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T2D and insulin. Diet?

Discussion in 'Diabetes Discussions' started by miahara, Mar 4, 2019.

  1. Fruitella

    Fruitella Type 2 · Well-Known Member

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    Hi, we are advised to only take increased insulin for such things as sick days and then only small increases. Generally the dose stays fairly constant.
     
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  2. Jim Lahey

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

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    Also it’s worth considering that the latest thinking of pancreatic ‘burnout’ in type 2, is that it may actually be more about the pancreas being very badly cloggged with fat rather than the beta cells actually dying. If there’s any truth to this then overuse of exogenous insulin will likely cause further metabolic damage as well as exacerbating glucotoxicity in the body - only the blood will appear ok.

    As always there’s very few black & white answers, but generally speaking a non-resistant type 1 (T1 can become resistant too) will have greater flexibility in bolusing for meals without risking over-ingestion of glucose. So the answer to the question, in my view, is still no.
     
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    #22 Jim Lahey, Mar 5, 2019 at 6:21 AM
    Last edited: Mar 5, 2019
  3. brassyblonde900

    brassyblonde900 Type 2 · Well-Known Member

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    OP mentioned he is also taking a sulfonylurea (Gliclazide) as well as doing the LCHF WOE.
    I belong to the school of thought who hold the opinion, that Sulfonylurea therapy in the management of T2DM is one of the reasons why T2DM is seen as a chronic progressive disease.
    It forces the pancreas to produce yet more insulin, into a system that has an insulin glut already. Thus worsening IR.
     
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  4. bulkbiker

    bulkbiker Type 2 · Master

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    You might find this interesting especially in light of many of the other replies up thread.. I'm not a great fan of Cyrus Khambatta and his low fat plant based bias but I think in this video he sheds some good light on LADA and the importance of C-Peptide testing. I hope you find it intersting (I will admit I stopped halfway through because he's quite annoying...)

    https://www.masteringdiabetes.org/c-peptide-diabetes-test/
     
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  5. miahara

    miahara Type 2 · Well-Known Member

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    Thanks @bulkbiker . I've had a C-Pep and anti-Gad tests as I suspected I might be LADA but both tests returned 'normal' results. I'm now awaiting an appointment with an endocrinologist and a CT scan to check out a pancreatic cyst that an MRI prostate scan revealed.
    Also awaiting an appointment with DSN, who may well suggest adding insulin to my present Gliclazide.
    Had a full body nuclear bone scan last week and thankfully results were good.

    I'm certainly getting my moneys worth from the NHS !!
     
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  6. dawnmc

    dawnmc Type 2 · Well-Known Member

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    I've not had any tests other than the hba1c. I'm to go on victoza soon. Should I be asking for tests of any description?
     
  7. bulkbiker

    bulkbiker Type 2 · Master

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    Glad someone is..although I hope you get a decent diagnosis out of it... I wonder what the "normal" results were and if they have changed over time?
     
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