Diabetes stages vs Diabetes types. December 31, 2016

Sugar today is 95 mg/dl.
I took 300 units day before in 4 shots. No low sugar.
 What I do think, and it never was tested , that I have to count not only daily dose of insulin, but probably weekly and then monthly. One time after another I see this pattern. I take the same dose of insulin one day after another. It is OK for awhile, and then it is low or high. For me it looks like insulin accumulated and weekly dose or monthly dose is not less important then daily dose. I am going to try to find it out in 2017, but I do not so feel good. Headache too often. I am very sleepy. I can sleep all day and night.

ADA present that diabetes type 1 when there is absolute absence of insulin secretion. It is not true. There is some limit in insulin secretion, the same as it is in type 2 diabetic's blood, but to have absolute absence of secretion of insulin, say me, what this secretion my be? No any published data, how much insulin is normal, and how much insulin secreted by diabetics type 1 absolutely disable pancreas.

ADA present that diabetics type 1 have diabetes due to genetic disorder. In contrary, diabetics type 2 have diabetes due to eating, behavior misconduct. Why so different disorders lead to the same medical condition, highly elevated level of sugar in blood, very low insulin secretion level? Because of there is no one test to test genetic it or not. So, in one case it is presented that victim is first class member, and in another case we are just second hand population. There is nothing genetic or developed or any conduct which can lead to develop medical condition we are, diabetics type 2, usually born with. The same as any organ pancreas can get disable, ill, and pancreas the same as any organ must have medical treatment.

Diabetics type 1 do have this medicine, insulin, which keep pancreas running and with time many have it recovered so insulin injections no longer needed. In contrary, diabetics type 2 do have all medicine to destroy already ill pancreas, to force it to work harder to cover increased insulin sensitivity induced my medicine such as Metformin, or secret more unneeded insulin induced by SU. When insulin added in treatment regime for diabetics type 2, it is presented that dose must be less then 20 units. Baseed on what understanding this dose presented I do not know. But still, diabetics type 1, whose pancreas absolutely do not secret insulin, take less then 10 units of insulin. At the same time, it is also said that if dose of insulin is higher then 20 units it is not diabetes type 2 but diabetes type 1.

This is the most important point. There is no types of diabetes. There is no one diagnostic tool to diagnose it is type 2 or type 1 diabetes. All the diagnostic based on brain washing ADA and WHO presentations. Still, if there is no types of diabetes but stages of diabetes as it is common for any other medical conditions, then the picture would be very different. Diabetics type 2 with demand in insulin injections 200 units or higher, it is highest stage of diabetes development. If taken into treatment regim early, insulin could protect of development many diabetes complications, but there is no insulin in diabetic type 2 treatmnt plan. We have to treat themselves with starvation diets.

ADA proudly presented, there is Cure for Diabetes type 2.
It Is Starvation!!!!!!!!!!!!
Best available Standard of Care.

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Skipped Dose of Insulin. December 30, 2016

Today sugar is 194 mg/dl, fasting.
I skipped shot Yesterday. Not because of I am doing any experiments. I am not rat for my studies. I simple forgot it. Because of I started to forget did I injected insulin or not, now I do not discharge needle right after shot. I keep it under monitor, so I can easy to see, did I take shot today? how many shots I took today? I usually take 80 units at once. Sometimes when it is last shot in pen it is only 60 units, but it is OK, I can add some units from another pen, or just take 20 units less dose. It is not so important for me. Still, if I missed the shot, it is 80 units, and next time blood sugar reading will remind my mistake. This is why today fasting reading is so high.

In diabetes education programs all the time presented that if type 1 diabetic skipped shot of insulin diabetic even can die.  Never. Actually there is nothing so bad will happen if one insulin shot missed. Just blood sugar reading will go up. I take around 300 units daily dose. My insulin shot is 80 units. To compare many diabetics type 1 take less then 10 units. Do type 1 so different creatures then the rest of us? Of cause not, we are all the same. The problem with all this educations, medical care simple wash our brains, to inset hysteria around diabetes and to mislead public. Still, if one uses own brain, it is easy to see that dose of 10 units cannot make so big difference if it is missed, to compare with 80 units. And regardless it is 7 units or 100 units, no one of us die as  a result of skipped dose of insulin.

This is why when I see how type 1 fancy wear artificial pancreas on side of own body, I do know it is only show, nothing about diabetes or so high importance to have it on the side of body. I use insulin Santus Solo Star. It is prefilled insulin, very easy to use. All what I need to carry only one pen and a few needles. One pen is 300 units, good for all day long. I am free to use it everywhere, no any problem with that. I even used it in Metropolitan Opera house once when I simple did not know how to use insulin and this was why I took pen with me. Now I simple inject insulin at home, and leave the pen.

More important then skipped dose is the type of insulin which is right for diabetic. I was really surprised when I was not able to take TouJeo. My blood sugar go up with this type of insulin, so I had to inject higher dose of insulin, and I am already take high dose. The same about Novolog. Regardless how many times I try to use guidance how to use insulin, how to count all that carbs and connect dose of injection with the carbs I was ready to eat, I still do not get it. All the time it was the same, after shot of Novolog I am hungry, I have to eat right away. Then sugar drops dramatically down. What I suppose to do? Just take some meal. So, sugar go up. What is next? Take insulin shot. I did take basal insulin, Lantus Solo Star, still it did not work, I was on high-low swings all day long.

I abandoned the idea to take insulin as it was directed. I replaced Novolog with Lantus Solo Star, and now it is smooth and nice. I can say, to get right dose of insulin is all the time great challenge. To combine different types of insulin the challenge go to the next level.  So for now I use only one well known type of insulin I accustomed to use. It is Long Acting Insulin Lantus Solo Star.

One last words about injections.  Needles. Right now there are different needles, different size of them. I tried to use shortest size. It is really very nice looking needle, like toy in hands. Sure, it would not be painfully as it is with longer version. I was really surprised, it is right opposite. Probably it is only my opinion, and probably other people very happy with shortest version. Probably I just Old Fashion, and use to be attached to the past. But for one reason or another, shot was more painful with short version of needle then with long needle. Also, there are scars developments. I do not have so much problem with long needles. I usually do not rotate sites, because of I can reach just a few areas to inject insulin. 

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Diabetes Spending $101.4 billion in 2013. December 29, 2016

Americans spent $2.1 trillion in 2013 on diagnosis and treatment of health problems, which amounts to more than 17 percent of the total U.S. economy, the researchers concluded from their analysis of federal data. http://ift.tt/2iIYzry

Interesting, why with so high spending there are so many millions of not diagnosed diabetics? It is easy to diagnose early and start treatment early so dangerous complications of diabetes would not be developed, right? Wrong. If there is no diabetes type 2 then who will pay $101.4 billion to Medical Organization? I always said, follow money when try to find The True.

 Ischemic heart disease -- $88.1 billion.

Testing is expensive.  What is after doctor find clots in blood? LOL. It is life style modifications, antidepressant if one take it would be changed to another name, and statin, Atrovastatin replace Simvastatin, then because of both do not work it would be Provastatin, and then return to first line of treatment. All generics. Till heart stop to push the blood. Not every doctor Rx Nitrostat, and if so then not every one health care plan pay for Nitrostat. Usually I pay $20, and plan pay less then $5. Nitrostat will prevent heart attack, Who need it? Not medical care. Then healthy person then less paid medical care providers. As I said, follow money.

Low back and neck pain -- $87.6 billion.

This is another point of interest. Where these money go? As a stroke survivor and one who live in constant pain, low back and neck specific, my treatment is only generic Gabapentin 300 mg two times daily. When pain is too severe  and I cannot move my head I take Gabapentine 3 times. Back pain bend, I am almost not able to move. No any help from any medical provider, no wheelchar, no home aid, no medicaid, no SSI. Only Gabapentine 300 mg two times daily. Generic.
Why it is so important what treatment do I have? Because of I am one of millions of diabetics who live in this pain, and there is nothing for us. So, these $87.6 billions go to whom? Not to us, diabetics type 2.

High blood pressure -- $83.9 billion.

Why blood pressure is so expensive?  It is only generic medicine, mostly diuretic,  and there is even no doctor attention. OK, I got it. Because of there is diuretics as most cost effective medicine to reduce high blood pressure it leads to heart attacks,  stroke, hospitalization, ER visits. Personally I do not remember when last time I was in ER since Insulin is in my fridge. As soon as Insulin supply is over, I am active ER visitor. So solve the problem stop Barking and Junk Therapy and start to treat diabetics type 2 with insulin, Lantus Solo Star is my loved one. That's right, what about profit? Who collect all that $853.9 billion? Not diabetics or other patients.

Skin-related problems -- $55.7 billion.

Newer healing wounds. Insulin. Rx insulin to diabetics type 2. No amputations, no wound care, who need it? Diabetics type 2? No. We are good without any wounds. We do need insulin, but we cannot use insulin without medical care. So, our medical organization do know it very well, and there is no insulin for diabetics type 2, only cost effective Metformin, $4 a month and Pancreas killing SU, also generic. Then it is time to harvest fruits.

U.S. spending on diabetes diagnosis and treatment totaled $101 billion in 2013, and has grown 36 times faster than spending on heart disease, the country's No. 1 cause of death, researchers reported.

Really interesting statement. To spend money on diagnostic and diagnose diabetes is far away from being the same. First things first, diabetes type 2 , what is it?  According to ADA (really how they let it happen?) diabetes type 2 is

Type 1 diabetes (due to b-cell destruction, usually leading to absolute insulin
deficiency)
Type 2 diabetes (due to a progressive loss of insulin secretion on the background
of insulin resistance)

So, if diabetes type 2 is progressive loss of insulin secretion then this must be the target of diagnose, the level of insulin in blood. Still, ADA recommend to diagnose diabetes according to the level of fasting blood sugar.  So why it is so surprise that there are tests after tests, but no right treatment? Look at all treatment available for Diabetics type 2. It is all 'glucose lowering agents'. Where agents which will increase insulin secretion? Invokana? No. Invocana is Diuretic for blood sugar, and road for sex organs infection. SU? No, SU force ill pancreas to work harder and secret insulin when there is no need in this activity. Remember, SU must be taken two times daily, at eve it will be second time. So, insulin secretion starts at the time when diabetic go to bed. SU increase activity, lead to lost ability to fall asleep. What else? Metformin. Metformin increase sensitivity of muscles  to insulin, so there are nothing to increase insulin secretion but to increase demand to insulin, already in limited availability.
This is a little True about diagnose and treatment for Diabetics type 2. Oh, yes, there is one more point. Because of the money to develop Invokana and other medicine the same family is already spent, these money must carry on profit. But medicine does not work, do not prove blood sugar  control. Then what developers do? They suggest that if Invokana does not prove blood sugar control it prevent heart attacks and strokes. More studies. More diabetics treated with medicine which does not prove blood sugar and push victims deeper into hell. But studies prove, invokana or any other medicine work to prevent heart attacks and strokes. One who is interesting can easy to find the prove of my statement. Simple take a look at the Medical Publications and Studies and see how many different diabetes type 2 medicine treat or prevent all what is possible to treat, cancer or heart, lungs, or heir loss. You name it, diabetes type 2 medicine treat all at once and separately. As You Wish.
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Diabetes Takes Biggest Bite Out of U.S. Health Care Spending

Top 5 diseases, conditions accounted for $437 billion in 2013

Wednesday, December 28, 2016

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Day - by - Day. December 29, 2016

Blood sugar is 161 mg/dl, fasting.
       It is rainy day, foggy and gloomy. I am sleepy. I just woke up. It is already moon. I woke up at 7 am, took my shot, took my meal, and returned to bed. Headache. Also it is back pain. I hardly able to walk, to stand up. I am bending but still, I am able to move. It is good. When it is too bad no one move is possible. Just pain.
       A few days ago I started to turn on my bed, it was early morning, and muscles twisted so badly, and for so long. I screamed. At eve before I was not able to walk, pain in back did not let to take any move. My man helped me to get to bed. This was in the eve. I did not turn, was not able to take any turn. This was all night, one position. Then pain in muscles, so severe, I screamed in the dreem before I woke up.
       Now pain in back still present, but it is not so severe, and I am able to move.
      Headache returned, not so severe as it used to be that vomiting and complete dysfunction. Still, it is pain, severe pain, and looks like I got custom to use it, to adapt to it. I am very weak, no energy, just one wish, return to bed as soon as I woke up. Some days I can sleep almost all day.

       My blood sugar going up and up. It is very difficult to deal with. When I take higher dose of insulin, it is low sugar, and it is getting severe. But with normal dose it is going high, still, I do feel it like 'low'. Why this feeling that even high blood sugar I feel like low, I still not able to find out. I do not fight. I take as it is if I collect pounds or lose them, if my sugar getting up or down, if  i am sleepy or not able to fall asleep, if there is pain or headache. I try to solve one problem at one time.
       If I do have headache and it is getting worse, I take more Excedrin, 2 by 2 as much as it takes to get rid of pain, not absolute but be able to tolerate it.
       If I do have blood sugar rising I take higher dose of insulin, but take more shots, divide insulin on lower doses. This is one of my interesting observations. It is all the time suggested that to avoid overeating it is better to take meal in smaller portion but add some between meals. In other words, keep stomach all the time full. It is not possible with insulin. I cannot take higher dose at once, and this is why I have to divide insulin on smaller portion, to take higher dose of insulin. Not any difference then with meal. In small portions we will take higher amount of meal then in one big portion.  Who cares. They educate in what they can, no any studies how it is going on in reality.
       If I am sleepy, I go to bed, regardless it is day or night. Some days I can sleep all night, and then all day, but some nights I do not sleep at night and not able to get sleep in day time. 25 years I worked clock-around. My biological regime changed.

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Anne Peters and her Excitements. December 28, 2016

"Time" about Holiday and Weight Gain, True or Quack? December 28, 2016

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Effect of SGLT2 on Mortality Type 2 Diabetics. The EMPA-REG OUTCOME trial we can trust. December 28, 2016

New England Journal of Medicine published The EMPA-REG OUTCOME trial and its effect on diabetics type 2 mortality. This is the conclusion authors presented. I do have my own conclusion, based on the same studies. I think, I can trust in studies which were conducted under supervision of company which developed medicine they studied.

In conclusion, patients with type 2 diabetes at high risk for cardiovascular events who received empagliflozin had significantly lower rates of the primary composite cardiovascular outcome and of death from any cause than did those in the placebo group when the study drugs were added to standard care.

It does not mean I do come to the same conclusion as investigators. The matter of fact, my conclusion is right opposite. The medicine which was studied is the same medicine as a few others the same family, so I can spread the conclusion to the all other medicine the same family but developed by other companies. Invokana  and Farxiga  other known this kind medicine.

The trial was designed and overseen by a steering committee that included academic investigators and employees of Boehringer Ingelheim. The role of Eli Lilly was limited to cofunding the trial.

These two companies are Developers of medicine which was studied, so we can trust in results because of no one more interested in the results to be positive then these investigators. The result is

 Even though investigators were encouraged to adjust glucose-lowering therapy according to local guidelines, many patients did not reach their glycemic targets, with an adjusted mean glycated hemoglobin level at week 206 of 7.81% in the pooled empagliflozin group and 8.16% in the placebo group. Our trial was designed to assess the specific effects of empagliflozin on clinical outcomes, and the mechanisms behind the observed benefits are speculative.

The results of the studies I can trust. Medicine, empagliflozin, the same family medicine as Invokana, does not control blood sugar level. This is most important outcome published in medical journal. All covered by a lot of %%%%%%%% ..... how great medicine is, how effective this medicine for heart attacks and MI prevention (or developing if we are consider the outcome of the studies) because of only  

The primary outcome occurred in a significantly lower percentage of patients in the empagliflozin group (490 of 4687 [10.5%]) than in the placebo group (282 of 2333 [12.1%])

Remember, Primary Outcome is

 The primary outcome was a composite of death from cardiovascular causes, nonfatal myocardial infarction (excluding silent myocardial infarction), or nonfatal stroke.

 So, only 10.5% of diabetics died because of heart attacks during the study period, and what is this period? Simple, one out of ten diabetics who was treated with Jardiance died due to CVD. Probably for Anne Peters it is great result. Not for me. The outcome is devastated!!!!!!!!!

Patients were treated at 590 sites in 42 countries. The trial continued until an adjudicated primary outcome event had occurred in at least 691 patients.

Great result, the conclusion I can trust. What really these studies were about, and what are outcome of those studies? At the time when patients started to die as a result of glucose lowering medicine, studies were stopped because of 691 patient already died, the outcome already achieved. Now with all excitement  it is presented for us, diabetics type 2, that Medicine such as Invokana and Jardiance (empagliflozil) prevent CVD. Really? In what studies this outcome come from? Not from this which is so widely and proudly advertised. This studies show right opposite outcome. I see, 691 Death, and it would be more if studies will go on. So, they stoped to study how fast Diabetic type 2 gone with Jardiance , a sodium-glucose cotransporter 2 (SGLT2) inhibitor, or any other medicine same family such as Invokana or Farxiga

The U.S. Food and Drug Administration (FDA) is warning that the type 2 diabetes medicines canagliflozin, dapagliflozin, and empagliflozin may lead to ketoacidosis, a serious condition where the body produces high levels of blood acids called ketones that may require hospitalization. We are continuing to investigate this safety issue and will determine whether changes are needed in the prescribing information for this class of drugs, called sodium-glucose cotransporter-2 (SGLT2) inhibitors

They continue investigations, and we are continue to die. Diabetes type 2 number 7 cause of Death in America. Great Outcome.
       There is very complicated rules to be met to conduct studies. What I will say, I will never take part in any studies like that. Patients such as diabetics type 2  naively hope they will have help with the problems we do have, or at least be part in the helping to other people. Not at all. This studies nothing about science to develop better medicine. These studies to convince health companies they pay to provide their patients with best available medicine. The real result is right opposite.

 All the patients had established cardiovascular disease ....... and had received no glucose-lowering agents for at least 12 weeks before randomization and had a glycated hemoglobin level of at least 7.0% and no more than 9.0% or had received stable glucose-lowering therapy for at least 12 weeks before randomization and had a glycated hemoglobin level of at least 7.0% and no more than 10.0%.

       12 weeks no medicine for diabetic type 2 which would control blood sugar level.  I do understand, they were looking for clear results, but what about victims of studies? According to medical publications if diabetic type 1 will not take glucose lowering medicine, insulin, to miss even one shot, diabetic type 1 can die. In contrary, diabetics type 2 were left without medicine, glucose lowering medicine, for 12 weeks. Those diabetics already have A1c>9.%. What does it mean? That random level of sugar run over 600mg/dl. What also this mean, that blood is glue-like, highly clotting. With type of medicine which does not effect insulin secretion level of sugar in blood constantly going up, blocking blood vessels and leading to the high fatality.
  
 Empagliflozin, Cardiovascular Outcomes, and Mortality in Type 2 Diabetes  

Bernard Zinman, M.D., Christoph Wanner, M.D., John M. Lachin, Sc.D., David Fitchett, M.D., Erich Bluhmki, Ph.D., Stefan Hantel, Ph.D., Michaela Mattheus, Dipl. Biomath., Theresa Devins, Dr.P.H., Odd Erik Johansen, M.D., Ph.D., Hans J. Woerle, M.D., Uli C. Broedl, M.D., and Silvio E. Inzucchi, M.D., for the EMPA-REG OUTCOME Investigators

N Engl J Med 2015; 373:2117-2128November 26, 2015DOI: 10.1056/NEJMoa1504720

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'Incredibly Exciting': Anne L. Peters, MD, What are You so Exciting For?

There is interesting news, medicine for glucose lowering was studied how it is effective for the diabetics type 2 with cardiovascular problems. What studies found is that Empagliflozin, the same family medicine as Invokana, reduce risk of heart attacks.
 It is old time well known that one who pay order the music to play. So, who paid for the studies?

"All the authors were involved in the study design and had access to the data, which were analyzed by one of the study sponsors, Boehringer Ingelheim". 

 Empagliflozin (trade name Jardiance) is a medicine  was developed by Boehringer Ingelheim and Eli Lilly and Company.
WOW! No Comments!
So, now I can take a look what studies found, and figure out, do I need to trust in studies, and do I am,  diabetic type 2, safe to take the medicine they present it is good to control blood sugar and will reduce risk of heart attack or MI for me?  I do I need to trust in Anne Peters and crown her?

Hello. I'm Dr Anne Peters. Approximately 1 year ago I brought you news of the EMPA-REG trial. I was quite excited about the value of empagliflozin for reducing cardiovascular risk in patients with type 2 diabetes. Now, the US Food and Drug Administration finally agrees and has added a new indication for empagliflozin—to reduce cardiovascular death in patients with type 2 diabetes and known cardiovascular disease. http://ift.tt/2hvfg9R

So, what Anne Peters is so Exciting? Is this really true that  empagliflozin for reducing cardiovascular risk in patients with type 2 diabetes? Well, let us take a look at the trial, which according to Anne Peters and US FDA confirmed that this type of medicine really do great job.

FDA Drug Safety Communication: FDA revises label of diabetes drug canagliflozin (Invokana, Invokamet) to include updates on bone fracture risk and new information on decreased bone mineral density. 09.10. 2015
The FDA warned about potentially fatal side effects of Invokana and other SGLT2 inhibitor drugs. Invokana lawyers filed lawsuits on behalf of people who say they these drugs injured them. SGLT2 inhibitors treat Type 2 diabetes but may trigger dangerous levels of blood acids and increase the risk of urinary tract infections. Studies also show they may increase the risk of stroke, heart attack and kidney problems that may require hospitalization. http://ift.tt/2hMmK4b

 WOW! No, I will wait a little bit longer to see, when finally this medicine would be out of market. Actos is already recalled. So will be Invokana, and all other this family medicine. It is just matter of the number of our Deaths.
There are some comments to the article Anne Peters published.

A significant advance, Dr. Anne Peters. Thank you for your remarkable contribution. I sincerely hope that the post-marketing results with empagliflozin can crown your outstanding efforts.

empagliflozin was approved by FDA in 2014. It is medicine for Diabetic type 2, life long medicine. It is already carry on black box, which FDA palce in and takes off. So, less then 23 years, and medicine shot up its ugly face. Good crown for Anne Peters. She really very well fit for it.
Still, there are surprising comments. Not every one so excited. And there are many comments in right opposite direction:

 Neither exciting nor incredible, osmotic diuretics decrease blood pressure et improve slightly heart events. Small absolute gains are disguised in major relative-risk improvements : we must not forget denominators.

I love this comment more then anyone else.

Some feel that this drug "worked" by being a diuretic (recent pub in Diabetes Care) ... I tend to agree with this .... if this is the case, why not just use metformin and low dose thiazide.

Really, why do not give   just higher dose of diuretic, ether one, and then there is no diabetics so there is no rick for CVD. Simple and effective. To add more effect, add-on Metformin.The result is Guarantee. Also it is very cost effective too. $4 for Metformin. $4 for diuretic. Just less then $10 month, and the problem solved effectively and low costly. 

Your percentages, are they relative risk reduction, or absolute risk reduction? A 33% relative risk reduction is equal to approximately a 1.7% absolute reduction, or number needed to treat of 97 for one event change. So, without this information, your article is somewhat useless.

I really do not understand too much about %%% and ricks. What I do understand as Diabetic type 2 that

Even though investigators were encouraged to adjust glucose-lowering therapy according to local guidelines, many patients did not reach their glycemic targets, with an adjusted mean glycated hemoglobin level at week 206 of 7.81% in the pooled empagliflozin group and 8.16% in the placebo group.

Really I do not see big difference between medicine and placebo groups. At least with placebo there is no side effects such as extra trips to restrooms and medicine to treat urine tract infections. So, what is this medicine for in first place? Is this to treat heart which does not work well? Then why it is glucose lowering medicine must do the job? Simple, take medicine which work such as Nitrostat or Isosorbote to improve heart work, and do not mess one medical condition with another.  But if this medicine does not work to control blood sugar level in first place, then why I am, diabetic type 2, need it?

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Exercise at night to burn fat. No meal. December 25, 2016

"Losing body fat would be easier by exercising lightly and fasting at night," said Sun (Dr. Zheng Sun, assistant professor of medicine -- diabetes, endocrinology and metabolism, and of molecular and cellular biology at Baylor. ) "It's not a bad idea to take a walk after dinner."
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Burning more fat, less glucose could lead to diabetes, mouse models indicate

Date: December 23, 2016

Source: Baylor College of Medicine

 Years ago when I still working one of my doctors at that time told me the same. "Go to Atlantic ocean. Take deep breath before go to sleep!" It was good, and I would be happy to follow doctor's order. I love water and ocean, and I used to love to go for a walk. There was only one problem: "Doctor, I work 12 hours a day 6 days a week." "It does not matter.- was the answer. -You need it for your health. You have to lose weight!."
Well, beside working 60 hours a week, every week, I had two teen kids, so I did not have time to lose weight. Also at that time I did not know how to switch metabolism from using glucose to using fat.  My weight went up and up. I was very very ill. No energy at all. Finally one day I was diagnosed with diabetes type 2 with fasting blood sugar 370 mg/dl.
Why do I post it right now? It was lomng time ago. I am no longer able to get out of my home. Well. time really has no matter. The treatmnt for me still the same, go for a walk before bedtime.

Mouse muscles use glucose (carbohydrate) as fuel when the animals are awake and active and switch to fat (lipid) when they are asleep.       

Really, how did they find it? The glucose level does not prove, mouse use lipid or glucose in different time. Even when level of insulin would be tested, it does not prove that at seep mode mouse use fat, lipid as source of energy. Maybe there is no need to use energy in first place? Mouse simple sleep, so all activity in mouse, heart rate, breathing, metabolism, everything is very very slow. So, on what evidence the idea that fat would be burn based?
Now there is another Quack. When authors presented this case, mouce was in mode of sleep, right? If so then why it is presented that walk before sleep time will lead to use fat as source of energy instead of glucose? No one evidence of that even in this studies. When awaken, mouse use glucose, not fat.

Yet, when the HDAC3-knocked out mice ran on a treadmill, they showed superior endurance, "which was intriguing because diabetes is usually associated with poor muscle performance," said Sun. "Glucose is the main fuel of muscle, so if a condition limits the use of glucose, the expectation is low performance in endurance exercises. That's the surprise."

Personally I do have no one idea about mouse and how they ran on treadmill. But from my experience I can say, when my sugar in blood is low, I am not able to walk to the kitchen to take some meal from my ref. This is why cappuccino and OJ is all around my home that when I feel low I can only spread my hand and grab something to eat. For this the same reason protein bars all around. 

It is interesting to watch mouse workout on treadmill. Most important, if mouse gone there is no one compliance from relatives. So, doctors love to study mouse, and then pretend that if diabetic type 2 will take night walk then diabetic will lost fat and there would not be diabetic.
Great studies. So mach efforts to get rid of diabetics type 2. Most important to be able to switch diabetic and mouse on treadmill. Post mouse on treadmill, and publish that diabetics can walk at night to let muscles to use fat. How long diabetic can keep fat? Not for long. Day time to work, night time to walk, and really who will be able to survive this?

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Insulin restriction and Mortality Women with Diabetes type 2. December 25, 2016

This is an 11-year follow-up study of women with type 1 diabetes. A total of 234 women (60% of the original cohort) participated in the follow-up. Mean age was 45 years and mean diabetes duration was 28 years at follow-up. Mean BMI was 25 kg/m(2) and mean A1C was 7.9%. Measures of diabetes self-care behaviors, diabetes-specific distress, fear of hypoglycemia, psychological distress, and eating disorder symptoms were administered at baseline. At follow-up, mortality data were collected through state and national databases. Follow-up data regarding diabetes complications were gathered by self-report. http://ift.tt/2ih5e91

OBJECTIVE:

To determine whether insulin restriction increases morbidity and mortality in women with type 1 diabetes.

      It is interesting studies. Let take a look, what they did studied, how they did it, and what they found. Upon reading the info available for me, I did not find answer to my first question, insulin restriction, what is it?  It is first question which crossed my mind, what they were looking for in study? If it is not possible to see what is the subject of studies then how it is possible to see the outcome of studies reliable of not?
Beside the fact that 'type 1 diabetes ' has no meaning without the dose of insulin taken by subjects of the study then how we can see what are restrictions in insulin dose, if any?
Conclusion of study:

Our data demonstrate that insulin restriction is associated with increased rates of diabetes complications and increased mortality risk. Mortality associated with insulin restriction appeared to occur in the context of eating disorder symptoms, rather than other psychological distress. We propose a screening question appropriate for routine diabetes care to improve detection of this problem.

      Dose of insulin injected by diabetics of  any type usually based on the level of glucose which we see on our home meter. The number on the glucose meter all the time different, never the same. Even anyone try to eat all the time the same meal at the same time, the number on the meter will not be he same. Our insulin secretion depend if there is rain or sunshine, it is Fall or Spring time, diabetic considerably well and healthy or it is another health problem accompany diabetes, ether type of it.
      This number on the glucose meter effect insulin injection dose we take, diabetic of nether type. So, insulin dose in constant change, the same as it is sugar level in blood. Now, I try to find out, insulin restriction, what is it? There is no answer.
If there is no answer to the first question, then how it is possible to see any creditability of the medical studies?
       The studies studies what?
Measures of diabetes self-care behaviors,
 diabetes-specific distress,
fear of hypoglycemia,
psychological distress,
 and eating disorder symptoms were administered at baseline.
       Still, there is no any mention what dose of insulin was taken, and how there were able to see, what insulin restriction it was?
        Let us be clear about  ' diabetes self-care behaviors'. It is not the  problem what and how much one eat. It is fight every day, what dose of insulin inject into own belly. There is no one education how to connect dose of insulin with level of sugar on glucose meter. The dose of insulin, very complicated math, based on the weight of diabetic. Still, regardless what weight today in the morning and next day in the morning, usually it is about the same, the number on the meter are different. If dose of injected insulin is too high, higher then it is in demand, and no one idea how this demand to find, blood sugar drop low, can drop fatally low. It work in the same way for any diabetic of any type, regardless own diabetic or not. Injected insulin drop blood sugar level in every human being.
       Now, second point, fear of low blood sugar.
       Low blood sugar many medical publishers present as something what is uncomfortable but not really danger. I wish they try to study it in reality. Just inject insulin and see what do you feel and how it can be danger or not. Most important in all those medical publications they no  one educate diabetics what to do if sugar is low, how to deal with it. It is wide spread to take sugar and then check up blood sugar level. If the portion of sugar taken did not lead to blood sugar rising, take another portion, and another, and another.... . Because of in reality sugar, or soft drinks do not rise blood sugar. Diabetic can lost consciousness and cannot get off the condition without outside help. Diabetic step too close to the line 'no turn'. Every one of us who stand close to this line afraid low blood sugar.  Then more low blood sugar episodes then higher fear of them. Every one of us restrict insulin dose. Even it lead to the blood sugar skyrocket, we do prefer to have high blood sugar then get into low blood sugar drop.  
       eating disorder, what they do talking about?
       From this studies eating disorder was in type 1 diabetics who are underweight. In every other publications it is presented that type 2 diabetics have eating disorder because of we are overweight. So, only perfect BMI still without blame for eating disorder? Or regardless of what do we eat, we all do have eating disorder because of we are diabetics? According to the studies it is our eating disorder which leads us to high mortality, right? If so, then what is the reason to blame diabetic type 1 in restriction of insulin? Regardless of any reason or without any reason, the same as diabetics type 2 they still be blamed in own early mortality.

        Great studies, I would say. Finally, they said it. weight has no reason to blame. Regardless what weight we do have, what type of diabetes we do have, it is insulin dose, it is restriction of insulin dose or limit of insulin secretion which lead diabetic to high mortality. Now there must be next step, ho to determine dose of insulin to inject according to the level of sugar on glucose meter. Would be someone so brave to do the job?

Great job Goebel-Fabbri AE¹, Fikkan J, Franko DL, Pearson K, Anderson BJ, Weinger K.!
http://ift.tt/2ih5e91

Diabetes Care. 2008 Mar;31(3):415-9. Epub 2007 Dec 10.

Insulin restriction and associated morbidity and mortality in women with type 1 diabetes.

Goebel-Fabbri AE¹, Fikkan J, Franko DL, Pearson K, Anderson BJ, Weinger K.

http://ift.tt/2ih5e91

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Simple Whole Egg May

Simple Whole Egg Mayonnaise (Keto, Low Carb, Gluten Free)

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New & improved Oopsi

New & improved Oopsie Rolls! So much easier to make and less than a carb each!

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How to Make Keto Slo

How to Make Keto Slow Cooker Reuben Soup | This soup has all your favorite salty and tangy flavors from a reuben sandwich without all the carbs! Perfect for low-carb and gluten-free diets. 343 Calories, 22.8g Protein, 1.3g net carbs and 25.6g Fat per serving. Click through to get the simple recipe!

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New York Times. Quack-Quack eating disorder. December 24, 2016

An eating disorder in diabetics type 2 and type 1, presented by New York Times, right opposite one to another.

 The eating disorder the young woman developed is unique to people with Type 1 diabetes and has been called diabulimia, though it is not a recognized medical condition. (People with Type 2 diabetes who take insulin do not have the same rapid response to insulin restriction.)

Really?  How people with type 2 diabetes who take insulin respond to insulin injections? Do we have different needle that pain from shot does not hurt us? Do we have different symptoms when blood sugar is low? Does Insulin deficit  do not lead "to diabetic ketoacidosis, a potentially fatal condition that develops when the body lacks insulin and starts to break down fat, producing ketones that can poison the body"?  Does this condition is only marked in diabetics type 1? Not at all. Regardless one is diabetic or not, diabetic type 2 or diabetic type 1, LADA or Post-transplant Diabetic, we do react on insulin injections is the same way. When dose of insulin is higher then our body needs, then it is low blood sugar, regardless one is diabetic or not. That's right, insulin can be given to non-diabetics, and they react to the insulin injection in the same way as diabetics type1.
This is first Quack by author in this publication. Author simple switched from one subject to another in reason to kick ass of diabetics type 2. Really it is reasonable to see similarities between type 2 who take insulin and type 1. To cut off this expression author present right away, diabetics type 2 who take insulin injections cannot develop this type of eating disorder. The  question is, how this can be prove by author? No prove. Pure Quack.
In case presented by author diabetic type 1 had done it for herself. She simple avoided insulin injections and at the same time started to practice to throw up and restricted her eating. Her numbers gone way too high. The reasonable question is why? According to many studies, and most popular study by professor R.Taylor and highly supported by NYT, 8 weeks low carb low fat low calorie diat lead to diabetes type 2 reverse, which means that with this type of diet blood sugar drops, and even after diet was returned back to normal, level of sugar in blood still withing normal ranger.
There is another Quack, why blood sugar in type 1 diabetic skyrocket when with the same diet diabetic's type 2 blood sugar dropped? There must be something odd that the same action fit two opposite statements.
Why in type 1 diabetic blood sugar got up with extreme diet and extremmely low food intake?
Why diabetic's type 2 blood sugar go down with 8 weeks starvation diet?
Both types of diabetes resulted by b-cells lost which lead to insufficient insulin secretion. It is just reasonable to assume that with Starvation diet dose of insulin will go down because of blood sugar level drops. If there is no meal then there is no insulin needed to convert this meal. There is simple nothing to convert. Blood sugar should not rise.

The first time she skipped an insulin dose, the 22-year-old said, it wasn’t planned. She was visiting her grandparents over a summer break from college and indulged in bags of potato chips and fistfuls of candy, but forgot to take the extra insulin that people with Type 1 diabetes, like her, require to keep their blood sugar levels in a normal range.

As I just said, the same as type 2 diabetic she must watch what she eats. No any differences between types of diabetes.

 She was already underweight after months of extreme dieting, but when she stepped on the scale the next day, she saw she had dropped several pounds overnight. “I put two and two together,” said the young woman, who lives in Boston and wished to remain anonymous.

Now there is trick. Why she was loosing weight? Because of her extreme dieting? Because of her high blood sugar numbers?  When author pointy out, it is diabetic type 1 and this diabetic has eating disorder, I try to find answers to my questions. The question, why she lost weight is most important. She could lost her weight because of she did  not eat. Every one, regardless one diabetic type 1 or not, would have danger in rapid extreme weight lost. So, author must say why it is so danger for diabetic type 2 compare with non--diabetic or diabetic type 2. Still, there is no answer, why weight was rapidly lost? 'Weight could be lost because of high blood sugar numbers. In this case, regardless she has eating disorder or not she would not eat if she does not force herself. She would drink water, in big quantities. Siphon effect. At the same time it would be high water discharge, like broken waters.  Looks like she did not have this condition which means she did not have high blood sugar numbers.

Next Quack.

 People with Type 1 diabetes, who don’t produce their own insulin, require continuous treatments with the hormone in order to get glucose from the bloodstream into the cells. When they skip or restrict their insulin, either by failing to take shots or manipulating an insulin pump, it causes sugars — and calories — to spill into the urine, causing rapid weight loss.

When any treatment mention, it is dose must be added into info. So, what was dose of insulin which she skipped?  That's right, dose of insulin is crucial. I would be happy to see the numbers, but looks like author simple has no one idea what is his or her Quacking about.There are no diabetics, any types of it who do not produce own insulin, no one type. It can be nether diabetic when diabetic in final stage, diabetic type 2, type 2, LADA, or Diabetic with transplanted organ. So, if she was able to live outside of medical care she was not in final fatal stage of diabetes.

Last spring, with severe pain racking her body and fearful she had damaged her kidneys (she had not), she finally enrolled in an intensive five-week day treatment program at Renfrew, followed by a slightly less intensive six-week program.

This is major difference between types of diabetes. As diabetic type 1 she was enrolled in incentive treatment program. If she diabetic type 2 she would not. There are no intensive programs for diabetics type 2. We have to modify our life style with every visit to any doctor clinic. Regardless how many times we modified our live, the numbers still high. So, more life style modifications needed. The result is with  many modifications we lost vision, became amputees, develop strokes and heart attacks, one after another.
The point of this publication?
There is no difference between types of diabetes. There are even no types of diabetes, but stages of diabetes development. Dividing diabetics by types lead to different treatment and as a result to very different outcome. Diabetics type 2 live less then 10 years after being diagnosed with diabetes type 2 if we do not stop to take Junk Medicine and start to take insulin, right type of it, right dose of it. 

An Eating Disorder in People With Diabetes

By Roni Caryn Rabin

http://ift.tt/2i4eT31

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New York Times. Quack Reverse Diabetes type 2. December 24, 2016

Many experts believe Type 2 diabetes is an incurable disease that gets worse with time. But new research raises the tantalizing possibility that drastic changes in diet may reverse the disease in some people. New York Times. April 18, 2016

So, to investigate the possibility to reverse diabetes type 2 I do not going to do reserch and ask some people if they did reverse diabetes type 2 because of  today they do not have diabetes type 2. It is easy to understand. There is only 1 out of 10 American is Diabetic. From 90% to 95% it is diabetics type 2. So, the possibility that people reversed diabetes type 2 is 90%.  At leasst 90 % of Americans still not diabetics, so they reversed diabetes type 2 with right food choice and right work outs. This is why they are diabetes-free. Simple and easy to understand. Still, there is 10% who are diabetics and 95% of them diabetics type2. Can they reverse diabetes type 2?

It is not the first time that people have reversed type 2 diabetes by losing a lot of weight shortly after a diagnosis. Studies have also shown that obese individuals who have bariatric surgery frequently see the condition vanish even before they lose very much weight.

OK, let us take a look at, diabetes type 2, what is it? Only after that we can take next look, if it is possible to be reversed and how.

Type 2 diabetes (due to a progressive loss of b-cell insulin secretion frequently on
the background of insulin resistance)

This is how ADA classify Diabetes type 2. Now, if diabetes is progressive loss of insulin secretion, then it is most important to take a look at for what degree this progress gone. If it is just a small b-cells lost, it is one story. But when diabetes type 2 progressed to the final stage, it is really very different story.  So, in stead to present types of diabetes such as type 22 or type 1, it is better to present stages of diabetes according to the progression of medical condition  in the lost of B-cells available to secret insulin.
Now there is another Quack. According to the New Your Times, diet can reverse diabetes type 2. Still, it is in this article that even before weight was lost, the condition vanish. So, there is no any relation between weight or obesity as it is usually presented by professor Taylor and all other medical advertisers such as Dr. Oz, but something different, why we are diabetics  and how we can reverse diabetes type 2.
There is another Quack. People present, they reversed diabetes type 2 shortly after they were diagnosed with diabetes simple by losing weight. Well, there is another trick, how they were diagnosed with diabetes, and what are the evidence that they do not have diabetes anymore, reversed it? How reverse of diabetes was diagnosed?
In diabetes type 1 there is time when diabetics do not need insulin injections. The name for this condition is 'honeymoon phase'. It does not mean they are not diabetics anymore, they still are. But they can skip some injections because of they have good blood sugar level. Why diabetics type 1 have 'honeymoon phase' but diabetics type 2 presented, they reversed diabetes? The same evidence, temporary drop in blood sugar level, but whey the same medical condition have so different, even opposite classification?
Very tricky Quack.

Mr. Tutty said he jumped at the chance, becoming one of 30 men and women ages 25 to 80 to sign up. Mr. Tutty was one of 13 participants whose fasting plasma glucose dropped, and during the six-month follow-up remained below the seven millimole per liter (or 126 milligrams per deciliter) that defines diabetes.

Say me, what was number before studies and weight drop? If it was 130 mg/dl and then it dropped down to 126 mg/dl, is this really common among diabetics type 2? People come to clinic with 370 mg/dl and do not get diagnosed with diabetes. (Myself for instance.) This is why millions of diabetics live with diabetes and do not have any treatment for it till numbers ride closer to the fatal level. Even in that case they still be told, they are diabetics type 2, and first line treatment for them is life style modification, diet, work out. Less then ten years after being diagnosed these people die.
One more word about this Quack. As it is well known before Death all people loose weight. Of cause if we are ill for prolonged time. If weight is so crucial in diabetes type 2 reversal, then why diabetics type 2 die? Diabetes type 2 is number 7 cause of Death, and it is never said on what number diabetics type 2 in all cause of Death.

Type 2 diabetes develops when the body cannot use insulin properly or make enough insulin, so the body cannot properly use or store glucose (a form of sugar) and sugar backs up into the bloodstream, raising blood sugar levels.

My Goodness! This dinosaur come from where?  At least, before publish any education for millions of readers that a look at the facts and do not publish scam! One more time I will copy for you:

Type 2 diabetes (due to a progressive loss of b-cell insulin secretion frequently on
the background of insulin resistance)

and one more time I will educate you that b-cells loss leads to limit in insulin secretion, and there is nothing for body to use, properly or not. There is simple no insulin available! Also, you are pretty good barbarian in diabetes understanding. If glucose cannot be stored then our obesity come from where? And BTW, if glucose cannot be used and cannot be stored then what happened with glucose? Glucose stored in every tissue of our body, in every drop of blood, in bones, on skin and under skin, pushing out from our never healing wounds, and so so on. Even our tears sweet. Our urine is sweet. Thousands years scalps tested for the sugar, and sugar was found in bones of skeletons. Sugar found in bones of wild animals which are far away from being obese. Sugar in blood stream only the way we are able to test how deep our condition dropped. In present time a new meters underway, to check up sugar in tears. At least if you pretend to wright about diabetes take your time to get educated.

Going on a very-low-calorie diet may allow the body to use up fat from the liver, causing fat levels to drop in the pancreas as well. That “wakes up” the insulin-producing cells in the pancreas, normalizing blood glucose levels.

When fat used as source of energy  fatally danger condition develops, ketoacidocis, emergency situation which usually our hospitals ignore and send victims home. If insulin therapy was administrated in right regime with right type of insulin, diabetic survive. If there is no insulin, diabetic die. Still, there is no insulin producing cells, and insulin must be injected.

“Decreasing caloric intake for any reason brings with it a rapid improvement in glucose control,” said Dr. Robert Lash, the chairman of the Endocrine Society’s clinical affairs committee and a professor of internal medicine at the University of Michigan.

This is all what Quack is about. Endocrine Society present that diabetes is glucose level. It is not. It is ability of b-cells to secret insulin, and availability of b-cells able to produce insulin.  With normal blood sugar, with low blood sugar, level of insulin can be also low. This is paradox. The level of sugar is low. It is easy to assume that level of insulin is high. The problem is, there is no test to check up level of insulin in blood. We check up level of sugar, and we do not know the level of insulin in blood. With low blood sugar level of insulin usually is also low. This is why in hospitals diabetics die because of low blood sugar. They do have glucose IV but no insulin injection. So, sugar still low or may go high, but the level of insulin is low, and there is no one way to prevent mortality without insulin injection.

Hope for Reversing Type 2 Diabetes

By Roni Caryn Rabin

April 18, 2016http://ift.tt/1U2Oa5A

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New Your Times Quack-Quack Opinion Statement. December 23, 2016

A diversity of medical opinion is not a bad thing; in fact, far from it. Today’s fringe treatments could well become tomorrow’s standard protocol. http://ift.tt/1GJpt5E

Dr. Oz Is No Wizard, but No Quack, Either

This is NY Times opinion in response to attacks on Dr. Oz. What does it mean? This means, forget about medical treatments outcome. Doctor has opinion, and doctor has right to have his own opinion how to treat patient. Patient has no one opinion. Medical Care sees us as Rats for their labs.  If patient died as a ressult of the treaatmnet, it is in no one way doctor's fault. It is just because of patient did not survive, and doctor has right to experiment with another one. 

This is Statement New York Times brought to the readers. Dr. Oz has own opinion, and it is not bad things. 

Still, I do have my own opinion, and I do not think it is bad thing ether, regardless what New Your Times see it is right or wrong. I do have my Standards Protocol.

 When doctor use his medical opinion, it is no longer 'HIS OPINION'. This is the core difference between New Your Times opinion and my Standards Opinion. Doctor has Conduct Protocol, and he must follow this Protocol, or stop to use title Doctor, Dr. MD. So, when Dr. M.Oz step on the high stage,who is he, Doctor? Quacker? Nether? Both? 

Every doctor has a diversity opinion, what to eat better to prevent diabetes, blueberries or apples? how many miles to walk to reverse diabetes type 2 which already took its toll and one leg is already amputated? and how many times diabetic type 2 must spend in fitness club after resent stroke or heart attack? They still argue, and we are ding. In NYC where Dr. Oz practice Diabetes is number 4 cause of Death. Diabetes, high blood sugar level, 100% preventable cause of Death with right insulin therapy. There is no one standard protocol how to use insulin. It is diversity of Medical Opinion, diabetics type 2 do not need insulin added in injections, but many other add-on such as Invokana or green coffee beans can successfully reverse diabetes type 2.

That BMJ study, for example: When researchers analyzed 80 “randomly selected” recommendations from “The Dr. Oz Show,” they judged that 26 of them, or 33 percent, were supported by evidence they deemed “believable.” They found just nine recommendations that were contradicted by convincing scientific literature. Looked at this way, Dr. Oz is proved wrong only 11 percent of the time — not ideal but hardly “egregious.” The BMJ authors also didn’t list the statements they examined and the evidence for or against, so it’s hard to know how serious these errors might have been.

Quack-Quack-Quack investigation, proudly presented by New Your Times to support Dr.Oz innocence. Take a close look at the numbers, how author effectively manipulate by them.
26 recommendations.
9 were proved to be wrong at that time
authors did not release statements they examined this means, according to NY Times, it is not known how serious these errors. might have been.  Great I would say. WOuld they ever find what is wrong with Dr. Oz recommendations? Never. Because they investigate what did he already stopped to recommend. To any investigations he may say, sorry, I changed my mind. It was wrong recommendation. But who is 100% right, right? And there story go on and on and on. All are happy. Dr. Oz collect high money. Investigators keep high job. Diabetics die bulled and mocked right from every corner on every TV.
Still, according to my Standard Opinion, it is right opposit, how relable all 26 recommendations can be in first place. Just take a look at the recommendations, and NY Times present it right here:

Much of what Dr. Oz talks about is pretty anodyne stuff: Eat fruit! Exercise! Sleep right! Diet features prominently on every show:

So, NY Times is right, there is no one evidence that these recommendations are wrong. What I am very happy that author did not present his problems with bowel movements at the time of show. The half of his article devoted to his personality, how great and cool he is. In my time we used to say, "Shortness is Mather of Talent ... but Stepmother of Money". Really, author get paid by every word published, so then more words then more money deposited on account.

The doctors’ letter raises an interesting question: Is “evidence-based medicine” itself always a settled issue? In scientific inquiry, the “truth” is slipperier and more fluid than distinguished physicians will generally admit. Different doctors take different approaches to issues like whether or not to prescribe statin drugs to patients with high cholesterol, or how to treat people with pre-diabetes.

Let us take a look at this 'true'. What are the evidence to scientific inquiry? In my Standards Opinion, if I do not get worse, but getting better, it is evidence that insulin Lantus Solo Star is medicine I need. When I take Metformin I do have poison effect, very severe, and my cholesterol level fly over sky. There is no choice but take statin drug, Lipitor only, never generic, it does not work. If I do not take Lipitor  then I do have severe heart palpation and very high heart rate.

Now about “evidence-based medicine. What are the evidence that Metformin and life style modifications can prevent diabetes, or reverse diabetes, or control high blood sugar numbers? There is no one. Diabetes is number 7 cause of Death in America. It is number 4 cause of Death in NYC. It is only diabetes, high blood sugar. There are more all cause mortality to diabetes. Stroke and heart attacks due to clotting blood result of untreated diabetes. Painkillers leading to overdose or overuse because of pain due to diabetes is not bearable. Lung complications because of our blood is poor in oxygen. You name it, we do get it all. So, why today it is diet and work out crucial treatment options? My evidence show it in different way. Rx insulin, find right treatment regime with insulin therapy, and there are no Quack - Quack doctors needed anymore to teach what pose to use for proper bowel movements to reverse Diabetes type 2.

 Some are quick to prescribe medications, whereas Dr. Oz tends to favor less interventionist, more natural approaches based on diet and exercise.

According to New Your Times it is hard to be wrong with this approaching. In my Standard Opinion, it is illegal to put ill people in danger of bulling and mocking. This approach must be stopped! But really, who is going to do so? Dr. Oz? New York Times? Columbia University? They are all spoon from this approach. All and every one.  The result is, when diabetic type 2 enter in any clinic the Rx is diet and exercise. Does not matter what is the medical condition, what is the issue with health, diet and exercise cannot get wrong.
According to the author, every doctor has diversity opinion. According to my investigation, they all do have the same, BMI standards created back to 1850 when human population paid high toll to Consumption, old name for TB. People who were ding from Consumption were underweight, and this was the formula in attempt to prevent high mortality. All diversity in doctor's opinion is how many grapes patient must eat every day, or patient should not eat grapes at all, but eat garlic and drink  Red Wine. No Smoke. They all agree in this approach.

Here in America, rightly or wrongly, we have clearly chosen a wild and woolly marketplace where free speech comes before regulation and expert ruling. That means that, as patients and consumers, we need to do our own homework and exercise another precious right: the right to a second opinion. And then, maybe, a third.

Sorry, New Your Times.  This is what wrong with Medical Opinion. I do not have any rights. I am diabetic type 2. I am Patient. I do have no one authority to have my own opinion. If doctor said it is good for me, then in opinion of my health plan company, or any other administrative organization, it is what is really is. Regardless if it is good for me or it can be fatal for me, I have to follow doctor's order.  So, if it is ADA Standard Protocol that diabetics type 2 first line treatment is life style modifications then does not matter how my ill pancreas declined in ability to secret insulin, I would be denied insulin and treated with Junk Medicine such as Invokana or Bulling Therapy such as life style modifications. Of cause I can go from one clinic to another or even third, and then they all call to each other and support opinion of initial sender. It is Ethic Standards. There is no second opinion possible.

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What Dr. Oz, Wizard or Quack or Both or Either? December 22, 2016

If you want a snack

If you want a snack that's fun to eat and tasty too, but your Diabetes means that you don't seem to have any options, reach for popcorn! You can leave the butter out if you're trying to lose weight, and keep the portion down so that you don't overdo your carbohydrates. There are many Diabetic communities throughout the nation, so ask your doctor to find one nearby for you to visit. You'll find... FULL ARTICLE @ www.diabetes-matt...-...

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Posttransplant Diabetes Mellitus is a new type of diabetes. ADA Standard of Care 2017. December 22, 2016

Recommendations: Patients should be screened after organ transplantation for hyperglycemia, with a formal diagnosis of posttransplantation diabetes mellitus being best made once a
patient is stable on an immunosuppressive regimen and in the absence of an acute infection.

It is recommendations of ADA Standard of Care. Now the question is, how it is possible that Pancreas transplant is cure for diabetes?

After surgical technical problems
were worked out in the canine model (summarized in Ref. 6), the first attempt to treat human diabetes mellitus with pancreas transplantation was carried out on December 17, 1966, by William Kelly and Richard Lillehei (7) at the University of Minnesota. The patient died after two months. The same Minneapolis team recorded the first success on June 3, 1969 (8). "Success" during this pioneer period came to be defined as patient and functional graft survival for at least one year.  (The History of Pancreas TransplantationThomas E. Starzl, Ngoc Thai, and Ron Shapiro Thomas E. Starzl Transplantation Institute. University of Pittsburgh School of Medicine, Pittsburgh, Pennsylvania, U.S.A. )

Recently someone posted in blog about this event, and there were hundreds of  'bravo' and 'great success' comments. No one looks saw that patient died after two month. Now, 50 years later, the same 'success' counted if patient survived within one year. Really, is this 'success' can be we are looking for? Transplant presented as 'cure' for diabetes. In contrary, insulin which keep diabetics alive one year after another, functional, and even reverse diabetes type 1 when diabetic enter in 'honeymoon phase', considered 'not cure but treatment'. How 'transplant' can be seen as 'cure' if rejection medicine, very difficult to adapt and poisonous for patient must be taken for the rest of short patient's life?
       Why diabetics take this transplant in first place? Wrong info medical team present. Diabetic and diabetic's family do not really know what is all this about. They hope it is 'cure' and this 'cure' would safe life loved one. Usually, it is very young people. The victim of first 'successful transplant' was 28 years old woman.
     Transplant presented that it is 'healthy organ from death body', still, there is no one test run to control how diabetic's pancreas, alive diabetic pancreas, healthy or not. No one test. I am diagnosed diabetic type 2. No one test for pancreas and how my pancreas secret insulin, in sufficient amount or not, ever. I do not think I am different from all diabetic population. ANd I am very skeptical to believe that transplanted pancreas was really 'healthy'. Anyway, when I look at ADA recommendations there is no one mention how to take care for diabetic's pancreas. All treatment options only to reduce level of sugar in blood. No one mention to check up level of insulin in blood. No one mention of health diabetic's pancreas and its ability to secret insulin healthy or not. Pancreas never mentioned in diagnostic criteria for diabetes.
      The same in the  recommendations of ADA to screen for diabetes  after organ transplant. It would be level of sugar in blood, but not any test to check up if pancreas is healthy or not.
       Pay attention in this recommendations. It is not the case that transplanted organ pancreas. There are other organs can be transplanted. So, before transplant surgery patient was not diabetic. Now ..... what is now? Now it is possibility to have  Posttransplant Diabetes Mellitus. So, together with rejection medicine patient must take insulin for the rest of his or her short life.
      The question still stand. Why take pancreas transplant surgery in first place? Why it is presented as 'cure' for diabetics type 1? What type of 'cure' it is when patient die one year after 'successful transplant surgery'? At the same time, there is no any studies how dose insulin, how level of sugar in present time can be connected with insulin injection needed to take right now, and what type of insulin to inject according to the level of sugar in blood? In present time all injections based on the meal and amount of carbs diabetic is going to eat. No one direction how to inject insulin according to the level of sugar in blood right now. If so then say me, if it is possible to trust in doctors who see 'success' in the Death short after they placed hand on the victim?   

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Healthy Single-Serve

Healthy Single-Serve "Sugar" Cookie {Low-carb, Sugar-free, THM:S}...all the flavors of the holiday season in one healthy jumbo cookie. Merry Christmas!

via Taylor

A Bittersweet Week

Christmas is coming. The carols are playing...everywhere. We're making cookies. There are pageants and parties and concerts. The stockings are hung by the chimney with care. We'll gather with family this weekend. We'll attend a candlelight service. Santa will come. Gifts will be exchanged.

We'll enjoy all of those moments, but with a unique perspective.

Fourteen years ago we spent this week at a children's hospital. We'd been helicoptered there on December 21st with a very sick baby. We spent the night in the ICU and the week at the hospital. We spent the week grateful for life, knowing that our baby had been treated just in the nick of time. We spent the week scared and overwhelmed by the ways our world had changed with the diagnosis of diabetes. We spent the week surrounded by other hospitalized families, some of whom were not expecting as happy an ending as we had been granted.

The experience has forever added a bittersweet thread to our family's Christmas week.

This year's first tears came while I watched my daughter narrate the Christmas pageant on Sunday. I was overwhelmed with gratitude that she was there at all. The specter of what could have happened if we'd waited even hours more to take her to the emergency room lingers a little closer during this season. Hearing her beautiful voice and watching her smile at the little angels scampering down the aisle stood in stark contrast to what might have been.

I'll tear up when we sing 'Away in a Manger' at the candlelight service. I sang it hundreds of times to calm my baby in her hospital crib. I'll skip wearing mascara to the school holiday concert, and take a few deep breaths when I unbox a Christmas decoration we were given in the hospital fourteen years ago. I'll experience a flood of empathy when I encounter or hear about people who are spending this Christmas in a hospital, or in a shelter, or who are grieving or afraid this season.

The thread of Christmas 2002 runs through all of our future Christmases. While it's not a thread I would have chosen to weave into our family's story, it has added a depth of meaning to all of the Christmases that have followed. The thread reminds us that at the core of this season's stories there is light and hope despite the apparent darkness and despair.  As I wrote to conclude the first post I ever wrote for this blog:

My daughter’s second Christmas, when we sat together in the cafeteria of the children’s hospital eating prime rib off of Styrofoam plates, remains one of my favorite Christmases ever.  Despite all that we had lost in the preceding days, we had each other, we had the power of modern medicine, and we had hope. 




via Adventures in Diabetes Parenting

Dr. Oz. Turning the Tide Against Diabetics type 2. December 21, 2016

       Doctor Oz spent some time with his audience to discuss diabetes issue. Really, who do not treat diabetics today? Everyone. Why not. Every one, but diabetics  do know what is the problem with diabetes. No one but diabetics do know what is the problem with Medical Care. Why we are, diabetics type 2, on number 7 spot in cause of Death? Not all cause of death, on this list diabetics stand proudly on the first place. It is Diabetes, highly abnormal level of sugar in blood, caused Death, and it is 100% preventable with insulin therapy, right insulin type, right insulin therapy regime. Still our medical providers way too resistant to insulin therapy, and this is why we die in thousands every year, year after year, almost 70 000 Americans lost lives every year due to diabetes.
      Why diabetes take so high toll in human lives? Profit. Our sweet blood is way too  too profitable, so Medical Organization never will let us get loose from the hook. Take a look, what most popular doctor in America educate public?

Diabetes was a disease almost unknown in children and uncommon in adults 20 years ago. Today, it’s one of the most common adult diseases and is on the rise in kids.

       If it is true then why diagnose 'diabetes' considered Death Sentence before insulin was discovered, almost 100 years ago? Really, why diabetes was unknown in children 20 years ago and today adults, those of us who were children 20 or even 40 years ago, have this medical condition? One out of ten Americans is diabetic. The most simple answer to this is that today millions diabetics live with undiagnosed diabetes. The same as children and adults 20 years ago were not diagnosed diabetics, still there were diabetics regardless diagnosed or not. So simple, do not diagnose medical condition and then there will not be the problem. People die, but it does not matter. We will die anyway.

While you probably know that diabetes is a disease that affects your blood sugar, you might not know that it’s part of a larger health problem.

      Really, what doctor Oz is talking about?  Diabetes effect not blood sugar. Diabetes is medical condition when insulin secretion is limited for one reason or another and this effect the ability of body to use food for energy. The result is, glucose cannot enter into cell and be used as source of energy. Sugar built in the blood. But it  is only symptom and in no one way it is disease. No one ever said that elevated temperature of the body is disease. It is symptoms, signal where the problem is located. Any problem can be solved only when it is addressed to the cause, but not to the symptom.

Both are part of a larger syndrome of associated conditions called the “metabolic syndrome” made up of three to five conditions: (diabetes, high blood pressure, obesity, high bad cholesterol, low good cholesterol).

      Obesity is the same as elevated level of sugar, just symptom of diabetes. It is not cause of it. The medical condition when food does not converted into energy our  body system needs to function, lead to many other symptoms such as dry mouth and dehydration, high blood pressure, kidney and heart failure, never healing wounds, and so so on. Why Dr. Oz does not know how many different symptoms resulted by limit of insulin secretion, still, he 'educate' his followers that diabetes effects level of sugar in blood and this is because of obesity? Really, what does he is talking about, why only level of sugar attracted his attention?

The fact that these conditions (diabetes, high blood pressure, obesity, high bad cholesterol, low good cholesterol)  often appear together indicates that all are symptomatic of a deeper problem with the way your body is dealing with food and energy balance.

       Sorry doctor. There is one problem. No one do know how diabetic type 2 got diabetes, and when. What was first, obesity or diabetes?  What was first, high cholesterol or Metformin? Why it is surprise that TG is high? High TG level is signal of heart failure. Diabetics heart cannot pump the blood. Blood is too heavy to be moved, syrupy. Then deeper we skipped into insulin deficit then higher level of sugar, then more complications surfaces and finally diabetics type 2 die because of our pancreas is too ill to provide our bodies with energy to function.

Healthy bodies can handle cholesterol, fat, and sugar in a way that prevents blood vessel and weight problems. Bodies with metabolic syndrome lose the ability to regulate these systems, which leads to inflammation, hormonal changes, and shifts in metabolism.

      Another oddness of presentation. Who said that diabetics are healthy people? We are not. Still, regardless it is diabetes or metabolic syndrome it must be treated and eventually cured. Does not matter what conditions Dr. Oz put together, or simple ignored to put in list such as lost vision, amputations, poor circulation, very easy blood clotting due to high density, syrupy,  the problem still in ability of our ill pancreas to secret insulin, in our b-cells dysfunction or limit.
      Now doctor Oz present his own understanding what is diabetes and how it  classification: 

There are two different types of diabetes that we know about: type 1 diabetes and type 2 diabetes. Type 1 is most commonly seen in children and occurs when the body’s immune system attacks its own insulin-hormone-making cells. As those cells die, the levels of insulin in the body drop, which means the body has no hormone to control the levels of sugar in the blood. These individuals need that insulin replaced for the rest of their lives because those cells don’t ever grow back. Without insulin, their blood sugar will swing between sky high and rock bottom, which can be incredibly dangerous.

      Not really true. Diabetics type 1 all with time have insulin secretion improved. Someone of them recovery and no longer take insulin in injections. Actress Halle Berry for instance. Another mess is that in diabetes type 1 level of sugar swing between sky and rock bottom. Really, if it was true then they would take very high dose of insulin. In contrary they take very low dose of insulin, usually less then 50 units, and many of them less then 10 units daily dose. It is far away from sky. Also it never drop down to the rock bottom. As doctor, Dr. Oz must be very careful with medical education and do not mess up. People still trust in doctors. He is one of those in whom people trust, no reason but true.

Type 2 is almost a completely different disease. While both are related to blood-sugar regulation, their causes are different, which means the treatment is also different. So far as we can tell, type 2 diabetes results when the body’s cells lose their sensitivity to the insulin signal. The pancreas cells that make insulin are pumping the hormone out, but the body isn’t responding the way it should. It eventually picks up on the signal, but it gets more and more sluggish over the course of the disease. Medications are available that both help the pancreas pump out more insulin to meet this greater demand and make the body more sensitive to the insulin it’s already making.

        Sorry, Dr.Oz. Probably you do see the difference. You are the a doctor. I am not doctor. I am diabetic type 2. According to my investigation ADA classify diabetes type 2 and type 1 differently:

1. Type 1 diabetes (due to b-cell destruction, usually leading to absolute insulin
deficiency)
2. Type 2 diabetes (due to a progressive loss of insulin secretion on the background
of insulin resistance)

      Because of both types are due to b-cells loss there is no difference between types of diabetes. There are really no types of diabetes in first place. There are stages of diabetes, difference between healthy panaceas function and the degree in limit of insulin secretion due to progressive pancreas disfunction. The stage of 'progressive' or 'leading'  the same, just time and speed of progress.
      In definition and classification of types of diabetes there is no one mention how pancreas pump hormone out. As a doctor you must know that there is no one test how immune system attack own b-cells. And if there is no one test then no one evidence that this ever happened. BTW, what if immune system diabetics type 2 attack own b-cells in the same way as it is in type 1? There is no test to immune system how it work in diabetics type 2. So, what really Dr. Oz present?

Medications are available that both help the pancreas pump out more insulin to meet this greater demand and make the body more sensitive to the insulin it’s already making.

     This is the problem Without any reason it is presented that diabetics type 2 pancreas secret insulin, and all medication based on to increase demand to insulin. There is no one test how much insulin any body system needs for healthy function. There is no one test how much any diabetic type 2 pancreas secret insulin. Does this secretion is sufficient? If not then all medicine diabetics type 2 take lead to the deeper insulin deficit and to the greater b-sell lost. This is the reason why type 2 diabetics have obesity, high blood pressure, high cholesterol or low cholesterol, does not matter, any cholesterol diabetics type 2 have is abnormal.

I’ve found that everyone thinks of their health differently and manages their health differently.

      Very interesting, Dr. Oz, where did you find this? On the show when you suggest to eat ice-cream in healthy way, with Ricotta as side?   It was really fun to watch. Still, I eat ice-cream without Ricotta or cottage cheese. I do not trust in your show. Do not see you as a doctor. Simple Charlatan dressing The King. The matter of fact all people think about health in the same way. Difference only, to trust in doctor or to trust in own logic. This is why so many people bring you so high profit and popularity. But more then that people do not see you as a doctor. I am one of them,

For those who do have diabetes, remember to regularly checking your blood sugars. There’s no way around this. If you aren’t checking your blood sugar regularly, you’re flying blind when it comes to your health.

      I am all the time curious, why checking blood sugar is so important? How checking blood sugar effect the balance between insulin in secretion and insulin in demand? No way for that. You did not say, never skip insulin injection, do not let blood sugar rising above normal healthy range, keep it in balance. No, you do not see how this important. But what is most interesting, in all your education presentation I do not see any mention, how to check up if pancreas healthy or not? There is no one mention of pancreas health. And you did not say, why diabetics type 2 need medicine to increase sensitivity to insulin, but you did not say, how to check up the level of insulin in blood. We all use glucose meters. It is only sugar we test. But the problem with diabetes is not the sugar. It is imbalance in insulin secretion. It is just logical to check up, if insulin present in blood stream in sufficient amount or not. But there is even no any directions when, how to control level of INSULIN in blood.
     When insulin added in blood diabetics type 2, we react the same way as diabetics type 1, get functional. The difference between type 2 and type 1 we need higher dose of insulin, more then 200 units daily dose. I take 300 units. It was time when I injected 400 units, happily not for long.

It Often Comes Down to Diet and Exercise

Sure. Why do you think we do not eat?  I really do not see any logic in your publication and education. Trust me, we all eat. Don't you?

11/04/2015 at 9:00 AM

Turning the Tide Against Diabetes

by Mehmet Oz, MD

http://ift.tt/1RSPt2M

via Ravenvoron

Holiday Travel: The Time I forgot My Medical ID 300 Miles Into A 700 Mile Road Trip.

I started writing this article about 10 days ago, then I had surgery.

Most of my stitches were removed to day - more on that later.

Anyway, here’s what happened to me on my Thanksgiving road trip and some disclosure. 

####

On the drive home and wearing my Lauren's Hope bracelet the Saturday after Thankgiving, somewhere
in North Carolina - I-40 

I love to travel. 

I’ve been to a boatload of countries and an “OK” number of states. 

I fly a lot and as much as I hate airports, I can navigate them - for the most part. 

Trains? I’m cool with trains - I love taking trains. 

I’ve gone on lots of car road trips in my life. Some good; some great, some neither, all memorable. 

But I’ve never actually done a solo/beyond my local tri-state area road trip, and all by myself. 

Maybe it was my irrational fear of reading maps, maybe in a past life I became lost on a journey and never made it to my destination, maybe it’s because I’ve gotten lost and ended up in some gnarly parts of cities and states where I thought no one would ever find me. 

And maybe it’s because I’m a big effing baby, but whatever.

Drop me in the middle of an unknown city on foot, and I can figure it out no problem. 

Tell me I have to drive to and around a city I’ve never been to and I start to get anxiety. 

Needless to say, GPS navigational systems have been a game changer for me - I don't worry about getting lost anymore.

In September I was invited to my cousins in South Carolina for Thanksgiving and I decided I was going to drive instead of fly. 

I was going to bypass the mess that is Philadelphia International Airport at Thanksgiving, and get out of my comfort zone re: driving long distances by myself.

Yep, I was going to drive the between 600 and 700 miles each way solo because I'm a big, brave, grownup lady.

I mapped out my route (thank you talking Google Maps,) for the more than 600, but less than 700 mile journey each way, booked my hotel, (could not deal with doing it all in one day,) had my car checked over, and marked the departure date on my calendar. 

The night before the trip I finished packing everything. Clothes; extra diabetes supplies, gifts for my cousins children and a special 1/2 baked bread from a special local bakery that shall remain nameless. 

Then I put my laptop/charger in my work bag, placed my Lauren’s Hope medical ID bracelet next to my charging phone and went to bed.

The next morning I loaded my car up with my luggage, computer bag, bread, and a cooler packed with apples, water, kind bars, and baby carrots. 

And after several false starts, I pulled out of my driveway at 10 a.m.
Cut to 4:30 pm and me checking in made to my Richmond, VA hotel and settling in my room. 
Then I noticed I wasn’t wearing my ID bracelet. 

No big deal, I figured it was in my makeup bag... except when I checked it wasn’t. 

And I got nervous. 

Did I lose it or was it still at home? 

What if something happened while I was driving to The Carolinas ?

I remembered a time when I hated wearing medical IDs and would only wear one when I traveled. But things change and we live and learn. 

I tried not to think about it and went down to the lobby to meet a friend for dinner.

The next morning I was on the road by 11 a.m. and all was going well - Thank you talking google maps! 

FYI: When your drive long ass distances by yourself you have a lot of time to think. 

You think about the beautiful scenery, you think about your life and the roads not traveled, blah, blah, blah. 

And you keep thinking about traveling the day before the busiest travel day of the year and the "what if’s" of not having your medical ID bracelet on your wrist. 

Basically you become hyper focused on all the horrible things that can happen on the road, at a rest stop, anywhere and not being able to let anyone know about your diabetes, etc. 

FTR: I have D and non D medical info noted on my Lauren's Hope Medical ID bracelets. 

When I reached I-40 I had a 140 miles to think about all of the above before I needed to consult with Google maps - and the more I thought about not having my bracelet, the more uncomfortable I go. 

BOTTOM LINE: I FREAKED. 

My somewhat irrational fear of driving almost 700 miles by myself was replaced by the very real fear of not having my medical ID on my person.

I was mad at myself for forgetting my bracelet.

And I was scared.

60 miles into the uninterrupted 140, I stopped for gas. 

Then I went through my email contact list and called my contact at Lauren’s Hope and left her a message. It was my “hope” that she could overnight a bracelet to my cousins house - if that was even a possibility on their end. 

120 miles into the 140, my contact called me back and I pulled over to the side of the road and told her my dilemma. 

She listened, calmed me down, and told me that they overnight jewelry all the time. 

I gave her my cousins address and she told me that she’d send me a gold colored steel cuff. 

I felt better and I felt safe. 

After getting stuck in crazy traffic the last 40 miles of my journey, I made it to my cousins house, the Tuesday before Thanksgiving at dinner time. 

The next day, at 1pm, EST my Lauren’s Hope bracelet arrived via FedEx - which impressed me on many levels because hello, it was the day before Thanksgiving and who the hell wants to drive in that mess.

Also, I wish I could have given the FedEx person a hug, but they didn’t ring the doorbell - which I understand, because THANKSGIVING WEDNESDAY.

Anyway, I wore my bracelet on my wrist for the rest of the trip.

My Thanksgiving was wonderful and happy and my family made me laugh like crazy . 

The trip back home stretched out over two days and except for the crazy traffic on 95 once I hit Baltimore - everything went off without a hitch. 

I’m confident that I can drive anywhere now - as long I have a talking GPS at my fingertips. 

And I’ve decided to leave one of my LH medical ID bracelets ( I own 4,) in my locked glove compartment - because I never want to worry like that again. 

I don’t want worrying about the what-ifs (diabetes or otherwise,) to hold me back from traveling and exploring.   

Disclosure1: Lauren's Hope didn't charge me for my m bracelet. 
I told them I was going to write about what happened because I was so damn grateful and Felt/still feel that if it could happen to me, it could happen to you and that we have viable/timely options.
 I didn't expect anything in return, but it was nice gesture and greatly appreciated.  

Disclosure 2: I own 4 LH bracelets ( 3 before Thanksgiving,) and after what happened,  I decided to become a LH affiliate - which means I will get a very small percentage - and only if you decide to actually order from LH - and after clinking on their links on this site.
Any monies raised will go towards domain renewals for both diabetesaliciousness and IwishPeopleKnewThatDiabetes.Org and insulin.

You can learn about LH affiliates program, HERE. 
You can read disclosure policies of this blog, HERE. 

I never want you to think I'm not being honest, so I'm telling you upfront. 

Lastly, it doesn't matter to me where you or your loved ones get your medical IDs.

What matters most to me is that you and your loved ones WEAR your medical IDs.

via Diabetesaliciousness