T2 and Insulin

By Dean0868 Latest Reply 2012-06-28 16:54:31 -0500
Started 2012-06-22 06:24:55 -0500

For those who think that T2 is "curable" with diet, a pill and exercise, I recommend you read the article about insulin and T2 put forth by DiabetesConnect. You will see a small list of the uses of insulin for T2s.

The article states that insulin is used for T2s who don't have success with an oral medication and/or have damage to the pancreas where it is not desirable to force the pancreas to squeeze out more insulin, thus putting extra stress on the already damaged organ.

As a medical proffesional and a PWD2, I find it discouraging that people are so against using insulin. Insulin is being used more often in us T2s because it gives the patient more control and it doesn't put any more demands on the damaged pancreas which leads to eventual insulin use anyway.

But my biggest concern is that people are suggesting to others that insulin use in T2s is undesirable and that if someone just exercises and eats right, T2 diabetes will go away. This is a dangerously faulty premise.

Insteady of passing on uneducated advice, can't we just support each other? This disease is bad enough all on its own.

Do we really need to be drawing a line in the sand that says who is a "real" diabetic and who isn't?

74 replies

MoeGig 2012-06-26 20:41:55 -0500 Report

I agree 100%. I'm Type 1 and my dad is Type 2. He tried all kinds of meds to control his sugar…Insulin is the solution. People who run high blood sugars while trying to figure out the right combination of pills to take to have decent control are doing themselves a great deal of harm. Complications are not reversible. Go on insulin and fix the problem now. Today's syringes are painless.

Set apart
Set apart 2012-06-23 07:16:37 -0500 Report

When I was first diagnosed I wanted o be aT2, is that bad. Everything I had read said it was more flexible and controllable with diet and exercise. I am a T1 and have worked so hard the last 9 months to try and stay on track. I am now thinking is my A1c of 6.6 bad? The doctor says it's really good. I wish I could go into the 5s but with the insulin I still find it hard some days cuz my need for insulin changes constantly what works one day may not work the next day. I am also pre menopause, sorry guys had to share cuz hormonal changes also affect BGs. The fact that I am trying to inject a perfect amount of insulin into my body and take care of what my body is supposed to do can be scary! Plus I don't want to gain weight, and am in fact trying to lose some. My total carb grams per day are about at 45 sometimes less and sometimes if I'm hungry I will go a little more. I sometimes try not to take any fast acting insulin my novolog, by staying at about 10-15 grams per meal. Insulin is a part of who I am now! Best wishes my friends!

MoeGig 2012-06-23 11:53:47 -0500 Report

If you try to get into the 5's, you'll risk severe lows which will do more harm than good. Anything below 7 is a winner. Relative to loosing weight, very low carb is the only way to go in my opinion. I tried everything else in the past, but nothing works (for me) except an Atkins like diet. Plus, you're less hungry and you will see that you also have to reduce your insulin. Lost 40 lbs 8 years ago and have kept it off. Don't worry about the fats or cholesterol…it will drop after a while. Mines now in the 150's. Dr still wants me to take a statin anyway…which I do. Focus on the no/low carbs. Eat anything else you want. Good luck.

Controlled 2012-06-23 12:23:29 -0500 Report

Great job on the weight loss. Keeping it off is even more impressive. I maintain an A1C in the low 5's with no lows and no medication. Doing this isn't always easy. I manage my diet and do more exercise that I like doing. The diet part has gotten much easier as your tastes and cravings change over time and you also learn that an occasional indulgence won't end the world.

The most interesting thing about this condition is that it is very personal. My goal has been to stay at this level and I have been able to do it for a few years now. I plan on maintaining it at this level for as long as I can.

suziesgirl 2012-06-26 19:19:56 -0500 Report

Sounds like you are right on the money, and your saving your money as well. This is an accomplishment. It requires disipline and having the knowledge as to what foods are good for your body to help heal it. This condition is surely a personal one.

MAYS 2012-06-23 12:15:30 -0500 Report

Well said! (MoeGig)
Pt is not recommended for a diabetic to go below a 6.0 A1c level, the ideal level for a diabetic is between 6.0 and 6.5 according to both my pcp and many of the books that I have read concerning this subject.

mary, the diabetes lady
mary, the diabetes lady 2012-06-25 10:29:47 -0500 Report

May I suggest that you read one more book? This book changed our lives after living for over 20 years with T2D. If you haven't read it already and from your post I have a feeling you haven't please get the book, "Diabetes Solution" by Richard Bernstein, M.D. You can get it at the library or at Amazon. I have NO affiliation with Dr. B except to say that reading his book changed our lives in 2002 and we will be forever grateful to this man!!!

old biker
old biker 2012-06-25 10:41:04 -0500 Report

I agree, it is a great source of information..It sits on my desk and I go to it all the time..My BGL was out of control until I read it..I based my diet around the information in this book and my numbers started to come down overnight..Like you this book changed my life

mary, the diabetes lady
mary, the diabetes lady 2012-06-25 11:07:02 -0500 Report

I am so happy to hear that you have and read Dr. B's book. He should be recognized as the man who is really helping diabetics live a better life. Do you also listen to his free Webinars? I haven't and won't miss even one for the past 4 plus years. I don't want to violate any rules of this group so if you will send me a private email, I will send you the information. I believe you can also find it in his latest book.

Have you also read the books by Gary Taubes and Jonny Bowden? Excellent information in those books!!

jayabee52 2012-06-25 20:54:53 -0500 Report

Mary, to share that info with us would not be a violation of the TOU, as long as you get no remuneration for sharing it with us;

mary, the diabetes lady
mary, the diabetes lady 2012-06-25 21:12:44 -0500 Report

Great! I get nothing but the satisfaction of knowing that more diabetics will get the best available information from a doctor who really knows diabetes. He's been a type 1 since he was 12. He is now 77 years old and still practicing physician. His book is life changing and his Webcasts are full of great information!

From the email that I get, here's the information on Dr. Bernsteins Webcast which will be held this Wednesday, June 27, 2012:

Ask Dr. Bernstein Webcast and Teleconference !!! – Wed.June 27,2012
Please Ask Dr. Bernstein Your Questions NOW! By emailing us at publisher@diabetesincontrol.com small or by going to www.askdrbernstein.net

Join the Ask Dr. Bernstein Webcast and conference call on Wed. June 27th at 7PM CST, 8PM EST and 5PM West Coast Time. Dr. Bernstein will answer your questions

To attend, visit:

You can listen live by phone by dialing (323) 476-3672 on Wed, June 27, 2012. Enter Conference ID: 900326#,

For Local Numbers go to: http://cdset.c.topica.com/maapLhgab9eFQaT78Rm...

I hope you get a chance to listen in to this Webcast. Please let me know how you liked it.

Nick1962 2012-06-24 18:51:01 -0500 Report

Mays, apparently now the numbers can be viewed by the PCP on a sliding scale depending on overall health and age. When i started this journey I was told anything under 7 was great. I was also in very poor health. My last visit (last week) I was suprised when he said the range for me should be 4-6. Since my EKG was very strong (no sign of genetic heart issues) and other labs were right in line, he said that 4 would be a definite low but still attainable. I'm not crazy enough to find out though.

cindygal1 2012-06-23 03:35:51 -0500 Report

Hello and welcome to our little group, who go out to help each other, I don't draw lines in the sand, I do my best to stay on my diet and take my medication as I should and do the things that I should. I don't try to figure out who is a diabetic and who isn't, I accfept the fact that I have it. My Mother had it, and I guess I got it from her, shehad a bad time with hers, so I do my best to do the things that I should do, no one should be trying to figure out who is or who is not a diabetic. We all have it, a lot of people think that it is the end of the world when they fine out that they have it, some are ashamed, it is a illnes that is treatable, and noting to be ashme of it. It is an illness that can be contorlled if you do the things that your doctor tells you to do, and you learn how to deal with it. I wish you luck and we are all on here to try and help each other. Good luck and I will keep you in my Prays.

jayabee52 2012-06-22 23:07:25 -0500 Report

Howdy Dean WELCOME to DiabeticConnect.

I don't think we draw a line in the sand and claim who is a real Person With Diabetes (PWD) and who is not.

People come here with all types of Diabetes Mellitus (DM) and all different experience levels with DM.

There are folks who come here with agendas also. They want to promote their book or product and point of view. Some who are too blatant about their book or product are shut down with a "violation of terms of use" to which we all agreed when we first signed up.

I don't know about you, Dean. but I feel that the best way to manage one's DM is ideally by meal planning ("diet") and exercise without the use of DM meds. There are those however who cannot manage their DM in this fashion. That does not make them a lesser person than those of us managing now with meal planning and exercise. I don't think those of us who manage that way look down on those who must rely on oral oral injectable meds. We are all PWDs seeking to manage our DM the best way we can using the tools at our disposal.

I was initially started on oral meds. And when my kidneys shut down and I needed dialysis, I was put on low dose NPH insulin 2x/d. I stayed on that regimen until quite by accident I discovered that I could manage my DM simply through the insulin my pancreas produced.

After a little experimentation, I discovered that IF I ate carefully I could manage my BG levels without resorting to DM meds. The upshot of this may be found in this discussion here ~ http://www.diabeticconnect.com/discussions/14...

But however you won't find me anywhere on DC putting down those who must use DM meds to manage their DM.

The main thing is that folks who come here get help and support somehow.

The only line in the sand for me is those who come here promoting their "cure" theories, or product claiming to cure diabetes. I have had some rather intense exchanges with those folks, as many others have had as well.

Praying for BETTER health for you, and God's richest blessings to you and yours.

James Baker

Dean0868 2012-06-23 16:25:23 -0500 Report

James, thanks for your post! I totally agree that diet and exercise play a huge role in maintaining the health of a PWD. At the time that I posted originally, I felt like people were looking down on me because I use insulin.

A little about me. I'm 43 and was diagnosed last October. My a1c was 10. Now I did have a few extra pounds on me, but I have always been an extremely healthy eater. I grew up as a vegetarian. When I got older and had kids of my own, I did include lean meats like chicken, turkey and lots of fish. For the most part, I was doing everything correctly but still had an a1c of 10.

My PCP started me on Metformin while I was waiting for my appointment with my endocrinologist. In a 7 day period, I fainted 3 times at work. The Metformin was causing me to drop from 350 or so, down to 150 very rapidly.

When I did get in to see my diabetic team, we decided to start me on a low dose of Lantus and also Apidra for meals. We started slowly and it took about 3 months to fine tune the insulin so that my fasting glucose was at a healthy level. With my continued healthy diet and whatever exercise I can get, my a1c is 5.9.

I currently eat between 150 to 200 grams of carbohydrates a day. Because I am a medical assistant, (minor degree in medicine), I understand the important role that carbs play in keeping the brain healthy. Based on my education and training, I do not know that I agree with low carb intake. The body needs a certain amount of carbohydrates to function at an optimum level. BUT, I realize that everyone is different. What is right for me, isn't necessarily right for you.

So anyway, thank you again for your post.

My best wishes,

jigsaw 2012-06-23 19:56:06 -0500 Report

I was diagnosed 18 years ago! I managed to stay off meds for 7 years and managed my diabetes successfully with exercise and a low carb diet. After the 7th year I began a very low dose of Amaryl. Over the next few years I gradually changed and increased my medications. After about 16 years, I found myself to be more carb sensitive and developing some minor health problems.

I went to a dietician that said I was restricting my carb intake excessively. She also said that by following her plan which included higher carb intake, I would feel better and be healthier. I started insulin at about the 16 to 17th year of diabetes also. My a1c has remained between 6.0 and 6.2 throughout the entire 18 years of managing my diabetes. I have NOT developed any complications due to diabetes. I have managed to maintain good health so far.

My opinion of what is the best way to manage ones diabetes including my own has been evolving and ever changing with years of hardcore experience.
I was on a modified Atkins Diet for 16 years. In many ways it helped especially by maintaining excellent bg and a1c. On the other hand, it took a turn for the worse as was evident in my 16th year and as pointed out by my dietician. I am currently doing very well with my new food plan, and no longer experiencing any previous health problems.

Unfortunately, I suspect what appears to make sense in some cases, to the average layman including myself ( as evidenced over the years ) is not always correct. It can be dangerously unhealthy to veer off a professionally backed path! I have always utilized the services of professional medical teams along with self education. I currently utilize the services of an endocrinologist, that employs diabetic educators, nutritionists and dieticians. With their guidance, and continuing and increasing my own knowledge, I hope to do another 18 years of good health.

Thanks for an excellent discussion with what I suspect is some well placed info!

red flower lady
red flower lady 2012-06-23 01:11:00 -0500 Report

Excellent reply and showing how drs recommendations can work as it did for you. It is never too late to start making the change and even if you still need the meds at least you will be in better shape and eating right which will hold off other health issues. Thanks for being you:)

jayabee52 2012-06-23 13:37:50 -0500 Report

actually the Dr didn't ask me. When I decided on the experiment I told him that after careful consideration I intended to do this plan. I really think that he was a bit "shell shocked" by this revelation. He was used to treating a lot of folks in the Hispanic community and was not used to someone who was empowered to change his diabetes health like I proposed.

red flower lady
red flower lady 2012-06-23 15:27:47 -0500 Report

I was refering to "DRS" in general as this is almost always part of the treatment plan for diabetics, if the dr knows what he is doing, and not yours personally. Sorry I didn't make that clear. Eating right and getting exercise is important no matter what type you are. The issue is following it. Happy you were at the point to make a change and be with us today:)

red flower lady
red flower lady 2012-06-22 15:51:38 -0500 Report

I don't think anyone has told a type 2 to "stop" taking their insulin? But, that you have a good chance of reducing the need for it and other meds by doing what the drs say's which is exercise, drop any extra weight, and follow a good eating plan which includes counting carbs and portion control. The point is that type 2's have this option, but don't always follow it. You should "NEVER" stop your meds unless the dr is onboard and even then one should still keep doing bg checks and keep their regular dr appointments to make sure they continue to not need the meds.

I have been insulin dependent almost my entire life and would love to have other options, but am thankful for the insulin and would rather use it then pills. Oh, by the way, not all type 2 will end up on insulin so be careful when saying that. Don't want to overwhelm, worry and add to the weight of diabetes by making a faulty statement:)

Thanks for your contribution and never feel bad about using insulin.

Controlled 2012-06-22 12:52:56 -0500 Report

I agree with all that is written here; however, there is the other side of the story. Insulin is necessary and abundantly helpful for many people. I prefer to control BG with diet and exercise because that is working for me. I eat extremely low carbs and don't particularly enjoy exercising. There are days when I wonder if taking medication, or insulin, would manage control and permit a less strict lifestyle. I have had four consecutive A1C's in the low 5's.

When all is said and done, there are many factors that lead to a diagnosis of diabetes. While we all know slender, physically active people who struggle with this condition; the truth is (and I know it's not nice to admit) that many of us did not take proper care of ourselves. Poor nutrition and a sedentary lifestyle are a (not necessarily "the") road map to a diagnosis. Many here struggle with controlling body weight. It is perfectly understandable and equally perfectly true. We read success stories here over and over again, "I lost weight and started exercising and my blood sugar is lower…"

All I'm saying is it is a personal choice how you manage this condition. At the end of the day, it really shouldn't matter what anyone else thinks about how you manage it (unless of course they are a caregiver and you neglect your health and care to the potential detriment of others).

Don't worry what others think or say. You have a very logical, well-reasoned opinion. I hope whatever anyone else says or does, you continue to take care of yourself. It will be nice to read posts that you are no longer "discouraged". While diabetes will never go away, the complications and damage that it is capable of are often delayed or avoided by managing the condition. "Managing" means lifestyle, medication and/or insulin (among other things).

DeanaG 2012-06-22 12:52:23 -0500 Report

I believe it is best to use whatever tools necessary to achieve control of your diabetes.
If that means using insulin then so be it, whatever works for the individual. Everyone's diabetes is different, that is why it is so confusing when first diagnosed.

Dean0868 2012-06-22 10:04:58 -0500 Report

Mays, thanks so much for the amazing description of what happens inside the diabetic body. Brilliant!

To everyone else who replied: Thank you for the support. When I posted for the first time yesterday, a few posts stunned me and hurt. Like I was sub-human for using insulin. Perhaps I took it too personally.

This is the first support community that I have joined for use as a tool in my diabetes "arsenal". I very much want this community to be a safe place. It should be this for everyone here.

I will step off of my soapbox now.

dietcherry 2012-06-22 10:30:27 -0500 Report

Hello and welcome to DC !!

I am T1 so I absolutely must take insulin—it is one of many things I use to manage my D. My belief is we need to utilize whatever is at our disposal to acquire the best health possible, and if insulin is part of that equation, then by all means. I also have eliminated many things from my diet (sucrose, gluten, dairy, etc.), use supplements, and am on a strict exercise regimen.

Ive seen some DC members express a needle phobia! I hope this isnt what stops them from using insulin; however its also been a catalyst for many to achieve excellent control without injecting. Will that last forever? Who knows-everyones D is different.

Heres to our good health! Lots of Love to you!!

Nick1962 2012-06-22 09:50:41 -0500 Report

You bring up a great point for discussion. I doubt anyone here has the idea that diabetes is curable (and we’ve had this discussion often), but many will say (myself included) that it is very manageable.
I agree that insulin therapy is valuable and even necessary for those T2’s who have suffered pancreatic damage and/or do not respond to medications. On the other hand, I’m also of the belief that like any other part of the body, the pancreas can be rehabilitated in many cases. So for me this would mean using insulin therapy early on to lessen the burden during the rehabilitative phase, but eventually stopping once a good diet can be achieved and pancreatic function returns to near normal. I’ll admit it may not be appropriate in all cases.

My “line in the sand” is using insulin therapy as a permanent management practice for those who are less than compliant with recommended diet and exercise. This in my view is false insulin dependence and really does not serve the patient long term – akin to prescribing a smoker cough medicine for smoker’s hack.

Just my 2 cents.

jigsaw 2012-06-22 12:45:36 -0500 Report

Some people who think they need medications in reality may not. Others who don't think they need medication may actually need it in spite of well controlled bg. Perception can make it all very confusing. Simple example: If you take medication, but don't eat properly, the meds may not work. On the other hand, if you eat a nutritious diet, the meds might work. So how an individual perceives the results of their meds can be unclear and inaccurate. My point is that many individuals with diabetes are not professionals, and not able to make such clear cut determinations, especially when it comes to others.
According to the world of conventional medicine, diabetes is a progressive condition. You can slow its progression with proper mgmt, but you can't stop it. If you feel that I'm misinformed, I would not only listen to all that you have to say, but I hope to find you are correct! The pancreas is only one large malfunctioning bodypart in the complex condition of diabetes. The metabolic sytem employs the balance.

Nick1962 2012-06-22 13:09:10 -0500 Report

Oh i agree 100% and as we've discussed before, there is no such thing as dying from "natural causes". It's always a failure of something.
Educating yourself with any condition is the best way to proper care and treatment. Using that education is the key.
I just got back results from my tuesday doctor's visit. A1c slipped a bit from 4.9 to 5.1 (too many client lunches recently), however my cholesterol went from 149 to 136 and my trigs from 74 to 63. HDL is still a bit low at at 46. Also of note, my Anion Gap, which is a partial indicator of Diabetic Ketoacidosis, went from 10 to 8 (should be 3-13). While I was briefly on Met and experiencing lactic acidosis, this number was about 22. Sodium was up too by 4 points (again, lunches). Everything else was well into the normal range.
So yes, it is progressive, but for me, not today at least.

jigsaw 2012-06-22 13:38:39 -0500 Report

Very impressive numbers! Only one thing to be said…Congratulations ! It not only appears that you are doing an amazing job, but I do know that you went through tremendous effort to get there!

Nick1962 2012-06-22 14:18:02 -0500 Report

Not fishing for compliments, but thanks! I would imagine you're right about there as well.
I guess this goes to my point about professional guidance. There has been nothing out there to address my specific/personal condition (we're all different), so most guidance is generic. I cannot afford a personal dedicated physician. I had to take control and "guess" and experiment based on what little info I had. I was not however content to have a doctor tell me you have to take this or that, and it's only going to get worse. Ideally, 20 years from now I'll still be in this shape, at which point we can say what I've done works.

old biker
old biker 2012-06-22 11:22:37 -0500 Report

I don't know if I agree with that last paragraph Nick. There are different types of insulin. I take the same amount every day at the same time..My carb count for the entire day is around 50-60 and I work out twice daily..This is what it takes for me to be a happy camper..I read some where that the normal progression from oral meds to insulin is 10 years..I don't have a clue if that is true or not..I know 4 months ago I felt like Sh*t, not so anymore.. Diet and exercise are a major part of my life and insulin is just another tool not a crutch

gadgetgirl007 2012-06-23 04:36:31 -0500 Report

Well I suppose I am close to your 10 year statistic. I was diagnosed with DM in the fall of 2003, A1C 8.9, & started on 4 piils of 500 mg Met , and 3 gliberide.. I had gotten down to 2 pills of 500 mg Met per day, with A1C's in the 5's. I recently started insulin the beginning of June 2012, single injection at night of 10 Units Novolin. Since starting the insulin my BG is under much better control than the last 2 years. I believe if I continue to improve my diet & exercise regimen I may be able to stop using insulin, Novolln 10 Units at night.

Dean0868 2012-06-22 22:03:10 -0500 Report

Biker, I am glad that you are feeling better! Along with a healthy diet and exercise, insulin is a great tool. Congrats.

Nick1962 2012-06-22 12:39:16 -0500 Report

Yeah, i should have done a better job framing that paragraph. Like I said previous to that, and expounded on to Dean below is "I’ll admit it may not be appropriate in all cases."
I'm not under the impression that the control I have now will last forever, or that I'm even postponing an inevitable failure. For all i know that whole wheat english muffin I'm planning for breakfast tomorrow will be the one thing that makes Mr. Pancreas flip me off and say "I quit for good" leaving me on a pump by monday morning. I'm hoping that's not the case, and only time will tell.
My issue is with those that will use it as a crutch rather than a tool.

Dean0868 2012-06-22 13:49:47 -0500 Report

In the end, I think we are in agreement. Your diabetes is yours, and mine is mine. We each approach our battle differently because, well, our bodies are different! Go figure.

And I completly agree that there are quite a few PWD that purposely abuse their bodies and expect their insulin or little pill to do all the work. I can't tell you how many patients came into the clinic with gangerous wounds on their lower extremities with a 44 ounce, full-sugar soda in their hand. When I test their glucose level and it is 500+, they sincerely state, "But I take my pills!".

True story. One morning at work, the boss brought in Crispy Cream for everyone. I watched a co-worker draw up some insulin and inject it whilst grabbing 2 doughnuts!

Thanks 1962 and everyone else who offered up opinions. I am learning a lot!

Nick1962 2012-06-22 14:37:16 -0500 Report

Yes, i think so. With all the talk of health care reform, I think those like you described using the crutch of medication will soon find they'll be paying more for those crutches, because many folks (like me) are getting tired of being a "welfare provider" with our premiums. If control isn't something a person can achieve, fine, but if it is, and no effort is made, then i think it's irresponsible to burden the rest of us.

suziesgirl 2012-06-26 19:33:31 -0500 Report

Totally agree Nick. I just think that there are so many people out there that do not have good info, and believe in the magic pill. Educating with the help of good health care providers would be a start. Unfortunately many of them (health care providers) don't access good information to pass it on. Kind of sad I think.

Nick1962 2012-06-27 09:38:03 -0500 Report

Yes, it is sad, but I can't come down too hard on them, there is so much out there that they have to stay on top of. Diabetics are for the most part self-managed, so it's not like we have an infectous disease where we're working against a clock to get things managed. It's easy for us to get put on the back burner. I think because of that, there is an information lag, and the efforts of folks here are making will become "ADA recommended" 5 years from now.

Dean0868 2012-06-22 14:49:28 -0500 Report

Don't get me started on Big Pharma! They are right up there with "no-fail".

I don't know your story, Nick, but BRAVO anyway. I love the fact that you have taken control of educating and healing yourself. An incredible accomplishment.

Nick1962 2012-06-22 14:58:54 -0500 Report

Oh another big Pharma post will come up and the feathers will fly.

I deserve no kudos, it's something i should have done long ago. That's why i like it here at DC. There's still stuff i don't know and collectively we can make a difference i think.

Nick1962 2012-06-22 14:43:59 -0500 Report

Oh that is a great parody. I think I'll share that with a buddy of mine. It'll piss him off, but make a point. Now you know I'm not a conspiracy theorist, but I will agree that Pharma sure is enjoying the benefits of people who don't question or educate themselves. There's a sucker born every minute.
Oh and hope your hatches are all battened down, nasty weather coming your way.

dietcherry 2012-06-22 12:38:01 -0500 Report

Agreed Stu! The most important goal with D is to enjoy optimum health and that includes keeping BG within a healthy range to prevent/delay the devastating complications of this disease :-)

Doesnt really matter how each of us travel there..the desired destination is the same !!

Dean0868 2012-06-22 11:36:33 -0500 Report

I am so glad you feel better. Insulin gives us a lot more control, doesn't?

It is interesting to see that everyone manages their diabetes differently. You do 50 to 60 carbs a day and you feel good. I get about 200grams and that is where I feel good.


Dean0868 2012-06-22 11:14:06 -0500 Report

You state that once a good diet is achieved and after rehabilitation is completed, T2s can then suspend insulin use. This would suggest that a person who has been eating improperly, will develop T2 diabetes. This is not so. I saw many patients in the clinic that were morbidly obese and of advanced age whom had never had an elevated blood sugar in their lives. And then I saw people who led and active and healthy lifestyle, such as myself, who had A1Cs as high as 14.

It is my understanding that pancreatic tissue is not able to regenerate. Has this changed since my school days?

Ultimately, I believe that the only cure for D lies in genetic therapies. For those of us who have the D gene, my hope is that one day we will be able to "turn off" the genetic marker.

suziesgirl 2012-06-26 19:37:36 -0500 Report

I have read a few articals and studies, they are working on this one, and I believe they will be able to help turn off the diabetes gene.

Nick1962 2012-06-22 11:38:31 -0500 Report

Oh, no, that was not an across the board assesment. I did say "I’ll admit it may not be appropriate in all cases."
Yes, pancreatic tissue is non-regenerable, however, some recent research suggests that islet function may be stunted (that is the biochemical trigger that alerts them to function has stopped although the islet remains healthy), and through islet replacement therapy, they may be "reactivated" or even replaced/rejenerated.
No, not all diabetics are recovereable, nor is eating poor the sole cause. However, taxing the pancreas with roller coaster eating - at least in my case - tends to stress out the pancreas to failure, much like a heart attack or simple overused muscle. In those cases, treating such a thing in a way that allows them to "heal" (in the pancreas' case with insulin therapy), and using them correctly going forward can allow one to live what could be a closer to "normal" life.
I know persoanlly (and have tested) that foods i ate 5 years ago that spiked me over 200 do not any longer. I believe that's because I'm treating Mr. Pancreas well, and he's better able to respond in those few crisis times when i slip off my diet.
In the end, yes, insulin, medication, or what ever is necessary should be used, but I would think if you have the oppurtunity to live insulin and medication free it should be taken.

Nick1962 2012-06-27 09:28:07 -0500 Report

There you are suziegirl! I thought for sure you'd be all over this one :)
I'm no genius - you know as well as I do for some folks it can be done if they just try.

jigsaw 2012-06-22 12:09:38 -0500 Report

I agree that we should utilize every opportunity to live insulin and medication free. I also agree that it is possible to be easy on ones pancreas, just as it is possible to burn a pancreas out prematurely! Because diabetes has a tendency to block the absorbtion of some nutrients, it is possible to live medication free and not get all the necessary nutrients for long term health. This can happen easily by excess restriction of diet. Therefore I believe that one had better be an expert on nutrition and diet, or utilize the services of an expert in this field to avoid long term complications.
By the way, did you know that there are people that produce insulin and yet don't have a pancreas? They exist!!!

Nick1962 2012-06-22 12:31:48 -0500 Report

Agree as well. Especially regarding diet restrictions and getting expert advice. As we've discussed before though, so much advice out there seems to be lacking or not working at all, and sometimes experimentation is the only way to find out better methods.

Graylin Bee
Graylin Bee 2012-06-22 08:02:29 -0500 Report

Thank you for the reminder. So far I am fortunate enough to have enough working correctly of the malfunctioning parts to be doing good with weight loss, food control and exercise. But fully understand things can get out of control at any moment. Was administered insulin during two different hosp. stays. Did not hesitate to have this extra weapon used against diabetes. If my bg or other tests ever indicate the need I will use insulin.

old biker
old biker 2012-06-22 07:46:27 -0500 Report

Point will made..I am a PWD2 after 11 years of being on oral meds..I came to that line in the sand..I crossed over and started on insulin 4 months ago and couldn't be more pleased with the results..I use it along with a low carb diet and exercise. I feel better now than I have in a long time

MAYS 2012-06-22 07:11:44 -0500 Report

Anyone who thinks that diabetes is curable is severely misinformed.
Diabetes is no more curable than the common cold or the flu!
Many diabetics (type 2) may be against using insulin, but your body is all for it.
The human body needs insulin in order to perform certain bodily functions as well as to initiate certain other functions, without insulin (our own, or another source) we would die (ask a Type 1 Diabetic about the importance of insulin).

Insulin is a hormone, produced by the pancreas, which is central to regulating carbohydrate and fat metabolism in the body. Insulin causes cells in the liver, muscle, and fat tissue to take up glucose from the blood, storing it as glycogen inside these tissues.

Insulin stops the use of fat as an energy source by inhibiting the release of glucagon. With the exception of the metabolic disorder diabetes mellitus and metabolic syndrome, insulin is provided within the body in a constant proportion to remove excess glucose from the blood, which otherwise would be toxic. When blood glucose levels fall below a certain level, the body begins to use stored sugar as an energy source through glycogenolysis, which breaks down the glycogen stored in the liver and muscles into glucose, which can then be utilized as an energy source. As a central metabolic control mechanism, its status is also used as a control signal to other body systems (such as amino acid uptake by body cells). In addition, it has several other anabolic effects throughout the body.

Unless you are a female who has Gestational Diabetes, once you are a diabetic, you will always be a diabetic!
Diabetes is a chronic disease meaning that you will have it for the rest of your life!
Manage it, control it, tame it by whatever means or methods that works for you but accept the fact that you are a very exclusive member of the "Human with Diabetes Club" and your membership is renewed annually, once a member, always a member!

The line that is drawn in the sand is to separate those diabetics who are willing to manage their diabetes from those who are not willing to do so.


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