Another Idiopathic Postprandial Misfit

[Marena]

I have been wondering for a long time about the different permutations, symptoms and how the body copes with the modern dietary stuff.
Options could be limited to your situation.
Where you live?
Insurance if you need it?
A GP who can refer?
If you have an endocrinologist?
And probably more.

And get here the tests required and the treatment necessary to relieve the symptoms.

My insulin levels were low in first phase response to food, but high after what is known as an overshoot of insulin, as my pancreas wakes up to the abnormal high spike after carbs etc. This is me now.
It also showed that during my first eOGTT, that because of insulin resistance, my insulin levels were high during both but the amount of good insulin was low. One of the reasons for a fatty liver.
I think that maybe the low levels of insulin continuous through the day, even when not eating could be too much in total to keep you going low. I don't believe you have insulin resistance.

And then, I could be totally wrong.

Best wishes.

Hello @Lamont D you will be probably right my problem will perhaps not be the insulin. I will see if I find a New endocrinologist who can help. The problem is that all endocrinologists have never heard from this problem. It is complicated. My GP also knows nothing.
What do you think about the HOMA index? Do you know about it? It was tested and says that I have insulin resistance. But before the test I have eaten normally. All doctors say this Index is not helpful to diagnose insulin resistance. Because my normal insulin is not higher than my glucose. So I don't know how that can be.

And @fireweed thank you also for your answer. I took Vitamin B and magnesium last year for 2 months. It doesn't changed anything. Or should I take them longer to see results?

Best wishes to both of you.

 

[Lamont D]

Hello @Lamont D you will be probably right my problem will perhaps not be the insulin. I will see if I find a New endocrinologist who can help. The problem is that all endocrinologists have never heard from this problem. It is complicated. My GP also knows nothing.
What do you think about the HOMA index? Do you know about it? It was tested and says that I have insulin resistance. But before the test I have eaten normally. All doctors say this Index is not helpful to diagnose insulin resistance. Because my normal insulin is not higher than my glucose. So I don't know how that can be.

And @fireweed thank you also for your answer. I took Vitamin B and magnesium last year for 2 months. It doesn't changed anything. Or should I take them longer to see results?

Best wishes to both of you.

Hi, again.
I would have hoped that most patients who are experiencing symptoms, have had such a test for insulin sensitivity and insulin resistance. I must have had it because of my diagnosis of first phase insulin response being weak. But until you posted it, I had no idea this was used. Figuring maths was used, is a bit novel.

And yes, find an endocrinologist that has experienced similar, either from your GP or someone on line. Who may do private but also has NHS patients. You can only ask.

My endocrinologist is in the North of the UK.

Hope you find one, Best wishes.

 

[Deleted member 596235]

I understand that AZEric hasn't posted here for some time,
but I was certainly interested in his particular condition. As
a T2 newbie, anything to do with diabetes is of course an
interest to me—as it's such a steep learning curve, particularly
as a late-diagnosis (age 78) diabetic.

And of course, like others here, I've often found—even after
only such a short time—how relatively poorly general practitioners
(GPs or MDs) are trained in the specifics of diabetes. As they're
usually the first port of call, more relevant training is necessary.
More so considering that here in Australia, an estimated 500,000
people are living with silent, undiagnosed type 2 diabetes.