Abdominal Fat and Type 2 Diabetes (Who Knew?)

By MAYS Latest Reply 2012-04-04 10:22:44 -0500
Started 2012-03-30 14:08:54 -0500

Research shows that where fat is stored can have a dramatic difference in how healthy - or dangerous - that fat is.

When your body needs energy, it breaks down the fat into whats called free fatty acids.

These acids go into the liver which then converts the free fatty acids into usable energy for the body.

Studies show that internal abdomen fat (most commonly more prolific in men) is far more dangerous than hip or thigh fat because of its vicinity to the organs of the body.

Abdomen fat remains more metabolically active and tend to release more free fatty acids than fat located elsewhere in the body.

This can overload the liver, causing a host of disorders including non-alchoholic fatty liver disease and diabetes.

Wow! (Who knew?)



43 replies

tabby9146 2012-04-04 09:36:18 -0500 Report

so true, very hereditary for me, I come from a line of many thin people with good metabolism, but while I have been thin most of my life, when I began to gain in my 30s (two csections did not help that tummy fat) that is where it all went. I had 35 lbs, to lose, lost it, have kept it all off for 3 years, at an ideal weight, however…I still worry about that lower belly fat. I will always have it, isn't much I can do about it, but I can keep doing tummy exercises, (floor exercises) and keep doing aerobic exercises and watch my diet. It just frustrates me.

TsalagiLenape 2012-04-01 19:57:30 -0500 Report

That is the place where my fat is. Yet changing the way I have been eating since starting work (gasp gained weight) I am now losing it slowly! Yay. Just want to get rid of the muffin top or spare time whatever you want to call it. I have an appointment with an endocrinologist in May so doing a food diary to help him to help me what do you think? Hugs

tabby9146 2012-04-04 09:38:06 -0500 Report

you can do it. when I began exercising, and cut way down on the carbs, I was amazed, I had tried so hard for years to lose weight before, but before diagnosis, I only paid attention to calories or fat and calories, and not sugar! wow, if only I'd have known more about carbs years ago. I remember how I would exercise 6 days a week for at least a half hour for months, and while it helped me in many ways, my weight did not budge, not until I was diagnosed. Good luck to you! Losing it slower is the way too, better than real fast.

Bamberg 2012-03-30 17:14:27 -0500 Report

I think this is why losing just 5 percent of your body mass can have a dramatic effect on your blood sugar. I have lost about 13 percent of my weight and almost all of my readings are below 110.

jigsaw 2012-03-30 17:42:18 -0500 Report

Thats really terrific! I could stand to lose some wait also. I've lost about 6 lbs in the last month. I've never been heavy so to speak, but I could always stand to lose some excess! I'm seeing a slight difference in my bg already.

Bamberg 2012-03-30 17:56:01 -0500 Report

When I was diagnosed I decided that weight loss would be my first priority. It has paid of for me for now. I know diabetes can be progressive and I may not always be able to avoid medication but I was on Metformin and the more I read about it the less I liked it.

tabby9146 2012-04-04 09:38:57 -0500 Report

I was on Metformin at first too. I wish I had not been, because just 3 months later, with diet and exercise, I was able to get off. I hope never to be back on it again.

jigsaw 2012-03-30 18:22:22 -0500 Report

I did go for years with no meds and just exercise and a low carb diet. I was also a good weight most of my life. After 18 years of diabetes, I don't think I could get off meds at this point. I hope you and some of the others here are more successful at keeping the lion caged!

tabby9146 2012-04-04 09:39:48 -0500 Report

how many years were you able to control with diet and exercise? I have been for just over 3 years now. That's great you went for years, so you have been on meds now for 18 yrs?

jigsaw 2012-04-04 10:22:44 -0500 Report

I've been on meds for about 11 years. No meds for the first 7 years after diagnosis. I am in the process of cutting back on some meds with my endo observing. Increased exercise and cutting back on my already low carb diet. I added cinnamon and chromium caps along with Aloe Vera juice to my regimen. I did take cinnamon and chromium years ago, but my diabetes was so mild back then, that I couldn't tell if these supplements were working. The Aloe is a new one for me. The Aloe and Cinnamon with Chromium caps are making a large difference, or so it appears. Bg is running in the 90s frequently. That is better then my numbers were before I cut my meds!

Nick1962 2012-03-30 14:44:56 -0500 Report

So that's what it was when i had that liver scare! Who knew is right.
I went back in after a liver test showed something, after a second test turned out it was fatty deposits.

jigsaw 2012-03-30 17:18:22 -0500 Report

I heard it's fairly common with diabetes. When I had my scan, i was told the same.

Nick1962 2012-03-31 18:25:15 -0500 Report

This was before I was dx'd, but at 270 lbs, you gotta know there was some extra fat in my system.

jigsaw 2012-03-31 18:45:54 -0500 Report

Did you know that there is a difference between some overweight PWD and others that never really had a weight problem aside from being overweight? This link may explain why an overweight PWD may be able to eliminate all diabetic symptoms by losing weight. Maybe even permanently! I never really had a weight problem, so it probably doesn't apply to me. Check it out!

Nick1962 2012-03-31 18:53:53 -0500 Report

Thanks for that jigsaw, that certainly describes me. But I'm also thinking, does that maybe make another form/type of diabetes? Obesobeties? Not really T2, but brought on solely by weight and eliminated as weight is lost? Iwould say though, after being overweight all my life, the factor i contribute (for me) is going from a physical job to a non-physical one.

jigsaw 2012-03-31 19:08:03 -0500 Report

I would guess there are probably numerous factors involved for all of us. The most pertinent and interesting point is that RPB4 could explain an additional reason (with good diet and exercise) that meds could possibly be eliminated permanently for some PWD and not others! Either way it is not claimed to be cured!

Nick1962 2012-03-31 19:35:44 -0500 Report

Agreed about being "cured", but I've often wondered what "normal" numbers were. As i responded to James below, i sometimes test my wife (she hates that, but still lets me), and her spikes are maybe 20 points lower than mine and daily random maybe 10 points lower. So if both of us went in for diabetic testing, A1c, glucose uptake test, etc., neither of us would show up as diabetic. Now I'm not willing to experiment by going back to my old diet to see if I return to the levels at which i was first diagnosed, but how esle would i know if I was "cured"?

jigsaw 2012-03-31 20:04:55 -0500 Report

Are you saying that your bg never spikes even if you cheat, or are you saying you simply never cheat? If you never eat a high carb food like pizza or even some of the higher glycemic fruits, then it would be difficult to tell. My wife can eat all the junkfood she desires and her bg always below 110. On the other hand, if I have a small slice of pizza, I will spike about 30 points at least and that's while taking insulin. A small apple will spike me at least 40 points if not more. What do you consider high carb in your diet? There are some semantics to clarify.

Nick1962 2012-03-31 20:34:39 -0500 Report

Oh no, I "spike", and I do "cheat", but my spike seems to be only 20% higher than my wife's, and we are both about equal physically. High carb for me is anything over 25/meal. So I guess what we're sayng is diabetics "react" differently, and even if we brought our eating habbits in line, it's that reaction is what makes us diabetics?

jigsaw 2012-03-31 20:54:40 -0500 Report

My opinion, and also that of many experts is that the conditions and foods that trigger a sharp bg spike in a PWD, will always do so. So it is "that reaction" that will take place if you are a PWD! There is one additional thing to factor in. The more insulin resistance an individual has, the tougher it is to control bg. So if you have lost alot of weight, you have more than likely decreased your insulin resistance, and you just might have more of a subtle reaction to carbs.

Nick1962 2012-04-01 10:32:35 -0500 Report

i guess that's what I'm after here, and playing devil's advocate a bit. If, being a PWD, and having it caught early enough that i haven't done a huge amount of pancreatic damage - if I can maintain an acceptable A1c, and manage spikes without meds or esoteric food concoctions for my remaining years, would that not be considered cured? Maybe that's a different post topic.

jigsaw 2012-04-01 15:20:07 -0500 Report

The word cured in my opinion is used rather loosely. There are authors who use it and those with potent hopes will buy it. In a fantasy world and the world of denial, it can be cured. In reality however, we're all in the same boat together. There is no cure according to conventional medicine and even alternative medicine. There is no documented history of anyone ever being cured. I hate to be a party pooper, but that's the hard core truth of it. Once diagnosed, it's with you forever. You can manage it to the point of no symptoms, and you can live a long healthy life with no complications. Fact is dog gone it you , me and anyone that has it is stuck with it. Makes no difference how hard one tries to shake it and refuse to accept it, guess what…Ya still got it! It's that simple!

Diabetes (type 2) is a metabolic disorder that involves much more than just the pancreas and its beta cells. It is so complicated that no one knows (EXACTLY) what causes it in the first place.

I guess folks like us are stuck having to take extra good care of ourselves to maintain health. As for me, as long as I can manage my bg, feel good mentally, emotionally and physically, then I'm a happy man.
Those who choose to say they are cured by eliminating the symptoms is perfectly ok with me also. Just don't eat an ice cream cone, cotton candy, and a coke when your at the carnival. You will find your life partner was there the whole time.

I am a realist!!! Please, please someone prove to me that I have inaccurate facts. I've been searching for 18 years. I have read more books and articles on the subject then you would believe. I have discussed it with endos, primarys, naturopathic NDs, and a few professional bull artists.

The answer to your question, Ifs don't count!

Nick1962 2012-04-01 18:12:29 -0500 Report

No buddy, you have accurate facts, and again I'm just playin' devil's advocate. Just kind of wondering out loud if there might just be a different view to adopt. Trying to find a positive spin. But, as you say, spin as we may, it's still there.

Hey, what are you doing in the house on such a gorgeous day? i thought you'd be out playing with a fish or something. I had ribs in the smoker, that's my excuse.

jigsaw 2012-04-01 18:40:51 -0500 Report

Actually, I've been in and out all day. My wife wanted brick edging installed around one of the gardens, and the driveway power washed. Talking about smokers, those thiing are great! So are smoked ribsI I didn't use the smoker today, but I did barbecue some chicken on the grill. Cooked up a head of Cauliflower in the Dutch oven until it was soft. Mashed it up with butter and garlic, and there you have it, genuine fake mashed potatoes.
As far as the fishing goes, plenty of days for that. Unfortunately the boat has a 100 gallon tank and I HATE supporting the oil companies!

jayabee52 2012-03-31 19:03:35 -0500 Report

After I lost 65 lbs last year my BG numbers have normalized. First mornings of 89 or 101 for the most part. Things which would have spiked me before only cause a moderate elevation on BG levels.

If I get a bit "overenthusiastic" in a buffet here, though, I will have a corresponding rise in BG levels (post prandial 210 — last time) so my diabetes is not cured, but as long as I behave with my eating habits the Diabeast is sleeping until I do something stupid to awaken it.

I suspect that I have that genetic makeup mentioned in the wisegeek article as I have been heavy the majority of my life.

Nick1962 2012-03-31 19:27:56 -0500 Report

That's exactly how I react James. Usually I'm in the 75-95 range mornings, and my biggest spike was 200 last time I overindulged on pizza. But i guess my real question is, does excessive weight play a part in the numbers. I just tested 2 hrs postprandial (a fairly higher carb meal) and I'm at 129, my wife however (and she hates when i do this) is 109 same meal, same glass of wine.

tabby9146 2012-04-04 09:47:51 -0500 Report

first thing in the morning I am between 80-90 vast majority of the time, and I have not noticed a spike near 200 but once, that was right after I was diagnosed, 3 1/2 years ago in late 2008, I test once a day, sometimes I forget, used to test 3-4 times a day when first diagnosed, then went to twice a day, most of the time first thing in a.m., and 2 hours after meals, but now I like to test one hour after meals, sometimes 30-45 minutes later, to me, that is where the real truth is. It's almost always decent numbers, but I eat right most of the time. I do cheat sometimes, if I didn't I would not be able to keep ALL the weight off, I love to be able to do that. Ate out at my favorite tex mex place yesterday for lunch, one place there is hardly any sugar in the salsa, used to test after eating some of that, I can get away with with one whole small container of it and it doesn't hardly affect me, however, I got a hold of some at this other place once, and I got dizzy, went in the restroom and checked, and it spiked up real fast, and that was only after aproximately one or two teaspoons. I "feel" these spkes, lots of times, but more often , I feel the lower numbers, when it stays within normal range…but just goes down "fast" I feel that very obviously. My doctor said I'm just very sensitive to it.

Nick1962 2012-04-04 10:09:00 -0500 Report

Sounds like you're "tuned in" to the diet pretty well. Most days I stick to foods i know treat me well, so testing is really just confirmation. For me it's a trade off. Dr. says I don't have to test if I can keep control, and my A1c shows it. He will write a script for supplies,, but with my insurance it comes mostly out of pocket anyway, so I buy discount stuff or strips with short expiration at a huge cut on my own. It seems like the longer you stick to the "diet", your body tries to spring back. i hope that's the case anyway.

jigsaw 2012-03-31 20:13:46 -0500 Report

Weight affects my numbers radically. My comfortable weight is 198 give or take. If I go over 203, my bg gets considerably and noticably harder to control. Weight is known to be a substantial factor with causing increased insulin resistance.

jayabee52 2012-03-31 19:43:52 -0500 Report

I tend to believe it does as at 5'6" and 150 lbs (give or take) this is the LOWEST I have been in my adult life. I wasn't able to get really great control of my BG levels until I lost the weight. But that is just me and my experience.

Nick1962 2012-03-31 20:37:30 -0500 Report

I'm running between you and Al at 178 and can't seem to get lower, but have always been a husky person (always the anchor on the tug-of-war team). So i guess the concensus here would be that if one were to achieve/maintain an ideal BMI, we could reasonably control, but what makes us different is once we've done the damage and messed up our system to not be able to control spikes, that is the final nail?

tabby9146 2012-04-04 09:49:36 -0500 Report

also what was your highest number on the fasting BG tolerance test? I found it interesting that mine was well over 200, but less than 300, and my first A1C was 5.6

Nick1962 2012-04-04 10:02:09 -0500 Report

i think I topped out at 290. But again, at the time that number meant nothing to me because i wasn't educated. During my first year I'd frequently have mornings of 220.

tabby9146 2012-04-04 09:49:03 -0500 Report

Nick, what was your very first A1C after being diagnosed? (sorry, I don't get on here much lately so I may have missed many of your posts)

Nick1962 2012-04-04 10:00:29 -0500 Report

My first A1c was up over 8, close to 9. i didn't keep that record because it didn't mean anything to me at the time (stupid me).

MAYS 2012-03-30 15:12:35 -0500 Report

Interesting, the things that we do not know, or are not told.
Unless we research things, ask questions and present what we have found for a comparison, we are walking around in the dark with a matchstick as our source of light!

jigsaw 2012-03-30 17:24:09 -0500 Report

There are many things that won't show up without extensive testing, and the costs are astronomical. Sometimes we're better off not knowing what's going on internally also. Less to worry about, which equates to less stress!

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