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Is my medicine controlling my peak?
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<blockquote data-quote="JoKalsbeek" data-source="post: 2454992" data-attributes="member: 401801"><p>Never apologise for asking questions, it's the only way to learn!</p><p></p><p>A type 2 usually has plenty of insulin going around. There's so much of it we become insensitive to it, so adding more insulin in the mix isn't exactly helpful, more often than not. The more you put in, the more insensitive one becomes, so it just makes the problem exponentially worse. Every carby meal triggers an insulin response. And you want to inject even more in there? It could work for a bit, yes, but if you need, say 10 units now to cover a meal, you could be looking at 100 units a few years from now, as your sensitivity to insulin isn't improving. Just getting worse and worse. Now, if someone's on medication for another condition that drives blood sugars up, they might not have much of a choice but to inject ten, twenty or hundreds of extra units a day, or are a T1 variant with resistance in the mix or... That would be a solution when it's a complicated issue with no other workable options. But if you can avoid it... More insulin would also mean more weight gain, for instance. (Also, your beta cells don't process insulin, they make it.). It'd basically be fuel to an already raging forest fire. </p><p></p><p>So what you're saying, why people aren't taking insulin to cover their carbs..? That's what T1's do. They count their carbs, and cover for them with a bolus. (There's also the background insulin which is their basal). But they don't produce any insulin. You've got lots. There lies the rub.</p><p></p><p>The issue is solved easily enough by adjusting your diet, but it's sounding a bit like you're not willing to do that? Because if not, then you'll just keep consuming carbs, worsening your insulin resistance, and require more medication along the way. With complications down the road, if you're not suffering those already. Diet isn't the only option you have, but it is, in my personal opinion, the best one. If you don't feel like you can tolerate a diet change (I'd take my eggs with bacon, ham, cheese, and roast beef over bread with beans any day though!), you'll have to discuss a medication change with your doc, most likely, because your meals and your meds right now, don't match. And yes, that could mean you'll be put on insulin, just keep in mind you'll have to adjust your dosage as the years pass. </p><p></p><p>You do have options. You might want to read the Diabetes Code by Dr. Jason Fung. Though it does advocate a different way of eating, it also explains exactly what goes on in a T2... And it sounds like these are things you're wondering about. Ignore the diet bit if you like, but I think you'll find the T2 dynamics fascinating.</p></blockquote><p></p>
[QUOTE="JoKalsbeek, post: 2454992, member: 401801"] Never apologise for asking questions, it's the only way to learn! A type 2 usually has plenty of insulin going around. There's so much of it we become insensitive to it, so adding more insulin in the mix isn't exactly helpful, more often than not. The more you put in, the more insensitive one becomes, so it just makes the problem exponentially worse. Every carby meal triggers an insulin response. And you want to inject even more in there? It could work for a bit, yes, but if you need, say 10 units now to cover a meal, you could be looking at 100 units a few years from now, as your sensitivity to insulin isn't improving. Just getting worse and worse. Now, if someone's on medication for another condition that drives blood sugars up, they might not have much of a choice but to inject ten, twenty or hundreds of extra units a day, or are a T1 variant with resistance in the mix or... That would be a solution when it's a complicated issue with no other workable options. But if you can avoid it... More insulin would also mean more weight gain, for instance. (Also, your beta cells don't process insulin, they make it.). It'd basically be fuel to an already raging forest fire. So what you're saying, why people aren't taking insulin to cover their carbs..? That's what T1's do. They count their carbs, and cover for them with a bolus. (There's also the background insulin which is their basal). But they don't produce any insulin. You've got lots. There lies the rub. The issue is solved easily enough by adjusting your diet, but it's sounding a bit like you're not willing to do that? Because if not, then you'll just keep consuming carbs, worsening your insulin resistance, and require more medication along the way. With complications down the road, if you're not suffering those already. Diet isn't the only option you have, but it is, in my personal opinion, the best one. If you don't feel like you can tolerate a diet change (I'd take my eggs with bacon, ham, cheese, and roast beef over bread with beans any day though!), you'll have to discuss a medication change with your doc, most likely, because your meals and your meds right now, don't match. And yes, that could mean you'll be put on insulin, just keep in mind you'll have to adjust your dosage as the years pass. You do have options. You might want to read the Diabetes Code by Dr. Jason Fung. Though it does advocate a different way of eating, it also explains exactly what goes on in a T2... And it sounds like these are things you're wondering about. Ignore the diet bit if you like, but I think you'll find the T2 dynamics fascinating. [/QUOTE]
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