Please keep up the excellent work you have been doing in finding ways to get rid of your insulin resistance. As both of us cannot run each other's race, you do the best you can and likewise I will do the best I can and let's continue sharing everything we have been learning from our experiences.
Unfortunately you are all too correct about the development of complications in most type-2 diabetics. You are certain a shinning example that diabetes complications can be prevented and one can live a great life with type-2 diabetes. I have run into a number of such people although few are as successful as you are.
Your point about diabetes not being progressive is interesting. As I said that has been my experience also and it seems that if one effectively treats the cause of their diabetes that may be generally true. The converse is true, that is if your diabetes continues to progress rapidly and you thus need more medication, your insulin resistance has not been lowered and you are headed for complications. I would go so far as saying that diabetes always being progressive is just an excuse for an endocrinologist's/doctor's failure to treat insulin resistance.
It seems that diabetes develops because of stress on the pancreas to produce insulin. Certainly the increase of diabetes with the increase of obesity and inactivity shows this. I read that kids don't develop diabetes until puberty when the body need more insulin, a pregnant woman may develop temporary diabetes for the same reason and seniors may develop diabetes as their activity lessens and their muscle mass becomes less. Although age is considered a risk factor for diabetes, there is not necessary a direct cause/effect; it may simply the fact that many older people become less active, and those that remain active either prevent diabetes or like you and I control it/prevent complications.
Because type-1 diabetics treat the cause of their diabetes and measure their control with glucose levels, an accurate way to measure the success of their treatment, they live decades without complication and some live as many as 80 years.
as one ages the production of insulin by the pancreas becomes less. Also we all are told that type-2 two diabetes is progressive and it is enevilable that if one lives long enough that they will need insulin. That has not been true in my or you diabetes experience so far.
Per my understanding, these two statements: (1) "as one ages, the production of insulin by the pancreas becomes less;" (2) "type 2 diabetes is progressive and it is inevitable that if one lives long enough, he will need insulin" say the same thing.
How many more years do I have to live as healthy as I have been since my diagnosis 21 1/2 years to disprove these statements? In asking this, I wish to point out that I have yet to see another type 2 diabetic who has done as well as or better than I have in treating our diabetes. Add to this the fact that most of the foods that I have been eating are carbohydrates which experts on type 2 diabetes say are no-no foods for people like me.
If I followed the conventional wisdom in treating my diabetes, by now, I would be complaining about complications like neuropathy, kidney problems, mobility problems, eating problems, etc.
In my 16 years as a diabetic I have not seen any fall off of insulin production. I have done three things to lower insulin resistance, lots of exercise (Not as much as yours), lost about 35 pounds and take a TZD which lowers insulin resistance. Lower insulin resistance reduces stress on the pancreas and this delay or maybe even prevents the need for external insulin.
Several endocrinologists that I have gone to claimed and I have seen it written that as one ages the production of insulin by the pancreas becomes less. Also we all are told that type-2 two diabetes is progressive and it is enevilable that if one lives long enough that they will need insulin. That has not been true in my or you diabetes experience so far.
In some people as they age their pancreas ability to produce insulin falls off, no matter what they do
Lucky me that my pancreas' ability to produce insulin has not fallen off yet despite my being a type 2 diabetic for 21 1/2 years. The reason could be that my only anti-diabetes med since my diagnosis in July 1991 has been daily exercise.
To prove my point, I tested my blood sugar an hour ago, and the reading I got was an unbelievable 87 mg/dl 2 hours and 45 minutes after a heavy breakfast of: (1) 1/2 regular size cantaloupe; (2) about a cup of unsalted dry-roasted peanuts: (3) a small plate of old-fashioned Quaker oats cooked with Hershey's natural unsweetened cocoa, and walnut. As sweetener, I used a small portion of home-made Pillsbury quick bread and muffin mix with added unsweetened pineapple tidbits.
Exercise was done before breakfast. My next exercise routine will be done 30 minutes before I eat lunch in about an hour from now.
Congratulations on a super effort and great success, keep up the good work.
You are fortunate to be going to a cardiologist, the program you are on is the best way to prevent diabetic complications. It reduce insulin resistance, improves blood flow and thus leads to the delay or prevention of diabetic complications. Your good heart tests indicate that you are far from diabetic complications. Poor blood flow, a weak heart it the basic cause of most diabetic complications. CVD is the most dangerous complication of a type-2 diabetic and that you don't have according to the expert, a cardiologist.
I don't why your A1c has risen, I my case it has gone up and down over the years, more exercise a lower A1c in general but not always. In some people as they age their pancreas ability to produce insulin falls off, no matter what they do. You probably don't have an insulin problem based on what you have written.
The doctor I'm being refered to is someone that specializes in diabetes, but is not a 'doctor of diabetes' as I don't think there is such a thing. The reason I'm being reffered to him is that my current doctor knows how detailed I get with what I eat and do and looking for all the little possibilities etc. and apparently this doctor is quite well versed in all things diabetes and will be the kind of doctor willing to teach.
As for a dietician, no such thing in Japan unfortunately. Most that follow a program that SHOULD lead to a registered dietician type job, end up working in cafeterias of hospitals and not doing one on one patient type consultations. Japan isn't exactly an obese country so there really isn't a 'market' for it.
I'm on no medication for diabetes. I'm on medicine for panic disorder and insomnia. The disorder and insomnia are no longer problems but the medicine is. I can't just quit, I have to very slowly cut away at the medicine. It's tough.
Pre-workout (About 1 hour before) I have a carb/protein meal. During my workout I have a protein shake mixed with water (Not milk). This is benficial for many reasons and only 100 calories. After a workout, within about 10 minutes, I eat a carb/fat/protein meal (Or shake). Insuline spikes and I need it to shuttle the protein to muscles, replenish glycogen stores and keep me full until I get home for a proper meal.
I need a BG monitor...I need one so bad...it would help me so much...COME ON LIL'SIS...
There are so many things that could be contribting to the changes in your A1C. i think it is a good thing that you are going to see a specialist. Make sure that you do a really thorough log of everything you are eating and your coresponding exercise. I would do this for a couple of weeks before you see your specialist. Also, ask for a referral to a registered dietician....or a diabetes educator if they are available in your area. I have found that exercise can have different effects on my BG levels....it could be that your exercise is spiking your sugars and then they drop again sometime after the exercise. It is really hard to tell without some regular testing. My guess would be that you are having fluctuations that give you a higher A1C overall.....but that is just a guess.
The odd treat or evening out with friends are not going to have that big an effect on your BG levels for more than a couple of hours after the treat. I do the same thing you do, make sure I have some exercise after the treat to help my body couneract the sugars. I try to keep my treats to something that has some protien in it..like cheesecake, or some really high quality chocolate. THat usually means lowe carb. THe secret to those treats is small portion and not too often.
Snacking has been one of the hardes things for me to learn...I grew up with large "farm" meals and was taught that snacking was bad...and would make me fatter. Small more frequent meals are the secret to living with diabetes. I try to have 3 meals of approximately 45. carb per day and then three snacks of about 15g carb. My sugars are always higher in the morning so I don't always have that morning snack. Try to chose snacks that are higher in fibre and always include some protien with the snack and meal. YOur carb requirements will likely be higher as you are male and are very physically active. I ride a desk all day. When I was first diagnosed, I was eating too little carbs and that was increasing my sugars because my liver kept trying to compensate for the lack of carbs. ONce I increased my food intake everything settled down.
What are you on for meds? I take something called Trajenta....it is a new med and works really well. I also take good old metformin. ||Between the two, my diet and exercise I stay at a pretty constant 5.8 for my A1C level. It could be that your meds need an adjustment. If you are not on meds it could mean that it is time to start. There is no shame in that....diabetes is a progressive disease. It doesn't mean that you failed to control the disease...your body simply needs more help to balance your food and insulin requirements. The most important thing is to keep those BG levels at the normal level to help minimize the risks of complications. YOu are doing all the right things...decreasing sugars, eating healthy and exercising.
Good luck and keep us posted on how things are going.
Before I start, I do not have a BG monitor. I want one, I need one. I am trying to get one in which I can get a steady supply of strips. But I don't have one yet.
A brief history: Until 2011 I was tested often, never diabetic. Summer 2011 I was place on CPAP for Sleep Apnea. The next month I was tested for diabetes and saw a raise in BG but my h1ac was 5.4ish The following months I saw a rise into the 6's Winter 2011/12 I saw it drop back into the 5's Spring 2012 I was drinking alcohol way to often and was expecting a high h1ac but found it was normal. July I saw it go back into the 6's. August I went on vacation and was away from the gym, saw it go into the 7's. Freaked out and did what I could to drop it and saw a 0.5 drop in h1ac in September. October I wasn't careful enough and saw it go back into the upper 7's. November/December my plan was to be just as careful but I knew I had to attend engagments where I couldn't really manage what was going into my belly. I did what I could at the gym and honestly thought that with the amount of work I put myself through (Trainning that is) and the amount of crap I left out of my diet (The stuff that had my h1ac spike in October) that I would 'even myself out'.
Well, today I saw my numbers go into the 8's. 8.7 to be exact. Last month was 7.9. I'm being refered to a specialist since this was all being handled by my sleep doctor (cardiologist).
Some things that are baffeling me: I've lost weight, unhealthy fat weight. I've managed to get myself into a few older jackects that I've not been able to button up properly in years (A big winter surprise). My endurance has gone up (This is trainning related). Running up and down 10 flights of stairs has gotten much easier. The circute trainning I do, which is meant to improve cardio while being able to maintain my strength (And muscle) has hit personal records each month (Heavier weights/less rest between circutes). I don't have the dizzy spells I use to (Unless I don't get a good nights sleep) I've heavily reduced my alcohol intake. It's not at zero. It's part of business in Japan and as much as I would like to remove it from my life, I also would like to remove work altogether and focus on my diet and the gym...but that's not happening. At least not now. And finally, something not even my doctor can explain, I had a numbness in my right foot along the inner big toe and the toe next to it. Very noticebale, very irritating, very scary...now that is gone. This COULD be because I changed footware at the gym, but who knows.
So, why has my h1ac gone up? Compared to October/November, my diet has been better (Although not at all perfect). By this I mean I keep all the junk out when I have a healthier option. I started out the month by pre-cooking my meals, weighing them, calorie counting. It's a matter of getting into a routine of constantly doing that. I managed 2 weeks and then stopped. I still ate healthy, but instead of many smaller meals, I had 3 or 4 normal meals.
Questions: During Spring I drank quite a bit, almost everyday, it was hot and getting hotter, stressful, etc. Why no increase in my h1ac or fasting BG?
Does one treat (A candy bar for example) ruin your day as far as BG targets? Is there a way to 'properly' have a treat, as in eat a piece of protien first, then the treat? I usually make sure I get my protiens in before I eat carbs (A few bites of chicken before the brown rice or sweet potatoes)?
Does a night out with co-workers (Grilled/Deep-fried food and beer) ruin your target scores for the month? I'm now know for hitting the gym before one of these outtings (As in a few hours or right before) and the next day. I felt that it would somehow put things 'right'.
Does it matter that I have a midnight snack? The reason for this question is because I would say 'no' to anyone asking me for advice on their health in the gym. The reason for this is because if your last meal is at 6 or 7pm and your first meal is at 7am, then you've fasted for 12 hours, which is not good for muscle growth or weight loss. Having a small, healthy snack is OK as long as it doesn't upset your stomach or give you nightmars, which can happen. Your body is still functioning while it is sleeping and still requires energy. BUT, I'm not sure what to say when it comes to being diabetic.
If I can't eat for several hours past a planned mealtime, how should I go about eating that meal? By this I mean if I eat at 12pm, plan a meal for 3pm, but can't eat something until 7pm (Work sucks) should I eat more slowly or have that meal divided into 2 and eat them X amount of time apart so as not to blast my BG through the roof?
I asked my doctor what the immediate dangers of these scores meant. His answer was that nothing would happen immediately. I had an echo done on my heart to rule out any heart disease because I was planning for a high intensity trainning program. My heart is as healthy as can be. MRI shows no problems with my brain. He did say that I would feel thirsty more often, but I don't. He said I would pee more often, but I don't.
In the end, he said this was a sign to get it under control before it starts to do damage. That was a bit of a relief to hear, but I would like to get honest answers from those in this community though. I'm not sure how well my cardiologist can advise me on diabetes. He is going to refer me to a specialist though.
One final question (I know this is a long post). I have low testosterone levels. 30ng/dL, far below the normal range of 230ng/dL (Average for Japan). I was on HCG as my low levels aren't due to testicular problems. However, I recenly decided to try testosterone and found the results to be better, less moody, more energy. Does this play into my diabetes? My urologist doesn't know. My cardiologist and I discussed this but found different information regarding the issue. I will ask the specialist, but again I thought I would ask here too.
Long post, many questions. Time for a run... iFrame RemovediFrame Removed