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Medical Forum / Diseases and Disorders / Diabetes / December 2005Insulin Question From a Newbie
Hi, My name is Jan, and have been lurking around here for a few months. I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is giving me three months to try and control my numbers with diet and exercise before making a decision about putting me on meds (hoping I can avoid this for a while since I already take lots of other meds). I go back in January for blood tests again. So far I've lost 20 lbs., but have many more to go. Anyway, my question is about those using insulin and the dreaded complications diabetes can cause in the long run. If one is on insulin, are these complications still possible? It seems to me the insulin can make up for bad eating habits, etc., bringing blood sugar back to healthy levels. I've done tons of reading, but haven't run across the answer to this question. I've learned lots of helpful info from the group - keep up the good work. Jan > Hi, My name is Jan, and have been lurking around here for a few months. > I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 15 lines] > > Jan High A1c's while on insulin are just as bad as w/o insulin. It isn't the insulin that's the savior, it's the PROPER USAGE OF IT THAT WILL PROTECT ONE FROM COMPLICATIONS if you are lucky. By that, I mean keeping your bg at a safe level. There's no guarantee that keeping a low A1c will prevent complications, but it's one thing you want to do, as well as considering statins and other drugs. Drop weight if overweight, exercise, stay active, avoid fatty foods. No matter what your A1c, you can eventually have life threatening complications. If your A1c is dreadful, it's a guarantee that DM will "get you" unless you are run over by a truck first. There's plenty of debate about whether or not tight control will prevent complications. Rather than take a chance, I strive for good control. :) Dave jkhd2000@yahoo.com wrote in message <1134358373.793771.176410@g14g2000cwa.googlegroups.com>... >Hi, My name is Jan, and have been lurking around here for a few months. > I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 15 lines] > >Jan The better docs seem to use a sequence of therapies to fight diabetes. Insulin for T2 is in the sequence, but it is not #1. It is not #1 for a very good reason (discussed below) 1. Proper diet, exercise, weight loss (There is at least one clinical trial which asserts that exercising every day is the equivalent of taking one of the anti-diabetes medications every day. ) 2. Add the anti-Insulin Resistance (i.e. anti-Diabetic Heart Attack) med Metformin 3. add the anti-Insulin Resistance (i.e. anti-Diabetic Heart Attack) med Actos or Avandia 4. add insulin The #1 problem facing the overwhelming majority of T2 is premature heart attack associated with high Insulin Resistance. Therefore, the better docs concentrate on the anti-Insulin Resistance meds to fight the heart attack risk. Insulin-only as the sole medication for a T2 doesn't address the heart attack issue the way it ought to be addressed. It can actually help increase the heart attack risk if the patient merely uses insulin to allow them to overeat carbohydrate. There is a growing opinion among the docs to recommend insulin very early in the sequence. Early insulin is extremely useful. It does a fine job of preventing complications. It seems to protect dying beta cells as well. But the Insulin Resistance issue must be addressed first. Note that the beta cell stimulator meds (Glucotrol, Glyburide, Amaryl, Prandin, Starlix) have effects similar to injected insulin except that they seem to hurt beta cells instead of helping them recover) The one great exception to that strategy is an unusual risk of side effects because of some other existing disease(s). If you have damaged kidneys or a damaged liver (or maybe some other stuff that we non-medical folks don't understand) injected insulin is one of the few medications of any kind which can be taken with the confidence that it will not add to your existing problems. Regards Old Al > 1. Proper diet, exercise, weight loss > (There is at least one clinical trial which asserts that exercising > every day is the equivalent of taking one of the anti-diabetes medications > every day. ) I've been saying for several years that regular exercise (though not daily) is one of my diabetes meds. I don't need no stinkin' trials to tell me that I'd be taking more pills (& likely have worse bg as well) if I didn't exercise! The reason for the "not daily" is the vigor of some of my workouts. bj >Hi, My name is Jan, and have been lurking around here for a few months. > I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 10 lines] >back to healthy levels. I've done tons of reading, but haven't run >across the answer to this question. Insulin useage for a T2 is difficult. Our insulin resistance makes the efficient use of insulin quite difficult. Use too much insulin and you may experience weight gain. I use novolog to control morning spikes. _____________________________________________ http://wave.prohosting.com/ugleeeee/ Health Diabetic Software - Free >Hi, My name is Jan, and have been lurking around here for a few months. > I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 7 lines] >complications diabetes can cause in the long run. If one is on >insulin, are these complications still possible? yes, depending on your BG control(you have control over this) and genetics(you have no control over this) It seems to me the >insulin can make up for bad eating habits, etc., bringing blood sugar >back to healthy levels. absolutely false. Insulin can allow for greater freedom in diet. However it does not allow for any bad eating habits. Everyone on insulin still needs to watch their diet and to exercise. I've done tons of reading, but haven't run >across the answer to this question. > >I've learned lots of helpful info from the group - keep up the good >work. > >Jan  SignatureMâck©® Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o o) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." Jesus never hated anyone. http://tinyurl.com/dgb3q http://tinyurl.com/aw4mh Thanks to all who replied. I better understand the situation now. I wasn't thinking of asking to go on insulin myself, just wondering if users had an advantage to prevent long-term complications. It can be a bit overwhelming in the beginning trying to learn everything a person can about diabetes. Now I need to get working on that daily exercise plan. Jan : Thanks to all who replied. I better understand the situation now. I : wasn't thinking of asking to go on insulin myself, just wondering if : users had an advantage to prevent long-term complications. It can be a : bit overwhelming in the beginning trying to learn everything a person : can about diabetes. Now I need to get working on that daily exercise : plan. : Jan For type 2s takign insulin without watching your clorie intake can result in weight gain, beause the insulin will make every carb you et count in your weight. Taking more insulin t allow for more carbs can be a ticket for disaster, as yu gain weit=ght and become more insulin resistant as a result. Wendy > For type 2s takign insulin without watching your clorie intake can result > in weight gain, beause the insulin will make every carb you et count in > your weight. Taking more insulin t allow for more carbs can be a ticket > for disaster, as yu gain weit=ght and become more insulin resistant as > a result. Wouldn't a T1 also be risking weight gain by overdoing the eating & insulin? And then maybe develop IR as well? bj Dear Jean If You wish to decrease your sugar rate in your blood or you suffer from diabetic, many of my friend friends even my parrents are using chineese herbs. people who consumed the product, have decreased the rate of sugar in their blood and they can eat as usual, because that product activate pancreas, it has his own lechithin. But still excercise and control your food is the best way to have a healt life You could check this site www.tiens.com I would love to help you if you have any difficulties.... email me at irvan_nasution@yahoo or my cell +628176083000 >Hi, My name is Jan, and have been lurking around here for a few months. > I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 15 lines] > >Jan >Dear Jean > [quoted text clipped - 9 lines] >I would love to help you if you have any difficulties.... >email me at irvan_nasution@yahoo.com or my cell +628176083000 scamming frauds like this should be taken out behind the woodshed and beaten to a bloody pulp. and that's only because it's the holidays, any other time of the year they should be treated meanly. chinese herb scams only work to line the pockets of the scammers selling them. SignatureMâck©® Type 1 since 1975 http://www.alt-support-diabetes.org http://www.diabetic-talk.org http://www.insulin-pumpers.org "To announce that there must be no criticism of the President, or that we are to stand by the President right or wrong, is not only unpatriotic and servile, but is morally treasonable to the American public." ...Theodore Roosevelt (o o) --ooO-(_)-Ooo-------------------- "I don't know half of you half as well as I should like; and I like less than half of you half as well as you deserve." Jesus never hated anyone. http://tinyurl.com/dgb3q http://tinyurl.com/aw4mh >>Hi, My name is Jan, and have been lurking around here for a few months. >> I was diagnosed Type 2 in late August. AiC was 7.1. My doctor is [quoted text clipped - 15 lines] >> >>Jan |
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