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Will I need insulin eventually?
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<blockquote data-quote="HairySmurf" data-source="post: 2685062" data-attributes="member: 583820"><p>He has proved it, in the majority of cases, conclusively. The numbers are in his papers - lower fasting BG despite lower fasting insulin secretion - the liver is secreting less glucose even though the level of insulin needed to suppress it is less. Lower insulin resistance in the liver. The 12 month postprandial insulin numbers show greatly improved insulin secretion capability over time following fat reduction in the pancreas. Unless something else is going on in all the test cases over those 12 months apart from the initial weight loss, it's the weight loss.</p><p></p><p>A low carb diet will lower BG levels immediately - no surprise there. I've also read several times on this forum that fasting BG levels are the 'last to fall' on a low carb diet. Last to fall meaning following some weight loss? Or have I misunderstood? How long does it take the average Type 2 adopting a low carb diet to see BG levels drop from a high level to the 'normal' range first thing in the morning?</p><p></p><p>I don't deny anyone's lived experience or accounts on this forum. I would point out though that even Taylor doesn't claim weight loss works for everyone who has been diagnosed Type 2. Type 2 was defined by exclusion after all - it very probably encompasses a number of similar conditions which are difficult to distinguish and diagnose. This paper (free PDF linked on the page) lists 13 'major' forms of atypical diabetes, many (or most?) of which I believe get diagnosed as generic Type 2. Who knows how many 'minor' forms are known or suspected, or will be identified in future. Taylor being entirely right and contradictory personal experiences are not mutually exclusive.</p><p></p><p>[URL unfurl="true"]https://diabetesjournals.org/care/article/doi/10.2337/dci23-0038/154208/Atypical-Diabetes-What-Have-We-Learned-and-What[/URL]</p></blockquote><p></p>
[QUOTE="HairySmurf, post: 2685062, member: 583820"] He has proved it, in the majority of cases, conclusively. The numbers are in his papers - lower fasting BG despite lower fasting insulin secretion - the liver is secreting less glucose even though the level of insulin needed to suppress it is less. Lower insulin resistance in the liver. The 12 month postprandial insulin numbers show greatly improved insulin secretion capability over time following fat reduction in the pancreas. Unless something else is going on in all the test cases over those 12 months apart from the initial weight loss, it's the weight loss. A low carb diet will lower BG levels immediately - no surprise there. I've also read several times on this forum that fasting BG levels are the 'last to fall' on a low carb diet. Last to fall meaning following some weight loss? Or have I misunderstood? How long does it take the average Type 2 adopting a low carb diet to see BG levels drop from a high level to the 'normal' range first thing in the morning? I don't deny anyone's lived experience or accounts on this forum. I would point out though that even Taylor doesn't claim weight loss works for everyone who has been diagnosed Type 2. Type 2 was defined by exclusion after all - it very probably encompasses a number of similar conditions which are difficult to distinguish and diagnose. This paper (free PDF linked on the page) lists 13 'major' forms of atypical diabetes, many (or most?) of which I believe get diagnosed as generic Type 2. Who knows how many 'minor' forms are known or suspected, or will be identified in future. Taylor being entirely right and contradictory personal experiences are not mutually exclusive. [URL unfurl="true"]https://diabetesjournals.org/care/article/doi/10.2337/dci23-0038/154208/Atypical-Diabetes-What-Have-We-Learned-and-What[/URL] [/QUOTE]
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