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Type 2 Diabetes
Insulin making me fatter? :-(
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<blockquote data-quote="kokhongw" data-source="post: 1481315" data-attributes="member: 277199"><p><img src="http://www.ejinme.com/cms/attachment/2000916981/2003181255/gr2.jpg" alt="" class="fr-fic fr-dii fr-draggable " style="" /></p><p>This graph helps to give some perspective.</p><p>Chart from (<a href="http://www.ejinme.com/article/S0953-6205(09)00098-3/fulltext" target="_blank">http://www.ejinme.com/article/S0953-6205(09)00098-3/fulltext</a>)</p><p></p><p>Most of us T2D have much higher levels of circulating insulin levels. Even for a number of years after diagnosis. Yet the high levels of insulin is unable to normalize our glucose level...if we continue with daily high carbs intake. Significantly reducing carbs intake will reduce the amount of insulin required to maintain a stable glucose level and allow more fats utilization. Then it generally becomes easier to achieve waist loss...not necessarily weight loss.</p><p></p><p>Focusing on normalizing glucose/insulin back to the earlier years in the chart eg -5 or -10. when postmeal and fasting glucose levels are below 125mg/dl ~ 7 mmol, approacing 100mg/dl~ 5 mmol...is the goal of T2D reversal. Then we would possibly give our overworked pancreas a few good years of rest and recovery.</p><p></p><p>Temporary insulin use would also help to provide short term relieve for the pancreas. But would not be as helpful as a combination of carbs/calorie reduction.</p><p></p><p>Dr Jason Fung's journey is a good starting read for his success in treating obesity related T2D</p><p><a href="https://intensivedietarymanagement.com/my-journey/" target="_blank">https://intensivedietarymanagement.com/my-journey/</a></p><p></p><p></p><p>Plus his view on surgery</p><p><a href="https://intensivedietarymanagement.com/bariatrics-surgically-enforced-fasting-t2d-6/" target="_blank">https://intensivedietarymanagement.com/bariatrics-surgically-enforced-fasting-t2d-6/</a></p><p>[SPOILER]So here’s the bottom line. Bariatric surgery has many proven benefits. Multiple studies show a short term benefit, although long term, it is more questionable. Weight loss and T2D are successfully reversed in the short term. <em>But it’s not necessary</em>. Imagine this. Bariatrics without surgical post operative complications. Without cost. Without the need for expensive hospitals or surgical equipment. Without the need for specially trained surgeons. You can simply do ‘medical’ bariatrics – or bariatrics without the surgery – fasting.[/SPOILER]</p><p></p><p>Note however that any significant carbs reduction may require adjustments in your insulin/medication dosage adjustments and would be best done with the agreement/guidance of your healthcare provider.</p></blockquote><p></p>
[QUOTE="kokhongw, post: 1481315, member: 277199"] [IMG]http://www.ejinme.com/cms/attachment/2000916981/2003181255/gr2.jpg[/IMG] This graph helps to give some perspective. Chart from ([URL]http://www.ejinme.com/article/S0953-6205(09)00098-3/fulltext[/URL]) Most of us T2D have much higher levels of circulating insulin levels. Even for a number of years after diagnosis. Yet the high levels of insulin is unable to normalize our glucose level...if we continue with daily high carbs intake. Significantly reducing carbs intake will reduce the amount of insulin required to maintain a stable glucose level and allow more fats utilization. Then it generally becomes easier to achieve waist loss...not necessarily weight loss. Focusing on normalizing glucose/insulin back to the earlier years in the chart eg -5 or -10. when postmeal and fasting glucose levels are below 125mg/dl ~ 7 mmol, approacing 100mg/dl~ 5 mmol...is the goal of T2D reversal. Then we would possibly give our overworked pancreas a few good years of rest and recovery. Temporary insulin use would also help to provide short term relieve for the pancreas. But would not be as helpful as a combination of carbs/calorie reduction. Dr Jason Fung's journey is a good starting read for his success in treating obesity related T2D [URL]https://intensivedietarymanagement.com/my-journey/[/URL] Plus his view on surgery [URL]https://intensivedietarymanagement.com/bariatrics-surgically-enforced-fasting-t2d-6/[/URL] [SPOILER]So here’s the bottom line. Bariatric surgery has many proven benefits. Multiple studies show a short term benefit, although long term, it is more questionable. Weight loss and T2D are successfully reversed in the short term. [I]But it’s not necessary[/I]. Imagine this. Bariatrics without surgical post operative complications. Without cost. Without the need for expensive hospitals or surgical equipment. Without the need for specially trained surgeons. You can simply do ‘medical’ bariatrics – or bariatrics without the surgery – fasting.[/SPOILER] Note however that any significant carbs reduction may require adjustments in your insulin/medication dosage adjustments and would be best done with the agreement/guidance of your healthcare provider. [/QUOTE]
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