Any diabetics on Yaris World?

[bronsin]

Is it true if you are overweight and diabetic and lose enough of the weight you come out of it?

[127.0.0.1]

Originally Posted by bronsin

Is it true if you are overweight and diabetic and lose enough of the weight you come out of it?

not really.

there are 2 basic types, and some subtypes. also another kind, [diabetes insipidus
in which the kidneys are unable to conserve water. this is not about that.]


[diabetes mellitus is the commonly known 'diabetes type 1, 1.5, or 2]


type 1, usually hits when young, pre-teen or teens (this is genetic)

an auto-immune disorder which attacks your pancreas and reduces it's ability
to produce insulin. you have antibodies in your blood which target the beta cells.
the fix for this is take insulin to match carbohydrates ingested, and take
a background insulin to match the glucose your liver puts out, all in a goal to make
your hbA1c match a normal persons
---
type 1.5 is type 1 but hits late in life like 30's or 40's (genetic)
---
type 2 (generally the out-of-shape persons problem) this is genetic also. it is all genetic.

a disorder where your body doesn't use the insulin it does produce, or doesn't
produce enough, but not because of auto-immune disorder. no antibodies in the blood.
the fix for this is to take a lot more insulin, or drugs which increase your ability to use the insulin you
do produce, or which reduce your ability to uptake carbs in the gut, or a combination.

type 2 is the type usually triggered by 'bad habits' and this may
be fixable by diet and exercise which makes you more sensitive to insulin and you
may be able to avoid drugs

---
if you are any type of diabetic, if you can treat it with insulin alone is the way to go. it is clean
for the body. the drugs most used in type 2 have other effects and mess with your
endocrine system and it is not so great. plain old insulin has no bad effects unless you
have too much on-board and your blood glucose goes low.

but no one likes shots, so many type 2 take drugs and avoid shots like the plague.

note: the needles do not hurt 9 times out of 10.

----
if you are able to keep your a1c 'normal' then that is all there is to it. you will not
have any other health issues. if your a1c varies and goes high, then you are at risk
of complications die to high blood sugar messing with the nerves, retina, circulation...

some type 1's are lucky and they can match carbs easily and are predictable. other types of type 1
have other endocrine issues and it is almost impossible to predict the results of insulin taken
vs carbs. these are called 'brittle' diabetics and it is very hard to control. pumps really help
in these situations. otherwise, a few shots a day usually takes care of things.


there is a lot to it.

type 1 may be easy to control (my category)
type 1 may be difficult to control (lucky for me, not me)
same with type 2

the single goal, is the a1c. make that normal, life will be OK long-term.

all types are 'genetic'. type 1 you cannot hide from. type 2 you may hide from if you exercise a lot
and stay trim and eat well.

the secret to it all is a blood glucose meter and test test test test when you are first diagnosed, and dial in
your routine and keep your a1c down. and keep testing.

----

my last 5 a1c's were 5.4, 5.6, 5.6, 5.4, 5.6 which is pretty good for a type 1
normal person is between 4-6

----
I use novolog pens and levemir pens.
----
I keep glucose tabs everywhere, just in case. going really low is a ghastly feeling. but you
pop some sugar or drink a coke, and 20 minutes later, after being soaking in sweat and feeling
crappy, it is like nothing ever happened at all. I have not had anyone need to hit me with
the glucagon yet. hopefully never. I hear it takes DAYS to recover from one of those shots.

---------------


it is a myth that needles hurt. I am telling you, I use 33g needles... finer than an eyelash. only once in
20 shots does it hurt when I stab myself. and then you squeeze in the dose. only 1 in 10 times does
that 'burn' a little. just go slow. you really get used to it. the only hassle with shots is keeping the
insulin out of the heat so it doesn't go bad (take it with you in the car in a cooler or tote with a temperature
gauge). and keeping 1 tube of glucose tabs around you at all times. that is it. kinda like getting
hit by a bus when you are first diagnosed, but later on, if you take it seriously enough, it is a minor
hassle. OK..I will say that one time in a hundred I just happen to hit a nerve and it kills like all holy-hell
and I have to yank out immediately and find a new spot. and one time in 1000 that new spot hurts the
same. those are magical days lemme tell you.

the pump is a whole 'nother thing. I can't stand wearing a watch, so you think I could wear a pump ? no way

but I do not need a pump since A) I don't mind shots and B) my a1c is low

for those who need or choose a pump, they have more control than I do about the actual current
'load', so to speak, of insulin on-board (they do not use long-term insulin like levemir, it is all short term)
and as long as they are ok wearing a device:

they only have to deal with 1 prick every couple-of-days
they still need to test glucose constantly
they have more freedom at odd times when deciding to eat or not eat something
they can control a1c better when used in combination with lots of blood sugar testing
if they are 'brittle diabetics' a pump can solve that. and get them to stop going too low
or too high.

-------------------------
final note: there is a lot of misinformation or inaccurate info on the intertubes about this subject.

there is 1 golden rule: each individual is different, and the only real answer for any 1 persons
diabetic condition and how to control it is:

the goal is a normal persons a1c: 4-6

you must work with an endocrinologist initially to dial in your prescriptions and get your a1c down
(actually you only need to use a glucose meter and your brain)
you must take it seriously and not skip off or cheese-out your diet. sure you won't feel bad immediately,
but if you do not take it seriously every day, later on in life you will have kidney damage, and other
bad effects which will cramp your lifestyle or kill you

every one is different and will have 1 formula which works only for them.