Language is indeed extremely important. Given what you have said I should have kowtowed to the practice nurse on diagnosis and taken the insulin she was going to foist on me. With a diagnostic A1c of 98 for her it was a no brainer, for me it meant some hard choices but those choices led to a recent non Diabetic A1c. Never take away hope because you stymie any incentive.Statements have a clear context:
"I was borderline, and these are the changes I made. Lost: 15kg (>2 stone) in 2 months. Cycled last year: 2,000 miles; 150,000ft elevation (5 x Everest). I'm fairly careful what I eat, but not overly so now, and have an A1c of 5.3% (34.4)"
was clearly indicating that lifestyle changes can lead to radical improvements.
If you actually want to help people, then a simple, 'tends to be progressive' correction (or whatever with perhaps a link to a peer reviewed study indicating that this is the case), rather than being unhelpfully snarky would make your comments carry some weight.
According to the study I posted which was on human pancreatic cells when restored to a normal environment either a lack of fatty acids that induced the T2 or hyperglycaemia they reverted back to beta cells rapidly so it makes me wonder.This last one, dedifferentiation, is interesting. Cells have evolved to preserve themselves. So beta cells it seems can turn into other cells, so there is a question of whether they can turn back into beta-cells again. A lot of research is ongoing in this area.
That is fantastic though, I really hope it goes well and keep us posted okay? Rooting for you!I'm taking part in this Diabetes research at Exeter University. I'm glad to see that they have made some progress!
In December 2017 my insulin production was in the lower part of normal and my fasting BG was elevated so I had (I think moderate) insulin resistance.
So I am not awash with insulin.
I assume that my Beta cells aren't producing well, or that some other part of the mechanism which controls the release of glucose into the blood stream and the release of insulin to manage it isn't working.
At 6 foot tall and a weight wavering around 12 stone and a 35" waist I should be within the OK range.
Getting more weight off is a constant battle.
How are your blood sugars now? Have you managed to increase insulin sensitivity?....at 6 foot you wouldnt really want to lose more weight as it can be unhealthy,
Prof Roy Taylor told me that the aim should be to have the weight and waist measurement you had in your late teens and early 20s.
Struggling with BG control at the moment.
With a gentle nod to BMI I am still above the middle of "normal" range so not anywhere near dangerously under weight.
My waist veers between 35" and 36" so that is right at the top of the advisable range and I could do with losing some visceral fat to give my internal organs some breathing room. This may be one factor in me developing T2.
Prof Roy Taylor told me that the aim should be to have the weight and waist measurement you had in your late teens and early 20s.
For me that would be 11 stone 7 lbs and a 32" waist.
The only way I am likely to get near that is on a short term starvation diet.
I too agree with the idea. I used to have flat tummy and no bloating. I now have bulgy tummy and bloating even after achieving my early 20's weight.I also subscribe to this idea. I dislike the notion of the “middle aged spread” as though it’s normal for people to become rotund and podgy just because they’re getting older. It may be “normal” but that doesn’t mean it’s ok. It’s only normal because it’s normal for people to spend their life eating bad ‘food’.
Only in my opinion, of course.
What were your fasting insulin and fasting BG then?In December 2017 my insulin production was in the lower part of normal and my fasting BG was elevated so I had (I think moderate) insulin resistance.
and that the beta cells can regenerate once the fat is gone if I understand right. I know I had fatty liver. Just got bloodwork done last week, and my liver enzymes have returned to normal. Wonder if pancreas takes similar path as liver?
What were your fasting insulin and fasting BG then?
What is fatty liver? can someone who is underweight all the time and has flat stomach (assuming he has no visceral fat) have fatty liver? My brother who is 175 cm (5' 9") and weighs 54 kg (8 and a half stones) is type 2 or at least prediabetic, fasting BG >120 (6.7) and his total cholesterol level is 7.4
It is possible to be lean and have fatty liver, either through alcohol or lack of adipose tissue to store subcutaneous fat but visceral forms quickly. You’re right on the money there, it only takes a little bit of a loss to make a big difference to visceral fat around organs.Someone else can probably explain it better, but essentially there is too much fat in the liver. Your liver enzymes (via blood test) will be elevated. Good news is it can be remedied quickly with weight loss usually. Pancreas supposedly takes longer. Not sure on your brother since it doesn't sound like he is overweight. Losing body fat overall allows you to lose the liver fat. Again, perhaps someone else can explain better.
Struggling with BG control at the moment.
With a gentle nod to BMI I am still above the middle of "normal" range so not anywhere near dangerously under weight.
My waist veers between 35" and 36" so that is right at the top of the advisable range and I could do with losing some visceral fat to give my internal organs some breathing room. This may be one factor in me developing T2.
Prof Roy Taylor told me that the aim should be to have the weight and waist measurement you had in your late teens and early 20s.
For me that would be 11 stone 7 lbs and a 32" waist.
The only way I am likely to get near that is on a short term starvation diet.
You can reduce the waist without losing overall weight if you do strength training to built up muscle. That is a double benefit for glucose regulation.
Less visceral fat improves insulin resistance and more muscle to take up more sugar.
Some people in their fifties and sixties weigh the same as the their twenties but with a much larger waist and much less muscle. BMI and the scale can be misleading.
Thank you, in my calculation your homa ir is 2.53 as i divide your FBG x FI by 22.5Fasting BG was 7.94 mmol/L
Fasting insulin was 7.17 mIU/L
Insulin Resistance Index was 2.28
What kind of side effects? I used to take Simvastatin, but it gave me unusual tiredness and weakness, so I changed to Atorvastatin and have no problem so farPravastatin 40mg for the cholesterol now discontinued due to side effects.
Thank you, in my calculation your homa ir is 2.53 as i divide your FBG x FI by 22.5
https://en.wikipedia.org/wiki/Homeostatic_model_assessment , but you seemed to divide it by 25, where did you get that equation from?
What kind of side effects? I used to take Simvastatin, but it gave me unusual tiredness and weakness, so I changed to Atorvastatin and have no problem so far
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