I, in no way, endorse this procedure but it does have some bearing on Abrupt T2. It was orignally thought that much of the gains from this surgery was due to the limiting of / and types of food that people could eat once this surgery was performed. The citation below, however, shows that, in this case, there are far ranging effects on the hypothalamus that suddenly take effect. These effects proceed weight loss and involve the whole series of hormones that influence metabolism.
My point for Abrupt T2 is that this shows that the hypothalamus is a higher order mechanism that can certainly effect, if not control, the whole insulin cycle. Once again, there is no change in the underlying beta cell structure. The change isn't there but higher up.
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Do you believe that metabolic surgery can improve the control on flatbush diabetes. There are some studies in metabolic sugery for slim type 2 diabetes. So I am ketosis prone diabetic and I wonder to be submited for the ileal interposition surgery, but I am not sure if this procedure could control my diabetes and I am afraid of having a releapse.
ReplyDeleteI would doubt that it would be of much help in a thin T2. Its biggest effect is on obese T2's that are producing a lot of insulin but have high insulin resistance. I think the other problem would be the highly restrictive diet that goes with it. Could a thin T2 even survive on such a thing? I would guess that having access to insulin is best for a thin T2 and a good diet. This, at least, seems to work for me.
ReplyDeleteCould you tell us what is your diet? I am asking because I have been diabetic for 5 years and I do a lot of exercises and have a good diet and I had in these years 4 releapse, so I had to use insulin and after some time I was not using. Did you use to do exams like blood sugar every year. I am asking because I had not done exams for 4 years before I discover I was diabetic. I was normal weight but one year I before I discover diabetes I was a bit overweight. I would like to understand our condition and I realize that doctors do not understand well flatbush diabetes.
ReplyDeleteSorry about my english. I am from Brazil.
ReplyDeleteDon't worry about language. You can't imagine the people I hear from.
ReplyDeleteAnyway, my diet is somewhere on here but I'll recap for you. This diabetes is a bit different. It is classified as type 1. I use to think this was a problem but it seems to be very different from a standard T2.
This is to say carbs are the big problem. We don't put out enough insulin to handle carbs. My diet is about staying in ketosis. This is simply a fat burning stage and it tends to occur when carb ingestion stays below 40 grams a day. The ugly part is that it is easy to come out of ketosis. One bad meal and it takes about a week to get things back under control.
My diet is mostly fats with some sort of green vegetables. I can't handle most fruits or any grains. It makes no difference if these foods are "healthy" or not.
The point, at least, for me is not to challenge my system with foods that I can't process. This is called "living to your meter". It will tell you what foods you can or can not eat.
I take a multvitamin supplement and, if I feeling tired, will drink a bit of salty water. This may seem counter to good sense but there is science behind this.
I will say this can be hard. When I'm with my wife's relatives, I typically can't eat a thing they serve and I typically make my own food from scratch.
Once again, I'll say this is a weird disease. Weight is not an issue. In fact, the ones of us who can put on weight tend to do far better than those who are normal weight.
I have been struggling to put on weight and it is only in the last year that I've been able to do so but it came with a rise of my A1c and now that I've pretty much reverted to my usual diet, I find I'm losing the weight again.
Exercise doesn't do much either. I actually rode my bicycle to my doctor's office only to be told that I was a diabetic.
I rode my bike, as a commuter, for about 16 to 18 miles a day and the net effect is that I became diabetic anyway. I was, however, eating the so called "healthy diet" then. Had I known then what I know now I would have never ate the foods I was told to.
I became a diabetic, I believe, because my exercise demanded that I take in a lot of food and the food I was taking in was contrary to my metabolism.
I hope this helps. You are invited to return and ask more questions, if you wish.
Michael
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