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Medical Forum / Diseases and Disorders / Diabetes / August 2007

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Insulin Resistence and Low Insulin Levels

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helen@raindropkites.co.uk - 07 Aug 2007 23:31 GMT
Any ideas on useful home testing to differentiate between these?  I am
getting to the limit of my BG reductions by lowcarbing and adding
exercise, and I am interested in the next stage.  If I have low
insulin levels I want to start on replacement of the insulin.  If
resistent, I want to investigate strategies for reducing this
further... I am on 1500 mg of Metformin, so no danger of hypo, and am
enjoying the exercise, but have reached a level where I don't have
much more time in the day to do more...

Helen Howes
Fighting Fit...
Andrew B. Chung, MD/PhD - 08 Aug 2007 00:17 GMT
neighbor Helen Howes (he...@raindropkites.co.uk) wrote:

> Any ideas on useful home testing to differentiate between these?

If your WHR (waist to hip ratio) is greater than 0.75, it is most
likely insulin resistance that is a greater problem than insulin
deficiency for you.

> I am
> getting to the limit of my BG reductions by lowcarbing and adding
> exercise, and I am interested in the next stage.

Understandably, you should be interested in possibly curing your
type-2 diabetes (ie no longer needing medications).

> If I have low
> insulin levels I want to start on replacement of the insulin.  If
> resistent, I want to investigate strategies for reducing this
> further... I am on 1500 mg of Metformin, so no danger of hypo, and am
> enjoying the exercise, but have reached a level where I don't have
> much more time in the day to do more...

It remains wiser to eat less, down to the optimal amount to become
healthier (hungrier) in order to lose the bad "inside" fat (visceral
adipose tissue or VAT) to cure the insulin resistance (IR or metabolic
syndrome) and possibly cure the type-2 diabetes:

http://HeartMDPhD.com/HolySpirit/Healing

Be hungry... be healthy... be blessed:

http://HeartMDPhD.com/PressRelease

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
KC - 08 Aug 2007 07:46 GMT
> Any ideas on useful home testing to differentiate between these?  I am
> getting to the limit of my BG reductions by lowcarbing and adding
[quoted text clipped - 7 lines]
> Helen Howes
> Fighting Fit...

I think this is a good thing for you to talk to a doctor about.  If your
blood sugars are not good enough, with diet, exercise and your current meds,
you will need to try more meds.

Some home remedies you could try are cinnamon and vinegar.  The vinegar does
seem to lower bg levels a bit, and cinnamon is supposed to.

But, if you talk to a doctor they could try you on additional meds or on
insulin.  If you go to an endocrinologist, they may test you to see if they
can figure out if resistance or deficiency is your problem.

If you do have a high waist/hip ratio, resistance is certainly a problem,
but that doesn't mean that you can't be deficient too.

KC
helen@raindropkites.co.uk - 08 Aug 2007 08:01 GMT
.

> If you do have a high waist/hip ratio, resistance is certainly a problem,
> but that doesn't mean that you can't be deficient too.
>
> KC

Thanks for the input KC.  It's hard (because we don't have the direct
financial clout in the UK) to force doctors to make tests or refer
patients to specialists.  I want to be very sure about what I ask for
before I start jumping up and down and demanding...
My waist was bigger than my hip.  Now the ratio is back to a healthier
number (0.81:1) and the waist measurement has just hit 88 cm, which is
regarded as "good enough". (Not for me...)  I think I have very little
insulin, and perhaps I need to look at replacement, but I am concerned
that this will be yet more "life admin".  I am happy to test, but
would like to be able to stop thinking about this all the time and
just live with doing the right things to a degree.  I don't expect a
cure...<grin>

Helen Howes
Andrew B. Chung, MD/PhD - 08 Aug 2007 12:58 GMT
neighbor Helen (he...@raindropkites.co.uk) wrote:
> .
> >
[quoted text clipped - 9 lines]
> My waist was bigger than my hip.  Now the ratio is back to a healthier
> number (0.81:1)

0.81 would indicate that you possibly still have too much VAT.

Optimally WHR should be less that 0.75 for a woman.

> and the waist measurement has just hit 88 cm,

This suggests that your hip measurement may be incorrect in that it is
including some of your gluteal muscles (ie the buttocks).

> which is
> regarded as "good enough". (Not for me...)

(correct)

>  I think I have very little
> insulin, and perhaps I need to look at replacement, but I am concerned
> that this will be yet more "life admin".  I am happy to test, but
> would like to be able to stop thinking about this all the time and
> just live with doing the right things to a degree.  I don't expect a
> cure...<grin>

However, I believe in your heart you know there is one:

http://HeartMDPhD.com/HolySpirit/Healing

The denial comes from the world's great lie about hunger.

It is only when we are hungry from eating less, down to the optimal
amount, that our bodies get rid of the bad "inside" fat (visceral
adipose tissue or VAT) that is causing insulin resistance (IR or
metabolic syndrome) that undergirds the type-2 diabetes.

Be hungry... be healthy... be blessed:

http://TheWellnessFoundation.com/press.asp

Prayerfully in Jesus' awesome love,

Andrew <><
--
Andrew B. Chung, MD/PhD
Cardiologist
Nicky - 08 Aug 2007 13:16 GMT
>.
>>
[quoted text clipped - 7 lines]
>patients to specialists.  I want to be very sure about what I ask for
>before I start jumping up and down and demanding...

Fasting insulin is what you want, alongside a fasting glucose. Then
you can use not only the absolute numbers, but the ratio (look for a
calculation tool from Oxford called HOMA) to work out IR. Good luck,
though - I've never managed to get a fasting insulin, or a C-peptide
test which is the equivalent, even when I went through BUPA.

How long since your DX? You may be worrying a bit early - that
Metformin dose could be nearly doubled, for instance. If you had
anything of a fatty liver at dx, that can take a while to resolve -
metformin is the specific for that too. I am very much in favour of
finding out whether the next step is necessary before you get to
damaging A1c levels though!

Nicky.
T2 dx 05/04 + underactive thyroid
D&E, 100ug thyroxine
Last A1c 5.6%  BMI 25
Alan S - 08 Aug 2007 08:05 GMT
>Any ideas on useful home testing to differentiate between these?  I am
>getting to the limit of my BG reductions by lowcarbing and adding
[quoted text clipped - 7 lines]
>Helen Howes
>Fighting Fit...

When you say "getting to the limit of my BG reductions"
where exactly are you?

What is your fasting, usual 1hr post-prandial, usual 2hr
post-prandial, A1c?

Possibly you have no need to improve further, possibly you
do need insulin or other medication - but it's hard to guess
without that knowledge. Testing for low insulin levels is
not done at home as far as I know.


Cheers, Alan, T2, Australia.
d&e, metformin 1500mg, ezetrol 10mg
Everything in Moderation - Except Laughter.
--
http://loraltraveloz.blogspot.com/
latest: Mossman Gorge in the Daintree Rainforest
http://loraldiabetes.blogspot.com/
latest: Self-Testing and Type 2 Management
 
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