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Type 2 Diabetes
How to improve insulin resistance without exercise
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<blockquote data-quote="HSSS" data-source="post: 2633195" data-attributes="member: 480869"><p>If you try lowering carbs further eg keto and you are on fixed insulin doses you’ll need to be taught how to self adjust them to match your changing needs or the dr will need to do so, probably very soon after you start. It can change very fast so monitor closely to avoid hypos and be ready to treat.</p><p></p><p>Adding more and more insulin to a resistant body that is already awash in it might temporarily reduce blood glucose but in the longer term just makes the IR worse as you’re finding. Insulin (imo) should be for those who can’t make it as normal non diabetics do (as a fact not an assumption) or as a short term measure to avoid dangerous highs whilst the actual problem is addressed. Too often ”not enough” is actually meaning “despite there being loads it’s still not enough to overcome huge insulin resistance”. Has your insulin production ever been checked with a cpeptide? If there’s normal/high levels diet can make a massive difference. If it’s actually low/non existent then you need the help even if you are resistant too.</p><p></p><p>Why does the dietician think you need more - glucose raising - carbs? Can they explain it? What do they think will happen if you ate less not more?</p></blockquote><p></p>
[QUOTE="HSSS, post: 2633195, member: 480869"] If you try lowering carbs further eg keto and you are on fixed insulin doses you’ll need to be taught how to self adjust them to match your changing needs or the dr will need to do so, probably very soon after you start. It can change very fast so monitor closely to avoid hypos and be ready to treat. Adding more and more insulin to a resistant body that is already awash in it might temporarily reduce blood glucose but in the longer term just makes the IR worse as you’re finding. Insulin (imo) should be for those who can’t make it as normal non diabetics do (as a fact not an assumption) or as a short term measure to avoid dangerous highs whilst the actual problem is addressed. Too often ”not enough” is actually meaning “despite there being loads it’s still not enough to overcome huge insulin resistance”. Has your insulin production ever been checked with a cpeptide? If there’s normal/high levels diet can make a massive difference. If it’s actually low/non existent then you need the help even if you are resistant too. Why does the dietician think you need more - glucose raising - carbs? Can they explain it? What do they think will happen if you ate less not more? [/QUOTE]
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