OK, long post alert!
I thought I had a handle on the whole "Diabetes" thing until Mikej1973 and Brunneria replied to my earlier post.
***? Three diabetics - three different experiences? In theory at least, they should be the same!
My overall experience is way, way different from Brunnerias' and a lot of the advice within the Forum is just simply not applicable.
My morning blood is pretty stable at 6.4 and I can also induce Hypos. No matter what I eat (with reason) diet doesn't affect my HbA1c results.
On a No Carb, Restricted Carb, a few more carbs diets and a "careful but eat anything diet" my blood tests were always below 6. Why?
So I got off my fat and flabby and made an appointment with the Endocronologist.
In the meantime I did some more research on the matter; specially;
The 2006 World Health Organization report "Definition and Diagnosis of Diabetes Mellitus and Intermediate Hyperglycemia ", "Diagnostic Creep" and "over servicing".(You can work out how my mind was working).
So armed with information and a lot of questions I went to see the Endo.
Here's the gist of it;
"Diabetes" is a label applied to a whole range of conditions that cause elevated blood glucose levels.
There is no "normal" level (that was a revelation).
There is no specific cause although there are identifiable risk factor - mine DID come from a Viral Haemorragic Infection not a bad lifestyle (phew! Although age worked against me)
But it all happens on a continuum - an endless line so "Diabetes" happens in stages. (Hence so the different names given to the various stages.
Given that "Diabetic Complication" take a long time to manifest they are set at a point where a young person is diagnosed with the idea they, with control, will avoid complications in later life). A great relief
I suspect, even though the WHO recommends diagnosis at 7.00 m/mols each country sets its' own level based on its idea of how active diabetics will be in taking individual control of their condition. In the USA and Canada it's 7, UK and Australia: 6.5, Malaysia 6 - see the trend?
OK
T1, we know the cause.
T2, on the other hand, falls into two main types - broken Pancreas (BP) and broken Liver (BL).(they are my names by the way).
BPs have difficulty processing the glucose taken via diet so glucose builds up in the blood and a low-carb diet is recommended. If not, B-G will just continue to build up and up.
BLs, on the other hand (yay! Me!) don't have a real problem with B-G building up. They have a Liver that has lost its ability to sense when the body has sufficient glucose for its's needs so it pumps more in than is required.
And, guess what, low-carb diets are recommended so the liver doesn't have as much glucose to inject into the blood.
BLs are characterized by high Fasting Blood Glucose levels and, yes, " Morning Wake Up" blood is suitable (****! I got that wrong
).
"Liver Dumps" are just the Liver doing its thing, maybe a little over enthusiastically, but still doing its job.
I think there's a trap here (and I certainly fell into it). After diagnosis we become so engrossed in managing our condition on a day to day basis we forget to ask questions.
My talk with the Endo was enlightening to say the least in terms of general information and management of my condition.
I've got peace of mind now over my condition. Hope this helps clear some of the confusion.