You have a problem. Type-2 diabetes is a silent killer and is wreaking havoc on your body. Along the way it will damage your body in ways that are often not reversible and, in the end, will trigger other conditions that could become lethal. What can you do about this?
There are many conditions within your body where a balance is maintained by hormones whose role is to maintain homeostasis (balance). Examples include the arginine / lysine balance, the cortisol / melatonin sleeping hormone balance, the Omega-3 / Omega-6 Polyunsaturated fat balance and your problem is the glucose / insulin balance. In your case the balance has become too heavy on the glucose end and too light on the insulin end. This is usually the result of your pancreas struggling to produce enough insulin to balance the level of dietary glucose arriving into your blood.
You have probably been heading for this failure, for many years as you became gradually more and more insulin resistant and therefor required higher and even higher levels of insulin from your pancreas, to control the incoming glucose. Your HbA1c level will have been rising and your pancreas ramped up its insulin production, but over time it lost the ability to produce the level that was asked of it.
Because your body can only tolerate a maximum of 1 teaspoon of sugar in the blood at any time, whenever you ate confectionary, starches, sweet food or carbohydrates such as bread, pasta, potatoes, beer, cola, bagels, oats, and cereals you pushed up the glucose level in your blood. This pushed up insulin even higher to force the storage of glucose into muscles, liver and adipose fat in order to try and bring this blood glucose level down to non-toxic levels.
There are 2 ways to address a balance problem, either you put more weight on the light end or you take some weight off the heavy end. A doctor may chose to try and reduce your weight of glucose by prescribing a drug like Metformin which inhibits your liver from making glucose, or may choose to put more weight on the light end of the balance by prescribing external insulin. Often the doctor will take a path that minimizes changes to your lifestyle. My understanding is that doctors are often concerned that patients will not adhere to lifestyle changes, so a prescription which alters that balance is possibly a simpler and more sure option.
Changes to your insulin / glucose balance are very serious for your body and getting this wrong can have serious consequences for your health. My father had a pancreas failure when I was only 12 which caused him to act very irrationally at times. His last day as a school teacher was the day he took an irrational “turn” and wouldn’t let the children in his class go home, much to the consternation of all the parents. Sadly, he died of complications from this problem some weeks later.
One of the problems with taking external insulin to restore the balance is that it can maintain a continuously high insulin level in your body which is very unhealthy. This approach also fails to improve your metabolic health which ultimately increases your risk of a more serious COVID19 reaction. The high insulin level can damage many of your organs, your eyes, and can ultimately lead to obesity, heart disease, blindness and even to limb amputation. Many people on external insulin gain unwanted weight.
An alternative approach to addressing this balance is a lifestyle change. This requires a high degree of commitment to ensure success, because failure to stick to the guidelines may mean sickness and a return to external insulin. By a lifestyle change, I mean that we regain the needed balance by significantly reducing the incoming dietary glucose level in food, so that a much smaller level of insulin is needed to manage it. In some cases, this will result in a significant reduction in medication, while in other cases there may be sufficient insulin production capability left in the pancreas for you to get off medication completely. In some cases, the reduction in medication can begin within a few days.
Adding more exercise can also assist as it burns up glucose from muscles which is then replaced by pulling glucose from your blood.
Don’t for a minute think that this type of change is a pipe dream. Doctors all over the world who have begun to understand low carb nutrition are achieving this type of change for their patients. Dr. David Unwin in UK is famous for this approach having been awarded 2016 Innovator of the Year by the UK NHS. In New Zealand Dr. Glen Davies of Taupo has now put 100 patients into remission and in the USA, Virta Health (www.virtahealth.com) is treating Type-2 diabetes patients virtually and putting many into remission all over North America.
If a lifestyle change with reduced medication seems right for you, then the first step is to discuss this with your doctor. As indicated previously, this is a serious change and you will need support particularly over the first 2 weeks as the changes to your diet start to impact your hormones. Should you find that your doctor is not willing to support you, then you may seriously want to look for an alternative doctor, because remaining on high levels of insulin has a particularly nasty outcome for many people and your doctor should not be making this type of life choice for you. Some doctors have not kept up to date with the changes in treatment for Type-2 diabetes and you need to be able to evaluate these better treatment options.
If you would like to help your doctor, maybe you could provide them with a copy of this document from low carb USA, https://www.lowcarbusa.org/clinical-guidelines/
For more information about the suggested lifestyle change and “Taking back your health” with diet as medicine, take a look at my blog page, www.takebackyrhealth.com. You will find there a link to my book on Amazon.
Whatever your decision, good luck with the outcome.
Kind Regards George Elder.