T2Ds - Insulin, BG, and Alzheimer's
RalfLott
Posts: 5,036 Member
Fascinating/scary interview with Dr Melissa Schilling:
https://youtu.be/WNS0EiyN0YU
If you've ever wondered whether it's really necessary to work so hard to stay off insulin and keep your BG under control, this discussion may encourage you to keep at it!
https://youtu.be/WNS0EiyN0YUIf you've ever wondered whether it's really necessary to work so hard to stay off insulin and keep your BG under control, this discussion may encourage you to keep at it!
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Replies
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Thanks for sharing. Very sobering information.1
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Fortunately, I don't have diabetes but I have many family members who do and one of my grandfathers died of Alzheimer's. I've adopted LCHF in hopes of avoiding these diseases. Wish I could get other family members to join me.3
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Fortunately, I don't have diabetes but I have many family members who do and one of my grandfather's died of Alzheimer's. I've adopted LCHF in hopes of avoiding these diseases. Wish I could get other family members to join me.
You are doing yourself (and those close to you) a huge favor by stepping off the sugar train at an early stop!3 -
WOW, what an interesting interview!! Thanks for sharing!!1
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Dr. Fung just posted a blog about blood sugar research...
The UKPDS (United Kingdom Prospective Diabetes Study) was a huge study undertaken in the UK to see if intensive blood glucose lowering in T2D would prevent end organ damage over long run. The DCCT study mentioned previously had already established the paradigm of tight blood sugar control in Type 1, but whether this held true for type 2 remained to be seen.
http://us7.campaign-archive2.com/?u=4f49b1bc5c73173b727fe0ca2&id=5c73fdbb05&e=07510dda63
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Thank you so much for sharing this! I tearing up as I think of my family who are all type 2 diabetics. I am sharing this video with all of them. Thank you again @RalfLott
You know, there is triumph and tragedy here.
We're lucky to be living in an era where we have a lot of solid information and many painless ways other than injecting insulin available to us to manage our affliction
On the other hand, it is heartbreaking in the same day and age to see overweight T2Ds continue to eat HCLF and resign themselves to the common idea that T2D is a chronic disease that requires daily insulin treatments and whose course is out of our control. It's almost as if the "Poison" warning on high-carb, low-nutrient foods is invisible to the vast majority of folks who most most need to see it.....
Good luck in your efforts to spread the word!2 -
Just shared this on my Facebook page! Thanks again Ralflott!1
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Hi, folks.
If you're interested in chasing down Dr. Schilling's work, here are links to- A summary of Dr. Schilling's research.
- A PDF of Dr. Schilling's publilshed study, "Unraveling Alzheimer’s: Making Sense of the Relationship between Diabetes and Alzheimer’s Disease"
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(Bump for recent Alzheimer's discussions)0
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@RalfLott - Thanks so much for posting and bumping this! I looked at the video when you first posted but now that I've been listening to the Alzheimer's and keto podcasts it spurred me to read Dr. Schilling's journal article.
Dr. Schilling's meta-analysis is quite impressive and her findings are quite disturbing. Her article should be required reading for every physician and her implications should be read by insurance carriers and the general public. I found the following excerpt to be particularly compelling:
"Furthermore, there is evidence that hyperinsulinemia
precedes the hyperglycemia of T2DM by many years
and it is likely the chronic overstimulation of insulin
receptors that leads to insulin resistance [35, 97, 101].
This suggests that extreme caution should be exer-
cised in giving a diabetic or pre-diabetic individual
extra insulin—it may just add fuel to the fire.
The evidence overwhelmingly suggests that testing
for glucose tolerance should occur early and often.
There is no downside to glucose tolerance testing
other than minor cost, and the upside could be the
earlier identification and treatment of pre-diabetes
and diabetes. Given the evidence of a very strong
association between hyperinsulinemia and AD (and
other forms of dementia), every patient with AD or
mild cognitive impairment should be regularly tested
for glucose intolerance. Furthermore, obesity is also
strongly associated with hyperinsulinemia [97] and
diabetes [102], and thus, not surprisingly, increases
the risk of AD [103]. Given the widespread preva-
lence of obesity, pre-diabetes, and diabetes, glucose
intolerance testing should become a standard part of
regular health screening in the broader population" (Schilling, 2016, p. 972).3 -
@RalfLott - Thanks so much for posting and bumping this! I looked at the video when you first posted but now that I've been listening to the Alzheimer's and keto podcasts it spurred me to read Dr. Schilling's journal article.
Dr. Schilling's meta-analysis is quite impressive and her findings are quite disturbing. Her article should be required reading for every physician and her implications should be read by insurance carriers and the general public. I found the following excerpt to be particularly compelling:"Furthermore, there is evidence that hyperinsulinemia precedes the hyperglycemia of T2DM by many years
and it is likely the chronic overstimulation of insulin receptors that leads to insulin resistance [35, 97, 101].
This suggests that extreme caution should be exercised in giving a diabetic or pre-diabetic individual
extra insulin—it may just add fuel to the fire.
The evidence overwhelmingly suggests that testing for glucose tolerance should occur early and often.
There is no downside to glucose tolerance testing other than minor cost, and the upside could be the
earlier identification and treatment of pre-diabetes and diabetes. Given the evidence of a very strong
association between hyperinsulinemia and AD (and other forms of dementia), every patient with AD or
mild cognitive impairment should be regularly tested for glucose intolerance. Furthermore, obesity is also
strongly associated with hyperinsulinemia [97] and diabetes [102], and thus, not surprisingly, increases
the risk of AD [103]. Given the widespread prevalence of obesity, pre-diabetes, and diabetes, glucose
intolerance testing should become a standard part of regular health screening in the broader population"
(Schilling, 2016, p. 972).
This seems obvious to us now, but aside from Drs. Bernstein and Atkins and a perhaps handful of other diabetians and researchers, it was not on many radar screens back when early testing would have caught me in the prediabetes stage....
I recently had a sort of fasting glucose tolerance test - it was a hydrogen breath test that also required a long fast followed by gulping 50g of glucose (a wretched stomach-turning bomb of carbs in a thick, gooey syrup). I brought my glucose meter and tested throughout and watched my BG go from 90 - 300 in around 1 hour.
Yet even today, a fasting glucose test would never catch my T2D. But I have to think a random insulin test would have been even more likely to catch hyperinsulinemia then than now (since I'm off carbs and on effective meds now). And even today, my PCP sees no reason to test insulin levels...3 -
@RalfLott Thank you! for bringing this informative video to our attention. I am just now taking time to read it.....after having eating a one piece of bread fold over sandwich with two pineapple slices w/mayo......thinking I could slide in a few carbs..... WELL...... after that video, which I plan on viewing again, I will not be sliding in empty processed carbs along with more sugar!! I lost a Maternal Grandfather to Alzheimer's. It scares me more than Diabetes does....So I am praying the fear of both will help solidify my LCHF intentions.1
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Time2LoseWeightNOW wrote: »@RalfLott Thank you! for bringing this informative video to our attention. I am just now taking time to read it.....after having eating a one piece of bread fold over sandwich with two pineapple slices w/mayo......thinking I could slide in a few carbs..... WELL...... after that video, which I plan on viewing again, I will not be sliding in empty processed carbs along with more sugar!! I lost a Maternal Grandfather to Alzheimer's. It scares me more than Diabetes does....So I am praying the fear of both will help solidify my LCHF intentions.
Ahoy! You might keep a bunch of orange skull-and-crossbones poison stickers in your pocket and slap them on anything carby you're considering for your next deviation....
Another trick might be to loosen the belt on your overstuffed cupboards by giving away all your poisons (flour, sugar, candy.....). Tip - put those stickers on all that stuff while you're still in the LCHF mindset.
But yeah, it is scary! I really don't want Alzheimer's, and that's also my prime motivator to keep my BG down.
(I'd just as soon not court infections, atherosclerosis, and amputations either
) 2 -
Wish it was that easy...I have a family that sees this as only my problem since I am the one diagnosed....I see it as a prevention for each of them to never have these problems occur. I am hoping in time I can transition them off a lot of carbs...but I doubt it...Potato, Rice, cornbread, sliced bread , sweet tea, sweeter coffee loving husband and son will not budge....so.... I do manage to not cook these items very often...so that's where I am hoping to transition them off... Sugar, Bread , Tea, Coffee...not much luck there with hubby or son... My temptation is when I cook for them..... so seeing this video will help me with that temptation...1
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@RalfLott - T
I recently had a sort of fasting glucose tolerance test - it was a hydrogen breath test that also required a long fast followed by gulping 50g of glucose (a wretched stomach-turning bomb of carbs in a thick, gooey syrup). I brought my glucose meter and tested throughout and watched my BG go from 90 - 300 in around 1 hour.
Yet even today, a fasting glucose test would never catch my T2D. But I have to think a random insulin test would have been even more likely to catch hyperinsulinemia then than now (since I'm off carbs and on effective meds now). And even today, my PCP sees no reason to test insulin levels...
Wow - very interesting that fasting glucose would not catch your T2D. Am I correct in assuming that an A1c test would?
That's quite a jump from 90 - 300 in hour - sorry that you have to deal with all this. Because of my family history, I'm trying to learn all about this now and avoid these challenges later.
I've seen a number of posts now about insulin tests. I didn't realize that such tests are available. I don't think that my mother (who has been a Type 2 diabetic for 15 or so years) has ever had an insulin test.0 -
Time2LoseWeightNOW wrote: »Wish it was that easy...I have a family that sees this as only my problem since I am the one diagnosed....I see it as a prevention for each of them to never have these problems occur. I am hoping in time I can transition them off a lot of carbs...but I doubt it...Potato, Rice, cornbread, sliced bread , sweet tea, sweeter coffee loving husband and son will not budge....so.... I do manage to not cook these items very often...so that's where I am hoping to transition them off... Sugar, Bread , Tea, Coffee...not much luck there with hubby or son... My temptation is when I cook for them..... so seeing this video will help me with that temptation...
You can buy home A1c tests at your local Walmart
Possibility?1 -
@RalfLott - T
I recently had a sort of fasting glucose tolerance test - it was a hydrogen breath test that also required a long fast followed by gulping 50g of glucose (a wretched stomach-turning bomb of carbs in a thick, gooey syrup). I brought my glucose meter and tested throughout and watched my BG go from 90 - 300 in around 1 hour.
Yet even today, a fasting glucose test would never catch my T2D. But I have to think a random insulin test would have been even more likely to catch hyperinsulinemia then than now (since I'm off carbs and on effective meds now). And even today, my PCP sees no reason to test insulin levels...
Wow - very interesting that fasting glucose would not catch your T2D. Am I correct in assuming that an A1c test would?
That's quite a jump from 90 - 300 in hour - sorry that you have to deal with all this. Because of my family history, I'm trying to learn all about this now and avoid these challenges later.
I've seen a number of posts now about insulin tests. I didn't realize that such tests are available. I don't think that my mother (who has been a Type 2 diabetic for 15 or so years) has ever had an insulin test.
By way of clarification, I meant a single fasting glucose reading, not a glucose tolerance test.
An A1c test would indeed catch T2D. But, alas, many docs will only measure your A1c IF your fasting glucose level is high
Go figure.
I really don't have to deal with the problem, thank god. Between eating LCHF, taking Glucophage (name-brand version of metformin - far superior in my case...), and frequent blood glucose monitoring (waking, before meals, and 1 & 2 hours afterward), my BG is pretty much under control.
Sure glad I found this group.2 -
Interesting video, but I am not happy with the man's choice of words; that we choose to be diabetic t2 through our lifestyle choices. In my opinion, we are getting bad advice from doctors and gov who tell us that carbs are essential to our diet and that is our downfall. I never even heard of keto until I found out I am diabetic and joined a fb diabetes support group.1
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Interesting video, but I am not happy with the man's choice of words; that we choose to be diabetic t2 through our lifestyle choices. In my opinion, we are getting bad advice from doctors and gov who tell us that carbs are essential to our diet and that is our downfall. I never even heard of keto until I found out I am diabetic and joined a fb diabetes support group.
I agree. Completely.
I'm glad you bumped this thread.1 -
Interesting video, but I am not happy with the man's choice of words; that we choose to be diabetic t2 through our lifestyle choices. In my opinion, we are getting bad advice from doctors and gov who tell us that carbs are essential to our diet and that is our downfall. I never even heard of keto until I found out I am diabetic and joined a fb diabetes support group.
Wow!
I feel like I did make lifestyle choices that increased my risk--but no--I did not choose to be Type 2. If I had known many years ago that fat wasn't my enemy it could have positively impacted my health.
This is so highly irritating. I had Gestational Diabetes twice (and back-to-back because my kiddos are only 16 months apart) and I didn't choose that (GD is caused by the placenta and anyone can "get" it) but it surely did almost DOUBLE my risk of developing Type 2. So while there are some things I should have done to help myself, there were also factors that I could not control.
The one thing I'm thankful for is that I can lead my children in a better direction. Having diabetes has opened my eyes to how our bodies actually work. I feel that I'm able to give my children a much better start (which is important as they have a strong family history of diabetes thanks to me and also my husband's family).1 -
Oy! The years I spent chasing the elusive "whole grains" unicorn at the urging of a bright doctor who, like his predecessors who recommended Camel cigarettes, was certain he was right.
That I ever stumbled into LC and decided to give it a real try is a testament to the powers of Dr. Google and people like y'all!1
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