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Who takes the most insulin
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<blockquote data-quote="Pattidevans" data-source="post: 1058" data-attributes="member: 2062"><p><blockquote id="quote"><font size="1" face="Verdana, Arial, Helvetica" id="quote">quote:<hr height="1" noshade id="quote"><i>Originally posted by martinbuchan</i></p><p><br />Patti- Carb counting and DAFNE by type 1s is interesting. I get the impression it is fairly variable for them too. My regular anaethetists daugher is 11 yo. They carb count extremely accurately and change the carb/insulin ratio depending on timeof day, exercise etc etc. The glucose profile in Type 2 is different in response to food due to an abnormal raise in Glucagon after meals and a higher rate of liver gluconeogenesis cdmpared to type 1. Mayne thaty is what puts them off.<hr height="1" noshade id="quote"></font id="quote"></blockquote id="quote"></p><p></p><p>Exactly, she's ll years old and female! Lots of things can skew her results. Hormones being one of the main problems. She is entering (or has already entered) puberty and everyone knows that's a hormonal nightmare. Plus it's well known that BGs will rise just prior to menstruation (if she has got there, many 11 year olds have these days). So it's hardly surprising that it's fairly difficult to compute.</p><p></p><p>Re: T2s that's what I've been saying, in different words! LOL!</p><p></p><p><blockquote id="quote"><font size="1" face="Verdana, Arial, Helvetica" id="quote">quote:<hr height="1" noshade id="quote">My diabetologist belongs to the lifestyle choice brigsade of the cause for Type 2 but is very understanding of the fact that type 2 progresses in severity. He doesn't see the need for insulin in type as a lifestyle failure but as the natural progression of the disease,</p><p></p><p></p><p><hr height="1" noshade id="quote"></font id="quote"></blockquote id="quote"></p><p></p><p>He needs a slapped wrist! OK OK being overweight may well be partly responsible, but you have to be genetically pre-disposed in the first place! Of course it is a progressive disease, which many fail to recognise... hence it's wrong for GPs to threaten their patients "with insulin" if they don't control themselves... which then makes them feel like failures if they have to go on insulin. When in fact, it's simply a progressive disease and not a failure in the patient's control. Fine, with good control you may put it off longer....but not necessarily!</p><p></p><p>Patti</p><p>On Levemir/Novorapid. Last hba1c 5.3</p></blockquote><p></p>
[QUOTE="Pattidevans, post: 1058, member: 2062"] <blockquote id="quote"><font size="1" face="Verdana, Arial, Helvetica" id="quote">quote:<hr height="1" noshade id="quote"><i>Originally posted by martinbuchan</i> <br />Patti- Carb counting and DAFNE by type 1s is interesting. I get the impression it is fairly variable for them too. My regular anaethetists daugher is 11 yo. They carb count extremely accurately and change the carb/insulin ratio depending on timeof day, exercise etc etc. The glucose profile in Type 2 is different in response to food due to an abnormal raise in Glucagon after meals and a higher rate of liver gluconeogenesis cdmpared to type 1. Mayne thaty is what puts them off.<hr height="1" noshade id="quote"></font id="quote"></blockquote id="quote"> Exactly, she's ll years old and female! Lots of things can skew her results. Hormones being one of the main problems. She is entering (or has already entered) puberty and everyone knows that's a hormonal nightmare. Plus it's well known that BGs will rise just prior to menstruation (if she has got there, many 11 year olds have these days). So it's hardly surprising that it's fairly difficult to compute. Re: T2s that's what I've been saying, in different words! LOL! <blockquote id="quote"><font size="1" face="Verdana, Arial, Helvetica" id="quote">quote:<hr height="1" noshade id="quote">My diabetologist belongs to the lifestyle choice brigsade of the cause for Type 2 but is very understanding of the fact that type 2 progresses in severity. He doesn't see the need for insulin in type as a lifestyle failure but as the natural progression of the disease, <hr height="1" noshade id="quote"></font id="quote"></blockquote id="quote"> He needs a slapped wrist! OK OK being overweight may well be partly responsible, but you have to be genetically pre-disposed in the first place! Of course it is a progressive disease, which many fail to recognise... hence it's wrong for GPs to threaten their patients "with insulin" if they don't control themselves... which then makes them feel like failures if they have to go on insulin. When in fact, it's simply a progressive disease and not a failure in the patient's control. Fine, with good control you may put it off longer....but not necessarily! Patti On Levemir/Novorapid. Last hba1c 5.3 [/QUOTE]
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