Question:
I have diabetes 2 and i have some questions to ask...?
anonymous
2008-05-17 11:00:54 UTC
well last august of 2007 i found i had diabetes but never what type 1 or 2, my old dr had put me on the pills and my sugar was so high and stuff. my sugar would never go down on me, but then when i saw my sugar levels in the past before i found out i had diabetes they where still high but my old dr never did nothing about untill august of 2007 well now i am seeing a new doctor and she has me on pills and on insulin and my sugar levels are still high, so what i am asking is, what type of diabetes do i have? and will i be on insulin for the rest of my life
Seven answers:
MamaSmurf
2008-05-17 12:11:56 UTC
You are type 2. Many type 2's take pills and insulin. It can take awhile for the medications to bring your blood sugar levels into good range. Just be patient and watch your diet carefully, and be sure to get some kind of exercise every day. Since you are type 2, first get it under good control. Many type 2's have controlled their disease so well, they were able to get off the medication. It is hard to do, and not all can do it....it depends what is going on with your pancreas. If it is not making enough insulin, you will probably not be able to control it by diet. Even if you have to take insulin the rest of your life, that's better than the alternative....heart disease, stroke, blindness.... Many people like you have gotten off the insulin, sometimes you only have to take it until the disease is finally controlled, and then they can just do oral meds. Insulin can help do that. .Sign up for some diabetes eductional classes and get a dietitian or nutritionist. The more you learn, the better control you willl have. You must make the appointment every 3 months with the doctor and TELL him to draw blood if he is that bone headed. It might be best to get another doctor.

Just for your info...fresh fruit can really raise the blood sugar, so only eat in very small portions and only once in awhile. I don't know why some people think all type 2's are overweight, because they are not. And there is no type 1.5. It's either type 1, type 2 or gestational.
Nana Lamb
2008-05-17 11:14:46 UTC
You have either type 2 or 1.5 which is a strange combination of the others. Because you were put on pills, you are type 2.



Pills are very rarely Rx'd to type 1 people unless they show they are insulin resistant, and a few are.



Ok, you got the old pat on the butt from your old doctor who was still living in the 20th century and thought any glucose number less than 300 was fine!! We have progressed enormously in the past 15 years!! Now the diagnosis of diabetes is 126!! anything over that number is doing major damage to tiny blood vessels and nerves in the hands, feet and eyes. Higher than 200 is doing major damage to the heart, liver and kidneys.



Don't be afraid of the insulin!! It makes life much better and much more simple even if it is an aggravation. It makes food planning easier. If you want to get off the insulin, maybe, get in gear and spend half your day in heavy exercise, lose about 50% of your body weight, and eat very very low carb food plan. That ain't so easy!! I get entirely bored with eating just salad and meat! I want an occasional treat such as milk or maybe even a cookie.



If you are type 1.5 you will never be able to live without both the pills and insulin!! no matter what you do to change your exercise habits and food planning.
micksmixxx
2008-05-17 15:36:26 UTC
You are almost certainly a type 2 diabetic, though you could actually be a type 1.5 that sue referred to. The only way to know for sure would be for you to get a blood test done by your doctor. This would be a c-peptide test. C-peptide is given out from the pancreas in equivalent amounts to insulin. Therefore, if you are still producing insulin you will be producing c-peptide. This would indicate type 2 diabetes. If no c-peptide is being produced, and therefore no insulin, this would indicate type 1 ... or in your case type 1.5. (Don't blame me, it's American doctors that confuse people with their wishing to differentiate between different types of a condition.)



Another name for type 1.5 diabetes is LADA (Latent Autoimmune Diabetes in Adults) or Slow Onset Diabetes. It simply means that it's a name given to people who are diagnosed with diabetes as adults, but who do not immediately require insulin for treatment, are often not overweight, and have little or no resistance to insulin. (There are tests available to test for insulin resistance. This, of course, is another test that your doctor can carry out.)



You asked whether you'd be on insulin for the rest of your life. That really depends on how hard your willing to pursue the goal of not needing insulin. You'd almost certainly need to survive on a virtually carbohydrate free diet, and exercise like crazy in an attempt to keep your blood sugar levels low. It's not unheard of, but it would be a very difficult regime to follow.



What I will say to you @@ PRINCESS BELLA @@ is do your utmost to get those sugar levels under control. All the time your blood sugar levels are so high compounds any 'problem' that you feel you may have. You are more likely to develop complications of diabetes. Some of these complications can be a bit of a bind, some embarrassing, and some quite deadly. Your HbA1c level (the 8.9 that you mention) is way too high. (It's given as a percentage of glucose attached to your haemoglobin [hemoglobin], and it indicates that your average blood glucose reading is close to 240 mg/dL. You need to be closer to somewhere between 70-110 mg/dL.)



I wish you the very best of luck, and a long, happy, trouble free life.
?
2016-03-14 11:40:59 UTC
You take flu and pneumonia vaccines to prevent it. A diabetic can't fight off infections as easily as someone who has an intact immune system. So to prevent a chance of becoming very ill with these particular viruses, they give a vaccine so you don't get that ill. It could be fatal to some. You sister doesn't have to completely cut out sugar. She can have sugar but it must be counted into her diet. She should be seeing a diabetic dietician who will help her work out a meal plan that tells her how many calories and carbs she can have with her meals and snacks. Sugar has to be counted in that but not cut out. Just limited. Your body needs sugar (glucose) for energy, but you can't over load.
hava
2008-05-19 06:31:12 UTC
These pranayam exercises will help control the diabetes and the side effects.Build up the timing gradually.If you feel tired or dizzy, stop and resume later.The benefits will be noticed in weeks as the sugar level is checked daily.Over the long tern the diabetes will be in full control and the medicine can be reduced in consultation with the doctor.

Anulom Vilom –

Close your right nostril with thumb and deep breath-in through left nostril

then – close left nostril with two fingers and breath-out through right nostril

then -keeping the left nostril closed deep breath-in through right nostril

then - close your right nostril with thumb and breath-out through left nostril.

This is one cycle of anulom vilom.

Repeat this cycle for 20 to 30 minutes twice a day(maximum 60 minutes in one day).

Children under 15 years - do 5 to 10 minutes twice a day.

You can do this before breakfast/lunch/dinner or before bedtime or in bed.Remember to take deep long breaths into the lungs.You can do this while sitting on floor or chair or lying in bed.



Kapalbhati -(Do it before eating) Push air forcefully out through the nose about once per second. Stomach will itself go in(contract in). The breathing in(through the nose) will happen automatically. Establish a rhythm and do for 20 to 30 minutes twice a day.(Max 60 min/day)

Children under 15 years – do 5 to 10 minutes twice a day.

Not for pregnant women. Seriously ill people do it gently.



Also everyday press the centre point of the palm of your hand 40 times with the thumb and press the tips of all fingers 40 times each.
ww_je
2008-05-17 13:04:02 UTC
You almost certainly have Type 2 (adult onset or obesity related are older terms for this). This is because at present there are no diabetes pills which can replace insulin (which all Type 1s require). The usual diabetic pills (the sulfonylureas, -- there are maybe a dozen variants) merely turn up the 'insulin thermostat', so that your pancreas' beta cells turn out more insulin at a given blood glucose level than they used to. The rest of the pills now available affect food absorption (delay or prevent), make body cells more sensitive to insulin (in Type 2 about 2/3 of your body cells have stopped listening to insulin and aren't absorbing glucose from the blood properly), adjust the timing of liver release of stored glucose into the blood, or get your pancreas to produce more insulin via a different effect than the sulfonylureas.



By your account, you were being treated by a doctor whose last update on diabetes was about 1980 or earlier. Not good, because there's a lot we've learned about how it all works since then, and a good bit of that has clinical implications out on the street. Be glad you've transferred to a new doc.



You can tell how much glucose is in your blood just now using one of the little testers (typically prick your finger, apply a drop of blood, to the strip, and wait for the number). Your glucose level changes with food, with stress (just escaped being eaten by that lion, did you?), with exercise, and with the effects of medication, so the glucose reading just now will be different in half an hour, and was different an hour ago. One of your problems as a new diabetic is to understand how this stuff interacts so you can do something sensible. It's a pain. Welcome to one of Groucho's clubs -- I I get in I wouldn't want to be there.



But there's another test, generally done only at doctor's offices or clinics, which tests for the average blood glucose level in the past 9approx) 90 days or so. It looks at a steady, and permanent, reaction between hemoglobin and glucose. The test measures the amount of that reaction product (Hb1ac or something similar there are several names) which can be converted, more or less, to an average blood glucose level. You've had that test since you report highish numbers (eg, the 8.9). .



The importance of the blood glucose level is that glucose, while necessary, is also somewhat toxic. Think of it as rocket fuel, and consider that you wouldn't want any more of it hanging around that is absolutely needed. glucose isn't rocket fuel of course, but it does react strongly with stuff (like proteins). Too much causes problems (probably due to reactions with assorted proteins around the body). Those are the complications of diabetes and include circulation trouble, slow wound healing, nerve damage, eye damage, kidney damage, ... Each and every one of these has been shown, in large and definitive trials (not all those medical trials are definitive, but these were) that diabetics who keep their blood glucose at or near normal have complication rates which are just about the same as the non-diabetic population. That is to say, a LOT lower than diabetics who don't control their glucose very well. It's worth the effort to track your blood glucose levels and do what's necessary (eg, more food, less food, different food, different eating times, more medication, different medication, different timing of medication, more exercise, less exercise, ...) to keep your blood glucose levels more or less normal.



It generally takes a while (months is reasonable) for you to learn enough about diabetes (there are lots of urban legends, ignore 'em vigorously, even if held by the near and dear) and about your particular diabetes for you to do this. It's like learning how to tie your shoes many years ago -- success took a while and the technique was slightly different depending on the style of hte shoe and the kind of laces. Now it's almost automatic, but it took a while to get there.



There are interactions we don't understand. for instance, some people have blood glucose spikes after drinking skim milk, but not after drinking whole milk. Some kind of food sensitivity that interacts with he glucose / insulin control system probably. You may have one or more of these, and you'll just have to watch and learn for a while.



Your doctor almost certainly can't take the time to explain all this to you. Insurance companies forbid. So you will have to pick it up yourself, though Answers is too fragmented to be a really good choice. The American Diabetes Association puts out a lot of pamphlets and other stuff, some of which is pretty useful. Beware the cookbooks (there are no special foods for diabetics, nor foods which are particularly problematic for diabetics) and be aware that the standard reader assumed in diabetic literature, especially that for newcomers, is appallingly low which accounts for the pretty watercolor illustrations and the lack of content. Beware the deliberately dumbed down stuff; that which isn't merely maddeningly content-free is too likely to be misleading one way or another. I'd suggest you read the Wikipedia articles on Diabetes, and Diabetes Type 2, at least. The insulin article is very good as well -- it's got much more pervasive effects than most anyone realizes. They're pretty good sources of information. There are several doctors worldwide who patrol them regularly.





Beware the large amount of quackery and deliberate misinformation which surrounds diabetes. There is currently no cure (though the stem cell people have made good progress in mice) and any claim of stunning new progress will be a crock. so will claims that ancient (Chinese, Indian, Irish, Finnish, ...) medicine had a cure modern medicine is ignoring from jealousy or some other such nonsense. There aren't any, and there aren't any curing diets either.



Especially if someone is selling special (herbs, algae, exercise, spinal adjustment, mystic attitude adjustment, ...) to effect the miraculous results.



The only thing on the horizon for Type 2 is a recent discovery in rats, now confirmed by a small trial in people, that there's something in the upper small intestine that's seems to cause the insulin insensitivity which is characteristic of Type 2. So, if you surgically remove the first foot or so of it, the Type 2 goes away. At least so far; it's new surgery just reported in the journals in January 08. What's happening is unclear and it will be a while before this becomes routinely sensible for the average patient. Lot so f promise, though.
jeannieboop
2008-05-17 21:02:01 UTC
you need to find you a diabetic specialists. just a regular doctor don't know that much about it. you may need a better insulin.


This content was originally posted on Y! Answers, a Q&A website that shut down in 2021.
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