I’ve been lately thinking, watching myself do stupid things and my body seeming to respond to food differently. There are changes I need to make and I may need to go on more insulin (I started Lantus when? February?).
I think a lot of people with type 2 have the attitude that it’s not as serious. Maybe because, as I’ve put it before, we can “get away” with looser treatment than type 1s without immediate consequences. I have certainly known how to manipulate my blood sugars. I know what I can eat or binge on without raising my sugar too much. Hell, when I was hospitalized my sugars were consistent enough that Larry was only ordering tests every other day. My nurses brought in treats on the off days so we could have treats without raising my tested sugars! I mean, it’s hard to take seriously sometimes.
The reality is that type 2 diabetes leads to complications just as type 1 does.
Type 2 diabetes produces or is a contributor to considerable morbidity in the form of metabolic complications, vision disorders, neuropathy, kidney disease, peripheral vascular disease, ulcerations and amputations, heart disease, stroke, digestive diseases, infection, oral complications, and depression. The associated mortality rate has been estimated at 5.5% annually. Moreover, the disease reduces life expectancy by 5–10 years.
We know this. We’re told this early on. And then, to a large degree, it seems to be ignored - at least in my experience. So now I’m finally seeing an endo and I get the test results back in a couple more weeks. I wonder what he’s going to say? I’m trying to keep better records and all that so he has more than my a1c to work with.
We’re already talking about the possibility of insulin, other than or in addition to the lantus? According to the ADA, most type 2s have lost enough insulin production 5-10 years after diagnosis that they need to be on insulin. I wonder what “most” means.
Needing insulin does not mean that you have failed to manage you (sic) diabetes well. Because type 2 diabetes is a progressive disease, eventually your pancreas is just not able to keep up with your body’s need for insulin—no matter what you’ve done to manage your diabetes. When other medicines no longer keep your blood glucose on target, insulin is often the next logical step for treating diabetes.
I’m not sure how I feel about it. I think it would give me better control but wouldn’t reduce the problem. Does the possibility that my body may not be producing as much insulin now mean that weight loss (or bariatric surgery) in not going to help the insulin resistance? Will I abuse the insulin by using it to cover binges? Is it better to binge and keep my sugars down than to binge and be “punished” by being high? Just some thoughts.
I’ve been lately thinking, watching myself do stupid things and my body seeming to respond to food differently. There are changes I need to make and I may need to go on more insulin (I started Lantus when? February?).
I think a lot of people with type 2 have the attitude that it’s not as serious. Maybe because, as I’ve put it before, we can “get away” with looser treatment than type 1s without immediate consequences. I have certainly known how to manipulate my blood sugars. I know what I can eat or binge on without raising my sugar too much. Hell, when I was hospitalized my sugars were consistent enough that Larry was only ordering tests every other day. My nurses brought in treats on the off days so we could have treats without raising my tested sugars! I mean, it’s hard to take seriously sometimes.
The reality is that type 2 diabetes leads to complications just as type 1 does.
We know this. We’re told this early on. And then, to a large degree, it seems to be ignored - at least in my experience. So now I’m finally seeing an endo and I get the test results back in a couple more weeks. I wonder what he’s going to say? I’m trying to keep better records and all that so he has more than my a1c to work with.
We’re already talking about the possibility of insulin, other than or in addition to the lantus? According to the ADA, most type 2s have lost enough insulin production 5-10 years after diagnosis that they need to be on insulin. I wonder what “most” means.
I’m not sure how I feel about it. I think it would give me better control but wouldn’t reduce the problem. Does the possibility that my body may not be producing as much insulin now mean that weight loss (or bariatric surgery) in not going to help the insulin resistance? Will I abuse the insulin by using it to cover binges? Is it better to binge and keep my sugars down than to binge and be “punished” by being high? Just some thoughts.