If I am not insulin resistant type 2 diabetic, then what am I?
My original diagnosis was type 2 diabetes mellitus NIDDM.
Yes, I get spikes much higher than a normal person, IF I don't control them.
From my research, any spike of 40 points or more over premeal blood sugars cause cumulative tissue damage.
So, if I am say 77 before eating then jump up to 235 post meal, that surely isn't a good thing.
I usually take insulin for control of those spikes.
I can control the spikes if I want to walk for 2 hours after eating, then eat, then walk another 2 hours, then repeat every day.
That is NOT a life it is an existence.
Either I am not making enough insulin, I am insulin resistant, a combination of both, or there is another problem causing this hyperglycemia.
According to the definition of insulin resistance, you are diagnosed with insulin resistance if you need more then 200 units a day.
However, the definition does not list the division between what your pancreas produces and what you inject.
Let's assume I am making more than 200 units a day from my pancreas. I inject a total of 15-20 units a day for my bolus.
Does that make me any less insulin resistant than if I injected all 215 units a day?
All I know is that without insulin, my spikes are into the 200's. With insulin, they are generally in the normal range or close to it.
I am not a couch potato. Perhaps I should do the poor man's OGTT?
Then if at my 2 hour PP, my BS is above 200, then I am still diabetic.
My endo may very well be right. I was looking into my symptoms. They almost match perfectly those of Adrenal fatigue. I have unexplained lows from time to time and usually spikes without insulin.
Thanks Tim for the compliment on my control.
I can control ANY number I choose, but only ONE number.
If I choose to, I can make my A1c any reasonable number I want. I know my body and I know how to alter things, without a single medication or supplement.
However, I won't do that. I want legitimate data for a proper diagnosis and treatment plan. Skewing the data in any fashion doesn't do me any good.
Right now, I concentrate on my weight more than anything. If I don't take insulin, I can lose 3-5 pounds of body weight in a single night, effortlessly. With insulin, my weight is somewhat stable.
No one can explain that either.
Here are all my A1C's from time of Dx:
6.8, 5.7, 5.8, 5.3, 5.2
With the exception of the 5.2, all the others were without a single medication or diabetes class. I did it all on my own with lifestyle changes. The 5.2 is because of high spikes into the upper 200's during the summertime heat and controlled it with Humulog. I caught the problem early before the A1C could rise significantly.
Note: I have even tried Lantus. 25 units in the morning. It helps with the spikes, but doesn't do a whole lot for me.
My endo seemed unhappy with my spikes into the 200's. That's why I got humulog and the other insulins.
There is something going on in my body and I don't know what it is. But I will fix it or treat it. Somehow...
It is possible that I am LADA, MODY, or who knows what.
All I know is that I am diabetic, WELL CONTROLLED DIABETIC, and do not know the cause or even the exact type.
If I wasn't insulin resistant, then why did she give me 3 different kinds of insulin??
I am so confused here. I want to control this disease before it controls me.
And I can't do that without knowing what the cause is and a treatment plan.
Thanks for the suggestions Pauly.
Pauly, go to isletsofhope.com
You can look up your state. It will tell you if you can buy insulin OTC and if you can buy syringes OTC.
Doctors do NOT want you well. They make tons of money off your disease and any complications you may have.
My backup plan is regular insulin, and NPH insulin, should my Endo be unreasonable.
I have sufficient knowledge on how to dose.
I do not tolerate lazy or greedy or incompetent doctors.
Your doctor is a businessperson. Look at him that way. Talk $ and cents. Tell him that if he cannot give you a credible and legitimate reason why you can't have insulin, you will take your business elsewhere.
I have seen studies that now say insulin use should be the first treatment, not oral medications.
I can buy my own insulin, any kind I want, even Rx stuff without a Rx. I know how to do it and where to get it.
I can do my own A1c test. You can buy the kit in almost any pharmacy.
Note: Insulin is only a class V drug. Not hard to get.
As long as I avoid hypos and high spikes, as well as keeping all my other numbers in normal range, I don't need a doctor for my diabetes.
I really want to know the truth. What kind of Diabetes do I have?
I shot insulin on some days, only to stay high for several hours after eating.
It's a guessing game anymore. Carb counting doesn't work for me.
I can eat premeasured carbs and dose according to that.
Then all a sudden have to run out somewhere and do something (random lifestyle). I can easily go hypo to the tune of a BS of 34.
Other times, I dose according to eating and expected activity, then find out the activity was postponed or canceled, and wind up with high BS.
I won't take any kind of oral medication for diabetes. I hate pills of any kind, even vitamin pills.