lucylocket61
Expert
- Messages
- 6,435
- Type of diabetes
- Type 2
- Treatment type
- Diet only
not pathetic. Have a socially distanced hug.I apologise for the above pathetic rant
not pathetic. Have a socially distanced hug.I apologise for the above pathetic rant
And then accused of being lazy and sitting around eating chips and chocolate all day.I think some don't change their diet because what they are told to do simply doesn't work. It's soul destroying when you follow what your doctor says to the letter and it doesn't work.
I think it’s a little unfair to say that people are maybe on insulin because they’re not willing to change their diet. Every one is different. I’m on insulin and also eat low carb. If I don’t then my sugars misbehave. - I’m currently paying for a very small cookie (5g carbs) that I ate two days ago, as part of my otherwise carb free lunch and suitably balanced with fast acting insulin. Two days and my sugar levels are still raised. Not a lot, a couple of points, but still depressing. Not seeing any Christmas treats on the horizon. Without insulin I dread to think where I’d be as fat and protein also raise my levels. The only difference is in the spike. No spike, just everything raised for the next few days.
Sorry to butt in, but it struck a nerve.
Out of interest what makes you type 2 rather than a LADA? As a slim diabetic who struggled to control levels with low carb especially early in the the disease and identified with insulin deficiency it seems more likely to me
Same question really. Insulin resistance is core to type 2 from my understanding. Where are you looking for explanations of what type 2 is please?
My understanding of insulin resistance is that it causes weight gain. Sometimes years before blood sugar is high.Obesity causes insulin resistance
One possible cause yes. Not the only one and as stated above insulin resistance also causes obesity. I’ll look at the paper later when I have a minuteObesity causes insulin resistance
The link doesn’t work.You are correct in the general sense of course, but lately scientists have been hypothesizing that all diabetes, (Type 1, LADA and subtypes of Type 2), have an autoimmune component. Obesity causes insulin resistance but not all obese people progress to hyperglycaemia. Some maturity onset diabetics are not obese. The key flaw is a defect in beta cells. It has been suggested that low grade inflammation causes the beta cells to malfunction and that this has an autoimmune basis. Whether it will make a difference to treatment options in humans is academic at the moment. If you would like to read the review here is a link:
www.ncbi.nim.nih.gov>PMC6620611
Talking about testing t2 I tried last summer to get an insulin resistance test by post but the company stopped doing postal tests (due to heat affecting results).
Anyone know of anything outside of London and not £100’s to get tested for insulin/glucose or c peptide? Would like to rule low insulin/potential LADA out for piece of mind at least even though I think it unlikely.
Sorry the link does not work, but if you google Type 2 Diabetes and Autoimmunity you will find it and other references. I am not disputing all the things we currently know regarding insulin resistance, high insulin levels and obesity. I was just putting forward an academic argument to explain why some diabetics, currently diagnosed as Type 2, may require insulin. Until recently Type 2 diabetes has been regarded exclusively as a metabolic disease but it may not be.The link doesn’t work.
I’ll look. But I think the key word is “currently”. Many LADA are misdiagnosed type 2 initially. Who knows how many more are out there still labelled as type 2 but now on insulin under the traditional view that it’s progressive and unsurprising (rather than theirs is, and always has been, autoimmune not type 2). There are still doctors that have never heard of LADA or believe type 1 only occurs in youth/suddenlySorry the link does not work, but if you google Type 2 Diabetes and Autoimmunity you will find it and other references. I am not disputing all the things we currently know regarding insulin resistance, high insulin levels and obesity. I was just putting forward an academic argument to explain why some diabetics, currently diagnosed as Type 2, may require insulin. Until recently Type 2 diabetes has been regarded exclusively as a metabolic disease but it may not be.
My understanding of insulin resistance is that it causes weight gain. Sometimes years before blood sugar is high.
Any idea why?As sonia2016 said, we are all a bit different.
I'm type 2, was previously underweight and now just about on the right side of that threshold. Don't think my carb intake would ever have been more than 200 per day and is now usually below 100 per day - yet I still need insulin.
When I was diagnosed, one of my endo's mentioned that he and his colleagues has discussed the possibility that I was LADA, but they decided against that.
Any idea why?
Three issues that I can see. First is if the person indeed “needs” insulin. Obviously a type 1 or LADA certainly does. A type 2 might not depending on their own insulin production levels, diet and preferences. I suspect a lot of actual type 2 on insulin have, or had at the time of starting it at least, options related to diet unrecognised at the time. Second would be funding for pumps libres and maybe insurances differentiating by type. Third would be autoimmune diseases tend to be common in clusters. Awareness of one might raise awareness of others.Possibly a very stupid question, but does it really make any significant difference if one is LADA or T2 and insulin dependent, as the treatments seem to be very much the same.