Finally, Diabetics type 2 need insulin as initial therapy. What after that left differences between types of diabetes? Practically it is only time. Soon no one will see that there are types of diabetes, stages of this dangerous and potentially fatal disease. It is very wide spread that diabetics type 2 developed diabetes because of ill life style, laziness and overeating. Very often it is run in families, and what when we come into clinic medical pro look at husband, wife, children,, all obese. This is why they are diabetics, because of family cuisine. The reality can be very different. But it does not matter. There is medical presentation 'This is why' and 'Because of' so do we like it or not we have to cope with it.
I am diabetic type 2, diagnosed back to 2001, and take insulin since 2011, and still, I have no one idea what is the number of insulin units I have to take today according to my blood sugar level today, or some time ago. What I do remember how number of units were determined according to the body weight. It is my weight, 400 lbs : 4 = 100 units daily dose. 50% is bolus, so it is 50 units. Another 50 % or 50 units is high numbers correction. So, there is no way that this therapy would be effective, so it is not. It is not that insulin, bolus type of insulin, is not effective, but the number of units diabetic type 2 inject.
I inject 300 units every day. The difference between one day from another can be up to 60 units. Still, in my medical record it is all the time posted, Diabetes type 2 uncontrolled. This is because of my A1c> 5.6 % every time. Most effective number ever was in my record, 7.2% I decreased A1c from 9,4 % down to 7,2% but still, one year after another I cannot take blood sugar under total control, down to 5.6% I took 400 units. I take 300 units. Still, no effect to get down to normal level.
Anecdote #1:
Incentive therapy with SU (sulfonylurea) God Safe Diabetics type 2! If one have no one idea what does it mean ione can take this anecdote for granted. But SU cannot be intensive. It is very unstable, and it is dangerously unpredictable and uncontrollable low blood sugar. Only with SU when I took Glipizide my blood sugar dropped down to 38 mg/dl. With 400 units of insulin it never happened.
To this therapy, Metformin which prevent liver to release Glucogon body system uses between meals, and SU which aggressively force ill diabetic type 2 pancreas to secret unhealthy unneeded insulin, this incentive therapy is short cut to coma and death as a result of low blood sugar.
I do not want to create any anecdotes for this statement. Nether do I wish to read them.
http://ift.tt/2raYpt1
Well, there are 4 more anecdotes in this article. I have to pay for it, and really these anecdotes does not worth penny out of pocket.
To finish up I wish to say, why it is all the time only those diabetics type 2 in attention who are newly diagnosed and have A1c<8%? Why do not take into consideration those of us who has A1c>10% or 12.4%? In any article published how effective SU or Metformin to treat diabetics type 2 it is all the time newly diagnosed diabetics. But what about those of us who diagnosed 10 years ago? This is medical images. It is not my legs.
Does anyone has any idea diabetes type 2 what is it? It is obesity because of diabetics do not stop to make water. The result is edema, water retention. Doctors treat this condition with diuretics. Our condition worsen. Do not try to say doctor, you cannot take diuretics because of this or that. No one doctor would ever listen. Do not try to say to doctor you wish to be treated with insulin. They simple do not listen to anyone of us.
I try to get Coumadin. I need this medicine to stop my blood to make clots. I try many years. No effect. The same as it was with insulin. One time after another insulin was terminated, and I was forced to take that SU and Metformin, standard medicine. I refused. I better to die without SU and Metformin then swallow another pill of it. The same today, there is no way I will take diuretics. But still, there are can be another way, effective and harmless. I use it today. Both my legs wrapped, and water go out. I ordered compressing wraps on Amazon. At least I can afford it, and I do not need Rx to buy it.
"no, no, no, " - cardiologist was very rude and aggressive. - "you cannot use this therapy. It is only temporary. Water does not go away, it is still in your body, just move to another part of it." Really? I do not think so. At least my lungs work better. Wounds on my left leg stared to dry. A new skin closed wounds. If so, then say me, why it is 'no, no, no'?
Insulin is paramount in reaching A1C goals for many patients with type 2 diabetes. Relying on sliding-scale insulin, a method in which the patient reactively takes a predetermined number of units of bolus insulin per blood glucose level in response to hyperglycemic self-monitored blood glucose readings, as an effective means of controlling blood glucose is not supported by evidence-based medicine.There were no treatment with bolus insulin for diabetics type 2 in recent past. Now it is here, it come time for us, diabetics type 2, take insulin as bolus. At least it is point to start. Now, when I take a look at the "predetermined number of units of bolus insulin per blood glucose level" I simple cannot find, how this numbers predetermined according to the level of blood sugar.
I am diabetic type 2, diagnosed back to 2001, and take insulin since 2011, and still, I have no one idea what is the number of insulin units I have to take today according to my blood sugar level today, or some time ago. What I do remember how number of units were determined according to the body weight. It is my weight, 400 lbs : 4 = 100 units daily dose. 50% is bolus, so it is 50 units. Another 50 % or 50 units is high numbers correction. So, there is no way that this therapy would be effective, so it is not. It is not that insulin, bolus type of insulin, is not effective, but the number of units diabetic type 2 inject.
I inject 300 units every day. The difference between one day from another can be up to 60 units. Still, in my medical record it is all the time posted, Diabetes type 2 uncontrolled. This is because of my A1c> 5.6 % every time. Most effective number ever was in my record, 7.2% I decreased A1c from 9,4 % down to 7,2% but still, one year after another I cannot take blood sugar under total control, down to 5.6% I took 400 units. I take 300 units. Still, no effect to get down to normal level.
Often, basal insulin alone is not sufficient because of declining β-cell function.WOW! It is type 2 diabetes, not type 1. And still, ADA present, we do have declining B-cell function. So, the question is, why in every clinic it is still Weight Loss Surgery and Life Style Modifications, Obesity and Diet, how we are treated? No one diet looks like work for type 1 diabetics whose b-cells attacked by own immune system and destroyed by this attack. For diabetics type 2 it suppose to work, say me how.
Establishing a basal-bolus insulin regimen can achieve glycemic control even with daily fluctuations in carbohydrate intake.This is another trick ADA suggest. The matter of fact, and authors suppose to know it, if beta cells destroyed, then there is no way that glycemic control would be achieved. I do not know why, but only when there is no diabetes and beta cells healthy and active, blood sugar can be normal. Otherwise, it still abnormal and high.
There are numerous anecdotal methods for initiating such therapy, but no consensus has developed.Well, it is really interesting statement. Let us see, what anecdot will be presented in this presentation.
Anecdote #1:
In the landmark U.K. Prospective Diabetes Study (UKPDS), people with newly diagnosed type 2 diabetes in the intensive therapy arm were treated with sulfonylurea, metformin, or insulin and attained an A1C of 7% compared to 7.9% with standard therapy.As I just said, the normal level of blood sugar is A1c= 5.6% &% is still diabetes type 2.
Incentive therapy with SU (sulfonylurea) God Safe Diabetics type 2! If one have no one idea what does it mean ione can take this anecdote for granted. But SU cannot be intensive. It is very unstable, and it is dangerously unpredictable and uncontrollable low blood sugar. Only with SU when I took Glipizide my blood sugar dropped down to 38 mg/dl. With 400 units of insulin it never happened.
To this therapy, Metformin which prevent liver to release Glucogon body system uses between meals, and SU which aggressively force ill diabetic type 2 pancreas to secret unhealthy unneeded insulin, this incentive therapy is short cut to coma and death as a result of low blood sugar.
I do not want to create any anecdotes for this statement. Nether do I wish to read them.
http://ift.tt/2raYpt1
Well, there are 4 more anecdotes in this article. I have to pay for it, and really these anecdotes does not worth penny out of pocket.
To finish up I wish to say, why it is all the time only those diabetics type 2 in attention who are newly diagnosed and have A1c<8%? Why do not take into consideration those of us who has A1c>10% or 12.4%? In any article published how effective SU or Metformin to treat diabetics type 2 it is all the time newly diagnosed diabetics. But what about those of us who diagnosed 10 years ago? This is medical images. It is not my legs.
Does anyone has any idea diabetes type 2 what is it? It is obesity because of diabetics do not stop to make water. The result is edema, water retention. Doctors treat this condition with diuretics. Our condition worsen. Do not try to say doctor, you cannot take diuretics because of this or that. No one doctor would ever listen. Do not try to say to doctor you wish to be treated with insulin. They simple do not listen to anyone of us.I try to get Coumadin. I need this medicine to stop my blood to make clots. I try many years. No effect. The same as it was with insulin. One time after another insulin was terminated, and I was forced to take that SU and Metformin, standard medicine. I refused. I better to die without SU and Metformin then swallow another pill of it. The same today, there is no way I will take diuretics. But still, there are can be another way, effective and harmless. I use it today. Both my legs wrapped, and water go out. I ordered compressing wraps on Amazon. At least I can afford it, and I do not need Rx to buy it.
"no, no, no, " - cardiologist was very rude and aggressive. - "you cannot use this therapy. It is only temporary. Water does not go away, it is still in your body, just move to another part of it." Really? I do not think so. At least my lungs work better. Wounds on my left leg stared to dry. A new skin closed wounds. If so, then say me, why it is 'no, no, no'?
via Ravenvoron
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