tag:blogger.com,1999:blog-4893234962600967689.post11213407654260385..comments2023-09-02T06:44:22.702-07:00Comments on Wildly Fluctuating: HungerGretchenhttp://www.blogger.com/profile/17019921800841883073noreply@blogger.comBlogger9125tag:blogger.com,1999:blog-4893234962600967689.post-40563851378789458022017-08-09T15:50:45.503-07:002017-08-09T15:50:45.503-07:00In the US, it used to be that they set the BG leve...In the US, it used to be that they set the BG level for diagnosis high (140 mg/dL) because once you were Dx'd, you became uninsurable. Then that was reduced to 126. Right now, you can't be excluded from insurance because of a pre-existing condition, but Trump and his gang are trying to change that. Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-14224799818442373382017-08-09T09:48:14.571-07:002017-08-09T09:48:14.571-07:00It's been suggested that "prediabetes&quo...It's been suggested that "prediabetes" and even "metabolic syndrome" should be renamed "Stage 1 Diabetes", that may wake up some of the patients - and some of the doctors too.<br /><br />Yes I know not a few unmotivated diabetics In Real Life - but then they aren't really given good information, mainly that they should eat a low fat high carb diet, avoid sugar and lose weight, but they will inevitably progress anyway.<br /><br />The last of the Old Guard who were given low carb diets as default are now dying out, but some of them were quite clueful and mostly failed to progress satisfactorily. Many doctors are too young to know this ever happened.<br /><br />chris cAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-75188667890828980272017-08-06T14:57:13.277-07:002017-08-06T14:57:13.277-07:00Yes, what you describe works for motivated patient...Yes, what you describe works for motivated patients and should be strongly recommended for all. But too many patients *aren't* motivated. Those on the internet mostly are. I think one of the most important factors is to convince patients that they have to take the disease seriously.<br />Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-80152462448312976552017-08-06T13:56:09.597-07:002017-08-06T13:56:09.597-07:00Just maybe giving them the RIGHT information, and ...Just maybe giving them the RIGHT information, and providing feedback via a glucometer, BP meter, scales and lipid panels so the improvements could be tracked would be useful. Worked for me and N=thousands of others.<br /><br />chris cAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-55029183087302123172017-07-27T11:51:18.894-07:002017-07-27T11:51:18.894-07:00Yes. But most people don't want to be diabetic...Yes. But most people don't want to be diabetic (I knew a little girl whose mother taught at a diabetes camp and the little girl wished she were diabetic like all her summer friends), and they're not willing to make major lifestyle changes even if Dx'd as diabetic, much less prediabetic.<br />Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-22747303053097286482017-07-27T07:29:39.715-07:002017-07-27T07:29:39.715-07:00Only about half the victims of similar symptoms I ...Only about half the victims of similar symptoms I know actually went on to be *diagnosed* diabetic, the rest stayed "prediabetic" ie. less than 50% of beta cells lost.<br /><br />As Ludwig (again) pointed out, looking at the cardiovascular and other consequences "prediabetes isn't really pre-anything"<br /><br />chris cAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-12962051358396177122017-07-21T12:13:23.879-07:002017-07-21T12:13:23.879-07:00Yes, an insulin meter would be useful.
I think re...Yes, an insulin meter would be useful.<br /><br />I think reactive hypoglycemia portends diabetes, but no one know what the time frame is. For me it was 25 years.<br /><br />Whether someone with diabetes genes that are expressed only under certain environmental conditions, or someone producing pathological levels of insulin but maintaining normal BG levels, is diabetic is a matter of definition.Gretchenhttps://www.blogger.com/profile/17019921800841883073noreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-66507763060472780812017-07-21T10:50:44.087-07:002017-07-21T10:50:44.087-07:00I also had that reactive hypoglycemia. It was larg...I also had that reactive hypoglycemia. It was largely thanks to a glucometer, and other sufferers with more clueful doctors, that I discovered by stopping the postprandial highs I was also stopping the post-postprandial lows. Then I learned for the first time in my life that there was a qualitative as well as a quantitative difference between carb cravings and "normal" hunger.<br /><br />Now I am mostly fuelled by fats and ketones I can spend most of the day living off stored energy which I replace with one large or sometimes two smaller meals any time from late afternoon to late evening. Breakfast consists of a thickly buttered oatcake (5 - 6g carbs) with smoked salmon, or sometimes ham or turkey, just enough to let my pancreas and liver know my throat hasn't been cut and they don't need to dump a load of glucose into my blood to help me out. After that, what I eat and when is largely dictated by when I *feel* hungry, and that is more like "Oh I'll probably need to eat something soon" rather than the old "Must eat now or I will DIE!!!"<br /><br />Maybe an insulin meter would be even more useful. What is NOT useful is telling doctors that reactive hypoglycemia does not exist and they must instead diagnose a "neurotic" condition called "idiopathic postprandial syndrome" which isolates them from comprehending the mechanism or the treatment.<br /><br />Some of David Ludwig's work shows this occurring in "nondiabetics" - but are they really, or are they just "not diabetic yet"?<br /><br />chris cAnonymousnoreply@blogger.comtag:blogger.com,1999:blog-4893234962600967689.post-89436023031098594502017-07-10T09:34:58.425-07:002017-07-10T09:34:58.425-07:00When you get older your metabolism slows down natu...When you get older your metabolism slows down naturally and you should eat less.Anonymousnoreply@blogger.com