- Messages
- 775
- Type of diabetes
- Type 2
- Treatment type
- Diet only
So I decided to take advantage of private medical insurance to get to see a consultant having been newly diagnosed.
So a couple of things before I start - I am not judging his opinions no matter how I feel about them. He is a professional with 30 years experience and having seen thousands of patience and is well qualified to say what he said. I had my list of question so off we went. Doesn't make me consider that they might not be right for me and annoy me somewhat.
Firstly - good news BP 130/80 and I suffer massively from white coat syndrome so brilliant. Heart in good shape - no thyroid problems visible and a full foot test revealed no problems their either. So all good. Pleased with my weight loss - didn't want me to continue to lose at that rate though - and this was the first warning sign when he said the faster you lose it the quicker you put it all back on. I thought that theory had been kicked into touch?
Q1 - Can we measure how much Insulin I am producing?
Long discussion about T2s being diagnosed really late, that 50% of beta cell production lost. Then no. No point in testing doesn't change treatment.
Q2 - Can we measure my insulin resistance.
Long discussion about what resistance is and how complex the test was (I might have mixed the tests up with Q1). Then no. No point in doing the testing doesn't change treatment.
Q3 - Can we do a liver scan to look how fatty it is - and here I drifted into Newcastle diet, clearing liver than pancreatic fat.
Long conversation about Newcastle diet. Not a fan, it is a bit of a myth, all you do is shift the issue right - cannot sustain that diet and possibly not that weight - you will be back to square one quite quickly. Long term weight lose and a low fat diet are much healthier ways of achieving the same thing but it will still progress to a point you need multiple medication.
When I pressed him on the 8weeks to clear both he said - well you know you read about those people who have surgery and that cures it for a very short time before it is back. And no long term studies to support any of these clear the fat theory at all. I did point out that I was willing to try new things given that I probably couldn't wait for 30 year case studies to show in fact they were right!
I showed him some of my graphs of how I react to carbs the 2mmol peek and slow decline from very small amounts of carbs.
Why are you worried - if it peeks at 10 that is ok as long as you HBA1C gets down to about 50 you can avoid long term complications. What you have is progressive and at some point you will need a combination of drugs including insulin to control it. Indeed he went on, and not that I am suggesting it, you probably should of gone straight onto insulin given your original HBA1C was over 95. When I said I wake up sometimes in the hot weather with a BG of 6.5 he said that was still very good - what am I worried about. And he would not even entertain it when I talked about a 2mmol or more increase to 6.5. going on for 2 hours or more might cause long term damage. HBA1C is your best measure - aim for the 50-60... BTW I know that any number below my original diagnosis is good - but there seemed to be a bit of a don't worry about trying to get it down attitude. When I said I ate just a few carbs a day - less than 20 - he said it isn't the carbs but the GI and I should eat more and let my BGs go up after a meal.
I will not carry on - emphatic no to every question that didn't fit with current guidelines which he was a strong advocate of.
Very disappointed - was looking for a good chat about apple cider vinegar and cinnamon - Yoga.
I did challenge him and asked whether he had heard of Dr Jason Fung and he didn't seem to want to discuss that particularly when I said that he said that " Diabetes being described as a chronic progressive disease is a lie". I think that kind off ended my meeting. You wouldn't believe I had to pay for that. And when he said I should go on the Desmond training...
As I say - I realise he may know best in general - but I think I know best for me and my body and am still considering going it alone on Newcastle diet later this year. Until then LCHF to control and reduce BG!
So a couple of things before I start - I am not judging his opinions no matter how I feel about them. He is a professional with 30 years experience and having seen thousands of patience and is well qualified to say what he said. I had my list of question so off we went. Doesn't make me consider that they might not be right for me and annoy me somewhat.
Firstly - good news BP 130/80 and I suffer massively from white coat syndrome so brilliant. Heart in good shape - no thyroid problems visible and a full foot test revealed no problems their either. So all good. Pleased with my weight loss - didn't want me to continue to lose at that rate though - and this was the first warning sign when he said the faster you lose it the quicker you put it all back on. I thought that theory had been kicked into touch?
Q1 - Can we measure how much Insulin I am producing?
Long discussion about T2s being diagnosed really late, that 50% of beta cell production lost. Then no. No point in testing doesn't change treatment.
Q2 - Can we measure my insulin resistance.
Long discussion about what resistance is and how complex the test was (I might have mixed the tests up with Q1). Then no. No point in doing the testing doesn't change treatment.
Q3 - Can we do a liver scan to look how fatty it is - and here I drifted into Newcastle diet, clearing liver than pancreatic fat.
Long conversation about Newcastle diet. Not a fan, it is a bit of a myth, all you do is shift the issue right - cannot sustain that diet and possibly not that weight - you will be back to square one quite quickly. Long term weight lose and a low fat diet are much healthier ways of achieving the same thing but it will still progress to a point you need multiple medication.
When I pressed him on the 8weeks to clear both he said - well you know you read about those people who have surgery and that cures it for a very short time before it is back. And no long term studies to support any of these clear the fat theory at all. I did point out that I was willing to try new things given that I probably couldn't wait for 30 year case studies to show in fact they were right!
I showed him some of my graphs of how I react to carbs the 2mmol peek and slow decline from very small amounts of carbs.
Why are you worried - if it peeks at 10 that is ok as long as you HBA1C gets down to about 50 you can avoid long term complications. What you have is progressive and at some point you will need a combination of drugs including insulin to control it. Indeed he went on, and not that I am suggesting it, you probably should of gone straight onto insulin given your original HBA1C was over 95. When I said I wake up sometimes in the hot weather with a BG of 6.5 he said that was still very good - what am I worried about. And he would not even entertain it when I talked about a 2mmol or more increase to 6.5. going on for 2 hours or more might cause long term damage. HBA1C is your best measure - aim for the 50-60... BTW I know that any number below my original diagnosis is good - but there seemed to be a bit of a don't worry about trying to get it down attitude. When I said I ate just a few carbs a day - less than 20 - he said it isn't the carbs but the GI and I should eat more and let my BGs go up after a meal.
I will not carry on - emphatic no to every question that didn't fit with current guidelines which he was a strong advocate of.
Very disappointed - was looking for a good chat about apple cider vinegar and cinnamon - Yoga.
I did challenge him and asked whether he had heard of Dr Jason Fung and he didn't seem to want to discuss that particularly when I said that he said that " Diabetes being described as a chronic progressive disease is a lie". I think that kind off ended my meeting. You wouldn't believe I had to pay for that. And when he said I should go on the Desmond training...
As I say - I realise he may know best in general - but I think I know best for me and my body and am still considering going it alone on Newcastle diet later this year. Until then LCHF to control and reduce BG!