Advice Needed - Diabetes scare, Keto, Losing Weight!!
xoprescillaa
Posts: 1 Member
Hello friends!
I had a visit with my Dermatologist yesterday that shot my anxiety through the roof. I went in to have my skin tags removed and she asked "are you diabetic?" and when I responded with no, she very rudely said "you WILL be diabetic in 5 years if you don't make a BIG change". She went on to say that a lot of skin tags are Gods way of saying diabetes will be a part of my life soon.
My moms diabetic so I'm already at a high risk and thanks to life happening, I went from 160lbs in 2017 to 260 lbs now. Not good, I know. COVID isn't helping - especially because gyms are still closed and I'm stress eating/battling depression.
So I need help! That was obviously the shock I needed to get my butt in gear but I need some advice. I don't know if I should go Keto and quickly cut carbs to get my body working properly again, or if I should just do a standard healthy diet. She said the change needed to be big and she mentioned carbs, but I dunno? I'm just overwhelmed googling diets and need your help! Maybe share some healthy recipes you have too? I'm in a rut with looking those up too.
Side note: I have recently moved and don't have a doctor in town yet so that's unfortunately not something I can do just yet. Also I have reaaaaaally high anxiety over health and doctors so it's hard for me to accept that I need one. Please be gentle with me.
TLDR (too long didn't read):
-Dermatologist said I'm at risk for becoming diabetic.
-What diet should I go for? Standard or Keto?
-Share some recipes/advice with me please!
I'm really nervous posting this but I'm excited to hear any advice!
Thanks everyone
I had a visit with my Dermatologist yesterday that shot my anxiety through the roof. I went in to have my skin tags removed and she asked "are you diabetic?" and when I responded with no, she very rudely said "you WILL be diabetic in 5 years if you don't make a BIG change". She went on to say that a lot of skin tags are Gods way of saying diabetes will be a part of my life soon.
My moms diabetic so I'm already at a high risk and thanks to life happening, I went from 160lbs in 2017 to 260 lbs now. Not good, I know. COVID isn't helping - especially because gyms are still closed and I'm stress eating/battling depression.
So I need help! That was obviously the shock I needed to get my butt in gear but I need some advice. I don't know if I should go Keto and quickly cut carbs to get my body working properly again, or if I should just do a standard healthy diet. She said the change needed to be big and she mentioned carbs, but I dunno? I'm just overwhelmed googling diets and need your help! Maybe share some healthy recipes you have too? I'm in a rut with looking those up too.
Side note: I have recently moved and don't have a doctor in town yet so that's unfortunately not something I can do just yet. Also I have reaaaaaally high anxiety over health and doctors so it's hard for me to accept that I need one. Please be gentle with me.
TLDR (too long didn't read):
-Dermatologist said I'm at risk for becoming diabetic.
-What diet should I go for? Standard or Keto?
-Share some recipes/advice with me please!
I'm really nervous posting this but I'm excited to hear any advice!
Thanks everyone
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Replies
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First off, take a big breath. It is scary hearing that you are on the way (without changes) to becoming diabetic (I have been there too). Secondly the Derm could have more tact , but they are correct in stating that skin tags are a sign of insulin resistance. Google Insulin Resistance or look up Amy Berger on You Tube - she has a nice short explanatory video all about skin conditions and Insulin Resistance. Then, once you're sure you understand that , can you make a decision about what to eat. You can do this, it's just waay easier if you are well informed.
Good luck, and remember you are not alone.2 -
First, find a new dermatologist because RUDE
Second, no you don’t need to do keto. You need a food scale. Enter your stats in mfp and how much you want to lose per week. Pick a realistic amount (2 lbs probably too aggressive) and set your activity level. I chose sedentary and then I enter my exercise separately. Weigh your foods and eat at a deficit and you will lose weight without keto or exercise.
Exercise is good for your health, so maybe do some YouTube videos or walk around your neighborhood.
CICO is all that matters for weight loss and obesity is a big risk factor for diabetes. Considering you have other risk factors, maybe try to limit some of the foods that are really high in carbs, but you can start with just weight loss if that’s easier for you.8 -
Hi there, don't worry yourself too much. You've got time.
A big part of fat loss is knowing yourself. You got to know what is reasonable for you to do and what isn't. Some have great luck just cutting 500 calories from their TDEE (total daily energy expenditure) while other don't.
I suggest that you set up your MyFitnessPal account with the goal of losing 1 pound a week. Change only your diet. Do not immediately pick up an exercise regime. It will be easier to stick with smaller changes and add onto them later.
Starchy carbs are what "low carb" diets actually try to restrict. This is fine. Starchy carbs are typically filler calories anyway. But again, this all will depend on what you think you can do everyday.
If you could reply back with some more information such as how you've set up your account here, what it says your TDEE is, goal calories, how many pounds per week you set it to, what a typical week looks like on your plate, as well as your hunger levels throughout the day, it'd go a long way towards giving some good advice suited for you.0 -
You should get your A1C checked, if it is even close to be diabetic, which is very probable, cut your carbs vs a standard diet or you will be full-blown diabetic. Sometimes we need a scare to wake up.
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It's a learning curve, eating a little less calories than you burn every day. Don't complicate it with keto or anything else drastic. Small changes that you can sustain forever without much effort make the biggest impact in the end. Exercise is not necessary for weight loss, but the RIGHT exercise will help control your anxiety more effectively than self-medicating with food ever has. This is a great place to learn and exchange ideas with people knowledgeable about weightloss. Welcome and good luck on your journey.3
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Type 2 diabetic here. You are very lucky! You get to make changes and save yourself before you end up with a chronic disease! Rather than firing your derm for rudeness I think you should thank her. I wish someone had been that rude to me before my diagnosis.
First of all, I agree that you need an a1c. That will let you know where you stand. Any clinic can do this for you.
The most important thing you can do is to get your weight down to a normal BMI. That may take a while. But don’t be discouraged, losing even 5% of your bodyweight can make a huge difference to your health.
I would suggest not doing ANYTHING today. Just log. Eat as you normally do, exercise (or don’t) as normal, and log every bite, every drink, every condiment. Weigh it. Don’t guess, don’t measure using cups and spoons, weigh and log everything for one week. You have let this go on this long, it won’t hurt to take an extra week. At the end of the week, take a good hard look at your diary. You will be able to see where your weaknesses are and how best to change your diet in ways that suit you.
At the end of your week spent logging, enter your goals into MFP to get a calorie goal.
If you are trying to lower blood sugar you should be aiming for no more than 45 net carbs per meal, with anything eaten within the same two hour time period counting as one meal. For special occasions you can go up to 60 net carbs. But far more important is that you need to eat within your calorie goals. If you do that you will lose weight. You don’t need a special diet to lose weight.
The other thing which helps insulin resistance is regular exercise, both cardio and strength.
So, to summarize:
First figure out where you stand now, which will help you make changes,
The most important thing is calories.
Since you are worried about diabetes, you should also limit carbs. You don’t need to go keto, just keep your carbs reasonable.
Exercise is also very good at preventing diabetes.
You can do this! I lost 125 lbs after my diagnosis and my a1c is now at normal, non-diabetic levels. Unfortunately, once you get diabetes, it’s permanent, and I will always have to watch my carbs closely to keep my blood glucose from spiking. You are much luckier, you can turn this thing around!15 -
I was (ultimately) very grateful for a doctor who told me point blank that losing weight would relieve my GERD symptoms better than any medication he could prescribe.
My too sweet GP gave me the routine “you need to lose weight here have another food pyramid handout” during every visit. She was so polite and careful it never registered.
But it was this doctor’s pointed, forthright bluntness, followed by his admission “if I can do it, you can do it”, that planted the seed.
I sent him a thank you note recently. He was right. Ditching that monkey was life changing.
Sometimes what we mistake as rudeness is genuine concern. After all, it is patient “care” for a reason.
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Keto is hard to sustain and I'm not even convinced it's healthy in the long term. A large Microbiome group of scientists I follow just put out diet guidelines today. They strongly recommended the Mediterranean Diet (lots of veggies, lean meats and resistant starches from tubers, beans and lentils). Omega Oils. Oatmeal is fantastic. It's all the sugar people dump in it that makes it unhealthy.
Start with step one. Buy a food scale and track what you eat. Do that one thing for a month. Then identify your calorie bombs the second month and start eliminating them and making better choices.
Whatever you do, it's proven that if you just make one change a month (not two, not three -- just one), your chance of success is like 80% plus. Add in just one more thing and it drops to less than 40%.
That's the number one mistake people do -- "I'm going to change my diet, my workouts, my schedule, my life!". NO!!!! Just start simple with logging for a month and weighing your food. But do that one thing like your life depends on it. Then in the second month, just keep doing that but add in one more thing. Habits are built that way.
@Latrellis -- love that dog pic. I had a Chow Golden for years that looked a bit like your dog!8 -
rheddmobile wrote: »Type 2 diabetic here. You are very lucky! You get to make changes and save yourself before you end up with a chronic disease! Rather than firing your derm for rudeness I think you should thank her. I wish someone had been that rude to me before my diagnosis.
First of all, I agree that you need an a1c. That will let you know where you stand. Any clinic can do this for you.
The most important thing you can do is to get your weight down to a normal BMI. That may take a while. But don’t be discouraged, losing even 5% of your bodyweight can make a huge difference to your health.
I would suggest not doing ANYTHING today. Just log. Eat as you normally do, exercise (or don’t) as normal, and log every bite, every drink, every condiment. Weigh it. Don’t guess, don’t measure using cups and spoons, weigh and log everything for one week. You have let this go on this long, it won’t hurt to take an extra week. At the end of the week, take a good hard look at your diary. You will be able to see where your weaknesses are and how best to change your diet in ways that suit you.
At the end of your week spent logging, enter your goals into MFP to get a calorie goal.
If you are trying to lower blood sugar you should be aiming for no more than 45 net carbs per meal, with anything eaten within the same two hour time period counting as one meal. For special occasions you can go up to 60 net carbs. But far more important is that you need to eat within your calorie goals. If you do that you will lose weight. You don’t need a special diet to lose weight.
The other thing which helps insulin resistance is regular exercise, both cardio and strength.
So, to summarize:
First figure out where you stand now, which will help you make changes,
The most important thing is calories.
Since you are worried about diabetes, you should also limit carbs. You don’t need to go keto, just keep your carbs reasonable.
Exercise is also very good at preventing diabetes.
You can do this! I lost 125 lbs after my diagnosis and my a1c is now at normal, non-diabetic levels. Unfortunately, once you get diabetes, it’s permanent, and I will always have to watch my carbs closely to keep my blood glucose from spiking. You are much luckier, you can turn this thing around!
All of this. Don't freak out. I was at 260 with diabetes and high blood pressure. I started MFP, I love all things carby so I just followed CICO and started moving when I could and now I'm off all meds and my A1C is normal. Find what works for you and stick to it most days.1 -
Firstly, I wouldn't be taking nutrition advice from a dermatologist.
Secondly, I agree with seeing your GP and getting your A1C checked. They should also do a glucose tolerance test and check your insulin levels at the same time. This will tell you if you are already diabetic, or pre-diabetic, or have insulin resistance.
Thirdly, you do NOT need to do keto or any other fad diet. You need to make diet choices that you can see yourself living with for the rest of your life. It's all about what you can sustain, and when you go to extremes very quickly, it will generally not be sustainable or at the very least, you will be miserable while you try it. Start today by just weighing and tracking everything that you eat and drink. Do that for a week or two until it's become a habit and you have some data to work with. You'll quickly see some trends - like you favour sugary snacks in the evenings or you eat more in the afternoons when you skip breakfast, for example. You can then start to make some small changes to what you eat, like substituting low-GI basmati rice instead of white rice, or eating a smaller portion of that pizza you have on Fridays, for example. These small changes add up and give you some momentum. Soon you can really focus on bringing down your calories that you're eating, to a range which will result in weight loss. And you can do something similar with exercise - start small, do 15 mins if that's what time you have or what your body can handle. Build it up as you can.
For background, I am insulin resistant (a result of PCOS) and I consulted with a dietician a couple of years ago (who is a credentialled diabetes educator - important because the dietary recommendations for diabetes and insulin resistance are the same). She recommended a low-GI diet - not low carb or keto (in fact she said to avoid these). Things like pasta are inherently low-GI (since they're mostly egg). She gave me some smart substitutions that would work with my eating habits at the time, and one of the major things was to avoid packaged sauces etc. from a jar or packet - I'd be better off making my own since the packaged ones have high sugar and salt content. The other major thing was my portion sizes - which I have managed to reduce significantly (most of the time!). One thing that was really interesting was that the simple act of getting up out of my chair for a stretch or walk around once every 30 mins throughout the day (I work a desk job so I'm seated for 9+hours a day) has a huge impact on blood sugar levels.
So my advice here is to either research yourself (from reputable sources, like the CSIRO) or get yourself a consult with a specialist who can look at what you eat and help you make some sustainable changes.
Finally, relax. If you do have diabetes, it's going to take time to heal your body - don't do anything drastic and don't panic. This is not a death sentence. It's a complication, and a hurdle, but you can make healthy changes and potentially reverse the effects.7 -
TwistedSassette wrote: »Firstly, I wouldn't be taking nutrition advice from a dermatologist. ...
Finally, relax. If you do have diabetes, it's going to take time to heal your body - don't do anything drastic and don't panic. This is not a death sentence. It's a complication, and a hurdle, but you can make healthy changes and potentially reverse the effects.
Yes, being obese often leads to a Type II diabetes diagnosis. Yes, excess skin tags can, but do not always, indicate excess insulin in the blood and the possibility of Type II diabetes. No, your dermatologist cannot diagnose this and has no special education in its treatment. GPs have some more. An endocrinologist is the expert in this area.
And don't delay getting tested. Diabetes can have some extremely nasty side effects that cannot be cured like neuropathy, blindness, limb loss, kidney failure, etc. With treatment, you can live well into your 90s, no sweat. My grandfather did and he was born in 1888 and diagnosed in the 1930s!
You should get an a1c test as soon as you can see a physician. S/he may ask you to monitor your blood glucose with a monitor and skin pricks. Based on this information, you may be prescribed Metformin pills or another diabetes drug and it will be recommended that you increase your exercise and limit your food intake to lose weight.
You do not need to do anything rash and shouldn't. Yes, you may need to limit carbohydrates to some degree but that doesn't mean going keto. My endocrinologist is happy with my carbohydrates set at 40% of calories.
You can lose weight simply by eating fewer calories and moving more. Set your calories so you are eating fewer calories than your TDEE and start walking a bit. My calories are a couple hundred less than my sedentary TDEE and I walk a couple of miles several times a week. I've been losing pretty consistently since May at 1.5 pounds a week, going from the high 260s to the low 240s. I'm pushing 70, have Type II diabetes, take thyroid replacement pills and use an upright walker for my walks. If I can do it, so can you.
My a1C went from 9 (Type II diabetes) to 6.5 (pre-diabetes) in the first 90 days of eating less and moving more. The endocrinologist also added a second diabetes drug to my metformin. Who knows, I may be taken off that in a few months of more exercise and less weight.
Don't panic and don't avoid appropriate diagnosis and treatment. Besides, you may only have benign skin tags that have nothing to do with anything.7 -
You don't need Keto, as others have mentioned.
This is not perfect, but perhaps do a little online research into diabetes and pre-diabetes. At least to know what risk factors to look for, in terms of 'if this happens I need to see a doc and get a proper diagnosis ASAP'.
My limited information: for diabetics, certain types of carbs have a bigger impact on the blood sugar level than others. Having carbs with protein can help that. One does not need to avoid carbs, but perhaps be aware of quantity. Which is also the same for losing weight.
Also I know that increasing one's activity level & losing weight: tend to be good for diabetes and can even reverse prediabetes.
What to do now? Start logging your food. Look for easy ways to cut back on portions. Decrease quantities of high calorie sides and increase portions of low calorie vegetables, lean meats. Have more grilled, baked food and less fried food. Look for substitutions. Using low fat dairy can help trim calories, for example. If you normally drink sugary sodas: find something less sugar/lower cal/0 cal to replace them.
When you set up your MFP profile, you were probably asked to set a weight loss goal and the tempting thing to do is choose 2 pounds per week. If that particular calorie goal seems too extreme, then go easy on yourself and change it to 1.5 or even 1. The goal is to finish the race, not win it. Going extreme can make it hard to follow thru.
And start moving. Walk around the block. If going outside is not an option (wild fires out west for example) look up Leslie Sansone walking videos online.2 -
Sorry the Derm was rude .... I am type 2 diabetic (or at least I was told I was in the hospital 2019 ) I was on insulin, I was on Victoza ...I was on Metformin ...but I am happy to say I am no longer on any of those .... I have labs every 3 months and my a1c was 6.1... I check my blood sugars everyday and I am between 115 and 130 ..I eat keto/low carb only because I get headaches from quite a few carbs like rice, potatoes and noodles ...but no you do not need to be on keto to lose weight ...........wishing you the very best on your journey
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As others have said, I wish I'd met a medical professional who'd been that blunt a few years ago. Instead, I got a shock "You're diabetic" diagnosis two and a half years ago. That spurred me into really doing something about my weight, whereas a more direct statement a few years earlier may have prompted change and I could have avoided it completely.
I insisted I'd deal with it via diet, so my GP gave me 6 months. Thankfully, with a lot of help from this forum, I got my numbers down far enough for my GP to be happy I was on the right track. At my last blood test, my numbers were below diabetic and I expect them to be even lower at my next one. I haven't needed any tablets and intend to keep things that way.
On the Diabetes UK website, they advise that under 130g carbs a day is considered 'low' and may be helpful, so that's what I aim for. Keto means under 30g a day which is a drastic drop.
First, focus on getting a handle on what you're eating now, where you can make changes and doing what you need to do to lose weight, slowly and sustainably. Once you've got started, look at reducing your carbs - smaller portions of pasta, maybe bulked out with spiralised vegetables, smaller portions of rice, maybe bulked out with cauliflower rice, one or two fewer potatoes and more veg instead, a big salad instead of sandwich. I still eat the same things that I've always eaten- just less of them. For some things, I eat a lot less of them because I eat more veg or salad instead but, because I haven't cut things out, I'm not depriving myself and am far more likely to stick to it.4 -
Onset diabetes happens usually from weight issues. Take care of the weight issue and the risk of onset diabetes goes down. And you don't need to keto. Reduce your overall intake to manageable calorie restriction and go from there.
A.C.E. Certified Personal and Group Fitness Trainer
IDEA Fitness member
Kickboxing Certified Instructor
Been in fitness for 30 years and have studied kinesiology and nutrition
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@Strudders67 I had a doctor who looked me directly in the eye and gave it to me straight. That advice catapulted me into action. I've not fallen back into my old thrill eating ways. I prefer I can't fool myself realism over massive rationalization and excuses.
Out here we have some really good doctors because this is where they want to live. We do have a world renowned dermatologist who's studied/practiced in Edinburgh, New Zealand and Great Britain. His specialties
are Infectious Disease, Internal Medicine and Dermatology. Has his own surgical center here and has saved over 500 lives locally, discovered their melanomas. Saved my father's life.
He operates on diabetics, too. Wound care. Those wounds that will not go away. If your dermatologist is anything like ours he's definitely not a quack.
Ninerbuff is right. Listen to that sound advice but get your blood glucose tested.
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Diatonic12 wrote: »@Strudders67 I had a doctor who looked me directly in the eye and gave it to me straight. That advice catapulted me into action. I've not fallen back into my old thrill eating ways. I prefer I can't fool myself realism over massive rationalization and excuses.
Out here we have some really good doctors because this is where they want to live. We do have a world renowned dermatologist who's studied/practiced in Edinburgh, New Zealand and Great Britain. His specialties
are Infectious Disease, Internal Medicine and Dermatology. Has his own surgical center here and has saved over 500 lives locally, discovered their melanomas. Saved my father's life.
He operates on diabetics, too. Wound care. Those wounds that will not go away. If your dermatologist is anything like ours he's definitely not a quack.
Ninerbuff is right. Listen to that sound advice but get your blood glucose tested.
A dermatologist is NOT trained to determine who is and is not diabetic. Nor to determine who is at risk of being diabetic. NO ONE should take advice from a dermatologist that isn’t related to the field of dermatology.
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https://www.ncbi.nlm.nih.gov/books/NBK481900/
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-dermatologic-diseases-associated-with-diabetes
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-skin-manifestations-strongly-associated-with-diabetes-mellitus
https://www.aad.org/public/diseases/a-z/diabetes-warning-signs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5336429/
Skin Manifestations of Insulin Resistance: From a Biochemical Stance to a Clinical Diagnosis and Management
This review is intended to aid general practice physicians, family doctors, and dermatologists in recognizing the skin manifestations of insulin resistance. This may bring patients at risk of developing T2D to light, consequently triggering an adequate evaluation (including referral) and, if necessary, timely treatment. These efforts could help avoid the diabetes/metabolic syndrome burden and increase the quality of the care for these patients.
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Diatonic12 wrote: »https://www.ncbi.nlm.nih.gov/books/NBK481900/
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-dermatologic-diseases-associated-with-diabetes
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-skin-manifestations-strongly-associated-with-diabetes-mellitus
https://www.aad.org/public/diseases/a-z/diabetes-warning-signs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5336429/
Skin Manifestations of Insulin Resistance: From a Biochemical Stance to a Clinical Diagnosis and Management
Sometimes a skin tag IS just a skin tag though and a dermatologist still isn’t trained in diabetes management or diagnosis. 🤷🏻♀️2 -
xoprescillaa
'Insulin resistance is a hallmark biochemical feature of both obesity and diabetes. It is one of the key underlying pathophysiological mechanisms of the latter and appears years before its clinical diagnosis. Its accurate and feasible diagnosis is complex and invasive. Indirect laboratory measures and indexes are imprecise and unreliable. Skin manifestations of insulin resistance offer, however, a reliable and easy way to detect insulin resistance.
Clinicians should always recall that skin conditions of insulin resistance might reflect an underlying metabolic imbalance causing the patient to be at risk or of already have diabetes. At the same time, clinicians should not only recognize them, but act by assessing the patients’ current metabolic status and, if necessary, counseling them with regard to lifestyle interventions such as healthy food, exercise, non-smoking, and weight loss.'
T2 does not suddenly show up on your doorstep. The signs are usually there long before the diagnosis, maybe even a decade or more. One out of three have it now. No need for fear. Get your blood glucose tested and take action.3 -
Diatonic12 wrote: »xoprescillaa
'Insulin resistance is a hallmark biochemical feature of both obesity and diabetes. It is one of the key underlying pathophysiological mechanisms of the latter and appears years before its clinical diagnosis. Its accurate and feasible diagnosis is complex and invasive. Indirect laboratory measures and indexes are imprecise and unreliable. Skin manifestations of insulin resistance offer, however, a reliable and easy way to detect insulin resistance.
Clinicians should always recall that skin conditions of insulin resistance might reflect an underlying metabolic imbalance causing the patient to be at risk or of already have diabetes. At the same time, clinicians should not only recognize them, but act by assessing the patients’ current metabolic status and, if necessary, counseling them with regard to lifestyle interventions such as healthy food, exercise, non-smoking, and weight loss.'
T2 does not suddenly show up on your doorstep. The signs are usually there long before the diagnosis, maybe even a decade or more. One out of three have it now. No need for fear. Get your blood glucose tested and take action.
Again, not necessarily anything BUT a skin tag.
Enough fear mongering about skin tags
https://www.medicalnewstoday.com/articles/67317#causes
OP the ONLY way to know if you are diabetic or pre diabetic is to get tested. It’s really that simple. 😊3 -
Dogmom1978 wrote: »Diatonic12 wrote: »xoprescillaa
'Insulin resistance is a hallmark biochemical feature of both obesity and diabetes. It is one of the key underlying pathophysiological mechanisms of the latter and appears years before its clinical diagnosis. Its accurate and feasible diagnosis is complex and invasive. Indirect laboratory measures and indexes are imprecise and unreliable. Skin manifestations of insulin resistance offer, however, a reliable and easy way to detect insulin resistance.
Clinicians should always recall that skin conditions of insulin resistance might reflect an underlying metabolic imbalance causing the patient to be at risk or of already have diabetes. At the same time, clinicians should not only recognize them, but act by assessing the patients’ current metabolic status and, if necessary, counseling them with regard to lifestyle interventions such as healthy food, exercise, non-smoking, and weight loss.'
T2 does not suddenly show up on your doorstep. The signs are usually there long before the diagnosis, maybe even a decade or more. One out of three have it now. No need for fear. Get your blood glucose tested and take action.
Again, not necessarily anything BUT a skin tag.
Enough fear mongering about skin tags
https://www.medicalnewstoday.com/articles/67317#causes
OP the ONLY way to know if you are diabetic or pre diabetic is to get tested. It’s really that simple. 😊
The point is that it’s perfectly reasonable and indeed ethically required for a dermatologist (or an ophthalmologist, or a dentist) who sees symptoms typical of the onset of diabetes to refer the patient to a doctor who can do proper testing. All of these are likely to see early signs of diabetes before a GP does, especially in patients who don’t have a regular GP.15 -
rheddmobile wrote: »Dogmom1978 wrote: »Diatonic12 wrote: »xoprescillaa
'Insulin resistance is a hallmark biochemical feature of both obesity and diabetes. It is one of the key underlying pathophysiological mechanisms of the latter and appears years before its clinical diagnosis. Its accurate and feasible diagnosis is complex and invasive. Indirect laboratory measures and indexes are imprecise and unreliable. Skin manifestations of insulin resistance offer, however, a reliable and easy way to detect insulin resistance.
Clinicians should always recall that skin conditions of insulin resistance might reflect an underlying metabolic imbalance causing the patient to be at risk or of already have diabetes. At the same time, clinicians should not only recognize them, but act by assessing the patients’ current metabolic status and, if necessary, counseling them with regard to lifestyle interventions such as healthy food, exercise, non-smoking, and weight loss.'
T2 does not suddenly show up on your doorstep. The signs are usually there long before the diagnosis, maybe even a decade or more. One out of three have it now. No need for fear. Get your blood glucose tested and take action.
Again, not necessarily anything BUT a skin tag.
Enough fear mongering about skin tags
https://www.medicalnewstoday.com/articles/67317#causes
OP the ONLY way to know if you are diabetic or pre diabetic is to get tested. It’s really that simple. 😊
The point is that it’s perfectly reasonable and indeed ethically required for a dermatologist (or an ophthalmologist, or a dentist) who sees symptoms typical of the onset of diabetes to refer the patient to a doctor who can do proper testing. All of these are likely to see early signs of diabetes before a GP does, especially in patients who don’t have a regular GP.
The OP said nothing about the dermatologist referring them to another doctor. THAT is what makes it unethical (also unethical if he/she really DID say anything about it being gods warning sign as how do they know what the OP believes)??? Again, unethical too to take it upon yourself to frighten someone. While skin tags COULD be a result of insulin issues, there are MANY other causes, so signaling one out with no other information?? Certainly unethical to say the least.2 -
Dogmom1978 wrote: »Sometimes a skin tag IS just a skin tag though and a dermatologist still isn’t trained in diabetes management or diagnosis. 🤷🏻♀️
Any physician who went to medical school (i.e. ALL OF THEM) received training in the diagnosis and management of DM.
I don't quite understand why you're set on vilifying the OP's dermatologist. If you read the post, she didn't diagnose the OP with DM, just pointed out that it was a high possibility. If your orthopedic surgeon saw a dark, irregular mole on the back of your leg and told you, would you be upset because she didn't have training in the diagnosis and management of melanoma?
The derm would have been negligent (not have met the standard of care) had she not mentioned the association between skin tags and DM, and advised the OP to get it checked.16 -
Hi, that is a scary thing to hear for sure. I am here because I am(was) headed toward diabetes. I agree that making small, sustainable changes rather than Keto is the way to go. This is something we will have to live with forever and will Keto be sustainable forever. I know the answer for me is "no." I did see my APRN the other day, I had lost about 8 pounds since I last saw her 6 months ago. I also had signed up to take a class on preventing type 2 diabetes. My glucose was up slightly from my last visit but my A1C was good. She said she feels confident that I will prevent diabetes based on my motivation and the changes I have been making in the last 6 months. You don't need to make all the changes at once, as a previous poster said- you have time. Just start making the changes and keep moving forward. You can do this!1
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my husband has skin tags and his blood sugar is always normal - my mother had skin tags galore, and her blood sugar was a little low. i'm diabetic, and i have less skin tags than either, and i'm 11 years older than my husband. my 40+ year old son is very overweight, has skin tags and perfect blood sugar.Dogmom1978 wrote: »Diatonic12 wrote: »https://www.ncbi.nlm.nih.gov/books/NBK481900/
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-dermatologic-diseases-associated-with-diabetes
https://www.ncbi.nlm.nih.gov/books/NBK481900/#diab-skin.toc-skin-manifestations-strongly-associated-with-diabetes-mellitus
https://www.aad.org/public/diseases/a-z/diabetes-warning-signs
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5336429/
Skin Manifestations of Insulin Resistance: From a Biochemical Stance to a Clinical Diagnosis and Management
Sometimes a skin tag IS just a skin tag though and a dermatologist still isn’t trained in diabetes management or diagnosis. 🤷🏻♀️
exactly this!
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Try a diet on for a week and see how you feel on it and how successful you are. If it be Keto then it's Keto.1
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