Type 2 Diabetes Is A Progressive Disease? - Page 2

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Type 2 Diabetes Is A Progressive Disease? - Page 2


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Old 07-05-2017, 23:14   #11
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Diabetes is progressive because once you have been diagnosed, most of the damage has already been done. Those nephrons aren't coming back, those pancreatic islets have been substantially reduced. In both cases, remaining cells have to do the same job as a full workforce. Over time, more cells die from exhaustion. The goals then are to minimize further damage and delay progression until you die of something else. You take some of the pressure off the islets, you may lose fewer nephrons that remain cuz they get a vacation or at least the night off.

That's why it's so frustrating for me. Had I been diagnosed with LADA some years ago, I could have saved more of those islets. I couldn't understand why things kept worsening when my control was good (A1C was under 6 most of the time). Whine over...

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Old 07-06-2017, 01:15   #12
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Originally Posted by Bunjee View Post
Diabetes is progressive because once you have been diagnosed, most of the damage has already been done. Those nephrons aren't coming back, those pancreatic islets have been substantially reduced. In both cases, remaining cells have to do the same job as a full workforce. Over time, more cells die from exhaustion. The goals then are to minimize further damage and delay progression until you die of something else. You take some of the pressure off the islets, you may lose fewer nephrons that remain cuz they get a vacation or at least the night off.

That's why it's so frustrating for me. Had I been diagnosed with LADA some years ago, I could have saved more of those islets. I couldn't understand why things kept worsening when my control was good (A1C was under 6 most of the time). Whine over...
You may have just convinced me that I need to consider finding an endo. When I was originally diagnosed, the ER told me I had type 2 diabetes, but the doctor that came in after I was admitted told me I was type 1.5. Then later, at my own doctor, when I asked him about the different diagnosis, he told me it didn't matter because the treatment would be the same. Much later on, he mentioned that my pancreas seemed to make insulin when it dang well feels like it but just to continue the course and understand that later on, I would likely end up on insulin. So of course now I am wondering....

That being said, my control is so amazing right now, I am not sure I want to mess with anything.

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Old 07-06-2017, 05:27   #13
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I think there are two schools of thought. Doctors who think that fat people should just be treated as though they have type 2 and too bad about the beta cells and doctors who think any evidence that insulin can delay the loss of beta cells should be acted upon once 1.5 is confirmed. That's my cynical summation. The truth is somewhere in between - let your doctor KNOW that you would be happy to use insulin since there is some thought it may save some beta cells. Maybe that will spur him to reconsider your current treatment. Nothing wrong with metformin, but you may need a background insulin in order to make everything work better.

The Other Diabetes: LADA, or Type 1.5: Diabetes Forecast®

To start with, regularly check your BG at night (2-3 a.m.) since that is typically the lowest it goes.

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Old 07-06-2017, 16:34   #14
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Don't those 2 quotes from the ADA and Mayo Clinic go against what Dr. Hallberg talks about in her video? How do you explain people like my Mom, who after 20 years living with diabetes, didn't get progressively worse or my brother's 80 year old MIL, who got off medication and now controls her diabetes via diet?

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Old 07-07-2017, 01:54   #15
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Alamogirl, I don't know where the quotes are that you are seeing.

Your Mom, brother's MIL and my late Dad would be considered outliers. But, at the same time, following Atkins (as an example) is not sustainable by most, so I doubt LCHF would be as well. So, they have to work with what patients DO. The problem, as I see it, is that they choose not to give the tools to those who are MOTIVATED to do MORE.

So, as a motivated person, you have to set your goals, set your justification for each goal and work with your doctor. For instance, I chose to set my blood sugar goals according to AACE (American Academy of Clinical Endocrinologists) which is quite a bit lower than ADA's. Endos are the experts, so their goals fit me better. You will actually find CDE's objecting to that because THEIR goals are the ADA's (because that is where they get their diabetes credential!). Now, the endo was fine with that, only he has a lower parameter - no values should be below 83 without an explanation. That's his buffer zone for me at this time.

Type 2 Diabetes Glucose Management Goals | outpatient.aace.com

Ok, so all that said, I personally think that since 1.5 is essentially type 1, that anybody with it should at least be on a background insulin. Having your pancreas work only part-time isn't doing you a world of good, but having it working at all is a huge boon because (a) you don't need that much insulin and (b) if you were say in a delayed situation (think hurricane, earthquake) without any insulin, you would survive longer because you have some beta cells still working because you saved them. Yes, I was watching disaster films recently...

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Old 07-07-2017, 02:21   #16
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Quote:
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But, at the same time, following Atkins (as an example) is not sustainable by most, so I doubt LCHF would be as well.
I truly hope I can prove this wrong. It is what I do and will continue to do as my lifestyle. I dont want to me 'most'

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Here are some good starting points to read

Blood Sugar 101 - VERY informative and accurate
http://www.diabetesforum.com/diabete...ng-method.html a tried and true testing method
https://www.dietdoctor.com/low-carb lists foods for LCHF

""You take the blue pill, the story ends. You wake up in your bed and believe whatever the doctors want you to believe. You take the red pill, you stay in Wonderland, and I show you how deep the rabbit hole goes." "
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Old 07-07-2017, 03:32   #17
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I should have clarified. Endos are the experts as to what happens to the body with diabetes. They are not nutritional experts by any means. You will always have some docs who push drugs and others who prefer to stick with the basics that have proven safe.

BTW, I wanted to add that while Jenny Ruhl's website and book are a trove of information, there is a lot of material she has no access to and therefore, some of her commentary on medications may be inaccurate. Still, my feeling is to avoid any drug that hasn't been on the market at least 7 or 8 years unless EVERYTHING has already failed you.

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Old 07-07-2017, 12:42   #18
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I have recently discovered Dr. Jason Fung. He is controversial to some, but he believes it is not. He has books (Obesity Code) and many videos on the subject and a website:intensivedietarymanagement.com. I encourage you to seek him out if you do not accept the "progressive disease" diagnosis. I have been doing low carb and some intermittent fasting (not for all but works for me) and my bs has returned to normal. I'm hoping to get it a bit lower so that I can get off my Metformin.

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