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Thursday, 16 November 2017

The Pathology of Diabetes Mellitus. November 16,2017

        Finally I got the some point where at first there was definition that our MD use today very widely and aggressively. It is definition that diabetes type 2 is type of diabetes when body system does not use insulin properly. It is book published back to 1952. Very good book I would say. The book when authors study the pathology of diabetes mellitus, looking at the autopsy. The book is very good and I am happy I do have it in my medical library. Authors study many cases of Autopsy and what happened with diabetic, what diagnose of death, and for how long diabetic lived with diabetes. It is obvious today that diabetic live with diabetes longer, much longer then one was diagnosed with diabetes. Also in 1952 there were no glucose meters we use today, so diagnose of diabetes was usually controlled with  level of sugar in urine rather then in blood. This tools is less accurate and the level of sugar in blood show up diabetes faster then it is available with urine tests.
         I wish to say that today autopsy can be more accurate and even one was not diagnosed with diabetes in life diabetes can be diagnosed after death.
        One of most interesting points in this study was that Langerhans  Island show no visible changes in diabetic patient or rather to say corps. Why is this so? And also it was known that this diabetic was treated with insulin.
        There are many studies how people can get in rick of developing diabetes. There are no studies how diabetics effected by treatment we do have. In this book authors show that 33% of diabetics in study did not show changes in Langerhans  Island after death. 33%. Those diabetics were treated with insulin which means they were diabetics type 1. But there are only 5% of diabetics type 1 who today qualified for insulin therapy. 95% of us are diabetics type 2, insulin resistaant diabetics who considered to be insulin resistant or insulin independent. In any case we are nor qualified for insulin therapy. We have to take Invokana, Metformin, and lose weight by modifying life style. This therapy never worked. Diabetes type 2 is number 7 cause of death in US.
       What happen when diabetic type 2 start to take insulin? Diabetic getting better if the treatment regime is right. Some diabetics die with very small dose of insulin. I really have no one idea which dose of insulin is 'small' and when dose of insulin is 'big'. I take 500 units and no problem with that. Why dose increased so dramatically? It is edema. This edema leads to gangrene and amputation. There is no one treatment to safe my legs and arms. There is no one MD who will do anything about it. There is help I can have. Who is going to help? No one. So, I try my best to do something to keep my legs in place they are right now. I cannot take invokana or any diuretic. I do wrap every day, and buy a lot of supply for this reason. Also I use old t-shirts to make bandages.       


via Ravenvoron

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