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11-09-2009, 11:07 AM
| | Junior Member
I am a: Type 2 | | Join Date: Nov 2009 Location: London, UK
Posts: 25
| | | Insulin pump for relatively relaxed diet
Hi All,
Why control D with pills and diet when you can do the same with pills and insulin pump. I mean then you can be a bit relaxed about food and really see your numbers in the normal range. Why are people scared of the pump?
__________________
Dx: 10/20/09, Hb1c 9.2, FBG 285, BMI 27.3
Metformin 1000x3
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11-09-2009, 11:12 AM
| | Senior Member
I am a: Type 1 | | Join Date: Sep 2004
Posts: 6,402
| | Quote:
Originally Posted by Khan  Hi All,
Why control D with pills and diet when you can do the same with pills and insulin pump. I mean then you can be a bit relaxed about food and really see your numbers in the normal range. Why are people scared of the pump? | As a type 2 in the UK, you will not be able to get funding for an insulin pump. An insulin pump for a newly diagnosed type 2 diabetic would be like using a grenade to kill an ant. Insulin pumps are designed to treat insulin deficiency- not insulin resistance as the issue is in type 2 diabetes. |
11-09-2009, 11:17 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 7,265
| | | Cause if you abuse insulin, you will have a weight control problem ...
__________________
Linda
Nov 30 A1c (MD office) 5.6% 
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.2 I am my OWN biology experiment |
11-09-2009, 01:11 PM
|  | Senior Member
I am a: Pre-Diabetic | | Join Date: Jun 2008 Location: Greater San Diego area
Posts: 2,250
| | | . . . and increased risk for CVD from high levels of insulin. (Not so say that insulin cannot be an effective tool for T2s, in and of itself, to assist in the preservation of beta cells.)
__________________
Dx prediabetic 02/08 (FBG 127 and 123)
A1c 02/08: 6.5; A1c 05/08: 6.0
A1c 11/08: 5.5; A1c 03/09: 5.3
A1c 09/09: 5.4
No meds
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11-09-2009, 08:57 PM
| | Member
I am a: Type 2 | | Join Date: Jul 2009
Posts: 317
| | Quote:
Originally Posted by Funnygrl As a type 2 in the UK, you will not be able to get funding for an insulin pump. An insulin pump for a newly diagnosed type 2 diabetic would be like using a grenade to kill an ant. Insulin pumps are designed to treat insulin deficiency- not insulin resistance as the issue is in type 2 diabetes. | Type 2 diabetics have varying degrees of insulin resistance. Some, like me, have none at all and have normal insulin sensitivity. I would happily go on a pump but with a Type 2 diagnosis there is little chance of getting one. |
11-10-2009, 03:30 AM
|  | Senior Member
I am a: Type 1 | | Join Date: Feb 2008 Location: Melbourne Australia
Posts: 5,044
| | Quote:
Originally Posted by Tribbles Type 2 diabetics have varying degrees of insulin resistance. Some, like me, have none at all and have normal insulin sensitivity. I would happily go on a pump but with a Type 2 diagnosis there is little chance of getting one. | What's "normal" insulin sensitivity, how did you come to that conclusion? How did you ascertain you have no resistance? How was your diagnosis of Type 2 reached?
__________________
−− Type 1 since 1991
≈≈ MM 722 Pump since 2007 / currently using MDI with Levemir and Novorapid
~~ Metformin ER since Sep 2009 |
11-10-2009, 05:50 AM
|  | Member
I am a: Type 2 | | Join Date: Jul 2008 Location: Northern VA
Posts: 435
| | | Why use pills OR insulin if you can control it with only diet and exercise, which greatly reduces my pharmacy spending?
Different strokes for different folks.
Also, if I control my diet, I also have better control of my weight and many other facets of my overall health besides just blood glucose levels.
__________________ *Jill* Diagnosed Type 2 May 21, 2008, A1C 9.5, Fasting Glucose 214
Had DS surgery to resolve diabetes on March 27, 2009.
3/27/09: 308.5 pounds
9/29/09: 221 pounds
A1C on July 10, 2009: 5.4 
A1C on September 29, 2009: 5.1 |
11-10-2009, 08:16 AM
| | Member
I am a: Type 2 | | Join Date: Jul 2009
Posts: 317
| | Quote:
Originally Posted by Subby What's "normal" insulin sensitivity, how did you come to that conclusion? How did you ascertain you have no resistance? How was your diagnosis of Type 2 reached? | Because I looked like a Type 1 at diagnosis (DKA with no aggravating condition, thin, and insulin dependency), and they couldn't find any antibodies it makes me a Type 2. On the other hand this also made me an interesting research topic so they ran me through a whole battery of test, I felt like a lab rat by the end, but it was interesting.
One of the outcomes was that my insulin sensitivity and resistance is normal as they model it. The conclusion was that my beta cells were dying although they had no idea why or how fast but I'm not now insulin dependent so they treat it as Type 2 and wait for a collapse. |
11-10-2009, 08:20 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 7,265
| | Quote:
Originally Posted by Tribbles Because I looked like a Type 1 at diagnosis (DKA with no aggravating condition, thin, and insulin dependency), and they couldn't find any antibodies it makes me a Type 2. On the other hand this also made me an interesting research topic so they ran me through a whole battery of test, I felt like a lab rat by the end, but it was interesting.
One of the outcomes was that my insulin sensitivity and resistance is normal as they model it. The conclusion was that my beta cells were dying although they had no idea why or how fast but I'm not now insulin dependent so they treat it as Type 2 and wait for a collapse. | I don't wish to sound like whoa, hey, cool ... but did they did they do an insulin clamp on you? I am quite interested in this topic ... since they are heck-o-gosh-y darned bent on treating me as a T2 ...
__________________
Linda
Nov 30 A1c (MD office) 5.6%
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.2 I am my OWN biology experiment |
11-10-2009, 09:05 AM
| | Member
I am a: Type 2 | | Join Date: Jul 2009
Posts: 317
| | Quote:
Originally Posted by foxl I don't wish to sound like whoa, hey, cool ... but did they did they do an insulin clamp on you? I am quite interested in this topic ... since they are heck-o-gosh-y darned bent on treating me as a T2 ... | Actually it was quite cool in a geeky sort of way. I had an insulin clamp which wasn't as bad as I had expected although I wasn't happy as I hate needles. The muscle biopsy *really* hurt though, I definitely can't recommend that ...
The rationale for treating it is a Type 2 is that there is no insulin dependency, on the other hand they told me not to expect that to last more than a couple of years so I suppose they may reclassify when and if it comes to pass.
I feel that a lot of times Type 2 is used as a parking place while they wait for things to resolve. I also think that the categories are overly broad and this probably leads to non-optimal treatment at times. |
11-10-2009, 09:21 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 7,265
| | Quote:
Originally Posted by Tribbles Actually it was quite cool in a geeky sort of way. I had an insulin clamp which wasn't as bad as I had expected although I wasn't happy as I hate needles. The muscle biopsy *really* hurt though, I definitely can't recommend that ...
The rationale for treating it is a Type 2 is that there is no insulin dependency, on the other hand they told me not to expect that to last more than a couple of years so I suppose they may reclassify when and if it comes to pass.
I feel that a lot of times Type 2 is used as a parking place while they wait for things to resolve. I also think that the categories are overly broad and this probably leads to non-optimal treatment at times. | I would probably "enjoy" doing an insulin clamp too ... the geek in me!
Yes, I feel like I am "parked" in T2 mode ... I too was DKA at diagnosis but have GAD antibodies.
With my insurance I am rather limited as to "in network providers," and am considering my options, but the one other Endo I MIGHT care to see who is in-network, also treats "clinically," ie, ignoring GAD, per her MA.
__________________
Linda
Nov 30 A1c (MD office) 5.6%
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.2 I am my OWN biology experiment |
11-10-2009, 10:45 AM
| | Member | | Join Date: Jan 2009 Location: USA
Posts: 149
| | You are certainly seeing docs a lot more educated than I am about diabetes, but...
it really seems that you have type 1 clinical syndrome. And they have gone overboard to prove that.
According to redirect (a standard textbook of medicine to which I subscribe), only 90% of type 1 diabetics have antibodies to IA-2, insulin or GAD. If the root problem is insulin deficiency, it would make more sense to me to call it type 1 diabetes, period.
Rotcoddam Quote:
Originally Posted by Tribbles Actually it was quite cool in a geeky sort of way. I had an insulin clamp which wasn't as bad as I had expected although I wasn't happy as I hate needles. The muscle biopsy *really* hurt though, I definitely can't recommend that ...
The rationale for treating it is a Type 2 is that there is no insulin dependency, on the other hand they told me not to expect that to last more than a couple of years so I suppose they may reclassify when and if it comes to pass.
I feel that a lot of times Type 2 is used as a parking place while they wait for things to resolve. I also think that the categories are overly broad and this probably leads to non-optimal treatment at times. |  |
11-10-2009, 10:50 AM
| | Senior Member
I am a: Type 1.5 | | Join Date: Feb 2009 Location: KCMO
Posts: 7,265
| | Quote:
Originally Posted by rotcoddam You are certainly seeing docs a lot more educated than I am about diabetes, but...
it really seems that you have type 1 clinical syndrome. And they have gone overboard to prove that.
According to redirect (a standard textbook of medicine to which I subscribe), only 90% of type 1 diabetics have antibodies to IA-2, insulin or GAD. If the root problem is insulin deficiency, it would make more sense to me to call it type 1 diabetes, period.
Rotcoddam | I agree -- but old habits die HARD.
My Endo (who's maybe in her early 40's?) actually defines T1 vs T2 as insulin dependence???
__________________
Linda
Nov 30 A1c (MD office) 5.6%
Jul ... C-pep 1.3, GAD-65 > 30
metformin 1000 mg BID
Simvastatin 80 mg
Ramipril 5 mg
T4 125 mcg
baby aspirin
Vitamin D3, 2000 IU (blood values normal, advised to continue this dose by endo)
CoQ10 100 mg
Eating 70 - 90 g carb per day
Interval training on recumbent cycle
BMI is down to ca. 25.2 I am my OWN biology experiment |
11-10-2009, 02:14 PM
|  | Senior Member
I am a: Type 2 | | Join Date: Dec 2006 Location: South Dakota
Posts: 922
| | Quote:
Originally Posted by foxl I agree -- but old habits die HARD.
My Endo (who's maybe in her early 40's?) actually defines T1 vs T2 as insulin dependence??? | THAT, is just plain wrong.
-Lloyd
(insulin dependent T2)
__________________ If it is to be, it's up to me! -Lloyd http://www.forecast.diabetes.org/mag...atures/success Insulin Dependent T2, C-peptide 0.5, Pumping 2 1/2years
1//19/10 5.4 10/28/09 5.4 7/20/09 5.4 4/20/09 5.3 1/20/09 A1c 5.2 12/2/08 A1c 5.0 10/6/08 A1c 5.1
8/11/08 A1c 5.2 5/12/08 A1c 4.92/18/08 A1c 4.9 11/2007 A1c 5.3 8/2007 A1c 5.5 6/2007 A1c 5.7
3/2007 A1c 6.9 12/2006, A1c 7.8 9/2006, A1c 8.5 6/2006 A1c 8.7 |
11-11-2009, 08:49 AM
| | Member
I am a: Type 2 | | Join Date: Jul 2009
Posts: 317
| | 
I kicked up a fuss when they said it was Type 2, not that I object to Type 2 because after all I get to keep my beta cells for longer, but because of the parameters used for diagnosis which turned on the presence or not of antibodies and with the exception of age I patently did not fit the Type 2 pattern. This left me with the nasty feeling that it might all go horribly wrong, and I would rather know now.
As it happened the endo who diagnosed me had a research interest in this area and said if I had the time they would like to run a load of tests on me for research. It wouldn't alter the diagnosis because those were the guidelines they had to use but it might give me a better idea of what was happening. Obviously I jumped at the chance!
From the drug treatment point of view there is not much difference between me and a normal Type 2, except drugs to increase sensitivity are a waste of time. My personal feeling is that Type 2 exists on a continuum where the cause varies between entirely insulin resistance and entirely cell death and people sit somewhere on that line. I seem to be right down at the cell death end! |
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