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<blockquote data-quote="HSSS" data-source="post: 2074578" data-attributes="member: 480869"><p>Depending on her experience and level of expertise and the further study she has undertaken she may or may not know. Sadly not all nurses working in specialist departments have anything like the level of knowledge you’d hope for and assume. Some do and some don’t. Insulin resistance certainly has some grounds for linking the two. As unpleasant as psoriasis is the diabetes is in my opinion the greater risk to your health. I’d be getting the diabetes sorted then returning to the psoriasis if they have to be done one at a time. (Do they?)</p><p></p><p></p><p>Jo has given excellent advice about getting the dr to go through it all. </p><p></p><p>For what it’s worth at my last review with a nurse she used the line ”not enough insulin”. I questioned that and asked but surely as a type 2 I have huge amounts of insulin but I just can’t use it as I’m insulin resistant. She said “well yes” so I said but that’s totally the opposition of what you just said. Her reply. ”oh well, its just wording! So sloppy explanations can lead to a great deal of misunderstanding. </p><p></p><p>“Not enough” could be an absolute not enough and obviously needs supplementing as there’s no other option. (Eg type 1 or typically in the later stages of type 2) or it could mean there’s not enough of it to do the job because it doesn’t get used properly (insulin resistant) so mega doses are needed to forced it to work by sheer weight of numbers. So a relative “not enough”. They are quite quite different. From what your specialist is saying the latter seems more likely. And if so becoming less insulin resistant is the key that way your own insulin will be enough - once you can use it. </p><p></p><p>Insulin is typically the drug of last resort or urgency for type 2. Other medications and diet are preferred in terms of overall long term outcomes, lower risks of errors and hypo etc. It definitely has a very useful place when other things don’t work but I wouldn’t want it be starting with it or staying on it if there were other options not yet tried or ruled out.</p><p></p><p>I know I said it before but food really could very likely be the way forward. It is supported by the nhs now too, but you may need to make less upto date staff aware. There’s an awful lot of us in here doing much better once we address the carbs for diabetes, weight, blood pressure, inflammation and a whole host of other issues. Making our metabolism work properly helps so much. </p><p></p><p>Unless of course changing your food is really not the way you want to go and prefer to have a more traditional medicalised approach. It is your choice for your body. In which case I wish you all the best sorting through the confusion you’ve been presented with and hope you find a solution that works for you.</p></blockquote><p></p>
[QUOTE="HSSS, post: 2074578, member: 480869"] Depending on her experience and level of expertise and the further study she has undertaken she may or may not know. Sadly not all nurses working in specialist departments have anything like the level of knowledge you’d hope for and assume. Some do and some don’t. Insulin resistance certainly has some grounds for linking the two. As unpleasant as psoriasis is the diabetes is in my opinion the greater risk to your health. I’d be getting the diabetes sorted then returning to the psoriasis if they have to be done one at a time. (Do they?) Jo has given excellent advice about getting the dr to go through it all. For what it’s worth at my last review with a nurse she used the line ”not enough insulin”. I questioned that and asked but surely as a type 2 I have huge amounts of insulin but I just can’t use it as I’m insulin resistant. She said “well yes” so I said but that’s totally the opposition of what you just said. Her reply. ”oh well, its just wording! So sloppy explanations can lead to a great deal of misunderstanding. “Not enough” could be an absolute not enough and obviously needs supplementing as there’s no other option. (Eg type 1 or typically in the later stages of type 2) or it could mean there’s not enough of it to do the job because it doesn’t get used properly (insulin resistant) so mega doses are needed to forced it to work by sheer weight of numbers. So a relative “not enough”. They are quite quite different. From what your specialist is saying the latter seems more likely. And if so becoming less insulin resistant is the key that way your own insulin will be enough - once you can use it. Insulin is typically the drug of last resort or urgency for type 2. Other medications and diet are preferred in terms of overall long term outcomes, lower risks of errors and hypo etc. It definitely has a very useful place when other things don’t work but I wouldn’t want it be starting with it or staying on it if there were other options not yet tried or ruled out. I know I said it before but food really could very likely be the way forward. It is supported by the nhs now too, but you may need to make less upto date staff aware. There’s an awful lot of us in here doing much better once we address the carbs for diabetes, weight, blood pressure, inflammation and a whole host of other issues. Making our metabolism work properly helps so much. Unless of course changing your food is really not the way you want to go and prefer to have a more traditional medicalised approach. It is your choice for your body. In which case I wish you all the best sorting through the confusion you’ve been presented with and hope you find a solution that works for you. [/QUOTE]
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