Understanding of diabetes. April 3, 2019

In type 2 diabetes, your body prevents the insulin it does make from working correctly. Your body may make some insulin but not enough. Most people with diabetes—about 90% to 95%—have type 2. This kind of diabetes usually happens in people who are older, but can also be diagnosed in young adults and children. 

      So, if body does not use insulin correctly, then what will happen? To understand it, it is best way to take a look what happen if someone non diabetic takes dose of insulin. If dose is less then 10 units, it is safe, and every one can take it time to time. In case of infection, in flu season when our bodies need extra energy to function, or in case of any other time.  Finals in school, for instance. If dose of insulin is 50 units non diabetic, and many diabetics will develop severe hypoglycemia. This is what happen when insulin is in blood but not in demand.
     Now back to definition type 2 diabetes. If insulin does not work correctly then it is some problem how it works, so there will be obvious mark of incorrect work of insulin. What is this mark? Do not ask. There is no mark like that.
     If diabetic type 2 body does make insulin but the amount of insulin secretion is limited and does not meet demand in insulin need, then the same as any other tupes of diabetes diabetic type 2 need insulin added in injections to function. The difference between type 1 and type 2 is only in dose of insulin injection.
     The same as type 1 diabetics diabetics type 2 can be obese, or fit. The shape of body and weight does not lead to diabetes development, but diabetes can lead to develop obesity and overweight, if left untreated, ether type of diabetes, type 1 or type 2, or type 1.5.

In type 1 diabetes, the body makes little or no insulin due to an overactive immune system. So people with type 1 diabetes must take insulin every day. If you have type 1 diabetes, basal-bolus insulin therapy that involves both a long- and a fast-acting insulin is necessary. Type 1 diabetes usually occurs in children and young adults but can also appear in older adults.

      In this definition there is nothing what can be confirmed with diabetes understanding. At first, insulin secretion is not only the problem in  diabetes development. There is storage capacity in cell, and if this capacity is too small then insulin will enter into blood but too slow. This is why in type 2 diabetes the process which in non diabetic body takes less then 2 hours, take more then 4 hours. At the same time because of the process is already started diabetic get hungry, very hungry. To avoid this uncontrolled hunger take small dose of insulin before your first bite, and then there is no uncontrolled eating. I do not recommend fast or rapid acting insulin, just basal, long acting, slow release insulin Lantus, or Levemir.
      People with type 1 does not take insulin every day. There are some condition named as /; honeymoon phase' when diabetic type 1 does not need any insulin injections. This is perfect way to see that with proper type of medicine, proper regime of therapy diabetes can be cured.  Any types of diabetes, type 1 or type 2. The cure depend on stage of diabetes rather then type of it. Stage of diabetes is easy to diagnose. All what must done right now just replace types of diabetes which has no one meaning, by stage of diabetes, clear and easy to control effect of treatment.
      As it was published many times, types of diabetes does not exchangeable. If one diagnosed with type 2 then one will die type 2 diabetic. This classification prevent any attempt to see the effect of therapy, effect of any medicine. In contrary, with insulin, regardless it is type 1 diabetic or type 2 the progress in therapy is easy to see, and very well controlled.
      Lastly, when it is stated that in type 1 diabetes diabetic must take both types of insulin, fast acting and long acting types. Why? No any reason for that. Just take a look what is the mark to see if both types of insulin needed, or non one of them needed? If insulin is not needed then level of sugar will drop low. Stop insulin injection, and level of sugar in blood return back to normal. If insulin in need then high glucose level will drop after every injection of insulin. The question, do both types of insulin needed, or one type is needed, and which type of insulin is in need?
      When dose of insulin counted by MD it is recommended to diabetic to take amount of calories and carbs. There is confusion. What type of insulin to inject? Short acting such as Novolog? Or long acting such as Lantus Solo Star?
      Short acting type of insulin stay in blood just for one hour. What is after? There is gap between meal we take, and insulin available in blood. If body still secret insulin then it is OK that short acting insulin cleaned from body and we really do not eat next three hours. But what if there is no inner insulin secretion? Then long acting insulin replaces short acting insulin. There is only one problem, no one know if inner insulin secretion still work, or if there is no inner insulin secretion at all.?  So, how to dose different types of insulin, and keep body function under control?
     This is what I wish to say about understanding of diabetes. Does really
https://www.tresiba.com/about-diabetes-and-insulin/understand-diabetes.html
in this article understanding of diabetes presented? Upon reading this definitions I do have more question then I had before, and really no one clear answer, diabetes types, how they are different one from another?

Tresiba^® is not for people with diabetic ketoacidosis

Why? I take Lantus Solo Star, the same type of insulin, long acting insulin. In hospital Insulin would be used to reduce level of sugar which lead to ketosis development. Why Tresiba cannot be used?

Adults - If you miss or are delayed in taking your dose of Tresiba^®:

• Take your dose as soon as you remember, then continue with your regular dosing schedule
• Make sure there are at least 8 hours between doses

      Based on what studies  insulin dose must be taken with gap 8 hours between injections? But take another look, just above the line. When you missed dose then take injection as soon as you remember it, and then continue with regular dosing. So, if I forgot my morning shot, and took it at 10 am, then when my nest shot must be? 10+ 8= 18 hour, 4 pm. My regular shot is 6 am first one, then 2 pm second one. For instance. So, next shot would be when? 2 pm or 4 pm? No 8 hours gap between the shots.
      Finally, if it is 8 hours between shots then how many shots it is possible to inject?  
1st shot at 6 am.
2 nd shot at 2 pm.
Third shot at 10 pm.
How many units in each shot? I take 300 units. 100 units in each shot.
I take 720 units. 240 units in each shot.
 480 units 160 units in each shot.
90 units. 30 units in each shot.
24 units.  8 units in each shot.
If someone is ready to take this education then it is your responsibility if sugar is high or too low. The recommendations are not vital. Not every one able to take 169 units at once. 720 units is not highest dose of insulin which was injected withing 24 hours. The educators educate those who are able to keep diabetes away with proper diet. I keep cancer away with my diet. If I do not have cancer then my diet is healthy. Period.
 I do have perfect understanding what I do need and what I do not need.

via Ravenvoron