Wife got diagnosed 4 weeks ago, she is now converted, this is the way

[HSSS]

Acute painful diabetic neuropathy precipitated by strict glycaemic control - Acta Neuropathologica

A case of acute painful diabetic neuropathy that followed the establishment of strict glycaemic control using continuous subcutaneous insulin infusion is described. Sural nerve biopsy shortly after the onset of the acute painful syndrome showed no evidence of active nerve fibre degeneration...

link.springer.com

It is almost as if I know what I'm talking about.

Fancy that.

Only an abstract and I’m not paying to debate with you. Do you have a full report?

One case. And it is talking about nerves regenerating (a good thing albeit temporarily uncomfortable) once glycemic control was achieved not degenerating due to the reduction. Also it’s via continuous insulin (not diet) therefore hyperinsulimia not reduced insulemia.

Overall quite a different thing than you suggested. Perhaps I’m not as dumb as you think.

 

[Liam E]

Only an abstract and I’m not paying to debate with you. Do you have a full report?

One case. And it is talking about nerves regenerating (a good thing albeit temporarily uncomfortable) once glycemic control was achieved not degenerating due to the reduction. Also it’s via continuous insulin (not diet) therefore hyperinsulimia not reduced insulemia.

Overall quite a different thing than you suggested. Perhaps I’m not as dumb as you think.

Yes it is transitory and in fact part of the healing process but dismissing "oh my god I want to die" neuropathy as being temporarily uncomfortable is unhelpful at best.

While that case was precipitated by insulin the neuropatrhy was caused by the rapid change glycaemic levels. The fact that they went to the effort to study that case should be enough to tell you it is not a singular event. A quick browse through its references shows this being a studied phenomena as far back as the 1930s.

Here's another study for you as one study with dozens of references wasn't enough for you.

Treatment-induced neuropathy of diabetes related to abrupt glycemic control - PMC

www.ncbi.nlm.nih.gov

I quote...
Previously known as “insulin neuritis,” it has been linked to any pharmacologic or lifestyle intervention (including rapid weight loss and intense caloric restriction) that leads to an overly rapid correction of HbA1c.

You wanted evidence for my assertion, I gave it to you. Do you need more, or that enough?

 

[Brunneria]

Acute painful diabetic neuropathy precipitated by strict glycaemic control - Acta Neuropathologica

A case of acute painful diabetic neuropathy that followed the establishment of strict glycaemic control using continuous subcutaneous insulin infusion is described. Sural nerve biopsy shortly after the onset of the acute painful syndrome showed no evidence of active nerve fibre degeneration...

link.springer.com

It is almost as if I know what I'm talking about.

Fancy that.

Interesting choice of article.

It is behind a £30 paywall, so the information available is just a short summary, but as I read the small amount on public view, the suggestion is that the symptoms described were actually the pain of nerves regrowing (effectively healing damage caused by high blood glucose levels).

Bernstein talks of similar in a video on neuropathy. He is very clear that the pain of regrowing nerves due to improved blood glucose control is both transitory and the result of beneficial healing.

Mind you, the study linked above is too hidden to say whether the improved control is due to fine tuned insulin injections, other medication, or by dietary control. I suspect it was via medication. Nor does the extract make clear which type of diabetes was being treated. So comparing that study to a newly diagnosed diet controlled T2 is rather a stretch.

Here is the vid by Dr B

@Ronancastled
Apologies for my getting sidetracked into an increasingly irrelevant derailment.

I would like to say how brilliant it is that your wife is doing to well, so quickly, and how lucky she is to have you (and your knowledge and experience) available to offer assistance. One very lucky woman. I bet she is delighted with the results so far.

 

[HSSS]

Yes it is transitory and in fact part of the healing process but dismissing "oh my god I want to die" neuropathy as being temporarily uncomfortable is unhelpful at best.

While that case was precipitated by insulin the neuropatrhy was caused by the rapid change glycaemic levels. The fact that they went to the effort to study that case should be enough to tell you it is not a singular event. A quick browse through its references shows this being a studied phenomena as far back as the 1930s.

Here's another study for you as one study with dozens of references wasn't enough for you.

Treatment-induced neuropathy of diabetes related to abrupt glycemic control - PMC

www.ncbi.nlm.nih.gov

I quote...
Previously known as “insulin neuritis,” it has been linked to any pharmacologic or lifestyle intervention (including rapid weight loss and intense caloric restriction) that leads to an overly rapid correction of HbA1c.

You wanted evidence for my assertion, I gave it to you. Do you need more, or that enough?

I didn’t dismiss anything, nor did I claim it was a one off. In fact there was a regular poster in here a few years ago jim Lahey who described similar. I also didn’t say it wasn’t enough (though one case study rarely is) just that it was only an abstract without the full and important detail to view.

Your original post implied nerve damage rather than nerve regeneration and that correction is relevant and helpful

For someone who was extremely particular early this evening about having you own words mistaken (though they seemed pretty clear to everyone else) in another thread you are extremely combative here again. It’s usually better to debate a point without jumping down people’s throats metaphorically as a) it’s more pleasant all round b)remains within the forum rules and c) more likely to be constructive. Please stop being so aggressive/rude. ETA and the cherrypicking of words quoted out of context to twist their meaning

 

[Liam E]

Mind you, the study linked above is too hidden to say whether the improved control is due to fine tuned insulin injections, other medication, or by dietary control. I suspect it was via medication.

Which is why I quoted another study which clarifies that point directly.

 

[VashtiB]

Hi everyone- just a reminder about the original post- if you would like to discuss other things feel free to start a new thread.

@Ronancastled congratulations to your wife- she has done so well.

It's always lovely to hear about others who like me tried 'conventional diets' to lose weight and find it easier with low carb

It must have had her feel wonderful to have achieved so much!

I'm another who went from being someone who as a carb addict ate a lot of carbs (both 'healthy' and not healthy) to going very strict keto < 20 grams a day usually less than 10 grams. I did suffer mildly with kept flu but it was the best decision for me. I find moderation difficult. If I allowed myself a higher level of carb intake it would take up a lot more brain space. I would be constantly calculating whether I could have 'just a bite of the cake/pizza/...) with such a low level there is no thought.

Great results for your wife .

 

[MissMuffett]

Winner winner chicken low carb dinner

I’m going to use that phrase. you should have it printed on a T-shirt