These are interesting observations, thank you. If someone finds that they have to maintain very low carbs in order to maintain good control, would not a test of their insulin secretion during a postprandial period be sufficient to rule in or out the pancreatic possibilities you mention?
Yes.
It is the response of insulin main!y that determines your intolerance.
For example, if it was known, like me, that wheat is something that I can't eat!
So how can I have since birth be lactose intolerance?
Some people can eat 50g carbs and not be effected.
You have to get your head around not only hormonal but but biotics as well.
There are millions of live bacteria in your digestive system, mostly good, but varies with the bad.
A lot of T2s, and I did have the condition called hyperinsulinimia. Which is very high circulating insulin levels that won't help with the glucose derived from food or drink. And this if tested can be detected in the prediabetic stage but it is never tested.
My first eOGTT, .my insulin levels were high and I still produced too much every time, I would eat more than as little as 10g, which was sending me into Hypoglycaemia.
Having had many weird symptoms crop up on the RH forums, the possibility of getting the best treatment for each of us, is many years away, because even the so called experts and specialist endocrinologist, just can't understand why these symptoms and test results, do not make sense.
Then throw in other conditions, and there are so many, that can effect you from one day to another.
That is why it has been frustrating to not to get what is the right diet for you, because the medical books oor training i is behind the times. There are many sub types within the T2 umbrella and the researchers are finding more all the time.
I wish those medics who are stuck in the dark ages would stop treating T2s as if they are T1 or similar!
It is individual as is the treatment should be. It doesn't make sense and is illogical, if you have a high intolerance to starch, why do they say, you can still eat, even if it makes you ill?
I have battled against this thinking for nearly two decades. When will it end?