Open to all to discuss all about Diabetes

[warna2000]

Types of Diabetes

Type 1 ("insulin-dependent", previously referred to as "juvenile diabetes").

Patients diagnosed with Type 1 diabetes have a malfunctioning pancreas. The pancreas is the organ responsible for creating insulin, and when it ceases to function correctly, the result is Type 1 diabetes. This form of diabetes is most commonly seen in children and young adults. Doctors generally treat Type 1 diabetes with daily shots of insulin.

Type 2 ("noninsulin-dependent", also sometimes referred to as "adult-onset diabetes")

Patients with Type 2 diabetes have cells that are resistant to insulin. This is by far the most common type of diabetes, and is prevalent in adults, although it’s beginning to be seen in children as young as 5 years old.

Gestational (pregnancy-related).

A small percentage (approximately 3 to 5 percent) of pregnant women develop gestational diabetes during the third trimester. Gestational diabetes resolves itself within a few months after birth. Importantly, however, the mother is at a greater risk of developing Type 2 diabetes later in life after contracting Gestational diabetes.

 

[PICK3]

I've just been diagnosed with High Blood Pressure

 

[warna2000]

I've just been diagnosed with High Blood Pressure

What's your blood sugar level ?
Did you start treatments ?

 

[PICK3]

What's your blood sugar level ?
Did you start treatments ?

not sure ... going to get blood work tomorrow

 

[ceo]

This is your first post? Who are you anyway, and why do you want to talk about diabetes?

 

[redshirt27se]

This is your first post? Who are you anyway, and why do you want to talk about diabetes?

please move this to the diabetes forum.

 

[Captain FT]

 

[ceo]

lmao @ the Wilford Brimley cat!!!

 

[gorillahung]

I have type II and I'm confused about it. Mt A1C(?) tests have all come back in the normal range even though they are at the higher end around 6.0. My doctor said that's a great level for a diabetic. However my insulin is too high. I don't really understand why my sugar levels aren't bad but yet I'm still diabetic and my insulin is too high. I don't know how to fix it. Does this mean that I need to get my sugar level extremely low to fix my insulin levels?

 

[chris302001]

This is your first post? Who are you anyway, and why do you want to talk about diabetes?

lol indeed. To what do we owe this pleasure?

 

[chris302001]

Also,

Grapenuts: Glad has some magical apricot seeds that'll cure your diabeetus

 

[redshirt27se]

I have type II and I'm confused about it. Mt A1C(?) tests have all come back in the normal range even though they are at the higher end around 6.0. My doctor said that's a great level for a diabetic. However my insulin is too high. I don't really understand why my sugar levels aren't bad but yet I'm still diabetic and my insulin is too high. I don't know how to fix it. Does this mean that I need to get my sugar level extremely low to fix my insulin levels?

these are questions you ask a qualified medical professional who is making money off your insurance. not random know-nothings on an internet message board.

 

[About_Blank]

damn, I feel sorry for you

 

[footdoc]

I have type II and I'm confused about it. Mt A1C(?) tests have all come back in the normal range even though they are at the higher end around 6.0. My doctor said that's a great level for a diabetic. However my insulin is too high. I don't really understand why my sugar levels aren't bad but yet I'm still diabetic and my insulin is too high. I don't know how to fix it. Does this mean that I need to get my sugar level extremely low to fix my insulin levels?

no it means you are insulin resistent which is very common for a type 2. are you on any oral med yet?

 

[gorillahung]

no it means you are insulin resistent which is very common for a type 2. are you on any oral med yet?

I'm on Actos, 15 mg every other day. I still do not understand why I'm insulin resistant and what I need to do to stop it. If my sugar levels are not that bad and I'm not obese, just about 10-15 lbs. more than I would like to weigh, what do I have to do to fix it? Do I need to be 5% bodyfat and have a glucose level near 0? I know a guy that is 6'2" and weighs 400 lbs. and he doesn't have diabetes. Why is it that I get to 190 lbs. at 5'9" and suddenly I am diagnosed with diabetes, sleep apnea, and high lipids. I have all the diseases that obese people get. I wonder how it is if I'm in this bad shape at 10-15 lbs too heavy but people that are 400 lbs are still alive.

 

[shirlene29]

Chris will stomp me if I'm wrong, but there is a plethora of health problems associated with sleep apnea...which is a chicken and egg thing....is your bf just high enough to cause both the IR and the apnea? or did one cause a high bf%

also...why actos, why not met? from what I understand its incredibly difficult to stay lean on actos

also, what are your glucose levels? do you check in the morning then an hr after you eat?

< insert full blown comment here>

 

[footdoc]

Its just genetics.....you can't do anything to really stop the disease other than what you are doing. However, I would suggest you read about the metabolic diet and give that a lot of thought.

 

[shirlene29]

uhhh...type two may have a genetic link but the probability of actually becoming type 2 has HEAVY enviromental factors

 

[ceo]

uhhh...type two may have a genetic link but the probability of actually becoming type 2 has HEAVY enviromental factors

I think the "genetics" was in reference to this:

I know a guy that is 6'2" and weighs 400 lbs. and he doesn't have diabetes. Why is it that I get to 190 lbs. at 5'9" and suddenly I am diagnosed with diabetes, sleep apnea, and high lipids. I have all the diseases that obese people get. I wonder how it is if I'm in this bad shape at 10-15 lbs too heavy but people that are 400 lbs are still alive.

To which I would agree.

 

[gorillahung]

Chris will stomp me if I'm wrong, but there is a plethora of health problems associated with sleep apnea...which is a chicken and egg thing....is your bf just high enough to cause both the IR and the apnea? or did one cause a high bf%

also...why actos, why not met? from what I understand its incredibly difficult to stay lean on actos

also, what are your glucose levels? do you check in the morning then an hr after you eat?

< insert full blown comment here>

Yes, sleep apnea can cause a lot of health problems: heart disease, high blood pressure, diabetes, and the list goes on) . As I went a few years without working out, it is entirely possible that my BF% is just a bit too high (that's rapidly changing, due to muscle memory). Also, I have a boat full of relatives with diabetes type 2.

As for glucose levels I don't check throughout the day any more. My doctor doesn't prescribe testing strips for me. I have done so in the past and it is usually low in the morning (40's) and high after eating (150's?). My doc relies on my A1C readings which was 6.0 last time it was checked.

I read that actos can cause weight gain and I didn't understand that. Isn't it like shooting yourself in the foot if diabetes is caused by being fat? I'm also on an SSRI that can cause weight gain as well.

Damn, I'm fucked. I am seriously worried that I'm going to die any day now.

 

[shirlene29]

there are SSRIs out there that don't have a weight connection...lexapro for one..i don't know what youve tried or what works for you
having even a slightly higher BF can give you problems...and 150s and hr after eating isnt high...
40s in the morning for a fasting glucose is really pretty low tho

and I caught that ceo, but how often does a pt give accurate personal hx? and i dont even mean intentionally...they just don't realize something may be relevant

how good are you about making sure your glycemic load is spread out? I'd ask about alternative medication to actos, not because its a bad med but because youre right, being overweight with both apnea and type 2 is shooting you in the foot...

my other half wound up with an enlarged heart due to obstructive sleep apnea (soft palate issue)..he 34 and can easily run 5 miles at a 7 min mile rate...
he was told the ten lbs he had to lose made a difference

 

[footdoc]

if your a1c is 6 then you are a long way from being "fucked." Most people I deal with have an A1C above 10. Also millions of folks are on an ssri. You can still lose weight and get very healthy. There are many diabetics on this site with low body fat levels. Sometimes meformin can cause weight loss so you may want to talk to your doc.

 

[chris302001]

Its just genetics.....you can't do anything to really stop the disease other than what you are doing. However, I would suggest you read about the metabolic diet and give that a lot of thought.

for someone who put doc in his username you're pretty ignorant about DM

 

[footdoc]

for someone who put doc in his username you're pretty ignorant about DM

Really? Well I happen to be a board certified specialist in this area. Please tell me where you think I am ignorant

 

[chris302001]

Really? Well I happen to be a board certified specialist in this area. Please tell me where you think I am ignorant

This thread is about diabetes mellitus. I thought you were an orthopedic surgeon. That's what you claimed in the private message you sent me. Did you complete both an ortho residency as well as one in endocrinology? Come on now, which is it?

 

[gorillahung]

This thread is about diabetes mellitus. I thought you were an orthopedic surgeon. That's what you claimed in the private message you sent me. Did you complete both an ortho residency as well as one in endocrinology? Come on now, which is it?

His user name is footdoc so I assume he is a foot specialist. Diabetes causes many problems with the feet including amputations. I would hope that a foot specialist would know a lot about diabetes T2 since that's the underlying cause for a lot of their patients' problems.

 

[gorillahung]

As for another question, if I have a bad sugar day and consume too much occasionally, will that kill me? I drank a liter of soda today

 

[chris302001]

As for another question, if I have a bad sugar day and consume too much occasionally, will that kill me? I drank a liter of soda today

You will cause non enzymatic glycosylization of all the tissues of your body. Over time, yes it will.

 

[footdoc]

This thread is about diabetes mellitus. I thought you were an orthopedic surgeon. That's what you claimed in the private message you sent me. Did you complete both an ortho residency as well as one in endocrinology? Come on now, which is it?

That is correct. I do orthopedic surgery and specialize in the foot and ankle. Diabetic patients form an enormous amount of my patient population. Type 2 diabetes has a very large genetic component and some people dont really know that. There is no disputing the fact that obesity certainly lends itself to diabetes. However, if both your parents were adult onset diabetics then your chances of developing the disease as an adult is extremely high and almost unavoidable. This can occur even in cases where the person has a really low bodyfat percentage. These are the facts Chris.

 

[chris302001]

That is correct. I do orthopedic surgery and specialize in the foot and ankle. Diabetic patients form an enormous amount of my patient population. Type 2 diabetes has a very large genetic component and some people dont really know that. There is no disputing the fact that obesity certainly lends itself to diabetes. However, if both your parents were adult onset diabetics then your chances of developing the disease as an adult is extremely high and almost unavoidable. This can occur even in cases where the person has a really low bodyfat percentage. These are the facts Chris.

the strong genetic component is largely in risk factors. It can still be avoided in a majority of cases. The other thing that we seem to pass down generation to generation in addition to genes (although one could say genes play a major role in this is well) is habits. If mom and dad are both DM Type 2, they likely look like your typical metabolic syndrome pt. And little junior picks up all those habits that will make him a future vasculopath as well.

 

[footdoc]

the strong genetic component is largely in risk factors. It can still be avoided in a majority of cases. The other thing that we seem to pass down generation to generation in addition to genes (although one could say genes play a major role in this is well) is habits. If mom and dad are both DM Type 2, they likely look like your typical metabolic syndrome pt. And little junior picks up all those habits that will make him a future vasculopath as well.

I cant argue with that. We are certainly a product of our environment.

 

[gorillahung]

Neither of my parents are diabetic but I have grandparents that were/are as well as 5 aunts and uncles. I guess it skipped a generation with my parents. One of my uncles was able to lose a lot of weight and that kept things under control but he still died of a heart attack at 64.

 

[footdoc]

Well it really doesn't matter about genetics at this point. The key with diabetes is control of your blood sugar and your weight. There are a lot more elite atheletes with diabetes then you would think. Someone like you who actually watches what they eat and exercises is rare. Most of my diabetic patients eat crap and never exercise. Prevention is the key to life when you have diabetes.

 

[musclemom]

Neither of my parents are diabetic but I have grandparents that were/are as well as 5 aunts and uncles. I guess it skipped a generation with my parents. One of my uncles was able to lose a lot of weight and that kept things under control but he still died of a heart attack at 64.

Gorilla, have you had a polysomnogram? Are you on CPAP?

If not, WHY not? Slap your primary. The apnea needs to be treated. You're young, you exercise, you're not obese by any stretch of the imagination. Fix that and you might be surprised at what else gets fixed.

 

[gorillahung]

Gorilla, have you had a polysomnogram? Are you on CPAP?

If not, WHY not? Slap your primary. The apnea needs to be treated. You're young, you exercise, you're not obese by any stretch of the imagination. Fix that and you might be surprised at what else gets fixed.

I am on CPAP treatment. I get lab work done this week. We shall see where I stand. I've been on a cycle and my lean muscle mass has increased even though it's still not where it should be.

I had a doctor tell me I was obese a few years ago because he could see my belly hanging over the waist on my jeans. That's not a scientific way to diagnose obesity considering that the only clean pants I had that day were old and too tight plus I had eaten a large meal and my belly was bloated to the max. He was a cosmetic surgeon. Maybe he wanted to make me self conscious and sell me a tummy tuck.

 

[musclemom]

I am on CPAP treatment. I get lab work done this week. We shall see where I stand. I've been on a cycle and my lean muscle mass has increased even though it's still not where it should be.

I'd be extremely interested to see what your labs are after CPAP. I'm trying to get my husband, who I absolutely KNOW has apnea, in for a polysomnogram. I'm hoping it will get his BP down.

I had a doctor tell me I was obese a few years ago because he could see my belly hanging over the waist on my jeans. That's not a scientific way to diagnose obesity considering that the only clean pants I had that day were old and too tight plus I had eaten a large meal and my belly was bloated to the max. He was a cosmetic surgeon. Maybe he wanted to make me self conscious and sell me a tummy tuck.

Wow, really scientific method Dude, he was so full of shit and yes, he was trying to sell you surgery.

The truth is, even BMI is a piss poor assessment of obesity if you're really athletic, particularly if you lift. And there is a difference between overweight and obese. Obese is 30 or more lbs over what you should weigh. But again, if you lift seriously, even that number isn't written in stone.

 

[gorillahung]

OK, lab work results are in:
total cholesterol = 101
LDL = 56
HDL= 22
Triglycerides = 115
glucose = 89
blood pressure 110 / 70

My HDL is a little low. This is 12 months after beginning CPAP treatment. CPAP masks can be difficult to deal with but if you can tell by watching that your hubby has apnea, then he probably has it pretty bad. and definitely needs to be tested. Does he have symptoms like fatigue? I suffered so long from constant drowsiness that I was elated to find out there was a name for my problem and it was treatable. I literally came close to suicide because I felt so bad.

 

[footdoc]

your labs are those of an athelete....not someone who is chronically ill

 

[musclemom]

OK, lab work results are in:
total cholesterol = 101
LDL = 56
HDL= 22
Triglycerides = 115
glucose = 89
blood pressure 110 / 70

My HDL is a little low. This is 12 months after beginning CPAP treatment. CPAP masks can be difficult to deal with but if you can tell by watching that your hubby has apnea, then he probably has it pretty bad. and definitely needs to be tested. Does he have symptoms like fatigue? I suffered so long from constant drowsiness that I was elated to find out there was a name for my problem and it was treatable. I literally came close to suicide because I felt so bad.

More waking up feeling like he could go back to sleep and having the ability to fall asleep anywhere at any time if he sits still long enough ... but remember, my husband just turned 56 and we didn't start living together until he was 44 so there's an age component, too.

He doesn't just have apnea, he has sleep movement disorder (not an uncommon situation). They're gonna have a ball trying to keep those electrodes on him, he's a head roller.

HDL is the good cholesterol, right? That's an easy fix, just add healthy oils into your diet (e.g., eat more nuts and/or take some fish oil, flax, hempseed, don't wallow in the stuff, just a tablespoon a day is a good addition). Your body needs cholesterol for hormone production and neural function, just the right kind.