Insulin therapy like Dr Bernstein suggests to protect pancreas cells and organs for cluster 3? I've dieted for image then pregnancies with insulin therapy so not many years I havent weight watched even thou 16st plus at times. I've only once comfort ate in very very bad time in myBut I wonder if in cluster 3, which I would have thought I was in before diagnosis, was the kidney disease in the low HbA1c cohort caused by their medication. As per usual the study probably raises far more questions than it answers.
I think if I were to start insulin therapy with an HbA1c of 28 I would end up hypoing all day. I'm fairly sure that wasn't what you were suggesting.Insulin therapy like Dr Bernstein suggests to protect pancreas cells and organs for cluster 3? I've dieted for image then pregnancies with insulin therapy so not many years I havent weight watched even thou 16st plus at times. I've only once comfort ate in very very bad time in my
life. (90s). So weight ballooned til i dieted again.
Definitely not. I was referring to me and link to why my kidney health is superb compared to my peers in cluster 3.I think if I were to start insulin therapy with an HbA1c of 28 I would end up hypoing all day. I'm fairly sure that wasn't what you were suggesting.
I was pretty sure you weren't it just came across a bit like you were..my bad. Bit tired and full of cold today sorry. M xDefinitely not. I was referring to me and link to why my kidney health is superb compared to my peers in cluster 3.
Sorry if you ever thought I'd encourage insulin therapy to any diet controlled diabetic.
[QUOTE="bulkbiker, post: 1714128, member: 219467"I can't get access to the original article without spending $31.50 access via The Lancet I'll see if I can find it anywhere else.
Its a very sensitive area as no medic can just come straight out with it.... to patients, if just self inflicted. Some do self harm with food and it causes diabetes. For some not all. But you have to be predisposed to it too. Remember how many genes were/are related to diabetes?I was pretty sure you weren't it just came across a bit like you were..my bad. Bit tired and full of cold today sorry. M x
Insulin levels change too quickly for me to want to rely on that test.Given we like to know someones fasting inslin level as well as BG, it's great that these new clasifations gives us that. As the paper says more research needs to be done to see if people move between the groups over time.
When I was diagnosed (1997) there wasntt even T1 & T2 - just insulin dependent and non insulin dependent. Diabetes. Pre diabetes didnt exist as a diagnostic ( or, I suspect ) conceptual category eitherProgress is so fast in this area it seems like it was only a thousand years ago or so that diabetes was classified into two types and now seemingly over night it has been acknowledged that there might be more to it than just T1 and T2
Back in 1966, I remember only the two types. One was called Juvenile Diabetes, the other was Late Onset DiabeteWhen I was diagnosed (1997) there wasntt even T1 & T2 - just insulin dependent and non insulin dependent. Diabetes. Pre diabetes didnt exist as a diagnostic ( or, I suspect conceptual) category either
Back in 1966, I remember only the two types. One was called Juvenile Diabetes, the other was Adult Onset Diabetes.When I was diagnosed (1997) there wasntt even T1 & T2 - just insulin dependent and non insulin dependent. Diabetes. Pre diabetes didnt exist as a diagnostic ( or, I suspect conceptual) category either
I agree. LADAs like myself (diagnosed at age 60) don't fit into any category. How did this Swedish team with 15K people sampled miss the large number of mid-age, thin, insulin deficient diabetics like ourselves. My c-peptide showed my diabetes wasn't 'mild' whatever that means.I can't make out where LADA fits into this?, Just diagnosed, I am old (57!!), thin, with a positive GAD, what category is that I wonder?? The top 2 state 'young' and the next 2 imply 'overweight' and the last state 'mild', can you be mild if you're on insulin? I guess there are still anomalies within all of that.
some lazy articles on msn front page were still calling type 2 obesity related, disregarding us low BMI diabetics or pre-diabetics!The five types are ...
Both mild types can be treated with metformin and lifestyle changes. I am not sure which category I would fit best as I was obese (BMI 33) and 63 years old when diagnosed.
- MARD - Mild Age Related Diabetes
- MOD - Mild Obesity Related Diabetes
- SIDD - Severe Insulin Deficient Diabetes
- SAID - Severe AutoImmune Diabetes = Type 1 + LADA
- SIRD - Severe Insulin Resistant Diabetes
Avicenna (980–1037) recognized primary and a secondary forms of diabetes which I think would loosley corespond to T1 and T2 in todays terms.
I agree with you. I yo-yo'd dieted most of my adult life. Looking back, I will wager I had type 2 way back then, but due to a lack of diagnostic know how, any fasting BG tests those casual tests used then, showed me as OK. But I wasn't. I remember one test was 102mgdl/L (5.7mmol/L) as far back as 20yrs ago, clearly prediabetes numbers, at the very least.If I had been tested after I lost 7st in the 80s I would have been put on meds too. It doesn't stop diabetes once it's there. Well not for me.
My symptoms in 70s tells me any hba1c in 80s may have showed prediabetes levels but ignored. If i was tested.
Good diet disguises diabetes on the hba1c test. As we know.
I was diabetic throughout.
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