So, Brian
www.drbrianmowll.com stated that there are 4 subtypes of T2, I've never heard this before.
Here they are:
Type O: Overinsulnised - 60% - 65% of presenting patients: typically overweight, high insulin, high trigs, inflammation, other high metabolic markers.
Type I : Insulin Reduction Induced - insulin lacking production. Typically presents with normal/underweight. Often fairly normal sugars. Not t2 or t1.5.
Type H: Hormone induced - Possible adrenal fatigue/exhaustion, hypothyroid issues. Quite typical in women with a "puppy type" body, whatever that means - I think he meant weight gain throughout the body? Usually normal insulin levels. Test the TSH, T4, + T3. Blood sugar dis-regulation driven in combination by thyroid, sex hormones, adrenals etc.
Type S: Stress induced. Typically high sugar in the morning, high cortisol, normal weight. BG can spike after exercise. NOT Dawn Phenomenon.
Only way to narrow down is via combination of HbA1C, liver, kidneys, cytokines,(interleukin etc), subtraction profiles for amount and size of LDL organic acid tests for quality of mitochondria and CoQ10....you'll be very lucky if your NHS (UK) Dr knows or can get a fraction of these tested...haha
Factors and therapeutic regime with each subtype:
O: LCHF, ketogenic diet. 2-3 meals a day max to help Leptin hormone which manages satiety sensitivity. Cardio, HITT, resistance training, intermittent fasting. More sleep, less stress. This group is very carb sensitive.
I: Low carb, but NOT LCHF. Eat more often as important to keep the body in a fed state. Stimulate insulin secretion, use of BCAA (branch chain amino acids), Cur-curium, black cumin seed oil which helps the beta cells.
H: More carbs - 100-150g, per day. Eat more midday and less in the evening.
S: Avoid caffeine, include adaptogenic herbs, lifestyle modifications for stress reduction - easier said than done
Treatment of Dawn Phenomenon:
- Intermittent fasting
- Eat more in the middle of the day, less at dinner
- Introduce Green Tea and Coffee Bean extract supplements
- Introduce Berberine
- Introduce Cortisol reduction inhibitor supplement before bed
10 Factors That Affect Diabetes T2 ( some more commonly known than others):
1. Body fat
2. Diet and nutrition
3. Physical activity
4. Sleep - interestingly he referenced a recent piece of research suggesting just 1 bad night's sleep is worse than 6 months of a bad diet ...ahhh that's me finished with then
5. Metabolic function: liver, kidneys, pancreas - is your fuel source sugar or fat? Often the obvious test is can you cope with prolonged fasting easily? If so you are fat burning as your primary fuel source and likely to be on an LCHF/Ketogenic lifestyle.
6. Gut health - micro-biome, a great deal of chronic inflammation starts here.
7. Chronic inflammation.
8. Hormone disfunction/imbalance.
9. Nutrient status as in vits and minerals.
10. I missed 10
Should I Be Taking Supplements:
His short answer was yes due to severe depletion in foods today.
1. Chromium
2. D
3. Alaruric acid (I haven't spelt that correctly and can't remember
)
4. DHA and EPA - fatty acids found in fish oil. Reduces trigs and counters inflammation
5. Silvestra - heals beta cells
6. Berberine - alkaloid compound, used in regulating glucose. Very similar as a natural to Metformin and has been tested alongside and mimics many of its therapeutic effects.
7. Cur-cumin - helps heal Beta cells in the pancreas.
8. B vitamins improves BG response.
9. Fibre - at least 20g per day and preferably 30-40g per day
10. Msg Seoul.
11. Zinc.
12. Quality pro-biotic for but with at least 5 billion creepy crawlies.
Well that's it from me. 1 hour of concentrated info, but by far the most interesting was his expose on the 4 subtypes
Apologies for grammar and typos...it's still only 6 30AM and don't forget this précis is just that....it is not my recommendations
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Sent from my iPad using DCUK Forum mobile app