In my Summary paper after visit to clinic there are two lines. One is, 'diabetes type 2 conformed'. Another line is, 'diabetes type 2 uncontrolled'. OK, what does it mean? How it was confirmed that I am diabetic type 2? What if my blood sugar in clinic would be 160 mg/dl, perfect sugar, would be diagnose 'diabetes type 2' confirmed?
There are many publications, and many education programs for diabetics and public. When I read all those papers, all book I am able to get about diabetes, I try to find out, how diagnosed diabetes type 2? Really, there are all the time when I take any anti diabetic pills there is warning, not for diabetes type 1. So, diagnose type of diabetes is very important. Still, there is no one criteria, how type of diabetes diagnosed.
Diabetes diagnosed according to the level of sugar in blood stream, fasting, or two hours after meal, or A1c, but still, it is level of sugar in blood, and the diagnostic criteria the same for any types of diabetes. If so, then what is the reason to diagnose type of diabetes? How med pro do that?
I do understand, diabetics type 1 presented that they do not have insulin secretion. They can live only on insulin injections to replace insulin secretion absence. If so, then there must be test done to diagnose the limit in insulin secretion. And also there must be normal ranger for the normal function insulin secretion level. There is no such range a long as I try to find it. Also there is no such date in any my blood works, ever. I am diabetic type 2. For some reason I was diagnosed with this type. What is that reason used to be?
I used to have test for C Peptide level. There is range for this level when it is normal suppose to be. It was I think from 0 to 3 or to 5. The range is interesting, but still it is not so important because it is not the normal level of insulin which must be secreted during routine daily activity. This level of insulin never tested. No one diabetic ever had this test. Regardless of this so simple fact, every one doctor in any clinic do know very well, my pancreas secret insulin, (I really do not see it is so) but my body system does not use it properly (really this is what about?)
Now, according to the complicated not reliable diagnose, treatment and blood sugar control based. It is easy to see, that test to confirm diabetes type 2 the same, not reliable. If my blood sugar level in clinic is 148 mg/dl then do I have diabetes type 2 or not? In other words, if I do control blood sugar level with high dose of insulin, how diagnose diabetes type 2 can me confirmed?
Another big problem and complication with diagnose of diabetes is the level of sugar with which diabetic in the clinic or in hospital. What if patient non-diabetic, would be test run to check up if patient diabetes-free or it is not diagnosed diabetic? What if test come out 400 mg/dl, sugar in blood and sugar in urine 1000 mg/dl, it is clear level of diabetes. What type of diabetes this patient is? According to the type of diabetes treatment would be started, which one? There are two first line treatments for two different types of diabetes, insulin or life style modifications. So, what doctor in hospital would Rx? What doctor in clinic would be Rx? How doctor in clinic would diagnose diabetes? Or there would not be any diagnose at all?
It is all about diagnose. But before diagnose done, it must be definition of diagnosed medical condition done, and it is also unclear, diabetes what is it? With diabetes type 2 prevalence in America, there is no really studies done, what diabetes is about? Why people die in thousands every year, just because too high blood sugar level, 100% preventable death, and there is no doctors who will prevent those deaths.
What is diagnostic is wrong? Diabetes is inability pancreas to secret insulin in the amount to cover demands for healthy body function. If so, then why now, in 21 Century diagnose diabetes based on so unreliable test? Why there is no one test, if diabetic's pancreas healthy or not? Is pancreas functional or not? Any diabetic pancreas will show the signs of illness. So, there is no such differentiation if one ate two hours ago or it happened just 10 min ago. The same tool can be used to check up if there some progress in treatment or it is not and treatment must be changed.
At the time of diagnose, or at any other time to control treatment how it is possible to relay on the same level of sugar in blood? It is all the time presented, diabetes is progressive medical condition. With time and age the dose of medications must be increased to control blood sugar. Also there is very well known that there are about ten years diabetics type 2 live with not diagnosed diabetes.For those ten years, how many pounds we put on? How many complications we developed? Just think about, ten years to be ill, and do not know about it, does not it looks odd? Do not we know we are not healthy? We do, we know. The problem is, even I do know I do have diabetes it took me two years to find doctor who will diagnose diabetes I was born with. Another ten years took to switch from SU to insulin, and survive another 6 years.
So, every time I come to clinic, what do I have to have? To confirm that I am diabetic type 2, meaning do not take a few days insulin in injections to provide evidence for doctor to confirm diagnose, and as a result to be confirmed, diabetes is not controlled? What if I do have to change doctor for one reason or another, what will happened? Do I have to start to convince another doctor that I am insulin dependent diabetic type 2, absurd, and no one doctor will take it, and I need insulin in dose 300 units daily? Very difficult to deal with social issue, even I am capable to dealing with medical problems. I cannot live without insulin, no way for that. Every cut off in insulin supply cut my life short. The edema follow up. Pounds. More barking. Less insulin. Sad story of every one diabetic type 2.
There are many publications, and many education programs for diabetics and public. When I read all those papers, all book I am able to get about diabetes, I try to find out, how diagnosed diabetes type 2? Really, there are all the time when I take any anti diabetic pills there is warning, not for diabetes type 1. So, diagnose type of diabetes is very important. Still, there is no one criteria, how type of diabetes diagnosed.
Diabetes diagnosed according to the level of sugar in blood stream, fasting, or two hours after meal, or A1c, but still, it is level of sugar in blood, and the diagnostic criteria the same for any types of diabetes. If so, then what is the reason to diagnose type of diabetes? How med pro do that?
I do understand, diabetics type 1 presented that they do not have insulin secretion. They can live only on insulin injections to replace insulin secretion absence. If so, then there must be test done to diagnose the limit in insulin secretion. And also there must be normal ranger for the normal function insulin secretion level. There is no such range a long as I try to find it. Also there is no such date in any my blood works, ever. I am diabetic type 2. For some reason I was diagnosed with this type. What is that reason used to be?
I used to have test for C Peptide level. There is range for this level when it is normal suppose to be. It was I think from 0 to 3 or to 5. The range is interesting, but still it is not so important because it is not the normal level of insulin which must be secreted during routine daily activity. This level of insulin never tested. No one diabetic ever had this test. Regardless of this so simple fact, every one doctor in any clinic do know very well, my pancreas secret insulin, (I really do not see it is so) but my body system does not use it properly (really this is what about?)
Now, according to the complicated not reliable diagnose, treatment and blood sugar control based. It is easy to see, that test to confirm diabetes type 2 the same, not reliable. If my blood sugar level in clinic is 148 mg/dl then do I have diabetes type 2 or not? In other words, if I do control blood sugar level with high dose of insulin, how diagnose diabetes type 2 can me confirmed?
Another big problem and complication with diagnose of diabetes is the level of sugar with which diabetic in the clinic or in hospital. What if patient non-diabetic, would be test run to check up if patient diabetes-free or it is not diagnosed diabetic? What if test come out 400 mg/dl, sugar in blood and sugar in urine 1000 mg/dl, it is clear level of diabetes. What type of diabetes this patient is? According to the type of diabetes treatment would be started, which one? There are two first line treatments for two different types of diabetes, insulin or life style modifications. So, what doctor in hospital would Rx? What doctor in clinic would be Rx? How doctor in clinic would diagnose diabetes? Or there would not be any diagnose at all?
It is all about diagnose. But before diagnose done, it must be definition of diagnosed medical condition done, and it is also unclear, diabetes what is it? With diabetes type 2 prevalence in America, there is no really studies done, what diabetes is about? Why people die in thousands every year, just because too high blood sugar level, 100% preventable death, and there is no doctors who will prevent those deaths.
What is diagnostic is wrong? Diabetes is inability pancreas to secret insulin in the amount to cover demands for healthy body function. If so, then why now, in 21 Century diagnose diabetes based on so unreliable test? Why there is no one test, if diabetic's pancreas healthy or not? Is pancreas functional or not? Any diabetic pancreas will show the signs of illness. So, there is no such differentiation if one ate two hours ago or it happened just 10 min ago. The same tool can be used to check up if there some progress in treatment or it is not and treatment must be changed.
At the time of diagnose, or at any other time to control treatment how it is possible to relay on the same level of sugar in blood? It is all the time presented, diabetes is progressive medical condition. With time and age the dose of medications must be increased to control blood sugar. Also there is very well known that there are about ten years diabetics type 2 live with not diagnosed diabetes.For those ten years, how many pounds we put on? How many complications we developed? Just think about, ten years to be ill, and do not know about it, does not it looks odd? Do not we know we are not healthy? We do, we know. The problem is, even I do know I do have diabetes it took me two years to find doctor who will diagnose diabetes I was born with. Another ten years took to switch from SU to insulin, and survive another 6 years.
So, every time I come to clinic, what do I have to have? To confirm that I am diabetic type 2, meaning do not take a few days insulin in injections to provide evidence for doctor to confirm diagnose, and as a result to be confirmed, diabetes is not controlled? What if I do have to change doctor for one reason or another, what will happened? Do I have to start to convince another doctor that I am insulin dependent diabetic type 2, absurd, and no one doctor will take it, and I need insulin in dose 300 units daily? Very difficult to deal with social issue, even I am capable to dealing with medical problems. I cannot live without insulin, no way for that. Every cut off in insulin supply cut my life short. The edema follow up. Pounds. More barking. Less insulin. Sad story of every one diabetic type 2.
via Ravenvoron
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