This showed up on my GOOGLE feed. This morning. I am not going to condemn this Dr Pal to the quack dust bin as what he said may not be what was reported.
It is absolutely true that sugars are not the cause of Type 2 DM. This is a myth that is perpetuated in social media. The cause of T2DM and metabolic syndrome is an inherited constellation of genetic variants. Genetics of Insulin Resistance and the Metabolic Syndrome - PMC
Back to Dr Pal -
Dr Pal pointed out that insulin resistance is often triggered by poor sleep, lack of physical activity, chronic stress, and a diet heavy in processed foods. He called it a lifestyle disease — and the good news, he said, is that it’s completely reversible. By focusing on the basics like eating clean, sleeping well, staying active, and managing stress, your body can begin to heal naturally and restore balance.
I have a problem with the word triggered in this quote along with lifestyle disease Inherited insulin resistance in my opinion is aggregated by diet, insomnia, low physical activity and stress. None of these are causes, they just make insulin resistance worse.
Those with Type 1 autoimmune DM are not exempt from have the luck (luck is good or bad) of having these genetic variants. Those with T1DM who have high TDD of insulin may be victims of having both T1DM and T2DM.
Those with T1DM who have good BG management with farily low TDD and units per gram bolus ratio probably don’t have these variants. The symptom of weight gain may or may not be present.
Those who have high TDD and u/g may do well with adding T2DM therapy of carb restriction and regular exercise. Exercise increases insulin acceptance by skeletal muscle, liver and fat cells. T2DM oral ore injectable drugs may be helpful as well.
The medical coding requires 2 separate codes,E10 for T1DM and E88.81 metabolic syndrome and insulin resistance.
- DrPal - Palaniappan Manickam, better known as Dr. Pal, is a gastroenterologist, stand-up comedian and social media personality of Indian origin.