Confused!!

Have you done any research on Methotrexate? I have seen what it has done to two of my friends.
https://www.drugs.com/sfx/methotrexate-side-effects.html

 

Not crazy and I can understand the confusion on your part. In reality few of us type 2 get checked for which type we are. Assumptions are made and occasionally corrected later. So in a sense you’ve been lucky to get it confirmed one way or other at the beginning. Finding it all difficult to accept is also common, with or without the confusion. It passes in time so be kind to yourself. As for recommending metformin, that’s because it’s the first line (after diet) for most type 2 and others are only used of that isn’t producing the results desired or has side effects etc.

 

It has done "bad things" to my friends. It suppressed their immune systems, causing a lot of issues with infections, some serious. They were using it for arthritis, and were long time users of it.

 

Whatever you decide, make sure it is your decision. Not ours. Not the doctors. We can only speak from experience. Doctors can only offer medications.

 

I’m not sure I’d see it as a one then the other scenario. Perhaps the dr and specialist can explain why you can only act on one at a time rather than address both issues.

Nor in your shoes right now would I see the insulin as “diabetes under control”. First aid applied more like whilst long term action to be decided.

 

Because some drs and nurses don’t know this, even those in diabetes care! They think type 2 is progressive and there’s nothing to be done other than take drugs. This is how it used to be seen. As progressive. This is outdated.

The nhs now support low carb eating as an effective strategy, either alone or with medications, to control and even put type 2 into remission. There are support courses they can prescribe such as those run by this website, there are training packages for gp’s written by gps (Dr Unwin) but they are all voluntary. There are research papers aplenty supporting it too. But again it all depends how current the medic in question chooses to keep their training on the subject.

They don’t know also how a blood glucose meter can be used effectively for type 2 not on insulin to identify safe foods. Or to meal and exercise plan and adjust to maintain good levels.

 

Newly diagnosed T2D with insulin resistance will likely produce too much insulin 2-3x normal, but still not enough to handle the amount of carbs typically taken per meal. So if we do not adjust the amount of carbs taken per meal, we will simply need exercise, medication or more insulin to help move the excess glucose some where, eg burn it, pee it out of the system, store it as fats etc.

This is what researchers observed.... Glucose AND Insulin levels are higher than normal for up to 10 years after diagnosis.


Here is Dr Jospeh Krafts view on the issue...

 

Also I find that Diabetes UK reversing T2D page gives a good summary...
https://www.diabetes.co.uk/reversing-diabetes.html

 

I imagine you were treated first with insulin because your levels were very high at the time and they needed to act quickly. This is normal procedure and fine.

However, for someone with T2 that has insulin resistance (most of us have/did when diagnosed) insulin as an ongoing treatment is not always the best choice. Most T2s in this category already have too much circulating insulin. So much so that their bodies have become resistant to it so it can't do its job properly. A vicious circle then starts - the more circulating insulin we have the more insulin resistant we become, and the more resistant we become, the more insulin we secrete. (or inject). The more insulin resistant we are, the harder it becomes to keep T2 under control, and the more insulin we have circulating, the tendency is to gain weight.

It would make sense for doctors to do an insulin test on T2s before prescribing ongoing insulin or tablets such as Gliclazide that force the pancreas to produce more insulin. If the person is shown to have plenty of natural insulin, then why does that person need injected insulin or drugs such as Gliclazide? It just increases the large amount of insulin already being secreted and causes more resistance.

Of course, there are T2s that do not produce enough of their own insulin, and this situation is completely different.
Do you know if you had any tests to determine how much insulin you produce naturally? That is a question you could ask.

 

I found this which seems the same scale as your result. Was yours taken fasted? Doesn’t show where a non diabetic would fall either so not sure what a “normal” c peptide would be

 

It seems to make a difference whether it is fasting or random. Can you find out?

 

It looks like if you want any medication beyond diet change for your diabetes it is going to need to be considered in light of whichever psoriasis drugs you take. There are other options than metformin and insulin, they may be options.

Why not discuss with your gp trying the drastic carb dropping as a means of diabetes control for a trial period (whilst either stopping or closely monitoring/adjusting insulin) and then there’s no interactions with psoriasis drugs and maybe the diet will also help the psoriasis too.