Type II Diabetic?

[Fidel MD]

Watch this: https://www.youtube.com/watch?v=da1vvigy5tQ

[AlphaTea]

Hmmm. I was just diagnosed with T2 a month ago. Turns out mine was probably drug induced.
I was previously suffering from reoccurring bouts of Gout and my doc prescribed prednisone. I had Gout 5 times in 8 months. Started having incredible headaches and dizziness after my last episode and thought it was withdrawal from the prednisone. BP was down to 85/65 with 130 pulse. Went to ER ad they discovered my glucose was 385. Had a little insulin for the first day and then started metformin daily. Tomorrow will be my last dose of that. My blood sugar has been constant between 75 and 130 and docs want to see if I need to continue the metformin.

[Domeguy]

I too was just diagnosed with the same this weekend while in the hospital. Mine is so barely over the line, it's almost not there, and told to take Metformin also. I will take it, but I will use this as the extra push I needed to loose 50 lbs so I won't need to take the meds, and generally feel better all over. And I would like to stress something to all of the other stubborn old men out there like me on this site. I am not looking for any sympathy here, just trying to push a point. Due to my own stubborn ass, I did not seek any medical help until it was almost to late for a simple bladder infection. I didn't know I had one, but I knew something was wrong. The bladder infection then went into both kidneys, then into bowels, then I went septic. When I finally called an ambulance and got to the hospital, I was latter told if I had waited only another 12 hours, it would have been the coroner picking me up instead of the ambulance. So, please, if we need help...ask for it. I didn't want to bother anyone, and almost died because of it. After all, Dome Lives Matter. Ask for help.

[bacpacker]

Glad to see you back on DG. Glad you got in the hospital in time. And you make a great point don't let stuff go. It usually only gets worse.

[Fidel MD]

Yes, predisone raises blood sugar...which causes more insulin, which makes you more resistant to it: Instant Ty II Diabetes.

BTW, Metformin will also raise your blood insulin levels.....thats what it's supposed to do. Lose the weight, and you'll probably be off of it.

[AlphaTea]

AT 6'1" 175lbs I dont have a lot I can lose!

[Domeguy]

AT 6'1" 175lbs I dont have a lot I can lose!

I can sympathize with you. I graduated HS in 1979, 6'3" and weighing 150 lbs, and try as hard as I could, I couldn't gain any weight. Now add a few years, a few ex-wives, ect. and now I'm still around the same height and weight 262. That's over 100 lbs of fat. People tell me I look fine and height/weight appropriate, but I can tell I'm over weight. The medical charts say I should only weigh 202, put I would be happy anywhere around 210-230.

[Fidel MD]

AT 6'1" 175lbs I dont have a lot I can lose!

Yeah, that was more for DomeGuy.

[helomech]

AT 6'1" 175lbs I dont have a lot I can lose!

That is what I thought. I am 5 '11, and down to 149 lbs and still have about 14% body fat. I lost 25lbs and gained muscle.

[Domeguy]

Thanks Fidel for the great informational video. The hospital told me nothing of how to take care of it except to take the medicine. Gee..thanks...that's some great advice. They did however give me a phamplet to read.

[Fidel MD]

I am not your physician. I haven't examined you, I'm not familiar with your case and I don't know you. So, I am not offering medical advice.

I will say that the advice given to diabetic patients, while approved by the American Diabetes Association, strikes me as being completely backwards to the goal of people living good lives. Particularly for Ty II diabetics, the idea of eating lots of (small) meals throughout the day, eating 50% or more of your food in carbohydrates, and taking medicines like metformin that raise your blood insulin levels seems backwards to me, from a physiological basis.

The idea is to make the individual cells in your body MORE responsive to insulin, so you need less insulin (like the amount that a Ty II diabetic can produce normally). Most every hormone (insulin is a hormone) has a feedback mechanism in the body, to either tell the body to stop making it, or make it less effective.

Your body will release insulin based on blood glucose levels. If you keep the blood glucose levels down, the insulin will stay down and the cells will be more sensitive to it. The best way to keep blood insulin/glucose levels down is to minimize the amount of carbohydrates you eat. After all, your body requires exactly ZERO external carbohydrates to function - much less the 50% or more that the ADA recommends.

The actual foods the ADA recommends are



vegetables





whole grains
fruits
non-fat dairy products
beans
lean meats
poultry
fish

From their website, http://www.diabetes.org/food-and-fitness/food/planning-meals/diabetes-meal-plans-and-a-healthy-diet.html

Vegetables is too broad - things like corn on the cob, while delicious, are very high in sugar: So are vegetables like beets, rice, most squashes like pumpkin, etc....Whole grains are 100% carbs, and are not good for you compared to regular grains - they're just less bad. The sugar in fruit, fructose, is VERY bad for people, since it has no feedback method to tell you you've had enough; and it is a form that pretty much goes straight to fat....while keeping your blood insulin high.
And non-fat dairy? Why non fat? It's because they're telling people to get too many damned calories from carbs....

Really poor advice, with the official seal of the ADA and the government. Which have pretty well caused these problems in the first place.

[Illini Warrior]

two part blog from Doc Doom >>>>


https://www.doomandbloom.net/diabetes-part-1/

https://www.doomandbloom.net/diabetes-part-2-levels-and-complications/

[Illini Warrior]

two part blog from Doc Doom >>>>


https://www.doomandbloom.net/diabetes-part-1/

https://www.doomandbloom.net/diabetes-part-2-levels-and-complications/



Doc Doom snuck in a 3rd Part >>>>https://www.doomandbloom.net/diabetes-part-3-options-off-the-gird/

[sigma pete]

I realize the original posts are more than several years old now but, at least now, the ADA does not advocate 50% carbohydrates. I find it hard to believe that would have ever been good advice.

Currently, the ADA recommends the Diabetes Plate Method, which is a ?for dummies? equivalent of the FDA?s food plate that replaced the food pyramid. In my opinion, while it gives rough guidance, to really control Type 2 Diabetes, people should be counting carbohydrates, not guessing.

When I was diagnosed several years ago, my physician gave me very constructive guidance that has allowed me to get it under control and loose weight at the same time (even though I don?t exercise anywhere near as much as I should). And, because my doctors advice translated into a fundamental and sustainable lifestyle change (not a fad diet or quick fix scheme), I have been able to maintain it for years now.

Besides proper portion control, my doctor said if I couldn?t eat more frequent/smaller meals because of my work/life schedule (his preferred recommendation), then I should have 3 meals per day and stick to a regular time schedule with each meal having a target of 20g carbs or less, and no more than 25 carbs. And this means making choices, especially when eating out (which I have to do several times a week because of work travel).

For example, if I?m having BBQ for dinner and want garlic bread with it, go ahead and have it but moderate the portion size and skip putting sweet BBQ sauce on the meat by either using a dry rub or vinegar based sauce instead.

It?s all about moderation and wisely making choices? choices? choices.

I have to admit that until I started counting carbs, I had no idea in the world how many (100?s of grams) I was consuming per day and I?m not even a sweet/desert eater. It was pretty much all coming from carb intensive foods.

And, the first couple months of moderating portion sizes absolutely sucked. I had continuous hunger pains until my stomach shrunk and adjusted to the change. That was by far the hardest part of the whole process. For me, fresh baby carrots, snap peas, and hummus became my best friend whenever the urge to eat came on. And now, a very small portion of nuts or trail mix, or a few ginger snap cookies help stave of the desire to snack on chips or other salty no-no?s between dinner and bedtime.

By the way, here are links to the ADA info that I referenced above. I have found that this general guideline, along with educating myself about the carb content of the foods/ingredients that I consume has been instrumental in keeping my glucose and AC-1 levels under control.

https://www.diabetes.org/healthy-living/recipes-nutrition

https://www.diabetesfoodhub.org/articles/what-is-the-diabetes-plate-method.html#:~:text=The%20Diabetes%20Plate%20Metho d%20is,you%20need%20is%20a%20plate!

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