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<blockquote data-quote="Bellx15" data-source="post: 329815" data-attributes="member: 26391"><p>Well, just to be as clear as possible (and I fully admit that I am still groping in the dark to an extent), it seems to me that the definition of diabetes makes it an umbrella concept to cover a multitude of sins. I should say, too, that my thoughts are only about type 2. </p><p></p><p>If someone on a normal diet and exercise regime has a normal FBG reading, but spikes too high after meals, I would say they are glucose intolerant, not diabetic. Someone with a high FBG would be diabetic. That is according to <em>how I would use the words</em>. Let's just talk about these two conditions as GI and DM <em>for now</em>. </p><p></p><p>GI in Type 2 is commonly caused by insulin resistance (IR). Typically, the glucose receptor cells in the liver, muscles and fat cells are not taking in enough blood glucose, so the BG level rises out of control. The liver doesn't recognise this, and so it continues to dump glucose, making things even worse. </p><p></p><p>But what causes insulin resistance? Lack of exercise, poor diet, and genes. IR develops as the receptors become choked full of stored glucose, and can't handle any more. That's how I understand it, at least.</p><p></p><p>So here is what I believe happened to me. After consistently abusing my body over an extended period with sugars and fruit juice my liver, muscles and fat cells became engorged with Glucose/glycogen. Added abdominal fat also hindered the further processing of blood glucose. I developed serious insulin resistance and therefore glucose intolerance. Things got so bad that even my FBG was seriously elevated. There was nowhere for the blood glucose to go, and the liver was dumping away regardless. I had high FBG, glucose intolerance, and early morning dumping syndrome. In short I was drowning in glucose. </p><p></p><p>Now, after months of a sensible diet and exercise regime, I have a consistently normal FBG. I am still glucose intolerant, though. My interpretation of this state is that my liver and muscles are less full of glucose now, so can maintain the correct FBG level, and my liver is no longer full of glycogen and unable to detect excess blood glucose, so it has stopped unwanted dumping. I'm still not properly cleaned out, though, so it doesn't take much glucose intake to start things clogging up again. that's why I would fail a GTT. </p><p></p><p>So I feel that I have reversed a major component of the health disorder - the consistently high FBG ( and also pre-meals BG) has been eradicated and it is now normal. That is because my glucose receptors are now freed up to do their job. </p><p></p><p>That's my interpretation, but if you go with the official definition of diabetes I would have to say I am diabetic, even though my FBG and pre-prandial BGs are normal. I am pretty sure I would fail the GTT. Using the official definition of diabetic just lumps everything together and obscures the details. So yes, I think I have reversed <em>something</em> (FBG) simply by getting back to a healthy lifestyle. Whether I can improve my GT is another question, which I am hoping to be able to answer in due course.</p></blockquote><p></p>
[QUOTE="Bellx15, post: 329815, member: 26391"] Well, just to be as clear as possible (and I fully admit that I am still groping in the dark to an extent), it seems to me that the definition of diabetes makes it an umbrella concept to cover a multitude of sins. I should say, too, that my thoughts are only about type 2. If someone on a normal diet and exercise regime has a normal FBG reading, but spikes too high after meals, I would say they are glucose intolerant, not diabetic. Someone with a high FBG would be diabetic. That is according to [i]how I would use the words[/i]. Let's just talk about these two conditions as GI and DM [i]for now[/i]. GI in Type 2 is commonly caused by insulin resistance (IR). Typically, the glucose receptor cells in the liver, muscles and fat cells are not taking in enough blood glucose, so the BG level rises out of control. The liver doesn't recognise this, and so it continues to dump glucose, making things even worse. But what causes insulin resistance? Lack of exercise, poor diet, and genes. IR develops as the receptors become choked full of stored glucose, and can't handle any more. That's how I understand it, at least. So here is what I believe happened to me. After consistently abusing my body over an extended period with sugars and fruit juice my liver, muscles and fat cells became engorged with Glucose/glycogen. Added abdominal fat also hindered the further processing of blood glucose. I developed serious insulin resistance and therefore glucose intolerance. Things got so bad that even my FBG was seriously elevated. There was nowhere for the blood glucose to go, and the liver was dumping away regardless. I had high FBG, glucose intolerance, and early morning dumping syndrome. In short I was drowning in glucose. Now, after months of a sensible diet and exercise regime, I have a consistently normal FBG. I am still glucose intolerant, though. My interpretation of this state is that my liver and muscles are less full of glucose now, so can maintain the correct FBG level, and my liver is no longer full of glycogen and unable to detect excess blood glucose, so it has stopped unwanted dumping. I'm still not properly cleaned out, though, so it doesn't take much glucose intake to start things clogging up again. that's why I would fail a GTT. So I feel that I have reversed a major component of the health disorder - the consistently high FBG ( and also pre-meals BG) has been eradicated and it is now normal. That is because my glucose receptors are now freed up to do their job. That's my interpretation, but if you go with the official definition of diabetes I would have to say I am diabetic, even though my FBG and pre-prandial BGs are normal. I am pretty sure I would fail the GTT. Using the official definition of diabetic just lumps everything together and obscures the details. So yes, I think I have reversed [i]something[/i] (FBG) simply by getting back to a healthy lifestyle. Whether I can improve my GT is another question, which I am hoping to be able to answer in due course. [/QUOTE]
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