Sat, May-16-15, 06:24
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NEVER GIVING UP!
Posts: 5,030
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Plan: no sugar/grains LCHF IF
Stats: 478/354/200
BF:excessive!!
Progress: 45%
Location: UK
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If you look at the work of Dr Fung, he says that the true mechanism of type two diabetes is insulin resistance, and that to truly monitor progression we should look at insulin levels as well as BG.
Looking at it from that perspective, the severe insulin resistance and reactive hypoglycaemia that I suffered from for years was the beginning of diabetes, even though my BG were very low (after meals they were often shockingly low).
If we simply measure by BG then yes the patient reaches a point when they simply can't produce enough insulin to counteract resistance, and so BG will then increase. But in reality this is just a stage in the middle of the disease. The disease really starts when insulin levels begin to rise, indicating resistance.
I expect this type of thinking would be controversial if implemented, with half of the people not wanting to believe that actually they do have diabetes, and the other half grateful to be able to catch the disease before it progressed to high BG.
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