Diabetes type 2 insulin therapy initiation. September 17, 2017

Thirty percent of type 2 diabetic patients don't begin insulin when it's initially recommended, with the average start time being two years later.
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•  Why? Why diabetics type 2 do not start insulin therapy when it is recommended by doctor? 
• Why two years later diabetics type 2 start to take insulin therapy? The same diabetics who did not accept insulin in first place, take insulin two years later? 
• To what diabetics insulin therapy was recommended by doctors, and when it happened, on what time of diabetes development?

It is easy to read this statement by med pro and accept that good doctor recommended to diabetic to start insulin therapy, but patient so resistant, they do not do what doctor recommended to them to do. At the same time it is only 30% of diabetics type 2 who resist insulin therapy when doctor recommended it to them. 70 % what about? Were they recommended insulin therapy and started to take insulin shots? Or 70% of diabetics type 2 still fighting Big Numbers with Life Style Modification? Good question, is not it?

"Unfortunately this isn't uncommon, patients being reluctant to start insulin therapy when it's recommended," says Turchin (Alexander Turchin, MD, MS, director of quality in diabetes in the division of endocrinology, diabetes and hypertension at BWH).  "Many clinicians have encountered this phenomenon, but until our study it was not known just how prevalent delays in insulin initiation are. As physicians, we need to make sure that these patients are making fully informed decisions and that we understand their perspective to ensure they are treated effectively."

       Effectiveness of diabetes type 2 treatment? Really, what they are all talking about? Diabetes type 2 is number 7 cause of Death in America, why? Because of there is no diagnose for diabetes type 2. There is no definition of diabetes type 2. There is no one test to diagnose diabetes type 2. Well, yes, it is sugar in blood, that's right. But if high temperature of body lead to diagnose of phemonia? Not at all. It is X-ray of lungs must be done to see if there is problem in lungs, or the inflammation in some another place. It is different with diabetes. Doctor take measurement of muddle area, or put victim on bathroom scale, and there we are, diabetes type 2, resulted by high obesity. At the same time millions of diabetics type 2 walk around USA without being diagnosed with diabetes, and collect pounds they never able to get rid off. Really, before diabetes type 2 started was diabetic fit or obese? No clue. But the stamp is already humped on the victim, diabetic type 2 developed diabetes because of wrong life style. After that they ensure us, we are treated effectively. Sorry, I do not buy this crap.
       Why really diabetics who has choice to take insulin or glipizide, take pill rather then injection?
      Well, remember, insulin lead to weight gain. No one wish to get extra 100 pounds around middle area. So, diabetic refuse to inject insulin. Really, weight gain is myth. We gain weight not because of we take insulin but because of many underling conditions accompany diabetes type 2, long standing endocrine disorder which started long before sugar appeared in blood. Actually, to my big surprise, insulin reduce weight. Why? It is another story to the another post.
      How diabetic type 2 suppose to take insulin? I do not mean how to put needle in the site and that site must be rotated. Any nurse or even in every box of needles there is instructions how to inject insulin, to administer insulin. The real problem with insulin therapy is dose of insulin, type of insulin, and timing. If we take a look at the any med pro publications how to initiate insulin, there are all about, but never really suggest how to count dose of insulin according to the real blood sugar number. There is no dose of insulin, how to find out what dose to inject. It is really too complicated for med pro. And now those who has no one idea how job to do must recommend insulin therapy to the victims. No question, they do their best to prevent diabetic from initiating insulin injections.
      Let us take a look at the education programs, how our educators suggest to deal with low blood sugar? Eat some hard candy, two spoon of sugar, soda, or something else like that. It seems to me they have no one idea what they are talking about. It is not big surprise that diabetics in hospitals die because of low blood sugar. Two spoons of sugar lead to crush. It can probably rise sugar in blood, I never checked up my sugar at that time. The problem is, it doe not heal. Simple, there is no any help with those two spoons of sugar. I still shaken, and hardly able to breath. No move to avoid to collapse. It is not fanny, trust me. Usually we fall face down. It is black out.
     I never was in ER with low blood sugar. But there are records, I used to be, why? Because with my insulin dose 300 units daily it is easy to put diagnose: Low Blood Sugar, and kick me off after a few hours. Simple. Safe for ED. In hospital they give IV with glucose. Body system get overloaded with sugar. Swing go up and down.
     In contrary with med pro I simple inject insulin, long acting lantus solo star when sugar is low before my first bite. The result? No extreme hunger. If I do have chance to get some sleep it is best to recovery. It is really very unusual to take insulin injection in case of low sugar before first bite. But it perfectly work. Do not assume that if sugar in low then insulin is high. It is not the case. The sugar is ;low, and insulin is low, this is common scenario in case of insulin therapy.

via Ravenvoron