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Diabetes: Have We Got It All Wrong? (T2D)

Discussion in 'Diabetes Discussions' started by kokhongw, Oct 1, 2019.

  1. kokhongw

    kokhongw I reversed my Type 2 · Well-Known Member

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  2. millenium

    millenium Carer · Well-Known Member

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    Who is treating Diabetes T2 by injecting insulin?
     
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  3. Jim Lahey

    Jim Lahey I reversed my Type 2 · Well-Known Member

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  4. EllieM

    EllieM Type 1 · Well-Known Member

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    It's the last treatment available after drugs have failed to normalise blood sugars. And given the article, I'm guessing that gliclazide is not that great an idea either, since it acts by increasing the amount of insulin produced by the pancreas....

    I wonder if there are drugs available to reduce insulin production? (Oh wait, there's a diet called low carb. :))
     
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  5. DavidGrahamJones

    DavidGrahamJones Type 2 · Well-Known Member

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    Before his passing away my father was an insulin dependent type II diabetic. I have a cousin who is type II and insulin dependent. Neither ever tried lowering their carb intake, quite the opposite. Not sure if it's relevant, but ....
     
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  6. Brunneria

    Brunneria Other · Moderator
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    In many parts of the world prescribing insulin injections to T2s is the next step after a progression of T2 drugs have ceased to be effective, and the condition has progressed far enough.
     
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  7. KK123

    KK123 Type 1 · Well-Known Member

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    Lots of people.
     
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  8. bulkbiker

    bulkbiker Type 2 · Oracle

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    Treating the symptoms of T2 without addressing the root cause.. might be a more accurate way of looking at it?
     
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  9. JohnEGreen

    JohnEGreen Other · Master

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    What do you mean we kemosabe. :)
     
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  10. kokhongw

    kokhongw I reversed my Type 2 · Well-Known Member

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    It is notable that it was actually published in ADA's journal in DEC 2012... almost 7 years ago...so the "We" refers to ADA :D


    And many continue to pretend that Hyperinsulinemia doesn't have any clinical significance... and carbs reduction, insulin lowering strategy is the latest unsustainable fad...
    But here... we know better...
     
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    #10 kokhongw, Oct 1, 2019 at 9:54 AM
    Last edited: Oct 2, 2019
  11. Jim Lahey

    Jim Lahey I reversed my Type 2 · Well-Known Member

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    I’d go one step further and say exasperating the root cause. The exception being if the patient has reached late stage, has completely nuked their pancreas and is now underproducing. But let’s be honest, the majority never seem to undergo insulin profiling anyway. Pretty sure my doctor doesn’t even know what it is. And no I’m not joking.
     
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  12. satindoll

    satindoll Type 2 · Well-Known Member

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    I may be in the minority here but I take insulin not out of choice but because I need to.......I low carb to keep my insulin needs as small as possible and I would love to ditch it were it possible but for me and many others its as much of a dream as it is for t1's.
     
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    #12 satindoll, Oct 1, 2019 at 11:00 AM
    Last edited: Oct 1, 2019
  13. millenium

    millenium Carer · Well-Known Member

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    Oh I see. When T2 seems to be reaching a full blown stage.

    This is a very interesting thread. I need to go thru that paper a few more times as I still do not understand that specific operation procedure mentioned inside after reading it the first time.
     
  14. millenium

    millenium Carer · Well-Known Member

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    https://www.bariatric-surgery-source.com/laparoscopic-gastric-bypass-surgery.html

    This procedure involved reducing the stomach size and the upper sections of the small intestines. The patient will lose quite a bit of bodyweight because the shortened digestive system will absorb much less nutrients and calories. Patient will also be advised to eat a lesser and taking certain supplements. With lesser carb from such a diet and greatly reduced body weight, it is not surprising that body will secrete lesser insulin and insulin resistance will be reduced.

    I have not have time to examine the biochemistry in the paper yet.
     
  15. JohnEGreen

    JohnEGreen Other · Master

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    Oh I though you meant the Royal We as in the" we are not amused we" , well I any way have no connection with the ADA so again I say what do you mean we kemosabe :)
     
  16. ianf0ster

    ianf0ster Type 2 · Well-Known Member

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    I note that the conclusion was suggesting Gastric Bypass instead of Insulin.
    I recall that a South African Gastric Bypass surgeon (working in the USA) has said that in the average patient, a Gastric Bypass gives the patient a 6month to 1 year window to implement lifestyle changes before they usually start to find ways around the bypass.
    So surgery is not a permanent solution on its own, but a lifestyle change such as LCHF + exercise is !
     
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  17. Tophat1900

    Tophat1900 Type 3c · Well-Known Member

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    I had a feeling I wasn't producing enough insulin anymore, so I went to my gp and asked to check my c-peptide. He had no idea what a c-peptide test was.... that pretty much sums up the level of knowledge and experience that can be encountered at the local gp level. Part of why I asked for a referral for an endo after that.
     
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  18. HSSS

    HSSS Type 2 · Well-Known Member

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    In which case if a type2’s own supply of insulin has ceased then Hyperinsulinemia is not (or no longer) the issue and as you say insulin is now a requirement. As a type 2 on insulin though, unlike most type 1, insulin resistance may remain a problem.

    Whilst the above is undoubtedly true for some type 2 on insulin sadly there’s probably a lot out there who are still overproducing their own. Without testing it’s guesswork who is who.
     
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  19. Lamont D

    Lamont D Reactive hypoglycemia · Master

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    The viscous circle of glucose derived from carbs, sugars, high glucose, high insulin production, higher insulin resistance, and even higher circulating insulin that is so bad for us (hyperinsulinaemia), symptoms, more carbs and so on for years will progress from, prediabetes, weight gain, more symptoms! More carbs, less initial insulin response, more Hyperglycaemia, more insulin resistance and the viscous circle continues.
    Glicizide and gliptins work to stimulate the initial insulin response, because of the insulin resistance, so that the actual spike is lower than usual and keeps the blood sugar levels lower after food. This helps management of blood sugar levels, and helps with overall capacity to lower blood sugar levels.
    But as we all know, a reduction in carbs at the prediabetic stage will prevent going T2.
    Even those who are T2, will have better control with LCHF!

    Hyperinsulinaemia, and insulin resistance is one of the major causes of diabetes!


    I would have not had to go through all my battles of diagnosis, if my surgery tested my insulin levels early this century and possibly saved the NHS a lot of time and money!
     
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  20. TriciaWs

    TriciaWs Type 2 (in remission!) · Well-Known Member

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    One of my T2 friends get insulin to inject
    :(
     
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