Admiral Benbow
Well-Known Member
- Relationship to Diabetes
- At risk of diabetes
Does the doctor not raise some valid points? Giving up processed foods for whole fresh food and why give more insulin as a treatment when there is already more insulin than the body can make use of.
Simply click Like again, it works as a toggle.The like on the post was due to finger trouble on my part and I cannot find a way to get rid of it!!!!!!!!!
So it does! You learn something new every day - thank you.Simply click Like again, it works as a toggle.
What happens to the members notifications when you remove a like?Simply click Like again, it works as a toggle.
No idea, but I suspect nothing. So you'll get a notification that a post was liked but not that it was unliked. To test I'll like your post above & then remove it.What happens to the members notifications when you remove a like?
do you want to try it?What happens to the members notifications when you remove a like?
Does the doctor not raise some valid points? Giving up processed foods for whole fresh food and why give more insulin as a treatment when there is already more insulin than the body can make use of.
Another reason for a more rapid response to treatment failure is that lowering glycemia has been shown to improve insulin resistance as well as endogenous insulin secretion (23). This was recently confirmed by Weng et al. (24) who found that a brief course of insulin therapy in subjects with newly diagnosed type 2 diabetes not only restored, but also maintained, β-cell function, resulting in prolonged glycemic remission. Interestingly, remission rates were significantly higher in the intensive insulin groups than in the intensive oral therapy group.
Another reason for a more rapid response to treatment failure is that lowering glycemia has been shown to improve insulin resistance as well as endogenous insulin secretion (23). This was recently confirmed by Weng et al. (24) who found that a brief course of insulin therapy in subjects with newly diagnosed type 2 diabetes not only restored, but also maintained, β-cell function, resulting in prolonged glycemic remission. Interestingly, remission rates were significantly higher in the intensive insulin groups than in the intensive oral therapy group.
im confused. Nothing lowers your chances than not using glucose lowering drugs .Only this is true “lowering glycemia has been shown to improve insulin resistance as well as endogenous insulin secretion” But the rest is meaningless, they compared insulin to other medicine, like saying drinking alcohol is healthier than smoking (or the other way around, fortunately I don’t know).
Nothing increases your chance for remission more than not using glucose lowering drugs and this isn’t from some obscure Chinese study sponsored by Novo Nordisk and Roche Diagnostics, but from an analysis of all adults in Scotland aged ≥30 years diagnosed with type 2 diabetes and alive on December 31, 2019 (n=162.316).
In fact not using glucose lowering drugs increases your chance for remission even more than bariatric surgery.
Epidemiology of type 2 diabetes remission in Scotland in 2019: A cross-sectional population-based study
Factors associated with remission were:
older age (odds ratio [OR] 1.48 [95% CI 1.34 to 1.62] P < 0.001)
HbA1c <48 mmol/mol at diagnosis (OR 1.31 [95% CI 1.24 to 1.39] P < 0.001)
no previous history of GLT (OR 14.6 [95% CI 13.7 to 15.5] P < 0.001),
weight loss from diagnosis to 2019 (OR 4.45 [95% CI 3.89 to 5.10] P < 0.001)
and previous bariatric surgery (OR 11.9)
Of course you can always have a chicken and egg discussion about this if you don't want to believe it.
The lack of history of GLT prescription had a particularly strong association with remission. GLT is likely to be a marker for sustained hyperglycaemia or higher levels of glycaemia, but may also be an independent factor that decreases the risk of remission. Further research is required to investigate whether GLT has a causal relationship with failure to achieve remission.
So if your HbA1c is 108 is it best to have medication?