What is Diabetes? Merck 1950. Part 2. March 22, 2019

The Merck Manual.
Eight Edition.
Published by Merck & CO,. Inc. Rahway , N.J., U.S.A. 1950

Diet was always the number one treatment option for diabetics, regarding of type of it.
There is diet :
To maintain ideal weight :
Calories
short body 1800 cal;
medium body 2400 cal;
tall body 3000 cal.
This is ideal numbers to maintain ideal weight. How accurate these numbers can be? "0" accuracy. In ideal weight there are only how tall or short one is. But every one do know very well, men and women are different in body constitution and shape of body. Also men and women do different job, and have different abilities to do the job. Women bend easily, man have straight force. Now the question, does men and women bodies require the same amount of meal and the same type of meal?  
     So, the idea about ideal weight maintenance  is ill presented in the beginning with.

"Patient taking a large amount of insulin frequently will be better controlled if the total daily food intake is divided into 4 to 6 feedings." (page 274)

       It is easy to recommend to take food into small portions. The real question is, how to find out what portion of food must be taken according to the dose of insulin?  As it is easy to see from recommendations, they are only for those who do not take insulin, do not have diabetes, ether type of it.  The recommendation take into consideration weight and the point of lose it, keep it, or gain it. According to the all that recommendations, blood sugar will be dropping. In case of diabetes most important question is, how many units inject every time? Try to find how restricted diet and meal consumption effect blood sugar numbers, and how according to the number on the glucose meter find out the dose of insulin injection. There are no such recommendations. Every one do know what diabetic have to eat or must do not eat. No one will say how find out what dose of insulin to inject every time every day. So simple. And no one recommendation. They simple forgot, they are talking about treatment of chronically ill people.

"The amount of insulin necessary to control diabetes varies greatly: usually it depends on the type and time of injections, the carbohydrates content of diet, high calorie, body mass, amount of exercise, the presence of acidosis, fever, infection, or severe trauma, and hypo- or hyperfunction of the thyroid, anterior pituitary, or adrenal cortex. Rarely, there may be insulin resistance, sometimes associated with the development of antibodies, which requires the administration of over 1,000 units daily." (page 275)

         As it is easy to see, calories intake is only one point to find out the dose of insulin injection. There are many other issue work to develop diabetes. Removal of adrenal glands, leads to diabetes development, so the fibrosis of adrenal  glands also lead to decreased insulin secretion. Most important in this statement the point regarding of insulin resistance. Resistance to insulin leads to need of administration high dose of insulin, as high as over 1,000 units daily. In present time all diabetics type 2, insulin resistant type of diabetes, denied insulin not only high dose, but any dose of it. Needless to say, treated with metformin and Glipizide, Invokana and Actos, diabetics type 2 leave less then 10 years after being diagnosed with diabetes. Amputation, COPD, MI, Stroke, you name it, diabetics type 2 do have it. In some point one of these conditions strike hard, and finally diabetic type 2 gone. The end of abuse, mocking, discrimination, and suffering. The end of pain and misery.

via Ravenvoron