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Originally Posted by lottadata It is possible for many people diagnosed as Type 2s to have widely varying amoutns of insulin sensitivity, because in many ways "Type 2" is a "garbage can" diagnosis. If someone isn't Type 1--i.e. has no autoimmune markeres, they get diagnosed as Type 2. But the diagnosis covers hundreds of different genetic flaws and underlying causes and varying degrees of beta cell dysfunction.
There's a pancreas autopsy study I link to on my site where they found that the rate of beta cell death was much higher in lean Type 2s, for example. And NIH statistics say that about 20% of "Type 2s" are normal weight.
I know quite a few normal weight Type 2s, whose IR varies hugely. Some are eating very low carb and stilll need a lot of insulin to get normal numbers. Some eat can 30-40 grams per meal and get completely normal numbers. I know a couple other officially type 2 people who use insulin doses similar to the tiny ones I use who respond strongly to them. Some people get dramatic blood sugar drops in response to Byetta, others see their bgs go up. |
Great to see you here lottadata!!! your expert opinions and website are probably the best diabetes info in the world.
I am a normal weight person and have been diagnosed as Type 2. (July 2007).
I am pretty sure I am insulin deficient. i eat pretty low carb and what little insulin i make keeps my BGLs close to normal.
Therefore, I am sure that (like you) if i used insulin to cover meals i would need just tiny amounts.
My GP has said that he will put me on insulin if i want. my concern at the moment is that i might go low even with a tiny amount of insulin.
i mean, i have been waking with a fasting BGL of between 72-90.
have you experienced lows due to injected insulin?
i also need to figure out if i am Type 2 (probably not), LADA or MODY. Any idea what i should ask next?
-- Joel.