When I went for the results of my 1st HbA1c I told the doctor that I had worked out that I had fatty liver and IR and had reduced carbs for a year or so. He agreed about the fatty liver but said he had never heard of IR. Now if they tested for it routinely alongside BGs at least he would have heard of it!The problem is not that they don't test for IR, the problem is that they don't recommend low carb diets.
In my opinion insulin is largely ignored because there are powerful forces at work who stand to lose a great deal if it isn’t.
The science is known. None of this stuff is new, and yet most GPs are seemingly not aware. One has to ask the question: why are they not aware? Why are they ignoring insulin and still using the ridiculous CICO model? Because they’re not taught otherwise.
The topic is discussing insulin resistance. Respectfully, it should go without saying that it’s not relevant to preventing type 1. I sometimes get the impression T1 vs. T2 is some kind of competition on here among some
Anyway, as has since been said, T1 diabetics can also become resistant to [exogenous] insulin.
If someone is obese aren't they bound to have insulin resistance to some extent? What would be the point in testing?
Yes, I think they are slow to twig on to stuff. No doubt they will eventually.In my opinion insulin is largely ignored because there are powerful forces at work who stand to lose a great deal if it isn’t.
The science is known. None of this stuff is new, and yet most GPs are seemingly not aware. One has to ask the question: why are they not aware? Why are they ignoring insulin and still using the ridiculous CICO model? Because they’re not taught otherwise.
It could be that your husband is over producing insulin to overcome insulin resistance and keep his BG normal. If he had a test and they said "your insulin is high and one day you may become pre-diabetic" do you think he would change his diet? There is a close correlation between obesity and IR although there are arguments as to which is cause and which is effect. Whichever way around it doesn't really matter as the solution is the same, to reduce carbs. There are those who say "If only I had known I was insulin resistant years ago, I would have done something about it" but what would they have done, no doubt follow the doctor's advice and reduce calories and eat low fat. Which is why I say it is not lack of testing for IR but the lack of advice to reduce carbs that is the problem.If you mean any obese person then I'm not to sure that would help everyone, there are many obese people who are not insulin resistant presumably, ie, those that are not diabetic and have great levels? My husband is a good 3 stone overweight and his well man check gave him perfect A1c results....great BP, perfect cholesterol and he eats absolute rubbish and does no exercise. I am the exact opposite and yep, you guessed it.
A sterling presentation!
You look as though you are on a mission to learn everything you can, well done.
@Cocosilk thank you for posting this. I am so angry that GPs don't test insulin levels or IR when they are faced with an obese patient. I believe I was insulin resistant for 20 or so years before diagnosis. All that wasted time, all that damage to my body, I only needed to be told it was IR and I would have gone away and reaearched it and helped myself to heal.
@Jim Lahey there is (and never should be) any competitive element.
Some time ago, I posted a soap box thread about us all being different.
My comments about other types of diabetes are my reminders of this.
I apologise for being clumsy in my reminders sometimes.
But I still believe it is important to consider both the target audience and the complete forum audience when posting.
I apologise to @Cocosilk for any thread de-railing. I will continue to read and learn but not comment further on insulin resistance.
The topic is discussing insulin resistance. Respectfully, it should go without saying that it’s not relevant to preventing type 1. I sometimes get the impression T1 vs. T2 is some kind of competition on here among some
Anyway, as has since been said, T1 diabetics can also become resistant to [exogenous] insulin.
If you have got a spare £39 you can get your own insulin test done with medichecks..It seems that GPs only know what they know and some of this research is new. I went to a GP recently asking about an insulin test and she said "you don't really need one', even though she knew I had just been diagnosed with Gestational Diabetes. So I haven't had an insulin test yet. Still have to find a GP I can work on for that. I think for a GP to be able to order a test without being questioned, they have to have a good reason, and apparently knowing about insulin levels is not the commonly taught method for diagnosing pre-diabetes...yet. So you have to assume an average GP may not be used to ordering an insulin test for just anyone unfortunately. That's how Dr Ben Bikman seemed to explain it anyway. And as an individual, you might have to become a bit hypochondriac (like meto be bothered to find answers elsewhere and then start knocking on doors until a GP gives you the test you think you need. We are just the patients after all.
If you have got a spare £39 you can get your own insulin test done with medichecks..
@Cocosilk -- Thanks for starting this thread. Fascinating discussion.
I agree with @zand. For many of us, insulin resistance probably precedes the diagnosis of diabetes by many years if not decades.
Personally, judging from my then round bellie, I was probably insulin resistant for at least 15 years before diagnosis -- but not any of the HCPs I've seen during this time ever remarked on this or did any furher testing.
Possibly, considerably elevated trigs might be a sign of increasing insulin resistance (in addition to the tendency to belly fat). Ted Naiman (a low carb doc based in Seatle) suggests that the triglyceride-glucose index could be used to estimate insulin resistance in lieu of measuring insulin itself. Here is a link if anyone is interested https://burnfatnotsugar.com/TyGIndexCalculator.html
So, even if our blood sugars are still normal, but our trigs go up, this might indicate worsening insulin resistance.
If a T1 becomes insulin resistant to their medication, then does that mean they would have no choice other than never to eat a carb again or they could die? If your body isn't able to produce or use insulin?
Here's another good story https://www.ketogenicforums.com/t/cancer-in-a-remission/24706/26?u=sks23cu
If a T1 becomes insulin resistant to their medication, then does that mean they would have no choice other than never to eat a carb again or they could die? If your body isn't able to produce or use insulin?
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