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The diabetes triangle.

Lamont D

Oracle
Messages
18,250
Type of diabetes
Reactive hypoglycemia
Treatment type
I do not have diabetes
This is how I have begun to look at how many types of endocrine conditions occur.
I'm not claiming that this is scientific evidence or it is a theory but through my experience and the wife's with her T2. It is not about autoimmune or other related T2 causes such as steroid induced diabetes.
It is something that I have been pondering why, we all have different symptoms and different treatments and why our bodies get to that stage where things go rapidly downhill and of course the way our bodies response to the imbalance in hormones after eating and for years of over indulgence, because we can.

So first, the start of the viscous circle of why. The heavy carb laden western diets, the high sugar, the lack of fresh vegetables, too much fruit, industrialization of food, too much of everything, cereals when we get up with skimmed milk, mid morning snack of crisps or fruit, lunch of sandwich and filling, a snack in the afternoon of a chocolate bar or some more fruit, a dinner of meat, two veg, spuds, gravy, then snacking again or a late night take away for supper. Add on lots of tea, or coffee, cola, orange juice, then beer or other alcohol.
As you can see this is normal, regimen of a majority of the population. Maybe a tad too much sugar, but even if you add in more vegetables or salad instead of some carb laden meals. There is a lot of food and if you add on portion size, even if we are healthy, we eat too much!
The problem with portion size and eat far too much regularly is the amount of glucose we are creating, too much caloric intake and if we don't burn it off or even if we exercise, it might not be enough.
Carb overload, calorie overload, glucose overload, which triggers the insulin needed to take care of this amount of glucose. Slowly but surely, the amount of circulating insulin is too much, the symptoms from this is not noticed initially, the thing that you can notice and its common talk that if you have a Chinese take out, you are hungry a couple of hours later. It's because of the rice!
Over time and it could take years to get to prediabetic stage, the high circulating insulin will start causing insulin resistance, which raises the hba1c level, which doctors always have a standard mark of when you are prediabetic. By this time, your insulin levels could be nearing an early stage of hyperinsulinaemia.
If your doctor could test at this time then, action would be taken to try and lower your insulin levels.
The high insulin and higher, now, insulin resistance, will cause higher blood glucose levels. This will exacerbate the amount of insulin circulating and insulin resistance becomes worse, your Hba1c levels will go higher, your fasting blood glucose levels rise, your tolerance to anything carby or sugary will increase. Your health and symptoms more pronounced and severe. The ability to process normal carbohydrates becomes more difficult without harm to your health particularly your organs become fatty. You are now diagnosed as type two. However if you are like me, your pancreas, takes over from the high glucose levels and creates even more insulin.
If this is not brought down to anywhere near normal levels, your pancreas will burn out and you will need insulin injections in some cases.
Okay, so this is not all the science I could have used, but I'm trying to get my head around, why type two diabetes and other metabolic conditions are on the rise and why, the medical advice from so called experts can sometimes work, by using the eat well plate or more drastic action is needed in others.
If we continually indulge in too many carbohydrate food, is it inevitable that we create an imbalance in our hormones reaction to food. No of course not. But some do and some don't.
Portion size must come into, we as a population, we have created a feast for every meal we have. Even a low carb meal of bacon, eggs, mushrooms, tomatoes, is too much or should last well into the evening.
I believe that the daily meal regimen of main meals and snacks is at least four times as much food we actually need. We eat too much!

In finishing this little piece of my musings, I have for a long time, advised, reducing their carbs, portion size and try fasting, along with a little bit more exercise if possible. Cut out the sugars especially in drinks, avoid the beers, eat sensible to your best balance of carbs, protein and fats. They all play an important part in your health, but reducing carbs is the most important. Finding out which foods your blood glucose levels spike the worst avoiding them and keeping a food diary.

But anyone reading this has to realise how important insulin is to your well-being, it is like a lot of things in life, not enough, bad, too much, bad, just right. That reminds me of the goldilocks story!
So in summary, too much food, especially carbs means a higher level of circulating insulin.

Higher circulating insulin causes insulin resistance, which causes high glucose levels.
Higher glucose levels cause higher circulation of insulin which causes higher insulin resistance. Et al.
The viscous circle continues.
The diabetes triangle!

So if the cycle is stopped by lowering the insulin response to food by any means, the circulating insulin is lowered, after a period of time depending on how much the reduction of insulin response, then insulin resistance lowers, your blood glucose levels will also come down. A cycle down is why a low carb diet works.
The lower the carb the body will adjust to lower levels of glucose, insulin and most importantly insulin resistance.

Some drugs effect your pancreas to produce more insulin to get your Hba1c levels down by creating more insulin, this is fine in the short term, as with other diabetic meds, they do a job, if your balance of food is right for you, you will see results, if not, then other actions should be considered. It is different for everyone.

Very low carb sorted me, my wife has also got very good hba1c levels if you take her other conditions in consideration.
The low carb lifestyle defies metabolic conditions, by getting your blood imbalances down, your health improves because of lower circulation of insulin, glucose.

I haven't included obesity, because even if too much insulin does produce too much fat in your organs or around the waist, it may not be the reason for being obese. But for someone like me, that is why my waist line decreased by six inches and I lost five stone. Cutting out carbs worked for me and my health.

Did the diabetes triangle get you?
I don't suppose many know because of the lack of testing for levels of insulin!

I believe in future, insulin levels will be the norm for predicting wether you are liable to develop diabetes.

Best wishes.
 
I think the Diabetes triangle got me bang to rights! I’ve worked hard to escape! I agree too many large portions of carbs and snacking were things I had to stop straight away. It’s all worked, low carb, self monitoring and Metformin have reversed, controlled, put my diabetes into remission, whatever you want to call it!
 
Many thanks for the musings @Lamont D, it's a theme I have been pondering on for some time.
The major problem as I see it is the one size fits all syndrome. As you have outlined, everybody has a different body which reacts to it's environment in a different way. Therefore solutions should be tailored to the individual, unfortunately the NHS seems not to be able to do this (mostly due to time pressures and budget restraints).
For example I think it to be very useful to know how I respond to insulin, or indeed just how much I am producing, I test my BG several times a day, but this is by no means the full picture.
Basically I dislike drugs and as long as I can I will use diet (in my case LCHF) to try to keep my level down, but I feel I have only part of the information I need.

I also think the government needs to look beyond vested interests and give the population decent nutritional advice. Unfortunately the powers that be do not have a good track record on that (Iraq and WMD's anyone?).
 
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