Good luck getting any doctor to go along with that theory. Doctors view insulin therapy as absolutely the last option for Type 2's and with good reason if you check the stats on mortality. Most refuse to do c-peptide tests even on slim type 2's who are more likely to be having problems producing sufficient insulin so I imagine it's even less likely for someone who probably has massive insulin resistance like the OP.
No, I didn't miss your point. I think you misunderstood mine. It's clear that I wasn't telling akindrat what to do. But you and those who rush to like your post will see what you want to see. Personally, I think trying to chastise a poster for encouraging someone to get the best medical care for them when their health is in grave danger is petty.
Do you not think akindrat's long term high BG levels and complications like thrush and foot infections indicates he is getting into last resort territory? What treatment options do you think would get his diabetes under control at this point? How feasible are they for him? Have his HCPs been proactive enough?
I'm not trying to outline what treatment options would, should or could be available to him because I'm not medically qualified to comment. If we lived in an ideal world, things may be different, but I've read enough posts by people going through the system in the UK to know that the kind of personalised medicine you're describing just doesn't happen - or only happens if people are extremely lucky with their doctors.
Ditto, and ditto.
People don't need to be medically qualified to suggest ideas for discussion with HCPs, and this happens all the time at this forum.
If he has an active foot infection, I doubt a HCP would tell him to do a lot of walking at that time. I've had a lower leg infection and I was told to keep it elevated at all times.
That's fine, your opinion.
(OK, to be fair. You have mentioned a couple of seemingly uncontrolled T1 friends too.)
My personal experience is irrelevant. I can read. akindrat has said he thinks he should be on insulin. So this is not about me. I am just being supportive/encouraging of him, which is what this forum is for.Cat lady. Your experience with "insulin" is regarding a "diabetic cat on Lantus" you mentioned owning once in a thread.. I can't speak for everything else you've read about.
My HCPs would not be "proactive enough" if I didn't divulge or was honest about my lifestyle & diatary habits during consultations..
& neither would yours..
T1 I dependant 39 years experience speaking here.. Insulin therapy opens up a whole new "can o worms". It's not a temporary quick fix. It takes a lot of adjustment.. Constantly!!
The focus should be on the OPs self confessed secret high cab snacking. Then work from there. He will get plenty of support for that.. Then see where it stands.?
What do you mean your "personal experience.is irrelevant"?? It's prescribed insulin! The possible highs. The possible Sharp lows..?? As a possible reality, using insulin as a "secret snacker" who is uninitiated on this stuff, could be a devastation to personal confidence..
Well, the HCP might not think the person has a binge eating disorder (there's not a lot of understanding about it as it hasn't been in the DSM long), or they might refer the person to an eating disorder service while following the NICE guidelines about when and how to start a T2 on insulin, and closely monitoring (as per the guidelines). Or they could ignore the guidelines and just leave them in a hyperglycaemic state with increasing complications. It's up to them really, not much point in us speculating.Myis that I honestly think any HCP who would prescribe insulin to someone with an untreated binge eating disorder would be asking for big trouble. I can't even imagine how it could be considered ethical.
