I receive email summaries of FUD postings, but they are all for T1s. I have T2. Is there anything I can do about this, or should I leave FUD?
I’ve only seen 2 posts of yours so far David. I am T2. I was diagnosed at 40 36 years ago. It has progressed from near perfect control with diet and exercise, to Metformin, than Lantus, MDI and currently on a T:Slim pump. I continue to use diet and exercise along with Metformin and insulin to keep my BG levels as close to normal as possible. My last HbA1c was 5.4%
All of us with the 4 types of diabetes mellitus share certain things. The cause of the disease is different but the goals are the same, to keep BG in as normal a range as possible. We are all at risk of a lot of terrible diabetic complications. That is so pervasive that many of us tend to attribute any changes to our health as diabetic related. Sometimes it is just something else.
Type 2 DM is the result of some 70 or more genetic variants that cause 3 cell types to resist the attachment of insulin, fat, skeletal muscle and liver. Type 1 DM is autoimmune. There is a genetic factor plus a trigger that causes the immune system to attack and destroy the Beta cells. And guess what, There are some with T1 who also have those other genetic variants for abnormal insulin resistances. This used to be called double diabetes, but is currently Type 1 with insulin resistance. I have more in common with T1 with IR than either T2s not on insulin or T1s without insulin resistance.
While regular exercise and good diet is good for everyone, it is especially necessary for those with insulin resistance. Normal, if there’s such a thing, T1s mostly need to cover their carbs with the right enough of insulin. When our cells resist insulin neither high endocrine (natural) or exocrine (injected) insulin works well. One of the thing, it leads to is excessive weight.
To make our cells closer to normal in accepting insulin requires regular exercise. In my opinion what is needed is a minimum of 30 continuous minutes per day. Not miles or steps over the day, but one solid chunkof time. Some drugs, oral or injectable will help a bit with insulin resistance, but none work well without regular daily exercise.
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