Let's us go for a walk. April 23. 2019

What are Cardiac Symptoms?
chest pain
dyspepsia
fatigue
exhaust
What caused and how it tested that there are problems with heart?
ECG, blood work, MRI, ....  every one do know what and how.
There are a lot of medical conditions which can caused heart rate to ride up or be to slow, or just jump and slow down. I am not cardio doctor. But I do have good medical library. One of my book is Merck Manual. Interesting book I wish to say. So, I started to look at all that tests and all that medical conditions, and symptoms I do have, as every one medical student first or third year in Medical School. I do have all of them, or at least many of them. Really, who does not?
     Finally after long reading I got to the point: treatment.
Life Style changes;
drug to treat risk factors;
antipletelet drugs;
statins;
ACE inhibitors;
Beta Blockers.
Well, I think I do have all that treatment. My life style changed completely. A few years ago before my first heart attack I liked hiking. Even at that time my heart already was too weak I still take hike. One day we went to Palisades on Hudson river. I wished to finish all trail. It is too long and we  took trail for a few weekends. Finally, the last part is “The Giant Stairs", most difficult part of trail. 
 My man was not happy."No way I will go with you!"
"OK" then I go without you". 
To take the trail it is 720 feet to decent to the shore line. The path is very well groomed, well preserved, and very actively used. Some people come her just to do work out. They decent and then take all way up. Most important is to remember, if we get down there is no elevator to get up to the top, just walk. 
To get to the final point where trail started is lovely flat and very pleasant. To take a look at the path ahead is not so lovely.
 For me it cost a lot of Nitrostat. Every time when I sit to rest and take my OJ I took two tablets of Nitrostat. There is camera bag I carry on. Camera is in hands of my man. It is too difficult for me to carry on. In hist back pack OJ for me, water, and all what I need. Of cause he walked with me. 
Before I took this trail I said, do not blame yourself if something happened not as I hope. I rather die on shore of Hudson river I adore then in smelly hospital bed. Just let us go for a walk.


We did it!Happily for me the way us is shorter, just 520 ft. climb.

For some people hike takes about 1.5 hr. Others cannot complete this hike and return back to the point where they started. we took all hike from decent to the climb, and for us it took about 5 hrs. It was dark when we were able to get to the road to catch a last bus.

      Now my life style changed as it is recommended. I am no longer able to hike. I use wheelchair to get to Lincoln Center. My body doubled in size. No longer I can put on women shoe. I use men's shoe. They are too long, but at least I can put them on. No longer we go to see beautiful waterfalls in early spring.
     Life is different now not only for me but for all our family. I am not happy with changes, there is nothing what I can do.
     When we look at the medical recommendations such as "Life Style Changes" what do we read? That diabetics type 2 or those who are with CVD sat in front of TV full life, and now they are ill. They have to increase activity, get up from sofa, turn off TV and go for a walk. At the same time right in the same part of description what to do, there are another recommendations: bed rest. Slow down all activities, not too fast to stand up. Now really I am lost, what I have to do?
           Of cause. I have to stop smoking?. How? I never started. So, how can I stop?
           Statins. They do not work for me. I have to take Lipitor, only one statin  in this family, and it is brand, very expensive.   As usual I need higher dose then people usually take, 80 mg daily dose. Generic is cheaper. It does not work for me. Very simple, I do not need what I may have, and I cannot have what I do need.
          Beta Blockers. I do remember once I took that medicine and I hardly was able to put myself back. It was so severe vomiting, I worried that all my inner organs will go out. Was it result of medicine? Was something else that interacted with this medicine? Or it is simple something that effected so badly and it has nothing deal with medicine? I do not know. I never took Beta Blockers after.
      Many times I posted that I cannot take diuretics. There are many types and names of diuretics. Probably one I took was not right for me.Probably dose was too high. Or something else could effect me. What I do remember I started to gain weight. How? With diuretics we lost weight. In contrary I started to gain it. My heart rate was odd, very irregular. But maybe I needed diuretic with potassium at the same time? Or there was another medicine with the same effect to reduce water retention?
       What I see right now, I never had medicine for condition I do have. Take a look into your own medical box. For how long you take medicine which is in it? I see I take the same Metoprolol for about 20 years. Huge progress form me in 2000 and now in 2019. The dose of insulin is different now. I started in 2011 with 11 units. Today I inject 480 units daily. Looks like with insulin I try to fix all my medical problems: heart and DVT, lungs and brain damaged by stroke, all what can happen I fix with increased dose of insulin.
      I went to so many clinics I lost count of them. What is result of any visit?
"You are OK". Just keep doing what you are doing.
"For how long do you have this pain? OK, let us just leave it as it is."
"You have to watch what you eat!!!!!: usually very aggressive.
All medicine I take just repeated. Do not think, MD check out if medicine is right for you or not. The list of medicine is guidance for MD what to Rx. Usually there is one medicine replaces another, with the same result, atrovastatin replace simvastatine, and carvediclol replace metaprolol. What is the reason to have clinic? MD run tests, and never give copy to patient. If someone call to MD about patient what MD will answer? It is not my patient. You never was in this clinic.

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Two sited of diabetes type 2 issue. April 22, 2019

          Sugar is 84 mg/dl. Dose of insulin is between 300 and 480 units daily. It is high dose but I am good with it. I do not want sugar drop too low, less then 80 mg/dl, and do not want it run over 100 mg/dl. So, today I am good.
       I took my reading today. Blood is red, very bright, clear as I can see through it, and very healthy looking. Usually my blood dark, dense, does not move easy. Today it is liquid, easy to move down in finger. I do not remember when I saw blood like that. It was time when my blood did not go into meter, and there were no reading on meter screen. Blood was too dense. I looked at that drop and it was like I look at the Death itself. Today it is Hope and Life.
      I do not know if I will get better or not. It really does not matter right now. One step at one time. Once I was in hospital. When MD people post about wounds and that low limp amputation is OK, at least it safe diabetic's life, it does not work like that. All my life as long as I do remember myself I had big problems with infections. Once infection was so severe that it was fear I will lost my arm. I was in hospital, and no one treatment worked. I still have high temperature, and my arm did not move. It was hang on my site, and I could not rise it or move it.
       Four weeks, no effect of treatment. On week five improvement started to come in. Less then week I was discharged from hospital, and my arm still attached. When improvement start it works really very fast. I hope it will happen another time. I believe in it.
      Also I believe if treatment for diabetes started early, as soon as sugar in blood elevated,  there would not be diabetes complications. No blindness, no low limp amputations, no any amputations, and no PCOS which effect actually not only women but men too. Just men do not have this test. PCOS is danger condition. No one count how many lives it shortened. At the same time treatment with insulin will prevent early Death, and high development of fibrosis, which caused PCOS.
     There is only one problem, what to do with all that elderly who still alive for so long?
     Diabetes is no longer medical issue. It is social issue. On one hand diabetes treatment is very profitable. Diabetics can be treated for very long time. Just add a little dose of insulin to the treatment regime, and diabetic type 2  will live over 10 years after being diagnosed with diabetes type 2. Money still flow. On the other hand, diabetics are ill people, not effective to work, and getting medically dependent sooner then non diabetic. They became heavy burden to society.
     This social issue cannot be solved with insulin. Or without insulin. Both sites go hand-by-hand.

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Invokana or Low Limp Amputation? Right to try. April 20, 2019

MELBOURNE, Australia — Canagliflozin (Invokana, Janssen) lowers the risk for progression to end-stage kidney disease by 30% in patients with type 2 diabetes and chronic kidney disease, according to first results from a global phase 3 trial that investigators called "landmark".
Diabetes Drug 'Home Run' Curtailing Kidney Failure Risk
by Maureen Salamon
https://www.medscape.com/viewarticle/911789?nlid=129429_381&src=WNL_mdplsnews_190419_mscpedit_wir&uac=164666HZ&spon=17&impID=1941804&faf=1

As we all do know, studies will shoe all what researchers were paid to confirm.  What is verdict?

The drug, a sodium-glucose cotransporter-2 (SGLT2) inhibitor, was approved for the treatment of type 2 diabetes by the FDA and the European Medicines Agency in 2013. That indication was expanded in 2018 to include patients with established cardiovascular disease, a population in which canagliflozin can lower the risk for heart attack, stroke, and death.

Let us take a look at the comments readers posted

I am very much concerned about the  biased results of this and other similar studies using these drug. As a nephrologist  who is also diabetic,hypertensive and have borderling serum creatinine , I was very happy to read about these magic drugs, BUT after using the 3 times ( diff brands) I had all the 3 times fast and significant rise in my serum creatinine which came back to baseline after stiopping thes horroble drugs

 I did not use any of that drugs, but I used to take diuretics. The result was the same. Very severe arrhythmia. Heart rate pattern was odd. Heart skipped every seventh beat, and I even felt my heart stopped. Of cause it was not like heart stopped, but I could not take any breath. I am not med. pro. I cannot say it better. But after I stopped to take diuretics, all come back to normal. Invokana is strongest diuretic. When my endo suggested me to try it I simple said, "no".

As a practitioner, I will not see 4400 renal failure patients with diabetes in my practice lifetime. If you look at the data, it was 110 renal failure events on SGLT2 per 2200 subjects over about 2.5 years on average versus 140 renal failure events in the placebo group.  That is a difference of 1% absolute risk (1.3% really but clearly I am trying to make a point). 99% of my patients in this camp will not benefit.  Furthermore 27% of initial subjects dropped treatment during the study - 1201 people, which will truly affect results - give absolute risk reduction of 1.3%, I am certainly not calling this a HOME RUN.

What is good in the studies, they use to say how %%%% of failure and not failure. What they never said, who are those in %%% groups.  So, we take diabetic type 2 with 130 mg/dl fasting blood sugar, and put to the same group with those type 2 diabetics who has A1c12.2%. Type 2 with A1c=12.2% died, and those with 130 mg/dl crossed finish line. So, medicine is safe for every one, including those whom it killed.

A European Medicines Agency (EMA) panel has determined that a warning stating that the sodium glucose cotransporter 2 (SGLT2) inhibitors for type 2 diabetes may increase the risk for lower-limb amputation should be included in the prescribing information for all drugs in this class.

Interesting point. Why limps amputated in diabetics type 2 patients? Very interesting point I will say. The problem with limps started with high edema. Of cause, edema could be effectively treated with diuretic.  It does not. If it is effect kidney then kidney stop to discharge water.

You might not have legs but your heart and brain and kidneys will still allow you to use your wheel chair!!!

           The problem is, legs are not amputated because of wounds. Diabetics type 2 not war veterans. We got problem with blood clots because of blood does not move and clotting because of high sugar level. Also it is very poor circulation, why legs and foot are blackened.  It is diabetes type 2. Poor circulation effect all our organs, brain, kidney, heart including. Soon after one leg amputated, the wounds spread to up, to another leg, and heart stop to pump clotted blood. Remember, Invokana is strong diuretic. There is no water in blood, but a lot of sugar in it, wormed up to 36.6C and higher.
      Very interesting, it is posted by MD. Looks like MD has no one idea what it is, low-limp amputation, and pretend that diabetics type 2 with amputated limps will live happily ever after. This is why I said, do not trust in MD. They do mind own business, and this business is money. We must mind our own business, and this business is health, Well Being, and life as good as it can be.

A noble point Dr.  I did not go into the pathological reasons most likely causing increased amputations which would likely be deleterious for global microvascular insufficiency...such as 18 % less capillary exchange in the following dehydration study.  Note too the increase in Erythrocyte aggregation (Rouleaux)slowing microvascular laminar flow
https://www.ncbi.nlm.nih.gov/pubmed/12082256
'The results of our study indicated that water deprivation caused progressive reduction of blood and plasma fluidity. The increase of Ht (22%, p<0.001) and significant elevation of erythrocyte aggregation (205%, p<0.001) were observed. In spite of Ht increase, oxygen transport was decreased by 18% (p<0.05). RBC rigidity was increased under water deprivation (13.6%, p<0.05) as well as during aging. Significant correlation was found between indices of aggregation and Tk and k indices in the course of dehydration. Thus, our data indicated that dehydration caused impairment of blood and RBC rheological properties.'

         I cannot say anything better. Just use your own brain. Also when take any medicine keep closer look at if you have benefits or negative reaction. If reaction to medicine is not what you expected then stop medicine and see, if reaction vanished. Then re-start medicine to see, if side effect or negative reaction decreases your own health.  Always run your log book. Memory is tricky. Papers are reliable. Do not put too much in log book. Do not let it to be too fatty. But every medicine you take, any effect it does to you must be in this book. Every medical appointment, every comment MD said, and test you had, all in log book and special folder. This is our Medical History. Maybe it never will be used by you or someone else, but it is important to keep.
      With time probably, these log books can be studied, and bring a lot of positive impact on human life and longevity.

via Ravenvoron

Right-to-try laws. April 19, 2019

Right-to-try laws are U.S. state and Federal laws that were created to let terminally ill patients try experimental therapies (drugs, biologics, devices) that have completed Phase I testing but have not been approved by the Food and Drug Administration (FDA).

       There are con and pros, and it never will be pure prove that this Law is good or bad. What I hope it will do more good then bad. On one hand, with this law doctors will push drugs that they paid to Px. We all do know very well how greedy Medical Complex is. On the other hand, if I can use this Right-to-try law then probably more diabetics would be rather take insulin then Metformin and Invocana. At least we can try to find what is good for us, then relay on greedy MD. Unfortunately, Act is for drugs which were not proved by FDA, and Insulin is medicine which has clear prove  as treatment for diabetes.
      If Right -to-try law would protect my rights to try medicine I wish to take rather then medicine I do not see as being beneficial for me, I would be able to get Caumadin, I still not able to get Rx for. I do have DVT, passed many mini strokes, and not fatal heart attacks, and I am diabetic over 60 years old with high blood pressure. I do have all prove to try this medicine, and still, I do not have it in my medical box, why?
      Today I do have insulin in my medical box, and dose of insulin is 480 units daily. Very unusually high. This dose even high for type 1 insulin dependent diabetic. I am non insulin dependent diabetic type 2. According to WHO and ADA classification I do not insulin to be my  medicine. This is why in hospital every time first act what any MD do is stop insulin as part of my treatment regime.
     Why in hospital they stop insulin for me? Because of, according to MD I do not have diabetes. My A1c is less then 5%, and it is lover then be for diagnose of diabetes. Every time I have to prove, without insulin I do not have blood sugar control, and blood sugar going above the sky right in hospital room.
      What if patient has 400 mg/dl fasting sugar in ER? 1000 mg/dl level of sugar in urine? What doctors in ED do with this patient? They send us home. No any records. No insulin to inject. No Rx to insulin. I am diabetic type 2, insulin independent type of diabetes.
     If I can use my rights to try medicine, I can demand insulin, as well as many other types of medicine. But there is no Right to try for us. What I do see in this Act the flood of illegal medicine and Rx from MD right to my Health Plan, that it is I who demand to use my Right-to-try this medicine. Very danger for us, I wish to say. But law is law. It never was created to protect us, common people.

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Diabetic Wound Care and its effect. April 19, 2019

About 10 percent of Americans have been diagnosed with diabetes, and one quarter of these patients will develop a wound that does not heal. In the worst case outcome, which occurs in up to 25 percent of these wound-developing patients, the wounds will require an amputation.

        From 10% of American diabetics 95% are diabetics type 2. Do your math, why would requere an amputation. Also there are simple look at A-list to see, who are an amputee in that list? Not too many. Even Halle Berry is diabetic type 2 she take good care for her health, and does not have opened never healing wounds, why? She is A-List. She takes insulin, regardless what type of diabetes she diagnosed with. Insulin is her Number One choice to deal with diabetes. 95% of America Diabetics do not have that choice. We have reverse diabetes with keto diet, no insulin.
      Now there is another question, why for Halle Berry keto diet works and she does not have severely wounded legs, and for millions of diabetics it does not? Halle Berry take insulin with keto diet. American Diabetics type 2 must pee-off sugar with Invokana and Metformin as number one doctor's choice.

Many patients who develop these ulcers may not notice the initial signs, since the high blood glucose of diabetes can lead to a lack of feeling and deformation of the feet. As a result, patients with diabetes commonly develop foot ulcers that may go unnoticed over time.

        Really? Why diabetics type 2 do not see deformation of foot? Why doctors who treat diabetics type 2 do not see that deformation? Really, take a look at these points. It is not doctors who treat diabetics, but victims of  medical care whom to blame. They are, diabetics type 2 do not notice the initial signals. What are those signals? Pain. Burning pain which is impossible to bear. What every one is doing when in pain? Go to MD. or go to hospital.

As a result, patients with diabetes commonly develop foot ulcers that may go unnoticed over time. Current treatments are insufficient, meaning patients can live with these wounds for months or even years without healing.

        Now, what happened when ulcers are noticed? No treatment at all. Try to get help in hospital. Just try. In hospital there are no any treatment for wound. We come in- and out in the same condition we are. Why? Why diabetics' wounds have no treatment, no healing?  Just why? Are there are no recipe in Cook Book Medical Treatment what food to take to heal diabetics wounds? Why Keto diet does not used in hospital to reverse diabetes type 2 to heal opened wounds?

"While wounds don't receive the attention of other diseases, they're incredibly common, and our study increases our understanding of how microbes impair or promote healing," said the study's senior author Elizabeth Grice, PhD, an associate professor of Dermatology. The lead author, Lindsay Kalan, PhD, now an assistant professor of Medical Microbiology and Immunology at the University of Wisconsin School of Medicine and Public Health, began this work as a post-doctoral researcher in Grice's lab.

The answer to any question is simple and obvious. There are millions spent to study what will promote wound  healing.  What all that a post-doctoral researchers will do if there is no never healing wounds? Just take a look at, how many wounds are not healing? Only diabetic's wounds. Other wounds are healing, and after an amputation there are no opened wounds. In contrary with diabetic's wounds. After an amputation other wounds open, and more treatment needed.The process stopped only when diabetic type 2 gone.

Previous studies have used lower resolution techniques to catalogue the microbes that reside in chronic wounds.

      How this catalogue help to heal opened wounds? Well, it is very useful to understand the initial goal in all that studies.
     I am diabetic type 2. I do not collect money from my studies and no penny from my posts. But trust me, the way I do with open wounds is very effective.
Foot deformation.  Believe me, every one will see that. Simple, we cannot put on our shoe. Now I use men shoe two size bigger then I need. For summer it is easy. I wear water shoe even into Lincoln Center, to go to The Met. What else can I do? Sometimes I simple walk in socks. No shoe at all.
     The foot looks very dirty. No, it is not because of I do not wash them. Actually, it is difficult to see progress, but take a look at nails. They are getting healthy and white. All my life the nails are yellow with yellow deposits under. Often they got infected and every year they have to be removed from nail bed. No one that treatment after I started to take insulin.

As it was said above by Elizabeth Grice, PhD, this condition is common, and it is initially how we come to hospital. About the same we leave the hospital. Probably someone more lucky and get some better help then I had. At it is easy to see, both legs effected at the same time.

But I am not so easy to give up. After hospital I found Wound Care Clinic. They worked out, and all my wounds closed. Slow, they dry out. The question is, why this treatment was not provided in hospital? How patient can find out where the treatment can be done? Also what is important, in hospital Insulin was stopped. Just like that, no insulin shots. I take up to 480 units at home. No one shot in hospital.

        The same condition on hands. The same wounds, and deformation. Extremely itching.  Very difficult to pretend we do not feel these wounds or do not noticed them. We do.
     Pay attention to the nail. Difficult to see on this shot but nail is cracked. The flesh come out from the nail bed. Extremely painful. About 20 years that nail is cracked. Also all other nails were dull and no polish would conceal the problem. Insulin done perfect job. Today nails are healthy and shine. Clacked nails grow-out and healthy nail take its place.

This study built on that research by using higher resolution DNA sequencing to identify specific species and subspecies and how they are related to patient outcomes. Researchers collected samples from 46 patient ulcers every two weeks for six months, or until the wound healed or was amputated.

46 diabetics six month were used as guinea pigs.  Really doctors have cold blood. Who we are for them? Source of income.
      This is why I collected good library and try to read all what I can find how to deal with the problem I face. I try to post copy from Amazon the wrap I still use every day. I never leave my legs unwrapped. It reduced swelling, and wounds were healed. It is very helpful with circulation. My legs are still attached to my body, and slow, very slow getting better. No need in amputation. No wounds, no bacteria. But insulin is in my medical box. 480 units daily injected into my belly.

3M Coban Self-Adherent Wrap 1584, 4 inch x 5 yard (100mm x 4,5m), Non-Sterile, Tan (Set of 18/EA) 

by 3M

4.5 out of 5 stars    49 customer reviews

   

• 

Certain strains of bacteria associated with diabetic wounds that do not heal
 by University of Pennsylvania School of Medicine
https://www.sciencedaily.com/releases/2019/04/190418141619.htm?utm_source=feedburner&utm_medium=email&utm_campaign=Feed%3A+sciencedaily%2Fhealth_medicine%2Fdiabetes+%28Diabetes+News+--+ScienceDaily%29

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Can A Rotavirus Vaccine Prevent Type 1 Diabetes In Some People?

In this blog posting I'm discussion an observational study, that is, a study where different groups of people are observed to see if their differences cause more or less disease.  This is quite different than the intervention studies that I usually cover.  Intervention studies are much better controlled and their results are more likely to be supported by future research.   However, I though this study was interesting enough to discuss even as an observational study.

This is the Reuters headline:
Rotavirus vaccination tied to lower rates of type 1 diabetes

For comparison, this is the headline from The Scientist:
"Results from an observational study find that the introduction of a routine vaccine in Australia coincided with a fall in the incidence of the autoimmune condition."

So what data did they look at, and what did they see?

They looked at people diagnosed with type-1 diabetes in Australia, and compared the 8 years before 2007 to the 8 years afterwards.  That was the year the Rotavirus vaccine was universally introduced to Australia.  This analysis covered about 16,000 children who were diagnosed with T1D.  What they saw was that the number had been stable up until 2007, at 8.7 per 100,000 kids [d1].  However, after they started giving the vaccine to all babies, the rate dropped to 7.8 per 100,000, a drop of 14%.

Graph is from the published paper, and is presented
 for educational purposes only.

Discussion

Rotavirus or 2007?
For me the big, obvious question is: did the type-1 diabetes rate drop because of the Rotavirus vaccine or because of something else that happened in 2007?  In a sense, this is the only question that really matters.  If you only look at this study, there is no way to tell.  However, this research group has been studying the connection between Rotavirus and T1D for many years, and they do think the two are related, and it's not just some random 2007 thing.

I did a very quick literature search, and found several studies (including some done previously by this group), which showed a connection between rotavirus infection and type-1 diabetes.  There were also some computer simulation studies, and some "mechanistic" studies (showing how a Rotavirus infection might cause or speed up the development of type-1 diabetes).  So the idea that the two are linked is not far-fetched.

Just One Study? / What about other research?
Another question is: Are there other studies showing that a Rotavirus vaccine might lower type-1 rates?  Or, is this the only one? 

In my literature search,  I only found one similar study done in people.  The researchers compared type-1 diabetes rates in children who had been vaccinated against Rotavirus to children who had not (all born in the same year).  Rotavirus vaccination did not lower type-1 rates in this study [d3], and that is not promising.

I very much hope that these researchers perform similar analysis in other countries which introduced universal Rotavirus vaccination.  If they see that county X introduced the vaccine in 2010, and saw a drop in type-1 in 2010, that does two things at once: it confirms this study, and it suggests that the vaccine is important, rather than the year.

Does Prevention Matter? / Does 14% Matter?
I know many people touched by type-1 diabetes don't care about prevention.  And I understand that; after all, in a sense prevention is too late for them.  But I will continue to care about prevention, even though it will not help my daughter.  First, because I think we might learn something from a prevention that might lead to a cure in the future.  That is not always true, of course, but it certainly is possible.  Second, because someday my daughter may have kids of her own, and a prevention for my grandchildren would be worth a lot to me.  Third, just in general, I want the world to be a better place even if my family doesn't personally benefit.  And prevention will surely help many people in the future.  (Of course, there is a counter argument: that prevention will cause research money aimed at a cure to "dry up", because there will be less and less need of it in the future.)

Finally, some people will belittle the 14% drop.  They will point out, that's not a lot, and many people will still get type-1.  That is true, but for me, it's besides the point.  Right now, we have nothing that lowers the chance of type-1 diabetes after a person is born [d2].  So going from nothing to one thing, and going from 0% to 14% are both big improvements.  I don't think we should let the perfect become the enemy of the good when it comes to solutions.  A drop of 14% (if confirmed by future research) is an important first step.

More Reading

• https://www.reuters.com/article/us-health-diabetes-rotavirus/rotavirus-vaccination-tied-to-lower-rates-of-type-1-diabetes-idUSKCN1PG2L8
• https://www.wehi.edu.au/news/possible-link-between-rotavirus-vaccine-and-decline-type-1-diabetes
• https://www.the-scientist.com/news-opinion/drop-in-infant-type-1-diabetes-linked-to-rotavirus-vaccination-65370

Details

[d1] I assume those numbers are just for people diagnosed between 0 and 4 years old.  They are much too small to be everyone diagnosed with type-1 diabetes.  Total type-1 rates in the US are generally between 1 in 250 and 1 in 500.

[d2] Universal Rubella (German Measles) vaccination is thought to lower the rate of type-1 diagnosis in the population (but no where near 14%).  However, it is generally believed that this is caused by preventing measles in pregnant women since contracting Rubella during pregnancy significantly raises the chance that the child will (eventually) be diagnosed with type-1.  So this is a pre-birth intervention.
https://www.diapedia.org/type-1-diabetes-mellitus/2104282116/the-congenital-rubella-syndrome-and-diabetes

[d3] The exact quote was: "The adjusted relative risks (with 95% confidence intervals) were 0.91 (0.69-1.20) for T1D ... in vaccinated children compared with unvaccinated, suggesting that oral rotavirus vaccination does not alter the risk ... T1D during 4-6 years follow-up after vaccination."
This study covered 500 children.
https://www.ncbi.nlm.nih.gov/pubmed/28399059

Joshua Levy
http://bit.ly/29DuN3o 
publicjoshualevy at gmail dot com 
All the views expressed here are those of Joshua Levy, and nothing here is official JDRF, JDCA, or Bigfoot Biomedical news, views, policies or opinions. In my day job, I work in software for Bigfoot Biomedical. My daughter has type-1 diabetes and participates in clinical trials, which might be discussed here. My blog contains a more complete non-conflict of interest statement. Thanks to everyone who helps with the blog.


via Cure Research

Insulin Resistance in Children. April 17, 2019

We don't have a specific test to measure insulin resistance, so it's difficult to pin down hard-and-fast incidence numbers. But the studies that have followed obese or overweight children longitudinally indicate that a large percentage of those children will develop insulin resistance, particularly those with unfavorable fat distribution.
Can You Recognize Insulin Resistance in Children? Do You Need To?
by Interviewer: Laurie Scudder, DNP, PNP; Interviewee: Diva D. De León-Crutchlow, MD, MSCE
https://www.medscape.com/viewarticle/911550?nlid=129303_1521&src=WNL_mdplsfeat_190416_mscpedit_wir&uac=164666HZ&spon=17&impID=1938964&faf=1

          So simple. It is the fact that diabetic  newborn will be overweight. Baby born to diabetic mother not sure would be diabetic, and this baby can be born with normal weight. Malnutrition of mother may lead to delivery diabetic baby. But at the time of birth this baby possible has normal weight.
Still, it is so simple, just looking at child to determine that child is Insulin Resistant. At the same time no one doctor will be able to answer, Insulin Resistance, what is it? How to diagnose Insulin Resistance?

The reality is that if you start with fat distribution in subcutaneous tissue, ...... is very highly associated with obesity.

And obesity associated with insulin resistance. But still, there is no one test to see if there is insulin resistance present or not. Only when level of sugar is above normal level, usually A1c > >>  and child admitted into hospital, insulin Resistance will nail unfortunate child. In present time when diagnose of level of sugar is so easy, even at home every mother can do it,  our children still not diagnosed with diabetes early. With insulin so available that every diabetic may be treated with insulin early, and even vaccinated before disease started, diabetes still on number 7 cause of Death.
      100% treatable medical condition today takes 80,000 lives every year. This is reality. Cruel reality of modern medicine. We are Life Stock of medical Complex. It is not only diabetes treated in this way. Take a simple look at media.

(Reuters) - Dozens of medical professionals in Appalachia, a region hard-hit by the U.S. opioid crisis, have been charged with writing hundreds of thousands of illegal prescriptions and committing healthcare fraud, federal prosecutors said on Wednesday.
 https://www.medscape.com/viewarticle/911935?nlid=129384_3901&src=wnl_newsalrt_190417_MSCPEDIT&uac=164666HZ&impID=1939924&faf=1

    This is reality. Them more patients then more money MD collect. The reality, we not only pay high money for Medical Complex. We pay by our lives. In every medical propaganda doctor step up if there is need in medical attention. In reality, there is no doctors around ebven in hospitals if patient ill and sick. Usually patient will not be admitted to hospital. Remember :

After she is removed and taken outside, Dawson collapses and lies on a parking lot for nearly 20 minutes before she is rushed back into the hospital. She is declared dead about 90 minutes after the officer arrived.
https://www.cnn.com/2016/01/07/us/florida-woman-removed-hospital-dies/index.html

      I was discharge from my local hospital with blood in brain when blood vessel was raptures. It is stroke, but no one in hospital was able to recognize it. I was sent home  with doctor's note: "But be sure to see a doctor!" Very helpful! When I come to my prime doctor he said: "But what I suppose to do with you?"
    This is reality of our modern medical attention. So high bills, and so not think they did not sent bills to me, they did. What they did not, they did not pay any attention to the medical condition I was. All attention was to Bathroom scale, and barking Therapy to need to lose weight. Money do not smell, said long time ago.

A rise in obesity is accompanied by a parallel rise in insulin resistance. One study^[1] that followed healthy 6-year-olds found a prevalence in insulin resistance of over 25% in the children who were overweight or obese. However, I'm hesitant to cite some of those studies because there is not agreement on which measures should be used to assess insulin resistance in children.

         Try with A1c of every child and adult. Just try to make level of sugar in blood Vital. You will be surprise how many perfectly fit will have high numbers on glucose meters. But reall question is, what study found? Really, as it was just stated above, - "We don't have a specific test to measure insulin resistance, so it's difficult to pin down hard-and-fast incidence numbers." So, how they found that 25% of children are Insulin Resistant?  As I said, it is reality of modern medicine. They said what they want, and educate public how to bark  and at whom. Smart choice. No need to prove the cruelty and heartlessness of modern medicine.

There are several specific risk factors that clinicians may not recognize. Infants born small for gestational age, especially those who then gain weight very rapidly early in childhood, are at particular risk, even if they are not obese during adolescence and later.

Give to all infants small dose of insulin to burst immune system development and you will be surprised how nice it will be paid back. Why there is no vaccine to prevent diabetes? Because of without children with diabetes there would not be adult diabetics. What MD suppose to do? They are not so nice working part of our society.

Rapid weight gain during the first year of life has been shown to be particularly important in predicting later adiposity, which correlates with insulin resistance.

Insulin Resistance is Medical Scam to let to hide the fact, medical complex induce diabetes by forcing people to take medicine and diets to prevent medical condition which do not have place to be in reality.  With professional medical guidance children will grow up into highly developed diabetics type 2. Perfect way to rice life stock.

We tell parents to provide a high-fiber, low-sugar diet, but many people really don't know what that means. So in our one-to-one or group educational sessions, which are conducted by a nutritionist, we explain the different food groups and how to implement them in the diet. We teach people how to cook foods that are healthy and edible, too. Not all clinicians may have the ability to refer their kids to these kinds of educational interventions.

As I said, then early they start then more they get. Life expectancy insulin resistant diabetics is 10 years after being diagnosed with it. The question is, why? Why it is so common that people with diabetes type 2, insulin resistance die less then 10 years after being diagnosed with type 2 diabetes?  May someone answer to this question?

via Ravenvoron

When Starrt to take Insulin, and what tipe of it? April 17, 2019

 Many patients with type 2 diabetes eventually need insulin, as their ability to produce their own insulin from pancreatic beta cells declines progressively. The questions remain as to when insulin therapy should be started, and which regimen is the most appropriate.
Insulin treatment for type 2 diabetes: When to start, which to use
Cleveland Clinic Journal of Medicine. 2011 May;78(5):332-342
by Marwan Hamaty, MD, MBA
https://www.mdedge.com/ccjm/article/95511/drug-therapy/insulin-treatment-type-2-diabetes-when-start-which-use

        The real question is, why insulin is not first line treatment for diabetes any type of it?  As it is pointed out beta cells decline progressively. So, what are we weighting for? This is question. Insulin must be started as soon as diabetes was diagnosed. Why not? Insulin works for type 1 diabetes, and insulin therapy started right from the time diabetes was diagnosed. Diabetes type 2 eventually will progress and diabetic type 2 will need insulin. Of cause if diabetic type 2 still alive  after aggressive treatment with life style modifications, demand to live healthy with high blood sugar in blood, and treatment with SU, medicine which kills insulin secreting beta cells.
         The matter of fact, diabetics type 2 perish less then 10 years after being diagnosed with diabetes type 2 to all cause of mortality. As soon as diabetic type 2 start to take insulin in stead of any oral medicine the progress of diabetes slow down. With insulin injections diabetics can live over 60 years. Without insulin injections by the time of 60 most of them  would perish.
       So, why really the question stands, when to start insulin injections?
        Probably to find answer it is interesting to take look at the media. How to delay diabetes type 2 diagnose? Interesting question, is not it? There is no any question how to treat diabetes type 2. Just starve yourselves to Death, and then there is no diabetes. It is fake info. Diabetes stay in bones of skeleton. So, regardless if it is human being or corpse, diabetes still present. Logically speaking,  starvation is not cure for diabetes. ADA and professor R.Taylor are wrong. They mislead public and diabetic patients alike.
       Now back to the question, why it is so important to delay diabetes type 2 diagnose? Because of if treatment started early, and if treatment is effective, then  diabetes will be cured or progression of diabetes would be stopped. No amputations, no obesity, no diet needed. What all that industry suppose to do? Do they need to start to take those canned foods they pretend to be healthy by themselves? Do not be so naive. These food is for fool. They are smart. They eat in fine restaurants, and lead healthy life style. For us 'healthy' is all what is not healthy for them. Dual approaching.

Guidelines from professional societies differ on these points,^2,3 as do individual clinicians. Moreover, antidiabetic treatment is an evolving topic. Many new drugs—oral agents as well as injectable analogues of glucagon-like peptide-1 (GLP1) and insulin formulations—have become available in the last 15 years.

With so active professional guidance and new medicine avalable to treat diabetes type 2, diabetics type 2 moved from  7% to 10%  of American Population. Mortality of diabetics type 2 is 200,000 every year to all cause of mortality. And only diabetes, the untreated or wrongly treated diabetes stand on number 7 spot in line to grave. Great progress after 1980 when WHO developed a new diabetes classification and moved from one treatment for all diabetics, insulin, to dual therapy approach. They named it 'individualization'. One therapy to those who deserve to live. Another part of humanity, 95% of diabetic population, became guinea pigs for medical researchers and transplant organs.

The American Diabetes Association (ADA), in a consensus statement,² has called for using insulin early in the disease if lifestyle management and monotherapy with metformin (Glucophage) fail to control glucose or if lifestyle management is not adequate and metformin is contraindicated. The ADA’s goal hemoglobin A_1c level is less than 7% for most patients.

        A1c level is between 4% to 5.6% in non diabetics population. According to ADA A1c level , then 7% is considered to be good for diabetics. The question is, why? Why this gap between healthy level of sugar in blood and level to start the treatment?  Just why? Another question is, what that treatement would be?

The American Association of Clinical Endocrinologists (AACE) and the American College of Endocrinology (ACE), in another consensus statement, use an algorithm stratified by hemoglobin A_1c level, in which insulin is mostly reserved for when combination therapy fails.³ Their goal hemoglobin A_1c level is 6.5% or less for most patients.

So simple. They all reserve their portion of income in expense of our lives and health.  But if it is clear to understand to every one who happened to have brain, then for public it is presented that diabetics type 2 done it for themselves. Why not? Who first shoot" Get The Tief!" That one who still. Every one do know it. Still, every one bark on victim that diabetics type 2 do not practice healthy life style. How can we do it? we are not healthy to begin with. 

Both consensus statements give priority to safety. The AACE/ACE statement gives more weight to the risk of hypoglycemia with insulin treatment, whereas the ADA gives more weight to the risk of edema and congestive heart failure with thiazolidinedione drugs (although both insulin and thiazolidinediones cause weight gain) and to adequate validation of treatments in clinical trials.

       Is not this ridiculous? More weight, less weight, more safety, less safety, and so so on.So, to Rx  to inject insulin MD must be sure in safety of medicine. But do not inject insulin is road to fatality. Is this safe? Yes, it is safe for MD, and it is profitable. Diabetics do not die fast as it happened when it is infection. It takes year, and in some cases more to develop fatal condition. This depend how much insulin diabetic body system able to produce. Diabetes is gap between insulin available in secretion and level of insulin needed to healthy body function. Then higher ability of body system to secret insulin then longer diabetic live.
     This is the point with all oral medicine. No one  modern medicine treat the cause of diabetes, limited insulin secretion. All medicine treat level of sugar, the consequence of limited insulin secretion. If insulin added in injections the gap between insulin in demand covered by insulin in injection, so the level of sugar dropping, and balance between insulin in demand and insulin available to be used  established. With time insulin secreting beta cells start to recovery, and secretion of insulin improves. This is why diabetics who take insulin decrease dose of insulin with time. If diabetes started to be treated in childhood, child will grow healthy and probably will not need insulin in injections for long period of time.

Factors that affect whether patients comply with a treatment include the number of pills or injections they must take per day, how often they must check their blood glucose, adverse effects, lifestyle limitations caused by the treatment (especially insulin), and cost. Most patients feel better when their glucose levels are under good control, which is a major motivation for initiating and adhering to insulin. The anticipated reduction of diabetic complications further enhances compliance.

        Number of pills or number of injections? Say me what does it mean for me? Nothing. I have to take not only medicine to diabetes treatment but for heart, lungs, depression, BP, DVT, Asthma, sleep with C POP, and so so so on.  What I can say, this is scam. No one can say, how many pills diabetic will take.
      Number of injections? What is the point in it? I take three injections daily. I take 480 units of insulin. I can take 200 units at once. Other diabetics will not be good even with 50 units of one injection. The dose of insulin and dose of each injection different with time. What is important, the body adaptation to insulin and patient experience bring all needs into balance. As I just said, it is easy to say, now many injections diabetic need. But what dose to inject? No clue. No one MD will answer to this question. So, what they are talking about? Pure charlatanism. They are dressing The King Naked.
       lifestyle limitations. What limitations? With SU there is no any way to predict or control when low sugar will strike. With Invokana diabetic must know all the time where restrooms are available to be used and how long one can hold. LOL! This question never in discuss of life style. But try to use Invokana, and stay out of restrooms? In contrary, with insulin I am good to take trip from my home to Adirondack and use restroom only once, at gas station. The same as my car. I can go to Met Opera nad stay on my seat in intermission. No need to stand in line from one end to another. There is only one restroom for Family circle and Balcony. Too many women in line. Yes, there is another restroom, but I cannot go there. It is on the top of the house. This is life style as it is.
      To low sugar I do have also good control. I never leave home without protein bar in my hand bag. Easy to use, easy to carry. One protein bar hold me for 4 or 5  hours. Try it with SU. Just try it. I suggest every MD before Rx any medicine try it on themselves. See, what happened. LOL! They would not take Glipizide. They will take safe Lantus Solo Star.

 Patient selection and insulin titration are key issues in ensuring the achievement of adequate control with the fewest side effects. Lifestyle management (diet and physical activity) enhances the efficacy of insulin therapy and reduces the chances of side effects, namely fluctuation of glucose levels, hypoglycemic episodes, and weight gain.

The question is, when insulin safely to take, when A1c>12.2% or when A1c> 5.9%?  When low blood sugar episodes will be more often, when sugar is higher, or when dose of insulin is small? Well, there is no clear answer to this question.  But the adaptation to insulin is faster with lover A1c then with higher A1c. The lower A1c the dose of insulin lower, and the right to low blood sugar never fatal. Diabetic can be hungry, but not skipping into coma. Then higher A1c then lower it dropping. So, when it is best to start Insulin Therapy?
      Lastly what I wish to say, I tried many types of insulin. I do not accept combination insulin such as fast acting and low acting insulin in one shot. Personally I prefer to take another shot of long acting insulin then take 50/50 insulin. I take only one type of insulin, long acting insulin Lantus Solo Star. Novolog is good to reduce high level of insulin and do it fast. But to control blood sugar long acting insulin is The Best. Still, it is only my practice, no studies.
      How to chose what type of insulin is best? well, it is very simple: it is MD and Health plan who pay for insulin do the choice. Usually Md Rx insulin which diabetic already takes. Another way, doctor prefer to Rx the type of insulin he uses in his practice. He knows how this type works. And finally, it is cost of insulin, choice of insurance company which serve diabetics. If diabetic pay our of pocket then the cost is most important. Once when I did not have insulin, I considered to start to take insulin for animals. I hoped it would be easy to get Rx. Happily for me, I did not need it. Now I do have Lantus Solo Star, and just recently got my follow up supply.

via Ravenvoron

Reverse Diabetes type 2 naturally. April 16, 2019

Diabetes type 2 can be reversed naturally. No one has any idea how does it looks like when diabetes type 2 reversed. Still every one know, it can be done and it can be done naturally. It is very popular to post that when one was diagnosed with diabetes type 2 one was horrified that he/she will need to take insulin for the rest of the life.  So, there are three major ideas:

• diabetes type 2 can be reversed. There is no one definition what does it mean, to have reversed diabetes type 2.
• diabetes type 2 can be reversed naturally. The idea that starvation diet and extreame intensity work outs will reverse diabetes type 2.
• the idea that taking insulin is most terrifying treatment for diabetes type 2. 

     Let us start from the last point. Why insulin injections are so terrifying? There are many medical conditions when patients must take medicine for the rest of life. No one of these medicine ever mentioned. For instance, when diabetic undergo transplant for the pancreas, did any doctor every mentioned that this person need to take medicine for the rest of patient's short life? No mention also that eventually transplanted organ will fail and another transplant will be needed. This is one of the option to treat diabetes. It is also never mentioned that transplanted organ will fail, and insulin in injections will be in need to take.
     So, why do not start with insulin without transplant? Why do not take insulin to increase insulin content and safe own insulin secretion in stead to kill own beta cells with SU? Soon after insulin therapy started every diabetic able to find dose of insulin diabetic need to inject. Even kids able to find own dose of insulin. As soon as they understand the condition they are in, they no longer run away from insulin shots, but do it by themselves.
      Now, there is idea that diabetes type 2 can be reversed Naturally.
How it looks like to reverse diabetes type 2 naturally? ADA suggest to starve yourselves. The question is, why this way named "Natural"? Starvation never was natural. Still, diabetics type 2 have to take this road, and pretend, they chose it. With insulin it is simple. We take insulin shots, eat, and keep our blood sugar under healthy level. Simple and effective. Why it is not natural? It looks natural for me. I am diabetic type 2. I was born diabetic. I really did not have choice to be or not to be. But now it is my choice. The choice between medicine to keep health and be functional, or to take starvation and get worse with every day. I chose medicine, insulin. I live over 10 years after being diagnosed with diabetes type 2.
      Lastly, what is it, to reverse diabetes type 2? As I see from all articles and posts, it is only reduce level of sugar. If my A1c reduced from 9.4% down to 4.6%, did I reverse diabetes type 2 or not? I did it. I reversed diabetes type 2 with insulin injections. I keep blood sugar under tight control. The fasting reading cannot show the effect of reversal. A1c level show it very clear and official.
      With shots of insulin I got the same results as all those who pretend they reversed diabetes type 2 naturally. There is no damage to my health or organs. with so long time as insulin is on the market it is only one side effect all the time mentioned, low blood sugar. We can work it out. This side effect is reversible, and preventable. We learn how to live with insulin injections every day. We usually find own way to avoid low blood sugar, or deal with it when it happened. It is natural way of living. Just accept who you are, and do not tip=top to satisfy somebody greed. Just take a look what way is hard to ride but natural, and which way  was  cleaned up to lead to hell.

via Ravenvoron

Halle Berry vs MD. More diabetics type 2 needed!!!!!!!!!!!!April 16, 2019

Despite her claims to the contrary, Halle Berry did not cure herself of Type 1 diabetes, doctors told ABC NEWS.com, for one simple reason -- Type 1 diabetes is incurable.
 By RUSSELL GOLDMAN
Nov. 6, 2007
https://www.lipstickalley.com/threads/halle-berry-says-she-cured-herself-of-type-1-diabetes-but-doctors-say-thats-impossi.106607/

       Well, if type 1 diabetes is incurable then what about type 2 diabetes. Can be type 2 diabetes cured?  Probably Halle Berry was wrongly diagnosed with type of diabetes? Probably she was. And all the time remember, she is Celebrity.She all the time has best doctors. What about us, 85% of diabetic community who diagnosed type 2 diabetics? Are we all diagnosed right? Diagnose of diabetes based on level of sugar in blood. we are all diagnosed with the same test. If sugar in blood is higher then 200 mg/dl we diagnosed as diabetics. Now the question, how type of diabetes diagnosed?Try to find the tools to diagnose type of diabetes. There is no one.

"I've managed to wean myself off insulin, so now I'd like to put myself in the Type 2 category," the Web site contactmusic.com quotes the Academy Award winning actress as saying last week.

       Why Halle Berry said so? Because of she was paid for this. It was in her script. She must be Role Model. It was back in 2007. In 1980 WHO developed a new classification of diabetes, type 1, IDDM, and type 2 NIDDM. Because of Halle Berry was off insulin this mean that she is no longer insulin dependent diabetic.  So simple. At first, MD start treatment, with insulin because of it is Celebrity, or Noble member of society, or without insulin with SU if diabetic is commoner as 95 % of us. The treatment is the same. But in one case Insulin added in injections and pancreas has time to get better. In second case diabetic pancreas pushed to secret insulin without need in it. Halle Berry got into Diabetes Honeymoon Phase. Diabetic type 2 heading to spot number seven in line to grave. 80,000 diabetics type 2 gone every year in America due to diabetes. All of them treated Naturally, with diet, work out, Metfiormin and SU. When all beta cells killed by SU this medicine stop to work, and diabetic type 2 die.

Diabetics quickly took to the blogosphere to condemn Berry for claiming that a change in diet could cure Type 1 diabetes, an autoimmune disease in which the pancreas permanently fails to produce insulin, the vital hormone that regulates sugar levels in the blood.

          HAHAHA. They never will accept that diabetes type 1 can be cured. But they all bark on us, diabetes type 2 is overeating disorder, that type 2 diabetics done it for themselves. The question is, how it was diagnosed that type 1 is autoimmune disorder? Well, in present time it is possible to take test how much insulin secreted by diabetics, any type of it. For type 1 diabetic it is "a few" for type 2 diabetics it is "many". Now, what is "a Few"? It is from 0 to 5. My number is 3. I am diagnosed diabetic type 2. I diagnosed back to 2002, and only in 2015 I got first test to C Peptide and A1c level. Was I misdiagnosed with type of diabetes? Of cause not. I am Commoner, I am not Celebrity. I am Type 2 population, Second Class of Human Being. 

"When someone really has Type 1, it means their immune system has destroyed the insulin producing part of pancreas. In that case, there is no way to wean yourself off insulin [treatments]," said Dr. Francine Kaufman, a diabetes expert at Childrens Hospital Los Angeles.

       True? Not even closer. Every one MD do know very well that every child after treatment with insulin get better, and dose of insulin dropping down to the few units a day. In no one way it is destroyed pancreas. If pancreas destroyed then dose of insulin will not so low. They all do know it very well. This is why there is no way for us to find what is normal level insulin in blood? How much insulin body system uses during normal day? and many many other questions every one diabetic do have. There are never any answer to any of this question. Come to any clinic and ask any doctor how to dose insulin, and there is no one of them will answer. They cannot dose insulin.
     In contrary with reality that type 1 diabetics' immune system destroyed insulin secreting beta cells, ask why it is so difficult to dose insulin?  Take experimental animals, and see, how dose of insulin for them worked. Then just adapt the results to the human body. This way never worked, why? Because of there is no such things as insulin producing part of pancreas being destroyed. There are all the time some insulin secretion. The secretion of insulin in diabetic body system is limited, not satisfying demand in insulin needs. But this is the same as for any type of diabetes, type 1, type 2, LADA, MODY, Idiopathic diabetes, or Unknown type of diabetes. Any type of diabetes has limited secretion of insulin. The level of insulin secretion can determine stage of diabetes, but no type of it.
     There are no types of diabetes. Regardless diabetic is Celebrity or Noble or commoner, we all have the same type of diabetes, just limited secretion of insulin.

Some 20.8 million people -- 7 percent of the population -- have diabetes, according to the National Institutes of Health. African-Americans, however, are particularly at risk. According to institute statistics, 3.2 million black Americans, or 13.3 percent of all non-Hispanic blacks, have the disease. 

        Now it is 2019. It is not 7 %  of population. It is already 10% of American population who are diabetics Second Class. 200,000 diabetics every year die for all cause of mortality. Type 2 diabetics perish less then within 19 years after being diagnosed with type 2 diabetes. In contrary, type 1 diabetics treated with insulin, live as long as they are, over 60 years with diabetes type 1. So, what is the point? Just Rx insulin for every diabetic, and every one of us will live. Then after one or two generation we will see if diabetes is curable or not.
      Why Medical Complex is so Insulin Resistant? Because of diabetes any type can be cured with insulin. The cure is going with time. It is not fly or TB caused by virus or bacteria. Diabetes is defect of DNA. To fix this defect need more time. Take a look at the Flu or TB. These diseases come in and come out with time when human flue=free, or TB =free. The same with diabetes and insulin therapy. We take insulin, then we are in honeymoon phase, and then we have to take insulin back to inject.
     The real question is, why millions of us, human being condemned to Death? Of cause, money do not smell, and money do not cry. We do. We smell with puss running from our wounds, and cry. But really, who cares? We are Commoners, Second Class Population of Humanity.

"Because she is thin and healthy, her physician initially probably thought that she had Type 1, though in African-Americans there is an increased risk for Type 2. The diagnosis wasn't necessarily a bait and switch, but it might have just been a matter of her physician's getting a better handle on the kind of diabetes she had," he said. 

        Halle Berry already was Celebrity. So, she was diagnosed as First Class Humanity. Treatment started with insulin. If she was Commoner, she would be diagnosed as Type 2, and treated with all abuse and humiliation very one diabetic type 2 case every day. The question is only one, how she could be 'healthy' if she was diabetic any type? And now the most important question, why today level of sugar in blood is not vital? How many 'healthy' diabetics walk around?

 "Physicians are always asked to make the call one way or other. He probably said Type 1 at the time, but was not 100 percent certain. Some people with borderline diagnoses will joke that they have Type 1½," he said.

       It was joke back in 2007. Today Type 1½ is official diagnose of diabetes. Another name for this type is LADA. No joke anymore.

"We don't want people with Type 1 to hear about this and stop taking their insulin," said Diane Tuncer, the association's director of communications.

       The real problem with  Halle Berry diagnose type of diabetes is not that type 1 diabetics will stop to take insulin. They do it because of they do have good level of sugar. They simple do not need to inject insulin. The real problem is, what if diabetics type 2 will ask to be treated with insulin? This is the real problem, Life Stock will get lose. Just think about, no one diabetic type 2 in clinic. Every one diabetic take Insulin and manage own diabetes with insulin injections. What doctors suppose to do? Close clinics.
     Medical complex once got this problem. There were millions who were effected by TB. Then medicine was found. Clinics around America closed. Last TB patient got treatment, and left. There is no need in Sanatoriums and medical staff. Medical Community learned lesson. In 1980 diabetes stopped be treated, type 2 diabetes was classified, and Medical Community and Diabetes leave again. Diabetics type 2 die. 

 TB Sanatorium in Adirondack, NY State. Now there are no patients. No medical staff.
Every one do know this story.  This is why today diabetics type 2 keep in Bay. We are Money Making machine. Strips and meters, needles and pens, amputations and wound care material. Nursing care and home care. Does any industry will let this business go? More diabetics type 2 needed!!!!!!!!!!!!

This is village where TB patients lived and were cured. No patients anymore. Only tourists. Doctors who treated TB patients for three generations.

via Ravenvoron

Just another day. April 15, 2019

         I started to feel I am hungry. Lastly I ate half of my usual meat a day, and I was full all the day. No only full, but I felt I have to reduce my diet. Also I took 480 units of Lantus Solo Star. Morning sugar dropped, and some mornings I felt that I do have low sugar. So, I dropped one shot. I reduced dose of insulin down for 300 units. Sugar still OK, 100 mg/dl. Actually it is great level of sugar. But only two = three days, and I need to return back to 480 units. Hunger returned, and I need to eat my normal usual meal, the same amount.
      No question, I should take it easy, do not drop so high as from 480 down to 300 units. I do know, I am wrong. But I am so tied to count and to watch every steps. I am just tied.
     Now when I read that people post, how it is scare sound to take insulin for the rest of onw's live, I am thinking, what they really do know about life and fear? To inject insulin, two or three times a day, five or seven if I need it, it is just the way to accept. To count what I bite every time when spoon go into my mouth, this is really bore and scared. Just think about, you have to do so for the rest of your own life. This was of living never will be different, never will get better. But it will go worse. Is not this scare? It is for me.
     The real problem with insulin that we do not know how many units inject every time we put needle into belly. This real problem usually skipped any attention. Why? No one doctor will ever say you what dose of insulin to inject. No one. This is why in hospital diabetics die because of low sugar. At the same time they admitted to hospital with high blood sugar.
     Now say me, if doctors do not know what dose of insulin, medicine, to administer, really how do they know what portion of chicken we have to eat? But it is taken for granted, 1800 calories for women, 2,000 calories for men, this is diet every one must follow. I am 400 pounds. My friend is 120 pounds. I do not work, do not walk. She works in salad bar.  How it is possible for two of us be good with the same portion of meal, the same diet? OK, it is easy to say, but remember, I am Blogger. I Blog every day, read medical books, and do other intelligent work. This job needs more energy then any job in salad bar. Probably. I do know know. Who knows? No one. But everyone sure, every one do know how everyone or anyone must eat to be functional and healthy. Really, I do not buy it.
      About month ago I went to the clinic and doctor Rx Compression Pump System for me. It is torso and full legs body wrap with pump. I used it already 15 times. Some day it is one hour, other day it is two hour. This system suppose to reduce swelling. to push water away from system. I do not know yet, will it work or not, and for how long I have to use it to get somehow down. I use it every time my man can wrap we in it.

via Ravenvoron

What type of diabetes Halley Berry is?

Halle Berry said, diabetes is “Diabetes Is A Gift”. Why?

“Diabetes turned out to be a gift,” she says. “It gave me strength and toughness because I had to face reality, no matter how uncomfortable or painful it was.”
https://blackdoctor.org/14405/halle-berry-diabetes-is-a-gift__trashed/2/

They are Celebrities, They said what they paid for. She is actress. Can we trust The Actress? She all time can play emotions she does not have. But there are something what we can think about.
     If diabetes gave her strength  when why she fall on the stage? Just think about before jump to the keto diet she pretend she uses.  What really gave her life and energy to face reality and be as beautiful as she is? Insulin. Without insulin beautiful Helly Berry would be the same as me, 400 pounds, with yellow nails and teeth, with dark spots of face and dirty feet. Because of it is "Gift" of  wrongly diagnosed and untreated and wrongly treated diabetes.
     All the time I tried to find out why I diagnosed as diabetic type 2? Why I am insulin independent type of diabetes? When I asked doctors she answered: "What is the difference in type? The treatment is the same."  It is the same for Halle Berry. Regardless she is type 1 diabetic or type 2, she all the time has insulin to inject. Insulin is not available for millions of us, diabetics type 2. This is why we are Type 2 diabetics. we are not Elite, or Noble, or any Celebrity. We are Simple. Commoners. We bring millions to Medical Complex, and no one ever let us get off The Hook of diabetes.
     So, what is The Gift for Celebrity turned out to be The Hook for millions of Americans. Now Helly Berry proudly educate millions of us how she prick her tiny Celebrity fingers to get small drop of her Royal blood. She also educate us that keto diet she  is in, help her control her blood sugar. There is no shame for her. She is The Actress, Bond's girl.
      I am not celebrity. Bo one pay to me to educate how to take off cap from needle. So, what is the reason to post about? Every one do know how to do so. What not every one know that there is no type 2 diabetes. Just take it into own mind, if diagnose the same, the treatment is the same, why disease is different? Also keep in your mind, Halle Berry was in coma, and treatement was insulin. Then she

Ms. Berry is also described as having type 1 by other sources. Health24.com, for example, reported that “it was during the taping of the television sitcom called “Living Dolls” in 1989 that Halle went into a diabetic coma. Shortly afterwards she was diagnosed with type 1 diabetes.”
On the other hand, the U.K. Daily Mail said in 2005 that Halle was diagnosed with type 2 diabetes after falling into a seven-day coma. According to that report “Halle, now 39, was diagnosed with type 2 diabetes…’I thought I could tough it out, but I couldn’t have been more wrong,” she [said]. “One day, I simply passed out, and I didn’t wake up for seven days, which is obviously very serious.'”

 Now the picture is becoming even more murky: Ms. Berry herself apparently believes that she has worked her way up from type 1 to type 2. According to an October 2007 report by Contactmusic.com, “The actress was diagnosed with type 1 diabetes after she passed out while shooting a TV show…But the disease has now dropped to type 2 diabetes because Berry is no longer ‘insulin dependent.’

https://www.diabeteshealth.com/halle-berry-says-shes-worked-her-way-up-from-type-1-to-type-2-diabetes/

       Pretty interesting, is not it? Why Halle Berry tipe 2 diabetic, who is insulin independent? Also why now she still take insulin with her diagnose diabetes type 2? Really, what type of diabetes Halley Berry is?
      Now say me why 95% of diabetics in America are Insulin Independent type 2 diabetics? I am, with daily dose of insulin 480 units, is Non Insulin Dependent Diabetic Mellitus, why? I cannot stay without insulin. I need to inject every day 480 units into my belly. If I do insulin to inject, I live. I can even walk a little bit. Also I do keep two my legs. If there is no insulin I would be amputee long ago. But it is never said because of treatment with SU and Metformin, with 'cost effective life style modifications' is wrong. It is all the time posted that we do have diabetes type 2 because we done it for themselves.
      Now last question, if Halle Berry today Diabetic type 2, and we all know she is on diet, keto diet, and work out never hard, why she did not reverse her diabetes? She did it once. She dropped diabetes from type 1 down to type 1. There is only one step left, to get rid of diabetes type 2 forever for good. Why did not she do it? There are two options for that: Halle Berry does not want to lost her Gift; or diet and work out does not reverse diabetes type 2. So, all that Celebrities such as Con Man Dr. Oz, R.Taylor, and all others, simple con men who sell Brooklin Bridge.
     Ans lastly, who is Halle Berry? Yes, she is the actress who say what she paid for. Is there are someone who wish to follow that Role Model  Living Doll?

via Ravenvoron