1. Get the Diabetes Forum App for your phone - available on iOS and Android.
    Dismiss Notice
  2. Guest, we'd love to know what you think about the forum! Take the Diabetes Forum Survey 2022 »
    Dismiss Notice
  3. Diabetes Forum should not be used in an emergency and does not replace your healthcare professional relationship. Posts can be seen by the public.
    Dismiss Notice
Dismiss Notice
Find support, ask questions and share your experiences. Join the community »

T2D and insulin. Diet?

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

  1. Fruitella

    Fruitella Type 2 · Well-Known Member

    Messages:
    303
    Likes Received:
    192
    Trophy Points:
    83
    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.
     
    • Informative Informative x 1
  2. Member496333

    Member496333 · Guest

    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.
     
    • Winner Winner x 1
    • Informative Informative x 1
    #22 Member496333, Mar 5, 2019 at 6:21 AM
    Last edited by a moderator: Mar 5, 2019
  3. brassyblonde900

    brassyblonde900 Type 2 · Well-Known Member

    Messages:
    331
    Likes Received:
    567
    Trophy Points:
    113
    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.
     
    • Agree Agree x 3
    • Like Like x 1
    • Useful Useful x 1
  4. bulkbiker

    bulkbiker Type 2 · Oracle

    Messages:
    19,044
    Likes Received:
    12,608
    Trophy Points:
    298
    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/
     
    • Useful Useful x 1
  5. miahara

    miahara Type 3c · Well-Known Member

    Messages:
    961
    Likes Received:
    856
    Trophy Points:
    133
    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 !!
     
    • Like Like x 1
    • Informative Informative x 1
  6. dawnmc

    dawnmc Type 2 · Well-Known Member

    Messages:
    2,427
    Likes Received:
    1,651
    Trophy Points:
    178
    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 · Oracle

    Messages:
    19,044
    Likes Received:
    12,608
    Trophy Points:
    298
    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?
     
  • Meet the Community

    Find support, connect with others, ask questions and share your experiences with people with diabetes, their carers and family.

    Did you know: 7 out of 10 people improve their understanding of diabetes within 6 months of being a Diabetes Forum member. Get the Diabetes Forum App and stay connected on iOS and Android

    Grab the app!
  • Tweet with us

  • Like us on Facebook