatever their diabetic status status, and if comments increase understanding by generating discussion or raising various questions then there's a very good reason for them to continue to do so. IMO.

This thread was actually started by a member who (unrless things have changed) is a diet only controlled T2... and why a T2 should need insulin when many of us are actually producing too much is probably something many of us may have wondered about.

Robbity

Did I say there was any restriction?

If you genuinely want to learn about insulin for T2s, the link in my signature is a good place to start. It's not as simple as "T2s produce too much insulin."

 

[bulkbiker]

It was probably because the BG was life threateningly high.

Possibly.. although an extended fast may well have been more efficacious in reducing BG levels

 

[Krystyna23040]

I was a type 2 on Insulin because of dangerously high blood sugars. Although I was able to bring blood sugars down the insulin did not stop the progression of the diabetic macular oedema, retinopathy and neuropathy in my right foot. I have absolutely no idea why it didn't - nor why cutting carbs to 20g reversed these conditions. Am really pleased that it did and also that it put the diabetes into remission.

Maybe cutting carbs is more effective for T2D than injecting insulin and that is why the doctor took his patient off insulin.

 

[Jaylee]

If you genuinely want to learn about insulin for T2s, the link in my signature is a good place to start. It's not as simple as "T2s produce too much insulin."

Hypos are not as safe for a T2ID as your signature link professes either...

Permit me to lift a direct quote from "Blood sugar 101."

"If you should feel strange within an hour of injecting Lantus, test your blood sugar. If it is lower than 70 mg/dl you should immediately take as much glucose as you would need to raise your blood sugar 60 mg/dl and then test every fifteen minutes and take more glucose until you are back at a safe blood sugar level. (Pure Glucose, found in Smarties or Sweetarts and Glucose pills will act within 15 minutes). If you are a Type 2, your liver has the ability to dump glucose into your bloodstream if you go dangerously low, so unlike many Type 1s you aren't likely to end up in the ER with a hypo. But you should always keep some Smarties around if you use insulin, just in case you need it."