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<blockquote data-quote="JoKalsbeek" data-source="post: 1816138" data-attributes="member: 401801"><p>Your GP obviously doesn't know much about diabetes... A GP has to know a lot about everything, which is a tall order, and diabetes care seems to have slipped through the cracks. That happens often, but this is the first time I've heard of someone perscribing a basal insulin as a bolus. That's just... Can't wrap my head around that one. </p><p></p><p>Metformin is usually the first stop, but don't rely on it to get your bs down completely. It helps the liver to dump less glucose, which is why your fasting levels are better. Spikes will still be down to diet though. You might not have a lot of weight to lose, but sometimes, visceral fat isn't obvious on the outside; the liver and pancreas can be smothered by densely packed fat tissue, and you wouldn't know it when looking in the mirror. (I am overweight, but the fat on my liver was so dense and oddly formed, they needed a month and many different scans to rule out cancer.).</p><p></p><p>And this may just be semantics, but... There is, as yet, no cure for T2. Reversal(as in, not needing meds anymore) usually means nothing more than tight dietary control. Low carb eating for the duration, because carbs will still give spikes. My HbA1c is 34 now, but the moment I eat something carby, I still spike. Low carb keeps complications at bay, I'm losing weight, foodintolerances are getting better, the rheumatism and PCOS too... But the moment I eat like a non-insulin-resistant person, I'm back where I started. You can go in remission, but it takes work. Best advice I can give you is not to rely on meds only, because then, diabetes type 2 is a nasty, progressive disease. More meds, until ultimately, back on increasing doses of insulin, and complications along the way. It's your choice, obviously, as many people find it is easier to just take meds, but given your age... I'd low carb my b*tt off. Not so much to lose weight, but to stabilise bs and avoid complications. That's just my take on it though...</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 1816138, member: 401801"] Your GP obviously doesn't know much about diabetes... A GP has to know a lot about everything, which is a tall order, and diabetes care seems to have slipped through the cracks. That happens often, but this is the first time I've heard of someone perscribing a basal insulin as a bolus. That's just... Can't wrap my head around that one. Metformin is usually the first stop, but don't rely on it to get your bs down completely. It helps the liver to dump less glucose, which is why your fasting levels are better. Spikes will still be down to diet though. You might not have a lot of weight to lose, but sometimes, visceral fat isn't obvious on the outside; the liver and pancreas can be smothered by densely packed fat tissue, and you wouldn't know it when looking in the mirror. (I am overweight, but the fat on my liver was so dense and oddly formed, they needed a month and many different scans to rule out cancer.). And this may just be semantics, but... There is, as yet, no cure for T2. Reversal(as in, not needing meds anymore) usually means nothing more than tight dietary control. Low carb eating for the duration, because carbs will still give spikes. My HbA1c is 34 now, but the moment I eat something carby, I still spike. Low carb keeps complications at bay, I'm losing weight, foodintolerances are getting better, the rheumatism and PCOS too... But the moment I eat like a non-insulin-resistant person, I'm back where I started. You can go in remission, but it takes work. Best advice I can give you is not to rely on meds only, because then, diabetes type 2 is a nasty, progressive disease. More meds, until ultimately, back on increasing doses of insulin, and complications along the way. It's your choice, obviously, as many people find it is easier to just take meds, but given your age... I'd low carb my b*tt off. Not so much to lose weight, but to stabilise bs and avoid complications. That's just my take on it though... [/QUOTE]
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