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Re: Re.: Why difficult for diab. 1 to loose weight

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Oluf nson writes:

<< ... But NO, Michel, if the patient does not respond to sulfonyureas,

because the genuine insulin-production is more or less ”cero”. In that

situation, though originally and from definition a T2, this patient must be

treated as a T1. Accordingly, in that situation, with an extreme rise in

BG, ketoacidosis will be a result and the risks are exactly identical, if

insulin is not substituted ... >>

Oluf, I am relieved that you responded to this. I am concerned about

newly-diagnosed diabetics being misled by incorrect info. Type 2's can

indeed lose pancreas function - from long-term use of sulfonylureas or from

beta cell burnout caused by years on a high-carbohydrate diet. And type 2's

with no pancreas function would indeed respond just like type 1's, including

experiencing ketoacidosis.

Susie

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A portion of the exchange between Oluf nson and Rosie:

{Rosie} It is also possible that diabetes, in the very early stages, CAUSES

weight gain.

{Oluf} Rosie, that's new to me. How do you explain that? I would be very

interested in knowing how and why? Have you any scientific references on

that?

Type 2's eat the modern diet, which is relatively low in protein but high in

carbohydrates and relatively high in fats, as well as being too high in

calories for our sedentary lifestyle. Their bodies churn out insulin to

handle the carbohydrate/calorie load, but over time, because they are prone

to diabetes and are overeating and " overcarbing " for their energy output,

they become resistant to all the insulin being churned out. They eat a lot

of carbohydrates, their blood glucose spikes, their insulin level spikes,

their b.g. comes crashing down, and their body - quickly realizing that it

is carbs that brings glucose levels back up the fastest - begins demanding

more carbs. If they give in, their glucose once again soars, the insulin

soars, and so on. Because they are eating too many calories for their energy

expenditure, and because our bodies cannot store protein, the body burns the

fat and uses the protein, and stores the excess carbohydrates as body fat.

The fatter and more insulin-resistant we become, the more diabetic we

become. It is a vicious cycle that can nevertheless often be broken with

caloric restriction, wise food choices, and sufficient energy levele and

weight loss. A weight loss of even 10-15 pounds can produce marked

improvement. Studies have revealed improvements in glucose uptake from as

few as four days of low-cal eating.

Twins are no longer separated at birth, but old studies with identical and

fraternal twins who were separated at birth did show that nature was more

powerful than nurture ... their body shape and diabetes incidence more

closely matched their siblings and birth parents than their adoptive

families. But that does not mean that we can or should resign ourselves to a

lifetime of accumulating diabetes complications, just because we have/had

diabetic ancestors. We have the power to make significant improvements in

our health.

Susie

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