Note the dates carefully. This thread (before my bump) all occured almost exactly a year ago.Goshawk said:Comparative study? Of what, dear?This thread and t'other Son Of Kumar's Diabetes thread?
ThirdTwin said:The number one cause of high glucose levels in insulin-dependent diabetics:
non-compliance
The Somogyi phenomenon (a.k.a. the "bounce"), something that is extremely hard to accurately document and the exact mechanism for which is still a bit controversial, is best treated by eating a light snack before bed or changing the type and/or dose of insulin used at night. Effective management can only be accomplished by discussing the case with a qualified internist (read that again... in other words, see a doctor). Measuring HbA1C (so-called 'glycosylated hemoglobin') levels only gives a long-term measure of treatment effectiveness, but should be done every four months as part of routine care.
The supposed increased insulin dosage/insulin-resistance phenomenon you described does not exist, Kumar. The best way to battle insulin-resistance, a problem in Type II diabetes with its so-called "metabolic syndrome", is to exercise and lose weight - exercising increases insulin sensitivity in skeletal muscle.
I will say this, however, that too aggressive of an insulin course can lead to weight gain. If a patient is having trouble controlling their blood sugar level on their regimen, is eating a lot, and is gaining weight, that points to a dietary management problem - not insulin resistance - in Type I diabetics, which is your friend's problem. Again, insulin-resistance is a problem in Type II diabetics, not Type I, and is mostly a result of a series of biochemical changes at the cellular level that we don't need to get into here (but, I would invite you to read more on... let me know if you need to be pointed in the right direction).
-TT
Gahh!!! It's even more pathetic than I thought...Note the dates carefully. This thread (before my bump) all occured almost exactly a year ago.
Kumar said:Rolfe,
Yes, No insulin. I will not say fully controlled(as irregularities in diet) bu better controlled.
I think we have to be careful extrapolating, but no doubt the human medics will come in and set us right. DeeTee? Third Twin? Hey you lot?Badly Shaved Monkey said:Now I may be about to BS, but if the pancreas is 'rested' by giving exogenous insulin then normal glycaemic control can recover over a period, even if only temporarily. (beware vet taking feline and occasional canine experience into human medicine, but I think I am right to do so). So, you or your "friend" should not be surprised that you can come off insulin, but nor should you be surprised if that is not permanent.
In type 1 diabetes, patients sometimes experience what physicians have come to call a "honeymoon period" shortly after the disease is diagnosed. During the "honeymoon period" diabetes may appear to go away for a period of a few months to a year. The patient's insulin needs are minimal and some patients may actually find they can maintain normal or near normal blood glucose taking little or no insulin.
Patients diagnosed with type 2 diabetes may discover that if they are overweight at diagnosis and then lose weight and begin regular physical activity, their blood glucose returns to normal.....If the patient were to gain weight back or scale back on their physical activity program, high blood glucose would return.....the decreased insulin production and/or increased insulin resistance that led to the initial diabetes diagnosis will gradually intensify over the years and during periods of stress. In time, the patient who could maintain normal blood glucose with diet and exercise alone may discover that he or she needs to add oral diabetes medications — or perhaps even insulin injections — to keep blood glucose in a healthy range.
I thought he was at least partly sincere when he came here. There are quite a lot of intimate clinical details about bowel function and urinary output and so on that I don't think are invented.Zep said:In fact, when was he/his friend ever diagnosed with diabetes at all? That's not the homeopathic way...that's evil allopathy that diagnoses individual diseases and prescribes strong injectable drugs. Certainly Kumar hasn't the medical knowledge to be allowed loose with a packet of bandaids, let alone diagnosing and treating diabetes.
Given his performance level in the last 12 months, I'm betting there is no friend, no disease, and Kumar has been making it all up to make his (pointless) point.
If you remember, his initial report of a "ten years old diabetic", which we all took to be a type I juvenile diabetes, turned out on further probing to be a 50 year old man who had been diabetic for ten years.BillyJoe said:How old is Kumar?
Is he type 1 or type 2 diabetic? (type 1 can be up to the age of forty)
Could he be type 1 in the "honeymoon period"?
The Honeymoon Period
There is also a sort of "honeymoon period" in type 2 diabetes.
Quite right. This seems to be repeated history of 10 years. But why persisted high sugar with higher doses/insulin & better controlled on lowering the dose & discontinuing insulin? I think, my 3,4,5 questions in other topic may hold some sense.Badly Shaved Monkey said:Are we really getting somewhere now?
There is no rule that says a Type 2 diabetic must be treated by insulin, but they can be. If a Type 2 diabetic being treated with insulin sorts out their lifestyle and diet then there is no philosophical difficulty posed to medicine by that Type 2 diabetic managing OK if the come off insulin. Now I may be about to BS, but if the pancreas is 'rested' by giving exogenous insulin then normal glycaemic control can recover over a period, even if only temporarily. (beware vet taking feline and occasional canine experience into human medicine, but I think I am right to do so) So, you or your "friend" should not be surprised that you can come off insulin, but nor should you be surprised if that is not permanent.
I suspect Kumar looked the info up on the Internet instead, and simply substituted pronouns. We know he does this with gay abandon now, so why not to start with? Plus, given that he is almost certainly not Indian nor even subcontinental, this was just a starting trolling exercise - note he has not come back to it for 12 months? If he were really serious, he would finish it off properly and not just abandon it and walk away. Diabetes is no joke, but Kumar treats it as seriously as he might treat mosquito bites - it will just sort of "get better" in a little while...Rolfe said:I thought he was at least partly sincere when he came here. There are quite a lot of intimate clinical details about bowel function and urinary output and so on that I don't think are invented.
I think he's been diagnosed diabetic, and for whatever reason, rightly or wrongly, has been unhappy with his treatment. He has then turned to homoeopathy and "tissue salts", and become convinced they are having some beneficial effect.
So he thinks he's made this wonderful discovery which, for reasons as yet unclear, science either doesn't know about or knows about but is deliberately suppressing. He can't get his head round the possibility that he is simply misinterpreting a fairly complex situation.
Rolfe.
Insulin is only normally administered to very progressed cases of type 2 diabetes. Reading again the story, I suspect this case was originally attempted treated with insulin which is an error if insulin resistance has not been addressed.Kumar said:Rolfe,
Yes, No insulin. I will not say fully controlled(as irregularities in diet) bu better controlled.