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  #31 (permalink)  
Old 12-04-2008, 10:55 PM
DeusXM's Avatar
DeusXM DeusXM is offline
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I am a: Type 1
 
Join Date: May 2003
Location: دولة الإمارات العربية المتحدة, دبيّ
Posts: 3,816
Quote:
So yeah I understood the long term ramifications, I just didn't think it would be so short term as 12 hour fast cuz every doctor I have ever been to asked me to do a 12 hour fast for them before I came to visit.
It depends. The standard diagnosis for T1 usually involves a 12 hour fast and then measuring BG. In an individual without T1, the fasting BG after such a long time would be around 72. Anything over 100 is indicative of diabetes.

The reason doctors can get away with doing this test as a DIAGNOSIS is generally because at this stage, you are entering DKA but still have enough residual insulin production to stay alive. T1 is a gradual transition.

Now that your diagnosis is confirmed, it is much more dangerous to carry out a fast WITHOUT having basal insulin. People with T1 can fast just fine should they wish, but you do need to still take your insulin. Otherwise your liver will continue to dump glucose into your blood, and your muscles have no way of intaking the glucose in your blood and converting it to energy. Insulin is essential for your basic survival; it's not just something you need when you eat.

Quote:
But I fast once or twice a month for obvious reasons. I have to give my body a fighting chance to return to normal.
Fasting WITHOUT insulin is not the way to do it. There is absolutely nothing normal about starving yourself and also denying yourself a basic metabolic hormone. The best way you can bring your body back to normal is to first learn what a normal BG range is, and then take enough insulin to match your food intake and basal requirements to match that.

You need to take more insulin in general. How much more, I can't tell you. A doctor can. Please see a doctor. Given the information you've posted here and in other threads, I have to say there is something seriously wrong with how you are treating your diabetes. Unfortunately because of the severity of the 'wrongness', we can't help you because now we're in territory that's both medically and legally dangerous. You will need to see an expert who can look over your case history in accurate detail. We can polish up a few things but I don't think any of us can provide the solution you really need right now.
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