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<blockquote data-quote="LittleGreyCat" data-source="post: 2075845" data-attributes="member: 6467"><p>A few words on insulin production, and adequacy.</p><p></p><p>There is a standard range for insulin production by a healthy individual (read that as fully working pancreas and no Insulin Resistance).</p><p>If your insulin production is tested, for example using a C-peptide test, then the medical team have a value for how much insulin you are producing.</p><p>"Virtually none" suggests a T1 diabetic where the pancreas has failed.</p><p>Normal or high suggests a T2 diabetic.</p><p></p><p>"Not enough" is in fact glaringly obvious (but can be confusing). If you have high blood sugar levels then you are not producing enough insulin to keep your blood sugar levels under control.</p><p>However there can be at least three reasons for "not producing enough". </p><p>[Please note that this is simplified, and aimed at initial diagnosis.]</p><ol> <li data-xf-list-type="ol">Your pancreas is failing/has failed and you are T1</li> <li data-xf-list-type="ol">Your pancreas is producing normal amounts of insulin but you are Insulin Resistant</li> <li data-xf-list-type="ol">You pancreas is producing huge amounts of insulin but you are very, very Insulin Resistant</li> </ol><p>In all three cases, if your BG is really out of control you may be prescribed insulin because, as you say, you are not producing enough to get your BG back down to normal. High BG levels are not good.</p><p></p><p></p><p>OK - the indications are that you have been tested and found not to be T1, although your BG control was so bad (and your ketones were up) that you were initially diagnosed as T1.</p><p></p><p>So we can guess that you are producing insulin but are Insulin Resistant.</p><p>In the longer term you may be able to stop taking insulin if you reduce your insulin resistance enough that your own insulin is able to control your BG levels. Plenty of people on the site have achieved this.</p><p>The first step is usually to cut out virtually all carbohydrates because these are the main source of blood sugar in most people.</p><p>The second step it to work on the IR. One of the things Metformin does is help reduce IR.</p><p></p><p>As others have said, we do not give medical advice.</p><p>However you have been diagnosed in a fairly drastic way - high BG and ketones at 4 or higher - which makes you at a lot more short term risk than may others (such as myself) who were diagnosed through high BG and weight loss but weren't in the range which presented as typically T1.</p><p>If I were you I would listen to your medical team and take the insulin as prescribed, and work on identifying lifestyle changes which may help you come off the insulin in the medium term.</p><p></p><p>I think you may be falling into the trap of many newly diagnosed and trying to "fix it now!" when you might be better advised to take it slowly and gently and spend time reading and learning about the condition before tinkering with the treatment.</p><p></p><p>Above all, <strong><em>Don't Panic</em></strong> and take things gently, a little bit at a time.</p></blockquote><p></p>
[QUOTE="LittleGreyCat, post: 2075845, member: 6467"] A few words on insulin production, and adequacy. There is a standard range for insulin production by a healthy individual (read that as fully working pancreas and no Insulin Resistance). If your insulin production is tested, for example using a C-peptide test, then the medical team have a value for how much insulin you are producing. "Virtually none" suggests a T1 diabetic where the pancreas has failed. Normal or high suggests a T2 diabetic. "Not enough" is in fact glaringly obvious (but can be confusing). If you have high blood sugar levels then you are not producing enough insulin to keep your blood sugar levels under control. However there can be at least three reasons for "not producing enough". [Please note that this is simplified, and aimed at initial diagnosis.] [LIST=1] [*]Your pancreas is failing/has failed and you are T1 [*]Your pancreas is producing normal amounts of insulin but you are Insulin Resistant [*]You pancreas is producing huge amounts of insulin but you are very, very Insulin Resistant [/LIST] In all three cases, if your BG is really out of control you may be prescribed insulin because, as you say, you are not producing enough to get your BG back down to normal. High BG levels are not good. OK - the indications are that you have been tested and found not to be T1, although your BG control was so bad (and your ketones were up) that you were initially diagnosed as T1. So we can guess that you are producing insulin but are Insulin Resistant. In the longer term you may be able to stop taking insulin if you reduce your insulin resistance enough that your own insulin is able to control your BG levels. Plenty of people on the site have achieved this. The first step is usually to cut out virtually all carbohydrates because these are the main source of blood sugar in most people. The second step it to work on the IR. One of the things Metformin does is help reduce IR. As others have said, we do not give medical advice. However you have been diagnosed in a fairly drastic way - high BG and ketones at 4 or higher - which makes you at a lot more short term risk than may others (such as myself) who were diagnosed through high BG and weight loss but weren't in the range which presented as typically T1. If I were you I would listen to your medical team and take the insulin as prescribed, and work on identifying lifestyle changes which may help you come off the insulin in the medium term. I think you may be falling into the trap of many newly diagnosed and trying to "fix it now!" when you might be better advised to take it slowly and gently and spend time reading and learning about the condition before tinkering with the treatment. Above all, [B][I]Don't Panic[/I][/B] and take things gently, a little bit at a time. [/QUOTE]
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