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Type 2 Diabetes
Am I In Remission?
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<blockquote data-quote="HSSS" data-source="post: 2249471" data-attributes="member: 480869"><p>I appreciate you’ve had this conversation many times but a thought just occurred to me. I know you have zero wish to up your carb intake and as such it is irrelevant for you personally but I’m still curious about the concept. Your position on this always makes me question mine. </p><p></p><p>If a persons natural mechanism for controlling carb intake is still impaired then surely the disease still exists even if it currently causes no symptoms of hyperglycaemia and hyperinsulemia due to the lack of “poking the bear”. Isn’t that what a metabolically healthy person can do should they wish to? </p><p></p><p>Is diabetes defined by these two symptoms or does it go beyond that I guess is my question? Is it about response to glucose not exposure to it? Is anything else happening in diabetes beyond these two symptoms we don’t focus on currently? </p><p></p><p>It is if that mechanism works or not that surely defines diabetes rather than if you choose to quantifiably exercise that mechanism by eating carbs. Perhaps in that sense a glucose tolerance test is more appropriate for testing a hypothesis of “no diabetes currently detectable”. Is that the same as not there? If disease symptoms are likely to return - given reasonable circumstances- what is that labelled? I thought it was remission. </p><p></p><p>The non alcoholic alcoholic anology isn’t about addiction. It’s about testing under one set of circumstances only and declaring the disease gone as a result rather than controlled. </p><p></p><p>Just my, rambling, thoughts.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2249471, member: 480869"] I appreciate you’ve had this conversation many times but a thought just occurred to me. I know you have zero wish to up your carb intake and as such it is irrelevant for you personally but I’m still curious about the concept. Your position on this always makes me question mine. If a persons natural mechanism for controlling carb intake is still impaired then surely the disease still exists even if it currently causes no symptoms of hyperglycaemia and hyperinsulemia due to the lack of “poking the bear”. Isn’t that what a metabolically healthy person can do should they wish to? Is diabetes defined by these two symptoms or does it go beyond that I guess is my question? Is it about response to glucose not exposure to it? Is anything else happening in diabetes beyond these two symptoms we don’t focus on currently? It is if that mechanism works or not that surely defines diabetes rather than if you choose to quantifiably exercise that mechanism by eating carbs. Perhaps in that sense a glucose tolerance test is more appropriate for testing a hypothesis of “no diabetes currently detectable”. Is that the same as not there? If disease symptoms are likely to return - given reasonable circumstances- what is that labelled? I thought it was remission. The non alcoholic alcoholic anology isn’t about addiction. It’s about testing under one set of circumstances only and declaring the disease gone as a result rather than controlled. Just my, rambling, thoughts. [/QUOTE]
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