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Type 1.5/LADA Diabetes
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<blockquote data-quote="Vectian" data-source="post: 2742448" data-attributes="member: 588965"><p>You are talking about the T2 progression here, which is entirely different to T1 / LADA. Insulin resistance is not the underlying problem in T1. Yes with T2 there is no reason why the pancreas couldn't recover and improve, losing a substantial amount of weight then staying low carb seems to be the key. It also seems that prediabetes is reversible, I.e. you can go back to a more "normal" diet eventually</p><p>and the BS stays in range. I have done this myself, and had normal BS for 5 years. However once you cross the line to full diabetes, you can keep it in remission indefinitely, but you still have to control the diet to keep it there. This is why long term rates of remission are not great, people don't stick to the diet and go back to square 1.</p><p></p><p>With T1 / LADA your pancreas cannot recover in that way as you can't remove what was causing the problem like you can in T2 - the autoimmune attack. There is certain research saying you can maintain beta cell function or even to a limited extent improve it, but the pancreas is still under attack all the time and eventually it will finish. Might be a couple of weeks, might be 15 years. I too have been insulin free for 9 months with LADA, struggling a lot with fatigue trying to maintain it though so maybe I need to take a little insulin now.</p></blockquote><p></p>
[QUOTE="Vectian, post: 2742448, member: 588965"] You are talking about the T2 progression here, which is entirely different to T1 / LADA. Insulin resistance is not the underlying problem in T1. Yes with T2 there is no reason why the pancreas couldn't recover and improve, losing a substantial amount of weight then staying low carb seems to be the key. It also seems that prediabetes is reversible, I.e. you can go back to a more "normal" diet eventually and the BS stays in range. I have done this myself, and had normal BS for 5 years. However once you cross the line to full diabetes, you can keep it in remission indefinitely, but you still have to control the diet to keep it there. This is why long term rates of remission are not great, people don't stick to the diet and go back to square 1. With T1 / LADA your pancreas cannot recover in that way as you can't remove what was causing the problem like you can in T2 - the autoimmune attack. There is certain research saying you can maintain beta cell function or even to a limited extent improve it, but the pancreas is still under attack all the time and eventually it will finish. Might be a couple of weeks, might be 15 years. I too have been insulin free for 9 months with LADA, struggling a lot with fatigue trying to maintain it though so maybe I need to take a little insulin now. [/QUOTE]
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