[Ronin]

BlueSky, et al.,

The response contained the following quote: "I haven't heard of pre-Ds being given insulin. And I can't see the sense in it. But I have heard of newly diagnosed T1s being given tiny amounts of insulin in the hope that this will prolong their honeymoon period."

I read about this in an article about Richard Jackson, MD who is doing research (and is the author of Know Your Numbers, Outlive Your Diabetes [Marlowe Diabetes Library]) Unfortunatley I can't find the cite again.

It seems that there are two primary causes of Adult Onset Diabetes. One is IR where the body just doesn't react to insulin any longer. In general these people are obese and do not excersise, hence diet and exercise can reverse the condition or delay the onset of Type-2. The other is that the pancreas is either slowing down or being attacked by the immune system. If it is the second case, the use of insulin to supplement the suppy of insulin would, at least in theory, get the individual back to "normal."

My concern is that, while my HbA1c's are all in the low 5's I can see a slow-but-steady drift upwards which could indicate that I'm either becoming IR, or that my Pancreas is reducing in function. The key seems to be that my Post Prandial BG levels rarely drop into the 90's and are generally in the 105 - 135 range two hours Post Prandial. On the other side I do get a LOT of exercise with a daily tandem ride and a fairly active life off the tandem. So, I doubt that my condition is IR induced.

At my next regularly scheduled blood test (September) I'm going to request a baseline assessment of my C-Peptide and then check it six months to a year later to see what direction it is headed.