my first visit to an indocrinologist today

[Guest guest]

A few things jumped out for me. I had in mind your manner of approaching a

diabetic question scientifically which led me to have you consider the

following:

First using 180 carbs per day before, now unknown.

second 200 pounds now and then.

Third I would offer that you are very insulin resistant given your insulin

dose and weight.

I should mention that I don't use insulin.

I was reminded of the observation of Dr. Bernstein about the law of large

and small numbers. The short version, large amounts of insulin to chase

large amounts of carbs produce the roller coaster effect. In large amounts

of either there is much room for daily variation and error in tracking.

These produce the large swings of insulin chasing the large swings of

glucose.

When having small amounts of carbs small amounts of insulin are called for.

Any variation or error are correspondingly small and avoid lows and the

damage peaks of either can do.

To address the insulin resistance specific efforts are called for.

The same doc has a program of short duration exercise daily to knock down

the peaks of glucose. Exercise also primes the cells to accept glucose

without insulin and to make them less insulin resistant when it is

required.

The very biggest bang for effort to control glucose and reduce medication

is to loose weight. At 200 pounds, and just to pick a number, 6 feet, one

is still close to the obese range. One can guage their status accordingly.

Large amounts of insulin facilitate easy and rapid weight storage of excess

calories. The kind of fat a diabetic has produces hormones which increase

insulin resistance. It is a vicious circle only weight and fat loss can

aid. With exercise muscle mass is increased which helps overcome insulin

resistance.

XB

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