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Medical Forum / Diseases and Disorders / Diabetes / March 2008Insulin-using woman with type 2 diabetes and weight problems
We would disagree that "this woman no longer has diabetes"; I presume that is a translational error, or possibly a misunderstanding. But the rest of it is a startling success story. One we rarely see anywhere else but here. Source: http://www.ncbi.nlm.nih.gov/pubmed/18309535?dopt=Abstract Tidsskr Nor Laegeforen. 2008 Feb 14;128(4):443-5. [Article in Norwegian] Hexeberg S, Lindberg FA. Dr. Fedon Lindbergs Klinikk, Sjølyst Medisinske Senter, Karenslyst allé 16 D, 0278 Oslo. sofie.hexeberg@drlindbergs.com " A 61-year-old overweight woman had been diagnosed with diabetes mellitus, hypertension and hypothyreosis. Treatment with antidiabetic and antihypertensive medication and thyroxine had been started. Blood sugar had been increasing despite medication and she had started using insulin. In 2003 she used 150 IE insulin per day. She tried hard to adhere to a recommended diet, but gradually became fatter, maximum weight was 120 kg. She started on a low carbohydrate diet on her own and lost 14 kg during 5 months. She had some hypoglycemic episodes and sought advice at Dr. Fedon Lindberg's Clinic. Her low carbohydrate diet was continued, endurance exercise was included, medication with metformin was started and during 8 months she was off insulin and showed much lower blood sugar values than before. She lost 14 kg during this period. She was motivated for loosing more weight and starter on a VLCD (very low caloric diet). She lost another 9 kg on this diet. She than started regular resistance training and her weight stabilized on 80 kg. Her HbA1c value has been reduced from 8.9 to 5.4% and her total/HDL cholesterol ratio has been reduced from 5.4 to 1.7. Her C-peptide value increased in the period when insulin was reduced, but is now reduced to 700 pmol/L. Micro-CRP has been reduced from 9.0 mg/L to 0.4 mg/L. With a low carbohydrate diet and exercise this woman no longer has diabetes or severe overweight. It is our opinion that many patients with type 2 diabetes can manage without medication (especially insulin) by reducing the intake of carbohydrates considerably." Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest: The Quality of ADA Dietary Advice The key to this case is the eating less. Bottom line: It remains smarter to eat less, down to the right amount: http://HeartMDPhD.com/BeSmart Be hungry... be healthy... be hungrier... be euglycemic: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword > We would disagree that "this woman no longer has diabetes"; > I presume that is a translational error, or possibly a [quoted text clipped - 53 lines] > http://loraldiabetes.blogspot.com > Latest: The Quality of ADA Dietary Advice > We would disagree that "this woman no longer has diabetes"; > I presume that is a translational error, or possibly a [quoted text clipped - 51 lines] > --http://loraldiabetes.blogspot.com > Latest: The Quality of ADA Dietary Advice Although I didn't need to lose much weight, this story reflects my experience. This quote, I believe, says it all, "It is our opinion that many patients with type 2 diabetes can manage without medication (especially insulin) by reducing the intake of carbohydrates considerably." John C. > > We would disagree that "this woman no longer has diabetes"; > > I presume that is a translational error, or possibly a [quoted text clipped - 61 lines] > (especially insulin) by reducing the intake of carbohydrates > considerably." Smarter to simply eat less, down to the right amount: http://HeartMDPhD.com/BeSmart Be hungry... be healthy... be hungrier... be euglycemic: http://TheWellnessFoundation.com/BeHealthy Prayerfully in the infinite power and might of the Holy Spirit, Andrew <>< -- Andrew B. Chung, MD/PhD Lawful steward of http://EmoryCardiology.com Swordbearer for the KING of kings and LORD of lords. http://HeartMDPhD.com/Sword On Mar 2, 5:18 pm, Alan S <loralgtweightandca...@gmail.com> wrote: > We would disagree that "this woman no longer has diabetes"; > I presume that is a translational error, or possibly a [quoted text clipped - 11 lines] > Karenslyst allé 16 D, 0278 Oslo. > sofie.hexeb...@drlindbergs.com Although I didn't need to lose much weight, this story reflects my experience. This quote, I believe, says it all, "It is our opinion that many patients with type 2 diabetes can manage without medication (especially insulin) by reducing the intake of carbohydrates considerably." John C. ============================================ The problem then becomes "how much is 'considerably' for this patient?" and (perhaps more important) "is this lifestyle something the patient can *and will* do long term -- i.e. more than the first few weeks of 'newbie enthusiasm'?" bj >On Mar 2, 5:18 pm, Alan S <loralgtweightandca...@gmail.com> wrote: >> We would disagree that "this woman no longer has diabetes"; [quoted text clipped - 31 lines] >enthusiasm'?" >bj True -- but the fact that the answers to these questions can't be supplied without painting people with an all-inclusive brush doesn't negate the effectiveness of the approach. "How much is considerable" for this patient is determined by what *works* for this patient and is determined by testing. "How much is considerable" is the carb restriction that brings the BG down to the most normal level possible, as compared to people who do not have DM. "Is this something the patient can and will do long term" is determined also by the patient and whether or not they are motivated by their success or prefer to "live the good life" and shoot insulin to cover it. I'd also like to add that carb limitation to control BG *in my experience* becomes easier as the excess weight (if this is an issue) comes off. *In my experience* total carb intake can be successfully increased as (1) BG levels are kept consistently within normal ranges and (2) weight loss continues. However, none of these things are possible if the patient isn't given the information in the first place. Failure should not be assumed. That, too, should be something that is determined by the patient. >On Mar 2, 5:18 pm, Alan S <loralgtweightandca...@gmail.com> wrote: >> We would disagree that "this woman no longer has diabetes"; [quoted text clipped - 31 lines] >enthusiasm'?" >bj The report suggests that she achieved it over a significant period and has maintained it. I used my meter to define "sufficient" reduction in carbs at different meals and times. Whether that was "considerable" varied from carb to carb and meal to meal. Cheers, Alan, T2, Australia. d&e, metformin 1500mg, ezetrol 10mg Everything in Moderation - Except Laughter. -- http://loraldiabetes.blogspot.com Latest: The Quality of ADA Dietary Advice >On Mar 2, 5:18 pm, Alan S <loralgtweightandca...@gmail.com> wrote: >> We would disagree that "this woman no longer has diabetes"; [quoted text clipped - 30 lines] >will* do long term -- i.e. more than the first few weeks of 'newbie >enthusiasm'?" Well, this newbie's enthusiasm for low carbing has lasted several years so far : ) What is it Roger Zoul's up to - 27 years, or something like that?! And test,test,test takes care of the "how much is considerably" variable. Nicky. T2 dx 05/04 + underactive thyroid D&E, 100ug thyroxine Last A1c 5.6% BMI 25 |
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