I don't think they can accept that some of us are an enigma. Cannot find a category for us to fit so can't accept there are not enough categories. Or even that something so complex cannot be quantified.Yep I've been regarded as a BFL too. It makes me so very angry. I know that I don't cheat. I know that I write down everything I eat when I'm doing a food diary. Aaaarrrggghhhh how dare they?
That she is 100% certain that you are diabetic that is you have the disease called diabetes just as I do .So when the healthcare practitioner says "I am 100% certain you are diabetic" (word for word what was said to me). What does she actually mean?
And this is far less important if we can link that evaluation to some sensory based evidence isn't it? Otherwise we might consider it to be a rather meaningless word. So what is the sensory based evidence the doctor is using to evaluate someone as diabetic?She of course does not know the complex set of physiological factors that have caused it as neither do I or you.
what do you mean by 'sensory based evidence'? its not a term i am familiar with in this context.And this is far less important if we can link that evaluation to some sensory based evidence isn't it? Otherwise we might consider it to be a rather meaningless word. So what is the sensory based evidence the doctor is using to evaluate someone as diabetic?
Something that can be observed either directly via our own senses or a signal that can be amplified using something with better limits of detection such as a laboratory instrument - as is the case with a blood test.what do you mean by 'sensory based evidence'?
Please tell me what an OGTT is. Thanks.I don't want to rain on your parade but it sounds to me like you have achieved what lots of other diabetics have and that is good blood sugar control, which is a world away from a cure.
My fasting blood sugar is consistently in the 4s and under 6 post meal but that's because I'm very careful what I eat: if I'm not it shoots up. Therefore, I consider myself well controlled and certainly not cured.
Have you passed an OGTT since your "cure"?
Please tell me what an OGTT is. Thanks.
When were you diagnosed? I live in WA as well and the only tests done when I was diagnosed were 2 fasting BG's, OGTT and A1c. No mention was ever made of GAD or c-peptide.Here they do not make the diagnosis that you have diabetes without running the hbA1c test, GAD test, and c-peptide test. From the results of these tests they determine whether or not you have impaired glucose. If not normal, then do you have an auto-immune response as well?, and what is the state of your insulin production? This determines the type of diabetes you have.
When were you diagnosed? I live in WA as well and the only tests done when I was diagnosed were 2 fasting BG's, OGTT and A1c. No mention was ever made of GAD or c-peptide.
I guess things have changed now that the Type 2 epidemic is in full swing. I saw an endo twice, but it was more about the concurrent hypothyroid diagnosis than the Type 2.I was diagnosed in 1998. I had the 3 tests mentioned at the time, and since I've had them done a couple of times. I've been seeing an endocrinologist most of the time.
I guess things have changed now that the Type 2 epidemic is in full swing. I saw an endo twice, but it was more about the concurrent hypothyroid diagnosis than the Type 2.
When were you diagnosed? I live in WA as well and the only tests done when I was diagnosed were 2 fasting BG's, OGTT and A1c. No mention was ever made of GAD or c-peptide.
Sounds like you are lucky enough to have a very good/proactive GPI was going to add too I was told by the GP at the time I had to be referred to an endocrinologist for a diagnosis about what type of diabetes I have. It's strange they're no longer doing that. How on earth would they know what type you have? They can't tell for sure without the GAD and c-peptide tests being done. Actually come to think of it I get the exact same response from my GP in regard to any other diagnosis I've got. Just about all of my conditions have been diagnosed by a specialist. I've been referred to various specialists for diagnosis over the years. My GP just makes a guess what he thinks it is and says I have to refer you to x specialist for diagnosis. Endocrinologists consult to the diabetic clinics here which is where I go to see one. My current endocrinologist I've had for 10 years now and he's very good.
And I am willing to bet that the diet described is a VERY DIFFERENT one from his pre diagnosis diet.
-it is still low carb compared with the majority of Western eaters, and the Standard American Diet. Rye bread is very different from wheat bread. Muesli is very different from cereal. 50g of brown rice is a far cry from typical white rice portions. Touting margarine as a healthy diet choice boggles my mind. And he is on 1750 calories a day, suggesting that the poor guy is calorie counting as a permanent feature (RDA for the average male is around 2,500 calories, so he is in major deficit on a daily basis, to maintain his 'success').
I don't find the word 'cured' appropriate to describe his lifestyle. The words 'ongoing major lifestyle changes allowing continued control' are a better fit.
Very glad he has made the progress he has, and the weight loss and improved health is great. But I would rather stay a well controlled T2 (which I have achieved without the misery of a VLC diet, and by eating great food, in comfortably satisfying portions, without calorie counting or eating Frankenfood margarine) than put myself through his diet and then face a life of margarine smeared on rye bread and fat free yoghurt.
So inspiring this post, and shows you do not have to a follow a lowcarb diet for life if you do not want too, some people may want too and they should be allowed to this if they insist, but they should also know that there is another way!Holds up his hands and still an HbA1c of 33. I eat what and when I want and that includes bags of liquorice, jelly beans, mints, dried apricots, dates, figs, oat and honey cake with strawberry icing (yesterday's delight) shop cookies etc
This is why I used to get upset with all the nay sayers but now I let it wash over me. I know what my body is capable of again and that is all that matters to me. Will it stay like this, I doubt it as when I age I am sure it will start to pack up again but until that point I will push it as much as I want
I completely agree with your message. As a newbie myself, I joined the forum in a state of shock and must admit if I had seen the advice from the initial post in this thread I would have tried to follow it as I am desperate to control my diabetes and not go on meds. However, I have spent hours reading the posts from people on here and they have been so very informative and motivational that I calmed down slightly after the shock and looked into the LCHF lifestyle and exercise (exercise avoider for over 20 years!). I now do a strict low carb food regime and so far for the past three weeks have been to the gym to do cardio every weekday (I have a lot of weight to lose and need to get a head start before going back to work and working around shifts). My fasting BG has come down from 9.3 to 5.5. I keep a food diary and test before and two hours after meals to try and find out my spiking triggers (naan bread - cant even save that now as a treat). I know I am possibly still in the 'honeymoon stage' of my diagnosis and the lower results but it is very motivating. Thank you to all the lovely people who post on here.
Exactly.
I view diabetes and reversal a bit like breaking your leg.
Bend your leg far enough in the wrong direction, it breaks.
Then when you get it plastered, rest, remove the cast, a bit of physio, it's completely healed, and no longer broken.
It doesn't mean if your bend it in the wrong direction again, in exactly the same way, exactly the same thing won't happen again.
Some people don't heal properly though, others do.
At to being fat causing diabetes, it did for me as well, so no, I don't in tend to overeat again.
I intend to not repeat the mistake of the past, I changed my eating habits, to simply eat less food.
A VLCD isn't misery to a lot of us.
I'd say it means your sugar is not in normal range.
A non diabetic would have sugar in the normal range and would not have an impaired glucose tolerance result (OGTT). Here they do not make the diagnosis that you have diabetes without running the hbA1c test, GAD test, and c-peptide test. From the results of these tests they determine whether or not you have impaired glucose. If not normal, then do you have an auto-immune response as well?, and what is the state of your insulin production? This determines the type of diabetes you have.
If you are saying a doctor can say you're not diabetic suddenly, then they're only looking at the hbA1c result which covers the past 60 days. Now I think I read somewhere here about docs there using the 6 month normal hbA1c rule? If that is the case that is only about 3 hbA1c's and anyone can get a good BGL results in that period. Whether or not you stay there in normal range is another matter. I wouldn't think that would class you as non diabetic in itself. I would think you'd need a longer period and proof you can do whatever you want and pass a OGTT no problem.
So in answer to your question I don't think a doctor could technically say you're non diabetic either once they establish you have impaired glucose tolerance and higher than normal range for sugar. A non diabetic doesn't have high sugar as their insulin is used correctly.
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