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Type 1 Liver

Discussion in 'Ask A Question' started by SueJB, Nov 10, 2019.

  1. Listlad

    Listlad Prediabetes · BANNED

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    I wasn’t referring to you. I was referring to the foie gras.
     
  2. Jaylee

    Jaylee Type 1 · Moderator
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    Understood, :cool: but isn't that a technique to fatten up the foul's liver for consumption.. (Usually with corn.)
    Nothing to do with the mechanics of a "liver dump."
     
  3. Listlad

    Listlad Prediabetes · BANNED

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    Dunno. That was my interpretation of the posting.
     
  4. Jaylee

    Jaylee Type 1 · Moderator
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    This is where I am confused @Listlad reference to the pancreas? Quoted above.
    "We wouldn't need insulin." The pancreas's fuction or "non function" with T1.

    Then mention of fatted foul (goose or duck) liver for consumption..? In pate?)

    I sincerely hope @SueJB can clarify??

    All I know is the liver dumps & makes demands on a fixed dose of basal (With MDI.) in the absence of pancreatic insulin production (or for the insulin resistant?) thus raising BG.. A correction with exogenous fast acting insulin should remedy this for the ID in the absence of working beta cells.. But not always easy to get right..

    From what I gather though, liver dump is a natural process (or should be?) for all. (There are also some stores in the muscle tissue too?)
     
    • Agree Agree x 1
    #24 Jaylee, Nov 10, 2019 at 8:32 PM
    Last edited: Nov 10, 2019
  5. Jaylee

    Jaylee Type 1 · Moderator
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    Now oddly, 2/3am is where I am likely to dip on a fixed dosage of lantus.. (Not sure if you pump or not?)

    My work day? I eat around 9.30 starting work @6.30. I don't bother eating on a later break but when I finish by 3pm? I can get another low in the hour period after clocking off.? (Any bolus is long out the system.)

    I always blamed the lantus working profile? But maybe not.
     
  6. Antje77

    Antje77 LADA · Moderator
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    The need for basal insulin all day in T1's (be it by long acting insulin through injection or a steady drip through a pump) suggests that the liver provides a steady glucose input all day.
    What makes you say what you feel is liver dump and not the effect of low glucose?
     
  7. DCUKMod

    DCUKMod I reversed my Type 2 · Master
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    I have been known to dip very low and be quite fine, but when my liver enters the action, I have a funny feeling in my throat. My blood glucose isn't necessarily awfully low at that point.

    At this point, I don't worry about it too much.
     
    • Informative Informative x 1
  8. Jim Lahey

    Jim Lahey I reversed my Type 2 · Well-Known Member

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    I may be mistaken but I believe that only liver glycogen can be re-converted into glucose and sent back out into the bloodstream. Muscle glycogen can only be utilised in the muscles and cannot therefore be used to contribute toward increasing blood glucose. Only the liver can supply this demand.
     
  9. SueJB

    SueJB Type 1 · Well-Known Member

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    yummy
     
  10. SueJB

    SueJB Type 1 · Well-Known Member

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    I am a very polite person and often refer to BG as Madam so just thought I'd take the analogy a little further and refer to the liver as Monsieur Foie. Sorry it confused you all but my original question still stands. If it can dump in the morning, why not throughout the day?
     
  11. Antje77

    Antje77 LADA · Moderator
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    It does, or what do you take your basal for?
     
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  12. Jim Lahey

    Jim Lahey I reversed my Type 2 · Well-Known Member

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    The liver does release glucose during the day if there is a demand for it do so. It can do this 24/7/365. It’s just more likely to release more in the morning when cortisol levels are high and stimulating the pancreas to secrete more glucagon.
     
  13. SueJB

    SueJB Type 1 · Well-Known Member

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    No idea to be honest
     
  14. Jaylee

    Jaylee Type 1 · Moderator
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    The liver dump is kind of a flight or "fight response" in the absence of a certain level of BG? Be it waking for work first thing or confronting a "geezer" in the pub over an accidental "spilled pint." (Stress.) unless where alcohol is consumed which stunts liver dump? Metformin acts the same way but also increasing insulin sensitivity..

    Sorry, I wasn't clear, I totally agree with you on your clarity regarding muscle tissue glycogen..
    Lol, hence the "geezer down the pub." & possibly reported outstanding cases of "super human" strength under duress? (Rescuing someone trapped under a car.)
     
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  15. Jaylee

    Jaylee Type 1 · Moderator
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    A little basal testing may help you understand?
     
  16. Antje77

    Antje77 LADA · Moderator
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    As far as I know the liver dumps steadily all day (hence the need for basal) and may dump more in certain situations like waking up or an adrenalin surge.
    However, SueJB asked
    and the anwer is that it does dump throughout the day.
     
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  17. Jaylee

    Jaylee Type 1 · Moderator
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    @Antje77 , during a hypo the body is under a simalar duress? The liver does what it can & "buffers" the low BG. Though, with exogenous insulin....?? Who knows where it may go..? I've checked my BP (blood pressure.) whilst hypo. I'm in "survival mode" whilst fighting the urge to consume fast acting carbs... ;)
     
    • Agree Agree x 1
  18. KK123

    KK123 Type 1 · Well-Known Member

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    Hi Sue, google it. Honestly there is a stack of information out there which will answer your (interesting) question. You keep saying you don't know and have no idea but the information is there at your fingertips, we might know the basics of how it works but could never give you a scientific explanation wrapped up in one paragraph. It is always a good idea to educate yourself on WHY you are having to take two insulins and what each of them do, etc. I found I didn't have a clue at first as to why it was important to take insulin at a certain time and what each of them did and so on. Then I thought well it's MY condition so I had better get researching. x
     
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  19. Shiba Park

    Shiba Park Type 1 · Well-Known Member

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    For an accessible and informative reference on this subject, I highly recommend "Think Like a Pancreas".

    Shiba.
     
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    • Informative Informative x 1
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